Management of Fissure-In-Ano in Unani, Siddha, Homeopathy, and Ayurvedic System of Medicine: A Comparative Study an Evidence Based Review

India's 1.21-billion-person population faces a shortage of medical experts, particularly doctors.To address this, the National Rural Health Mission integrated the Ayurveda, Yoga, Naturopathy, Unani, Siddha, and Homoeopathy (AYUSH) system of indigenous medicine.To explore safe and alternative clinical interventions for chronic anal fissure, a condition with significant impact on quality of life and high treatment relapse rates.The research team performed a narrative review by reviewing unani classical text book and by searching scientific databases, including pubmed, science direct, and google scholar from their dates of inception until December 2024.The management of fissure-in-ano is remarkably similar across various traditional systems of medicine, including Ayurveda, Unani, Siddha, and Homeopathy, with minimal differences in their approaches.Unani medicine offers therapeutic approaches for anal fissures, but empirical evidence is limited.Mainstreaming the AYUSH system, including Unani medicine, can improve healthcare accessibility and availability, but requires policymaker support and rigorous monitoring.equal frequency, though instances may also present in older adults and children, particularly attributed to suboptimal toileting practices.