Literary review on parikartika

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Journal name: World Journal of Pharmaceutical Research
Original article title: Literary review on parikartika
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Author:

Dr. Gayatri, Dr. Manoj Pratap Singh and Dr. Rajeev Kumar


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Literary review on parikartika

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20208-18118

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

Introduction

Parikartika is a prevalent and painful anorectal condition frequently observed in daily medical practice. While this ailment is not classified as a distinct disease in Ayurvedic texts, it is referenced in ancient literature such as the Sushruta Samhita. In modern medical terminology, Parikartika corresponds to a fissure-in-ano, characterized by symptoms such as pain, burning sensations, rectal bleeding, and constipation. This condition is commonly seen in pregnant women, individuals in the postpartum period, and young adults, highlighting its significant societal impact.

Understanding Parikartika: Definition and Symptoms

The term Parikartika is derived from Sanskrit, where “Pari” means “all around,” and “Kartanam” refers to the act of cutting, which aptly describes the intense cutting pain felt around the anal area. This pain is the primary symptom of the disorder and serves more as an indication of an underlying issue rather than representing a standalone disease. Various Ayurvedic scholars, including Acharya Jejjat and Acharya Vijayarakshita, have characterized the disease by its sharp and cutting pain localized around the anal region, which underscores the complexity of its presentation.

Etiology and Pathogenesis

In Ayurveda, the factors contributing to the onset of Parikartika can be categorized into general and specific nidanas (causes). General nidanas involve the vitiation of Vata dosha due to improper diet (Ahara) and lifestyle (Vihara), particularly factors that affect Apana Vayu. Specific nidanas are more closely related to the disease manifestations themselves, such as abnormalities in stools and digestive functions. The combination of these factors leads to a disturbed state of doshas and dhatus, resulting in the clinical features associated with Parikartika.

Treatment Approaches

Parikartika treatment can be broadly divided into local and general strategies. Early-stage Parikartika is generally treatable with local medicinal applications and lifestyle adjustments. If these conventional treatments fail, surgical or parasurgical interventions may be indicated. Local treatments often involve basti (enemas) prepared with medicated oils and herb-based formulations to restore balance in the doshas and promote healing. General treatment focuses on laxatives and digestive aids to address underlying conditions affecting Agni (digestive fire) and to relieve symptoms.

Conclusion

In conclusion, Parikartika, while not recognized as an independent disease in Ayurveda, shares significant symptomatic overlap with modern conditions such as fissure-in-ano. The existing literature presents variable interpretations of its etiology and treatment among different scholars. Understanding the multifaceted nature of Parikartika reinforces the need for a thorough approach to diagnosis and management, incorporating both traditional Ayurvedic practices and contemporary medical perspectives for optimal patient care.

FAQ section (important questions/answers):

What is Parikartika and its correlation with modern terminology?

Parikartika is a painful anorectal condition described in Ayurvedic texts, resembling Fissure-in-ano in modern medicine, which is an ulcer in the lower anal canal.

What are the common symptoms of Parikartika?

Symptoms of Parikartika include sharp cutting pain, burning sensation, swelling, constipation, and blood-streaked stool in the anal region.

What factors are believed to cause Parikartika?

Factors include vitiation of Vata dosha from improper diet, lifestyle, and conditions like constipation; specific nidanas relate to the disease's onset and patient management.

How is Parikartika diagnosed and understood in Ayurveda?

Diagnosis involves identifying symptoms like cutting pain and considering precipitating factors. Parikartika is not classified as an independent disease in Ayurveda.

What treatment options are available for Parikartika?

Treatment includes local therapies like basti and general medicinal treatments, focusing on alleviating symptoms and correcting dosha imbalances.

What is the significance of early intervention in Parikartika?

Early treatment can lead to full recovery; neglect may worsen the condition, making it harder to treat. Surgical options may be needed if conservative treatments fail.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Literary review on parikartika”. 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:
Parikartika is a painful anorectal disease described in Ayurveda, correlated with fissure-in-ano in modern medicine. It manifests as cutting pain in the anal region, leading to various symptoms such as bleeding and constipation. Recognizing this condition emphasizes the need for understanding similar presentations across traditional and modern medical systems.

2) Disease:
Diseases refer to pathological conditions affecting bodily functions. Parikartika represents one aspect of the broad spectrum of diseases affecting humans. Studying various diseases in Ayurvedic literature offers valuable insights into their management and potential correlations with modern medical practices.

3) Cutting:
The term cutting, when used in the context of Parikartika, refers to the sharp, localized pain experienced in the anal region, resembling a cutting sensation. This symptom is crucial for diagnosis and signifies the severity of the condition, requiring effective treatment in both Ayurvedic and modern medical practice.

4) Basti:
Basti is an Ayurvedic treatment method involving the administration of medicated oils and solutions via the rectum. In the management of Parikartika, Basti serves to alleviate symptoms and balance doshas, particularly Vata. The use of different ingredients in Basti highlights the tailored approach of Ayurveda to treatments.

5) Pain:
Pain is a subjective experience that indicates bodily dysfunction or distress. In Parikartika, pain is a defining symptom, typically described as sharp and cutting. Understanding the nature of pain helps practitioners in both Ayurveda and modern medicine devise suitable interventions aimed at providing relief and healing.

6) Dosha (Dosa):
In Ayurveda, doshas are the three fundamental energies that govern bodily functions—Vata, Pitta, and Kapha. The vitiation of dosha, particularly Vata, is integral to the pathogenesis of Parikartika. Recognizing the imbalance of doshas provides insights into the etiology and potential treatments for various diseases.

7) Vata:
Vata is one of the three doshas in Ayurveda, representing air and space qualities. It plays a significant role in the physiology of Parikartika, as its vitiation can lead to symptoms like pain and constipation. Understanding Vata helps in devising management strategies for anorectal conditions.

8) Gayatri:
Dr. Gayatri is a researcher participating in the exploration of Parikartika within Ayurveda. Her collaborative work emphasizes the integration of traditional knowledge and modern scientific understanding, contributing to comprehensive healthcare solutions. The role of researchers like Gayatri is crucial for validating Ayurvedic practices in contemporary medicine.

9) Guda:
Guda refers to the anal region in Ayurvedic texts. In the context of Parikartika, the symptoms of pain and bleeding are localized to Guda, highlighting the importance of this anatomical area in diagnoses. Understanding Guda is essential for proper treatment and management of anorectal diseases.

10) Nidana:
Nidana refers to the causative factors or etiological aspects of a disease in Ayurveda. Identifying nidana for Parikartika aids in understanding how the disease develops and progresses, allowing for targeted interventions. Awareness of these factors helps practitioners to address not just symptoms but root causes.

11) Vitiation (Vitiated):
Vitiated refers to the disruption or imbalance within the doshas, leading to disease manifestations. In Parikartika, the vitiated state of Vata is pivotal in understanding its symptomatology and guiding effective therapeutic interventions aimed at restoring dosha balance.

12) Vrana:
Vrana refers to a wound or ulcer in Ayurvedic terminology. In the context of Parikartika, it describes the ulceration that can occur in the anal region. Understanding Vrana is crucial for implementing appropriate management strategies, including medication and possible surgical interventions.

13) India:
India is the birthplace of Ayurveda, an ancient system of medicine that includes the study and treatment of conditions like Parikartika. The country’s rich tradition integrates holistic healing practices with cultural values, making it essential to explore classical texts for historical and contemporary medical applications.

14) Drug:
A drug is a substance used to treat, cure, or prevent disease. In Ayurveda, specific drugs are employed in the treatment of Parikartika to address its underlying dosha imbalances. Knowledge of pharmacological properties of these drugs is crucial for effective management of health conditions.

15) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalyatantra is the specialized branch of Ayurveda that deals with surgical techniques. Understanding Shalyatantra is critical for managing conditions like Parikartika, which may require surgical interventions, thereby integrating ancient practices with contemporary medical approaches.

16) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha is an essential component of Ayurveda, closely associated with movement and bodily functions. Its vitiation plays a key role in the pathophysiology of Parikartika, leading to symptoms like pain and constipation. Balancing Vata-dosha is essential for holistic treatment and management of related disorders.

17) Patanjali:
Patanjali refers to the ancient sage credited with compiling classical texts on Ayurveda and yoga. His work lays the foundation for understanding Ayurveda's principles and treatments, including those for Parikartika, thereby bridging traditional practices with contemporary healthcare paradigms.

18) Samhita:
Samhita refers to the compendium or collection of Ayurvedic texts that serve as foundational literature. The Sushruta Samhita, significant for surgery and treatment strategies like Basti for Parikartika, exemplifies the blend of theory and practice in Ayurveda, guiding modern practitioners in treatment approaches.

19) Tantra (Tantrism, Tamtra):
Tantra in Ayurveda encompasses various technical fields and methodologies. It differentiates branches like Shalya-tantra, which focuses on surgical practices. Understanding tantra is essential for comprehending the specialized approaches employed in Ayurvedic medicine, including treatment protocols for specific conditions like Parikartika.

20) Ghrita (Ghrta):
Ghrita is clarified butter used extensively in Ayurvedic formulations, particularly Basti. It serves as a medium for delivering medicinal properties to affected areas. The incorporation of Ghrita in treatments highlights the importance of nutritional components in health restoration within Ayurvedic methodologies.

21) Shalya (Salya):
Shalya refers to surgical procedures and interventions in Ayurveda. The practice of Shalya is vital for treating conditions like Parikartika that may require para-surgical techniques, emphasizing the importance of integrating surgical knowledge with holistic treatment approaches for comprehensive patient care.

22) Arshas (Arsa, Arsas, Arsha):
Arsha refers to hemorrhoids in Ayurveda, which are often associated with conditions like Parikartika. Understanding Arsha aids in recognizing similarities between anorectal disorders, thereby enhancing the diagnostic process and treatment strategies to manage disorders affecting the anal region effectively.

23) Life:
Life encompasses the physical, mental, and spiritual well-being of an individual. Ayurvedic medicine, including the study of Parikartika, emphasizes holistic health, advocating for balanced lifestyle choices, dietary practices, and preventive measures to ensure overall wellness in life.

24) Sushruta-samhita (Susruta-samhita):
The Sushruta Samhita is an ancient Ayurvedic text attributed to Sushruta, focusing on surgery and treatment methods. It provides insights into conditions like Parikartika and their management, serving as a vital resource for understanding surgical interventions and their relevance within classical Ayurvedic practices.

25) Apanavayu (Apana-vayu):
Apana-vayu is a subtype of Vata-dosha associated with downward movement in the body, affecting elimination processes. Its disturbance can lead to conditions like Parikartika, highlighting the significance of Apana-vayu in reproductive health and digestive functioning within Ayurvedic frameworks.

26) Kashyapa (Kasyapa, Kashya-pa, Kashyapanamdana):
Kashyapa was an ancient sage and scholar whose contributions to Ayurveda include texts on medicine and treatments. His teachings are significant in reiterating the principles guiding disorders like Parikartika, emphasizing the blend of tradition and contemporary Ayurvedic practice.

27) Medicine:
Medicines in Ayurveda include herbal formulations, oils, and dietary modifications aimed at treating diseases. In managing Parikartika, various medicines are prescribed to restore balance and alleviate symptoms, highlighting Ayurveda’s holistic approach to health.

28) Shodhana (Sodhana):
Sodhana refers to the cleansing or purifying processes in Ayurveda aimed at detoxifying the body. In the context of Parikartika, Sodhana may be part of the larger treatment regimen to restore functionality and manage dosha imbalances associated with the condition.

29) Samaka (Shamaka):
Shamaka describes therapies and treatments aiming to pacify or balance the aggravated dosha. In managing Parikartika, Shamaka treatments focus on alleviating Vata-dosha disturbances, thereby addressing the root cause of the symptoms experienced by patients.

30) Tearing:
Tearing, in relation to Parikartika, refers to the severe pain and discomfort experienced in the anal region, described as tearing sensations. This symptom is crucial for diagnosis and represents the intensity of the condition, necessitating effective management strategies.

31) Burning (Burn, Burned, Burnt):
Burning describes a painful sensation often associated with conditions like Parikartika. Patients may experience burning sensations in the anal region, which serve as a symptom guiding diagnosis and treatment in both Ayurvedic and modern medicinal contexts.

32) Science (Scientific):
Science encompasses structured methodologies for understanding natural phenomena, including health and diseases. Integrating Ayurvedic principles with scientific inquiry enhances the understanding of conditions like Parikartika, promoting evidence-based practices and holistic healthcare approaches.

33) Vatika:
Vatika refers to disorders predominantly influenced by vitiated Vata dosha. In the context of Parikartika, recognizing Vatika characteristics helps in proper diagnosis and treatment planning, emphasizing the necessity of tailored approaches to specific dosha-related conditions.

34) Pitta:
Pitta is another of the three doshas in Ayurveda, representing fire and transformation. Although more closely associated with heat-related conditions, understanding Pitta helps practitioners in identifying potential contributing factors to Vata disorders like Parikartika, offering comprehensive healthcare insights.

35) Taila (Thaila):
Taila, or oil, is commonly used in Ayurvedic treatments to aid in healing and nourishing tissues. In therapies for Parikartika, Taila formulations play a crucial role in alleviating symptoms and promoting recovery, highlighting the therapeutic properties of oils in Ayurvedic practices.

36) Ahara:
Ahara refers to dietary intake and its impact on health. In Ayurveda, understanding Ahara is essential for preventing and managing conditions like Parikartika, emphasizing the significance of nutritional choices in maintaining bodily balance and preventing dosha imbalances.

37) Apana:
Apana, as a subtype of Vata, governs the downward movement of bodily substances. Its disturbance is often linked to conditions like Parikartika, emphasizing the significance of Apana in both digestive health and reproductive functions, aligning with Ayurvedic principles of holistic care.

38) Ruksha (Ruksa):
Ruksa indicates the property of dryness in Ayurvedic terms. Treatments involving Ruksa could exacerbate conditions like Parikartika, where vitiated Vata leads to dry, painful stools. Awareness of these properties is crucial for effective treatment planning.

39) Kshata (Ksata):
Ksata refers to injuries or wounds, often related to ulcers seen in conditions like Parikartika. Understanding Ksata is essential for devising comprehensive healthcare strategies that prioritize wound management within the scope of Ayurvedic practices.

40) Rupa:
Roopa indicates the manifestation or symptoms of a disease. In studying Parikartika, understanding its Roopa is significant for accurate diagnosis and effective treatment planning, allowing practitioners to align interventions with observed patient experiences.

41) Vayu:
Vayu represents the elemental force of air in Ayurveda, integral to the concept of doshas. It plays a significant role in governing bodily functions and is crucial in understanding conditions like Parikartika, emphasizing the balance required for maintaining health.

42) Milk:
Milk is an essential dietary component in Ayurveda, often used as a vehicle for various medicinal formulations. In treatments for Parikartika, milk can aid in soothing symptoms and promoting overall gastrointestinal health, illustrating the importance of nutrition in health and healing.

43) Burning sensation:
The burning sensation is a typical symptom in Parikartika, indicating inflammation or irritation in the anal region. Recognizing this symptom is pivotal for diagnosis and guiding effective treatment pathways in both Ayurvedic and modern medical practices.

44) Kashyapasamhita (Kasyapasamhita, Kashyapa-samhita):
The Kashyapa Samhita is a classical Ayurvedic text that outlines various treatments and principles of Ayurveda. Its teachings offer valuable insights into managing conditions like Parikartika, emphasizing the integration of ancient wisdom into current healthcare practices.

45) Vijayarakshita (Vijayaraksita):
Vijayarakshita is an ancient Ayurvedic scholar whose contributions enrich the understanding of conditions like Parikartika. His interpretations provide valuable context for clinicians, enhancing their knowledge of symptoms, causative factors, and treatment modalities in Ayurvedic practice.

46) Vranashodhana (Vranasodhana, Vrana-shodhana):
Vrana-sodhana refers to the therapeutic process aimed at healing wounds or ulcers. In cases of Parikartika, implementing Vrana-sodhana focuses on promoting healing in the anal area, demonstrating the significance of tailored treatments based on individual patient conditions.

47) Tuberculosis:
Tuberculosis is a systemic infection that can lead to complications affecting various organs, including the intestines. Recognizing its role as a secondary factor in conditions like Parikartika underscores the importance of comprehensive diagnosis and treatment planning in ayurvedic and modern medicine.

48) Bastikarman (Bastikarma, Basti-karman, Basti-karma):
Basti-karma refers to the method of administering therapeutic enemas in Ayurveda. This practice is central to the management of conditions like Parikartika, serving to address dosha imbalances and alleviate symptoms, demonstrating Ayurvedic insights into gastrointestinal health.

49) Bhagandara (Bhagamdara):
Bhagandara, often referred to as fistula, is another anorectal disorder in Ayurveda. Studying Bhagandara helps in drawing parallels with conditions like Parikartika, enhancing understanding of similar disease processes and informing effective treatment strategies.

50) Yashtimadhu (Yastimadhu, Yashti-madhu):
Yastimadhu, or Licorice, is an important medicinal herb in Ayurveda known for its soothing and healing properties. It is commonly used in formulations for managing conditions like Parikartika, highlighting the role of herbal remedies in promoting health and well-being.

51) Indrayava (Indra-yava, Imdrayava):
Indrayava, or the seeds of a tropical plant, is used in Ayurvedic medicine for various health benefits. It is included in treatments for anorectal conditions like Parikartika, emphasizing the importance of plant-based remedies in traditional healing practices.

52) Samprapti:
Samprapti refers to the pathophysiological process leading to disease development. Understanding the Samprapti of Parikartika is crucial for identifying root causes and designing effective treatment plans to restore balance in the body.

53) Agnidushti (Agnidusti, Agni-dushti):
Agnidusti refers to the impaired digestion and metabolism in Ayurveda. Its identification in conditions like Parikartika emphasizes the importance of digestive health in overall well-being and informs treatment strategies that address dietary and lifestyle factors.

54) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine rooted in the philosophy of balance and harmony among body's energies. Its comprehensive approach to health, including the study of conditions like Parikartika, emphasizes prevention, diagnosis, and curative treatments based on systemic understanding.

55) Garbhini:
Garbhini refers to a pregnant woman in Ayurvedic texts. Understanding the susceptibility of Garbhini to conditions like Parikartika underscores the necessity of tailored approaches in treating each demographic within Ayurvedic healthcare practices.

56) Gambhari:
Gambhari is an herb used in Ayurvedic formulations noted for its medicinal properties. It’s often included in treatments for Parikartika, highlighting the significance of various botanicals in addressing specific health concerns within traditional practices.

57) Lakshana (Laksana):
Lakshana refers to the signs and symptoms of a disease. In the context of Parikartika, recognizing the Lakshana aids practitioners in diagnosing the condition accurately, enabling appropriate therapeutic measures to be applied effectively.

58) Swelling:
Swelling is another symptom often seen in conditions like Parikartika, indicating inflammation or irritation in the affected area. Recognizing swelling as a symptom is crucial for diagnosis and can inform appropriate treatment interventions for effective management.

59) Bleeding:
Bleeding refers to the loss of blood, commonly a symptom of Parikartika. Identifying bleeding as a clinical sign is vital for diagnosis and influences treatment decisions, emphasizing the condition's severity and urgency for effective intervention.

60) Pregnant:
Pregnant women are often at increased risk for conditions like Parikartika due to physiological changes. Recognizing this susceptibility highlights the need for specialized care during pregnancy to manage potential complications effectively.

61) Bhojana:
Bhojana refers to food and dietary habits in Ayurveda. Understanding Bhojana is critical in managing conditions like Parikartika, as dietary choices can exacerbate or alleviate symptoms, emphasizing the role of nutrition in health.

62) Atisara:
Atisara refers to severe diarrhea in Ayurveda and its associated complications. Understanding its relationship with Parikartika can aid in recognizing overlapping symptoms and inform treatment strategies targeting gastrointestinal health.

63) Padmaka:
Padmaka is an Ayurvedic herb known for its therapeutic properties. Used in the treatment of conditions like Parikartika, Padmaka emphasizes the importance of botanical sources in Ayurvedic medicine, serving specific roles based on their unique characteristics.

64) Brihati (Brhati):
Brihati is an Ayurvedic plant used for its therapeutic benefits. It is included in formulations for managing Vata-related conditions like Parikartika, highlighting the diversity in herbs employed within Ayurvedic practices for tailored treatment approaches.

65) Grahani:
Grahani is an Ayurvedic term for digestive disorders, particularly related to absorption problems. Understanding Grahani's role helps practitioners identify contributing factors for conditions like Parikartika, leading to informed treatment strategies centered around digestion and elimination.

66) Prakopa:
Prakopa refers to the aggravation or worsening of a dosha associated with disease manifestation. Recognizing Prakopa in Parikartika allows for targeted interventions to pacify the aggravated dosha and restore balance within the body.

67) Prasara:
Prasara refers to the spreading of dosha throughout the body, influencing disease progression. Understanding this stage in conditions like Parikartika aids practitioners in developing strategies to contain and mitigate symptom severity effectively.

68) Krishna (Krsna):
Krishna, referring to black or dark-colored substances, often highlights the coloring of certain medicinal preparations. Its application in Ayurveda can signify a component in formulations for treating conditions like Parikartika based on their properties.

69) Jejjata:
Jejjata refers to an ancient Ayurvedic scholar whose insights include the diagnosis of conditions like Parikartika. His interpretations reinforce the depth of knowledge embedded in Ayurvedic practices and inform modern applications for patient care.

70) Kashaya (Kasaya):
Kashaya refers to astringent qualities of certain herbs used in treatments. In managing Parikartika, Kashaya properties can play a role in alleviating symptoms by promoting healing and reducing inflammation in affected areas.

71) Dravya:
Dravya refers to the substances used in Ayurvedic medicine, including herbs and minerals. The selection of Dravya for treating conditions like Parikartika is crucial, as it ensures targeted therapeutic action based on each agent's properties.

72) Sevana:
Sevana refers to the consumption or use of substances in the context of Ayurveda. Understanding good Sevana practices ensures patients receive effective treatment and aids in lifestyle modifications for managing conditions like Parikartika.

73) Kamala (Kama-la):
Kamala is a botanical used in Ayurveda known for its therapeutic properties. Its inclusion in formulations for conditions like Parikartika signifies the importance of various herbs within treatment strategies, fostering an integrative approach to health.

74) Dushya (Dusya):
Dusya refers to the underlying materials or issues contributing to a disease's manifestation. In examining Parikartika, recognizing visible Dusya aids in identifying potential causes and focusing treatment strategies effectively.

75) Vyakti:
Vyakti refers to the manifestation of disease in an individual based on personal constitution and factors. In the case of Parikartika, analyzing Vyakti allows practitioners to tailor interventions according to individual patient needs.

[Note: The above list is limited to 75. Total glossary definitions available: 108]

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Discover the significance of concepts within the article: ‘Literary review on parikartika’. Further sources in the context of Science might help you critically compare this page with similair documents:

Nidana, Parikartika, Pregnant women, General treatment, Surgical intervention, Vitiation of Vata Dosha, Ayurvedic text, Fissure-in-ano, Local treatment, Acharya Kashyapa, Acharya Jejjata, Anorectal disorder.

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