Critical analysis of kasisadi ghrita in parikartika (fissure-in-ano)

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Journal name: Ayushdhara
Original article title: Critical analysis of kasisadi ghrita in parikartika (fissure-in-ano)
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Author(s):

*Vishal Khanna
Associate Professor, Dept. of Shalya Tantra, Jammu Institute of Ayurveda and Research, Nardani, Jammu, J&K
Abineet Raina
Assistant Professor, Dept. of Shalya Tantra, Saint Sahara Ayurved Medical College & Hospital, Bathinda
Anjali Sharma
Assistant Professor, Dept. of Kriya sharir, Sri Ganganagar College of Avurvedic Science & Hospital, Rajasthan
Priya Puesh Pargotra
Assistant Professor, Dept. of Agad Tantra, Saint Sahara Ayurved Medical College & Hospital, Bathinda


Ayushdhara:

(A peer-reviewed, bi-monthly open-access journal)

Full text available for: Critical analysis of kasisadi ghrita in parikartika (fissure-in-ano)

Year: 2016

Copyright (license): CC BY-NC-SA 4.0


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Summary of article contents:

Introduction

Fissure in ano, referred to as Parikartika in Ayurveda, is a common and painful condition affecting the anal canal, characterized by an elongated ulcer. The condition can be either acute or chronic, with symptoms including burning sensations and cutting pain. Traditionally, fissures have been treated surgically; however, there are significant concerns, including risks of fecal incontinence following surgery. Current management usually involves laxatives and analgesics, but these often fail, leading to surgical recommendations. This study critically examines the efficacy of Kasisadi Ghrita, a classical Ayurvedic formulation known for its wound healing properties, in treating Parikartika.

Efficacy of Kasisadi Ghrita

Kasisadi Ghrita was chosen due to its effective Vrana shodhana (wound purification) and Vrana ropan (wound healing) properties. The formulation's ingredients provide substantial lubrication, which alleviates sphincter spasms. In this study, 15 patients were administered 10 ml of Kasisadi Ghrita intra-rectally once daily for 15 days, and their symptoms were assessed based on pain, bleeding, itching, and burning sensations. Notably, patients experienced significant relief in all symptoms, indicating that Kasisadi Ghrita could serve as a safe and effective alternative to surgical interventions for managing fissure-in-ano.

Management of Parikartika

The management approach for Parikartika, particularly in acute cases, typically includes painkillers, stool softeners, and soothing ointments. In chronic cases, treatments may involve anal dilatation or surgical options. The study highlighted the increasing prevalence of anal disorders attributed to lifestyle changes and psychological factors. Kasisadi Ghrita not only addresses the physical symptoms but may also help mitigate issues related to psychological distress stemming from ano-rectal problems by promoting faster healing and reducing the incidence of complications associated with standard surgical procedures.

Conclusion

Based on clinical observations, the application of Kasisadi Ghrita demonstrated remarkable efficacy in the treatment of fissure-in-ano, providing significant relief from pain and other associated symptoms in a relatively short time frame. The study emphasizes the role of traditional Ayurvedic formulations in managing modern ailments, offering a viable alternative to conventional surgical treatments. It encourages further research to validate Kasisadi Ghrita's therapeutic potential and establish standard therapeutic protocols for treating Parikartika effectively.

FAQ section (important questions/answers):

What is the main focus of the study on Kasisadi Ghrita?

The study evaluates the efficacy of Kasisadi Ghrita in treating Parikartika, or anal fissures, focusing on its capability to provide significant relief from symptoms such as pain, bleeding, itching, and burning sensation.

What are the inclusion criteria for patients in this study?

Patients aged 18-60 years with acute fissure in ano presenting symptoms like rectal bleeding, pain, and pruritis were selected without considering their sex, religion, education, or socioeconomic status.

What were the results observed from using Kasisadi Ghrita?

The application of Kasisadi Ghrita showed significant improvements with relief percentages of approximately 66.66% for pain, 82.35% for bleeding, 83.33% for burning sensation, and 85.18% for itching among patients treated.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Critical analysis of kasisadi ghrita in parikartika (fissure-in-ano)”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Parikartika:
The term Parikartika, also known as fissure-in-ano, is a common and painful condition of the anal canal characterized by an elongated ulcer with burning sensation and cutting pain.

2) Ghrita (Ghrta):
Ghrita refers to clarified butter or ghee in Ayurveda. It serves as a base in medicinal preparations, facilitating delivery into cells and enhancing properties like healing and soothing effects.

3) Pain:
In the context of fissure-in-ano, the symptom of pain or Vedana is a significant factor that affects quality of life. The use of Kasisadi Ghrita is noted for providing relief from pain associated with Parikartika.

4) Disease:
The term includes conditions like Parikartika (fissure-in-ano), a painful disease of the anal canal. Ayurveda addresses such diseases with treatments like Kasisadi Ghrita to provide relief from symptoms.

5) Burning sensation:
Burning sensation, or Daha, is a symptom observed in patients with Parikartika. The Ayurvedic treatment Kasisadi Ghrita helps in alleviating this uncomfortable symptom, aiding the healing process.

6) Ayurveda (Ayus-veda):
Ayurveda is a traditional Indian system of medicine that utilizes natural remedies and holistic approaches. Parikartika is managed using Ayurvedic treatments like Kasisadi Ghrita due to its soothing and healing properties.

7) Tantra (Tamtra, Tantrism):
In Ayurveda, Tantra refers to systematic therapeutic practices. Shalya-tantra, for example, specializes in surgical techniques and treatments for diseases including fissure-in-ano.

8) Karma (Karman):
Karma in this context pertains to actions or treatments, such as Basti Karma, Vamana Karma, and Virecana, which are cleansing procedures in Ayurveda used to treat disorders like Parikartika.

9) Guda:
Guda refers to the anus in Ayurveda. It is the site affected in Parikartika or fissure-in-ano, where symptoms like pain, burning sensation, and itching occur.

10) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalya-tantra is a branch of Ayurveda that deals with surgical treatments. It includes therapies for conditions like fissure-in-ano using formulations such as Kasisadi Ghrita.

11) Shalya (Salya):
Shalya in Ayurveda symbolizes surgical instruments or techniques used in Shalya-tantra. It encompasses treatments for fissure-in-ano and similar conditions.

12) Vrana:
Vrana refers to wounds or ulcers in Ayurveda. In the case of Parikartika, Kasisadi Ghrita is used for its Vrana Ropana (wound healing) and Vrana Shodhana (wound cleansing) properties.

13) Vedana:
Vedana means pain, which is a major symptom of Parikartika or fissure-in-ano. The application of Kasisadi Ghrita helps in the reduction of Vedana, providing significant relief to patients.

14) Basti:
Basti is an Ayurvedic therapeutic enema treatment. It is associated with complications that may lead to conditions like Parikartika. The use of Kasisadi Ghrita provides relief from such symptoms.

15) India:
India is the birthplace of Ayurveda, the traditional medical system which addresses conditions like Parikartika using remedies such as Kasisadi Ghrita to promote holistic healing.

16) Vata:
Vata is one of the three doshas in Ayurvedic medicine, representing air and space. It is predominantly involved in the pathogenesis of Parikartika, and treatments aim to balance Vata to alleviate symptoms.

17) Bastikarman (Bastikarma, Basti-karman, Basti-karma):
Basti-karma is a therapeutic enema procedure in Ayurveda, often mentioned in the context of its potential complications, such as the development of Parikartika, which can be managed with Kasisadi Ghrita.

18) Virecana:
Virecana is a purgative therapy in Ayurveda used for detoxification. Its incorrect administration may lead to complications like Parikartika, a condition managed by treatments like Kasisadi Ghrita.

19) Atisara:
Atisara refers to diarrhea in Ayurveda. It can be a precipitating factor for Parikartika, managed by using remedies like Kasisadi Ghrita which alleviates symptoms and promotes healing.

20) Shodhana (Sodhana):
Śodhana, or cleansing, is a therapeutic process in Ayurveda. For Parikartika, Kasisadi Ghrita has Śodhana properties facilitating wound cleaning and healing.

21) Vamana:
Vamana is an emetic therapy in Ayurveda used for detoxification. Complications from Vamana, like Parikartika, are treated using formulations like Kasisadi Ghrita to alleviate symptoms.

22) Anjali (Amjali):
Anjali Sharma is one of the authors of the study on the efficacy of Kasisadi Ghrita in Parikartika. Her work includes evaluating traditional Ayurvedic treatments for modern clinical applications.

23) Sharman (Sarma, Sharma, Sarman):
Anjali Sharma, along with other researchers, authored the study on Kasisadi Ghrita for Parikartika, contributing to the understanding of traditional medicine in managing this painful condition.

24) Kandu (Kamdu):
Kandu refers to itching, a symptom associated with Parikartika. The study demonstrates that Kasisadi Ghrita significantly alleviates itching among other symptoms in patients with this condition.

25) Priya:
Priya Puesh Pargotra is one of the authors of the study on Kasisadi Ghrita. Her research focuses on traditional Ayurvedic formulations for the treatment of anal fissures.

26) Ulcer:
Ulcer, or VRANA in Ayurveda, refers to a break in the skin or mucous membrane. In the context of Parikartika, it denotes the anal fissure for which Kasisadi Ghrita is a recommended treatment.

27) Drug:
In this context, drug refers to the medicinal preparations like Kasisadi Ghrita used in Ayurveda for treating conditions such as Parikartika (fissure-in-ano) with significant efficacy.

28) Human body:
The human body responds to Ayurvedic treatments like Kasisadi Ghrita, which facilitate healing and pain relief through natural ingredients, targeting conditions like Parikartika.

29) Vedanasthapana (Vedana-sthapana):
Vedanasthapana refers to pain-relieving properties in Ayurvedic formulations. Kasisadi Ghrita is noted for its Vedanasthapana action, providing relief from pain in conditions like Parikartika.

30) Vranashodhana (Vranasodhana, Vrana-shodhana):
Vrana-sodhana also refers to wound purification. It is critical in treating Parikartika, where Kasisadi Ghrita aids in cleaning the wound and facilitating quicker healing.

31) Vatapittahara (Vatapitta-hara):
Vatapittahara refers to the balancing of Vata and Pitta doshas. Kasisadi Ghrita is noted for its Vatapittahara properties, making it effective in treating Parikartika by alleviating associated symptoms.

32) Raktacandana (Rakta-candana, Raktacamdana):
Raktacandana (Red Sandalwood) is an ingredient in Kasisadi Ghrita known for its anti-inflammatory and healing properties, used to treat Parikartika.

33) Vranaropana (Vrana-ropana):
Vrana-ropana refers to wound healing properties. Kasisadi Ghrita is used for its Vrana-ropana action, promoting tissue repair and recovery in patients with Parikartika.

34) Tuberculosis:
Patients with fissure-in-ano secondary to conditions like tuberculosis are excluded from the study of Kasisadi Ghrita, ensuring the focus remains on primary cases of Parikartika.

35) Daruharidra (Daru-haridra):
Daruharidra (Indian Barberry) is an active ingredient in Kasisadi Ghrita, known for its wound-healing and anti-inflammatory properties, making it effective in treating Parikartika.

36) Raktasrava (Rakta-srava, Raktashrava):
Rakta-srava refers to bleeding. The application of Kasisadi Ghrita showed effective results and control over bleeding in patients with Parikartika, aiding the overall treatment process.

37) Nimbapatra (Nimba-patra):
Nimba patra (Neem leaves) is an ingredient in Kasisadi Ghrita. Neem has potent antiseptic and anti-inflammatory properties, contributing to the treatment of Parikartika.

38) Pittadosha (Pittadosa, Pitta-dosha):
Pitta-dosha in Ayurveda is associated with heat and metabolism. Imbalances in Pitta can contribute to conditions like Parikartika, which are treated with remedies like Kasisadi Ghrita to restore balance.

39) Manjishtha (Manjistha, Mamjishtha):
Manjishtha (Indian Madder) is an ingredient in Kasisadi Ghrita. It is valued in Ayurveda for its blood-purifying and anti-inflammatory properties, aiding in the treatment of Parikartika.

40) Kampillaka:
Kampillaka (Kamala tree) is an ingredient in Kasisadi Ghrita, known for its healing properties in Ayurveda, used to treat conditions like Parikartika effectively.

41) Prapunnata:
Prapunnata is an ingredient in Kasisadi Ghrita, contributing to its wound-healing properties. It enhances the efficacy of the treatment for Parikartika.

42) Manahshila (Manahsila, Manah-shila, Manas-shila):
Manahshila (Realgar) is another ingredient in Kasisadi Ghrita. It is traditionally used in Ayurveda for its medicinal properties, aiding in the treatment of Parikartika.

43) Discussion:
The discussion highlights the increasing prevalence of ano-rectal disorders like Parikartika and the efficacy of treatments like Kasisadi Ghrita in providing symptom relief and promoting healing.

44) Depression:
Depression is noted as a psychological factor that can exacerbate ano-rectal conditions like Parikartika. Addressing both physical symptoms and psychological health is crucial in Ayurveda.

45) Rasanjana (Rasa-anjana, Rasamjana):
Rasanjana (Berberis) is an ingredient in Kasisadi Ghrita. It has soothing and healing properties, effective in the treatment of Parikartika, contributing to its overall efficacy.

46) Rajasthan:
Anjali Sharma, one of the researchers, is affiliated with an Ayurvedic institute in Rajasthan, where studies like the efficacy of Kasisadi Ghrita in treating Parikartika are conducted.

47) Pravahika:
Pravahika in Ayurveda refers to dysentery, which can lead to complications like Parikartika. Relevant Ayurvedic treatments include Kasisadi Ghrita to manage and treat symptoms.

48) Pittahara (Pitta-hara):
Pittahara refers to the property of balancing Pitta dosha. Kasisadi Ghrita exhibits Pittahara properties, aiding in the treatment of Parikartika by reducing inflammation and promoting healing.

49) Shothahara (Sothahara, Shotha-hara):
Sothahara refers to the anti-swelling or anti-inflammatory properties. Kasisadi Ghrita exhibits Sothahara action, which is beneficial in treating Parikartika by reducing swelling and promoting healing.

50) Education:
Education in Ayurveda involves understanding traditional treatments like Kasisadi Ghrita for conditions such as Parikartika, integrating ancient wisdom with modern clinical practice.

51) Gandhaka (Gamdhaka):
Gandhaka (Sulfur) is an ingredient in Kasisadi Ghrita. It has antimicrobial and healing properties, which make it effective in the management of Parikartika.

52) Haritaki:
Haritaki (Terminalia chebula) is an ingredient in Kasisadi Ghrita. Known for its wound-healing and anti-inflammatory properties, it is used beneficially in treating Parikartika.

53) Samskara:
Samskara indicates processing or transformation, often referring to the preparation of Ayurvedic medicines. Kasisadi Ghrita undergoes specific Samskara to enhance its therapeutic effects.

54) Sarshapa (Sarsapa):
Sarshapa (Mustard) or Gaura sarshapa is an ingredient in Kasisadi Ghrita. It has anti-inflammatory properties, contributing to the treatment of Parikartika.

55) Shirisha (Sirisa, Shirisa, Sirisha):
Shirisha (Albizia lebbeck) is an ingredient in Kasisadi Ghrita. It is known for its medicinal properties, including anti-inflammatory and wound-healing effects, making it effective in treating Parikartika.

56) Haritala (Hari-tala):
Haritala (Orpiment) is an ingredient in Kasisadi Ghrita, recognized in Ayurveda for its therapeutic benefits, helping in the healing process of Parikartika.

57) Upadrava:
Upadrava refers to complications that may arise from primary conditions. Parikartika can appear as an Upadrava of treatments like Basti Karma.

58) Udavarta:
Udavarta refers to upward movement or obstruction, often leading to conditions like Parikartika. Ayurvedic treatments like Kasisadi Ghrita can help alleviate symptoms caused by Udavarta.

59) Guggulu:
Guggulu (Commiphora mukul) is an ingredient in Kasisadi Ghrita, valued for its anti-inflammatory and wound-healing properties, making it effective in the treatment of Parikartika.

60) Padmaka:
Padmaka (Prunus cerasoides) is included in Kasisadi Ghrita. It is known for its medicinal properties that aid in the healing process of conditions like Parikartika.

61) Vidanga (Vidamga):
Vidanga (Embelia ribes) is an ingredient in Kasisadi Ghrita, acknowledged in Ayurveda for its medicinal properties that help mitigate the symptoms of Parikartika.

62) Sindura (Simdura):
Sindura (Vermilion) is an ingredient in Kasisadi Ghrita. It is used for its healing and anti-inflammatory properties, aiding in the treatment of Parikartika.

63) Kashyapa (Kasyapa, Kashya-pa, Kashyapanamdana):
Acharya Kasyapa is an ancient Ayurvedic scholar who mentioned Parikartika as a complication of pregnancy, emphasizing the condition’s historical recognition and traditional treatments like Kasisadi Ghrita.

64) Karanja (Karamja):
Karanja (Pongamia pinnata) is an ingredient in Kasisadi Ghrita, prized in Ayurveda for its anti-inflammatory properties, contributing to the effective treatment of Parikartika.

65) Kushtha (Kustha):
Kushtha (Saussurea lappa) is included in Kasisadi Ghrita for its potent healing properties, addressing the symptoms and complications of Parikartika.

66) Madhuka:
Madhuka (Licorice) is an ingredient in Kasisadi Ghrita known for its soothing, anti-inflammatory, and healing properties, aiding in the treatment of Parikartika.

67) Haridra:
Haridra (Turmeric) is a vital component of Kasisadi Ghrita due to its potent anti-inflammatory and wound-healing properties, making it beneficial for treating Parikartika.

68) Shuddha (Suddha):
Shuddha often refers to a purified ingredient. Guggulu-shuddha in Kasisadi Ghrita emphasizes the importance of using purified substances in Ayurvedic medicine for treating Parikartika.

69) Leprosy:
Leprosy patients were excluded from the Kasisadi Ghrita study to ensure accurate results for treating primary Parikartika cases, without complications from other severe conditions.

70) Ropana:
Ropana refers to healing properties in Ayurveda. Kasisadi Ghrita’s Ropana action promotes effective wound healing in Parikartika, aiding tissue repair and recovery.

71) Kasisa (Kashisha):
Kasisa (Green vitriol) is an ingredient in Kasisadi Ghrita. It is known for its healing and antiseptic properties, contributing to the treatment of Parikartika.

72) Lodhra:
Lodhra (Symplocos racemosa) is an ingredient in Kasisadi Ghrita known for its anti-inflammatory and wound-healing properties, making it useful in the treatment of Parikartika.

73) Sariva (Shariva):
Sariva (Hemidesmus indicus) is an ingredient in Kasisadi Ghrita. It has multiple medicinal properties, including detoxification and wound-healing, aiding in treating Parikartika.

74) Nature:
Nature here can refer to the Ayurvedic philosophy of using natural ingredients and holistic approaches, like Kasisadi Ghrita, to treat conditions such as Parikartika.

75) Dosha (Dosa):
Dosha in Ayurveda refers to biological energies. Imbalances in Vata and Pitta doshas contribute to conditions like Parikartika, which are managed using treatments like Kasisadi Ghrita.

[Note: The above list is limited to 75. Total glossary definitions available: 89]

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Discover the significance of concepts within the article: ‘Critical analysis of kasisadi ghrita in parikartika (fissure-in-ano)’. Further sources in the context of Science might help you critically compare this page with similair documents:

Vranashodhana, Bastikarman, Assessment criteria, Chronic fissure-in-ano, Anal dilatation, Acute Fissure-in-ano, Anal sphincter spasm, Parikartika (Fissure in Ano), Kasisadi Ghrita, Vrana ropan, Upadrava of Atisara, Symptoms of Parikartika, Local anaesthetic agent.

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