A SINGLE-ARM CLINICAL TRIAL TO STUDY THE EFFECT OF MANJISHTHADI TAIL MATRABASTI IN THE MANAGEMENT OF PARIKARTIKA WITH SPECIAL REFERENCE TO FISSURE IN ANO

Parikartika is described in Ayurvedic texts as a complication of certain Panchakarma operations or as a sequel to specific disorders. It is similar to fissure-in-ano, which causes burning and cutting pain at Guda (the anal area). An overview of this condition could not be found in ancient texts. It is primarily characterised as an atisara and virechana complication. A fissure in the anal canal is a split at the mucocutaneous junction. When a small bit of blood passes through faeces, it creates extreme pain. While secondary fissures are caused by underlying disorders, primary fissures can be acute or chronic. Conservative treatment is typically effective for acute fissures; however, surgical intervention is required to address chronic fissures linked to tags. Nowadays, laxatives, local anaesthetics, antibiotics, and analgesics are used to treat fissures. The patient is advised to have surgery if this treatment is unsuccessful. However, there are numerous issues following the procedure. Anal fissures are, therefore, very difficult to treat, even for skilled proctosurgeons, despite numerous advancements in conservative and surgical techniques. It is named for the acute cutting sensation that is experienced in the anus. The source of the excruciating pain and burning sensation is the reduction of vata and pitta dosha. Nearly all ancient writers concentrated on Basti Chikitsa when treating the disease Parikartika.