Effect of lajjalu kera in fissure-in-ano

Fissure-in-ano is a painful anorectal condition commonly causing bleeding per rectum and affecting a large portion of the population. It can be acute, with recent tears and sphincter spasm, or chronic, with inflamed and scarred margins. While acute cases may heal with conservative measures like sitz baths and topical agents, chronic fissures often require surgical treatment, which may lead to complications such as bleeding or incontinence. In Ayurveda, the condition is correlated with Parikartika, described with symptoms like cutting pain, burning sensation, and difficulty in defecation. Classical treatments include Pichabasti, Anuvasana Basti, and application of medicated oils to pacify Vata and Pitta. This study evaluates the effect of Lajjalu Kera Taila—a formulation using Lajjalu (Mimosa pudica), known for its wound-healing and hemostatic properties, and Kera Taila (coconut oil), which is anti-inflammatory and lubricating. anal instillation of lajjalu kera done  for 14 days in 30 patients aged 18–65 years with fissure-in-ano at Government Ayurveda College, Pariyaram. The results showed significant reduction in symptoms, suggesting that this Ayurvedic approach is a safe, effective, and economical alternative to conventional surgical management.