Parikartika: case study

Summary of article contents:

In the winter season, peoples are more likely to be healthy but they usually suffer from constipation with anorectal diseases. most common vary from unhealthy diet regimens to hectic lifestyles. It is common in working individuals as heavy work, sedentary work. Longitudinal tear in the lower end of the anal canal results in fissureinano. It is most the painful condition affecting the anal region. Various factors which contribute to the development of fissures are hard feces, surgical procedures, diseases like Crohn's disease, ulcerative colitis, enthusiastic usage of ointments and habit of laxatives, sphincter hypertonia, spicy diets, etc. Constipation results in hard stool passage which is painful and results in a fissure. In some cases, a fissure may be associated with a small perianal abscess resulting in worsening pain. Clinical features include pain during and after defecation, burning in nature, lasting for half to one hour because of which defecation is postponed. Stools are hard, pelletlike and there is a drop of blood or streak of fresh blood. Acute and chronic are two types of fissures. In Ayurvedic samhitas, Parikartika (fissure in Ano) resembles fissureinano having cut and burning pain at Guda (Anus). The factors responsible for Parikartika are found as Basti-Virechana Vyapad (Complication of the Basti and Virechana procedures), Arsha (piles), Atisara, Grahani, etc. The objective of this short case study was to demonstrate the effectiveness of Ayurvedic medicines so as to treat the disease. The patient had a working sedentary lifestyle which had been treated earlier, but it had reoccurred. With the help of Ayurvedic medicines, parikartika had been cured completely. Keywords: Guda, Parikartika, Malavashtambha, , Kartanvata vedana, Basti Netra, Fissure in Ano INTRODUCTION The vyadhi Parikartika has been described in Charaksamhita Siddhisthana chapter seven in Niruhabastivyapada