A Clinical Study to evaluate the effect of Durvadi Ghrita and Jatyadi Ghrita with manual anal dilatation in Parikartika W.S.R to Fissure-in-ano

Anal fissure is one of the major causes for pain of anal region. An anal fissure

is a longitudinal tear in the skin of the anal canal distal to the dentate line. The disease

fissure in ano can be compared with Parikartika according to Ayurveda. The disease

Parikartika has been described in Charaka Samhita sidhisthana chapter 7 in Niruhabasti

Vyapd.

In the present study, an effort is made to derive a standard, cost effective and

easily accessible treatment for fissure-in-ano from classical resources. The efficacy of Durvadi Ghrita

and Jatyadi Ghrita in the management of Parikartika is evaluated in this study.

120 patients are taken in this study and randomly divided into 2 groups. (Each group having 60

patients)

Group 1 - 60 Patients receive local application of Durvadi Ghrita and

Group 2 - 60 Patients receive local application of Jatyadi Ghrita along with manual anal dilatation.

Durvadi Ghrita and Jatyadi Ghrita are the non-invasive, easy and cost-effective without any adverse

effects management for fissure-in-ano and also better alternatives in place of modern techniques,

especially in acute fissure-in-ano.

• PROCEDURE: - Per rectal application of Durvadi Ghrita and Jatyadi Ghrita pichu

(3ml each) daily along with manual anal dilatation.

• DURATION: - 21 days or till symptoms relief.

• SITZ BATH: - Every 6hrly and after defecation with lukewarm water.

• FOLLOW UP: - after completion of study duration follow up for 7th, 14th, 21st days.

• STUDY DURATION: - 42 days.