Comparative clinical trial to evaluate the efficacy of prapaundarikadi taila matrabasti and darvi taila matrabasti with dilatation by gradual anal dilator in moderate to severe sphincteric spasm in the management of parikartika w.s.r.to Fissure in ano.

Fissure in Ano is the disease which causes considerable discomfort and pain occure most commonly in the midline posterior of anal canal. In Ayurvedic literature "Parikartika" has been mentioned by Aacharya Sushrut a condition characterized by cutting and burning pain around the anus, penis, umbilics and neck of bladder cessation. Parikartika is occur by influence of vata and pitta dosha, vata causes pain like cutting with a sharp instrument i.e. Scissors and pitta causes burning sensation along with inflammation. When Vata is covered with faeces, the stool is constipated, patient suffers from severe pain and passes hard stools with difficulty and evacuation is delayed. Prapaundrikadi taila is explained by Acharya Charaka in Dwivraniya Chikitsa, based on the rasapanchaka madhura, kashaya and sheeta guna it does daha prashamana and vrana Ropana. Parikartika is Vranalakshanayukta gudavikara. Charaka mentioned Darvi taila as an Vranaropaka, Kandugna, and Vatanulomaka in nature . prapaundarikadi taila Matrabasti and Darvi taila matrabasti with dilatation by gradual  anal dilator by reducing pain, bleeding, inflammation, spasm and itching by keeping equilibrium of doshas and promoting wound healing .