AYURVEDA-BASED PARIKARTIKA MANAGEMENT WSR FISSURE IN ANO: A CASE REPORT

Introduction: Fissure in ano, or Parikartika in Ayurveda, is a painful anorectal condition. A key feature of this case is the use of Shatadhauta Gruta (medicated ghee) washed with Nirgundi Kashay instead of water. Clinical findings: The patient presented with a burning sensation, severe pain in anal region during and after bowel movements, and blood-stained stools. Diagnosis: Clinical examination confirmed an acute fissure-in-Ano a longitudinal ulcer at the 6 o'clock position. Interventions: Treatment included both external and internal Ayurvedic interventions: warm sitz baths followed by the application of nirguNDI patra kaShAya Sodhit Shatadhaut GRuta (NPKSSG) externally, along with herbal formulations for internal balance. Outcome: Remarkable improvement was observed within 12 days, with no recurrence at 3 and 6 months. Conclusion: NPKSSG proved to be an effective treatment for Parikartika, demonstrating properties like pain relief, wound cleansing, and healing. Its unique formulation enhances its efficacy in managing fissure in Ano effectively