AYURVEDIC MANAGEMENT OF ACUTE FISSURE-IN-ANO (PARIKARTIKA) WITH TRIVRUT TRIPHALA YOG (ORAL ADMINISTRATION) AND YASHTIMADHU GHRITA (LOCAL APPLICATION): A CLINICAL SINGLE CASE STUDY

Parikartika, commonly known as fissure-in-ano, ranks among the prevalent anorectal disorders. Changing lifestyle, increased stress, and disturbed sleep habits contribute to Agnimandya, which is considered the root cause of Parikartika. Acharya Charaka has described Trivrut Triphala Yog for anorectal disorders in Charaka Chikitsasthana 14/66. Trivrut is also described as a Sukhavirechaka Dravya in Ayurvedic literature. A 34-year-old male patient presented with a longitudinal ulcer at the 6 o’clock position of the anal verge associated with sharp cutting pain, per rectal bleeding, and severe sphincter spasm. The patient was treated with Trivrut Triphala Yog administered orally along with local application of Yashtimadhu Ghrita. The patient was advised dietary modifications, sitz bath, and lifestyle correction. Significant improvement was observed within 10 days of treatment. Follow-up after two months revealed no recurrence. The present case study demonstrates the efficacy of Trivrut Triphala Yog and Yashtimadhu Ghrita in acute fissure-in-ano (Parikartika).