Parikartika as the name suggests is the ano-rectal disease explained in Bruhatrayees in which there is a pain like cutting with Axe in the Anal and perianal area. Nowdays, due to unhealthy lifestyle, irregular food habits, disturbed sleep pattern many people are suffering from many digestive issues like indigestion, acidity, constipation etc. It is common in working individual as well as homemakers. Constipation results in hard stool passage, which results in longitudinal tear in the lower end of anal canal results in fissure in ano. Anal fissure comprises of 10-15% of anorectal disorders and is characterized by excruciating pain during and after defecation, blood stained stool, burning sensation almost for 1-2 hours after defecation, sometime swelling. In Ayurveda Parikartika is usually described as a symptom found in other diseases like arsha, grahani, atisara, udavarta etc. or as a complication of faulty instrumentation and excessive or improper panchkarma (virechan and basti) procedures which produce a tear in anal region with features of cutting or tearing type of pain, burning sensation and bleeding during and after defecation. While treating Parikartika by applying ayurvedic principles one has to mainly focused on stabilizing the digestive functions and improving the nature, character, and consistency of stool in addition to the use of laxatives and wound healing (vranropan) agents. And on the counterpart, modern management includes chiefly Surgical interventions but the result was found to be less satisfactorily with much recurrences. That is why in this case study genuine effort made here to manage Parikartika by fully Ayurvediy approach.
Parikartika, Fissure in Ano, Parikartika chikitsa
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