A CLINICAL STUDY TO EVALUATE THE EFFICACY OF RAKTACHANDAN MALHAR(LOCALLY)ALONG WITH HARITAKI CHURNA VATI (INTERNALLY) IN THE MANAGEMENT OF PARIKARTIKA W.S.R. TO FISSURE IN ANO.

TITLE

"A CLINICAL STUDY TOEVALUATE THE EFFICACY OF RAKTACHANDAN MALHAR (LOCALLY) ALONG WITH HARITAKICHURNA VATI (INTERNALLY) IN THE MANAGEMENT OF PARIKARTIKA W.S.R. TO FISSURE INANO"

AIM AND OBJECTIVES

AIM:

TO STUDY THECLINICAL EFFICACY OF RAKTACHANDAN MALHAR(LOCALLY) ALONG WITH HARITAKI CHURNAVATI (INTERNALLY) IN THE MANAGEMENT OF PARIKARTIKA W.S.R. TO FISSURE IN ANO.

OBJECTIVES:

Primary:

•       To evaluate the effect ofRaktachandan Malhar (Locally) in the management of symptoms such asBurning sensation, Pain, Anal sphincter Spasm, Ulcer and Bleeding P/R.

•       To establish RaktachandanMalhar as local (user friendly), cost effective treatment for Parikartikaw.s.r. to fissure in ano.

•       To review the Ayurvedicand Modern literature in context to Parikartika and Fissure in Ano andadvancement in its management.

RESEARCHQUESTION: -

•        Is Raktachandana Malhar (Locally) alongwith Haritaki churna Vati (Internally) effective in the management ofParikartika w.s.r. to fissure in ano?

 Hypothesis: -

 Null Hypothesis: -

•       *Raktachandana Malhar(Locally) along with Haritaki churna Vati (Internally)*is not effective in the management of Parikartika w.s.r. to fissure in ano.

 Alternate Hypothesis: -

•        Raktachandana Malhar (Locally) along withHaritaki churna Vati (Internally) is effective in the management ofParikartika w.s.r. to fissure in ano.

Method of preparation of Raktachandan malhar

Raktachandana kwathwere prepared as per authentic procedures of preparation. The coarse powder ofRaktachandan stored in a vessel and soaked with water then boiled with 16 timesof water until it reduces to a quarter.Then TilaTaila was taken in a suitable pot heated on the flame till bubbles rise off.Tila Taila Murchhana was done and allowed it to cool by itself Then 1 part of kwathwas added into 1 part of Tila Taila and mandagni till khara paak awashta wasachieved. Then taila was sieved, collected in clean and sterile container.

Malhar nirman vidhi

Some Base material is required forpreparation of Malhar and Siktha (Bee Wax) is one among them. So, we are usingsiktha as a base to prepare Raktachandan Taila Malhar.

Malhar nirman vidhi:

Ratio of Siktha to taila is taken as1:5 respectively.

As there is no direct reference ofpreparation of Raktachandan Taila Malhar, it was prepared by common method ofpreparation of Malhar kalpana explained in Rasatarangini. 1 part of bee wax(siktha) is added to the 5 parts of RaktachandanTaila.

After heating the taila, the beewax was added and stirred well. After complete melting of bee wax, flame wasswitched off and continuous stirring of mixture was done till the final product(Malhar) is obtained. It was stored in container and was observed till itattained semi-solid consistency.

PREPARATION OF HARITAKI CHURNA VATI

Raw dried fruit of Haritaki wastaken and its seeds was removed. Process the powder of haritaki. Pillsmeasuring 500mg each was prepared from the powder.