scholarly journals A Clinical Study of Arka Kshara Patanain the Management of Jirna-Gudprikartika(Chronic Fissure In Ano)

Author(s):  
Pankaj Potalia

Fissure means a tear or crack. In other words, fissure-in-anois simply just a tear in the anal canal. Mainly occurs because of constipation or loose motion (frequently passing stool) or as a complication of Virechan & Basti karma. One and most important sign of fissure-in-ano is pain and bleeding during and after defecation. Severity and complication increase along with time, recurrence, and routine habits. Daily lifestyles include dietary habits, working field, personal hygiene, sleep & bowel habits, stress, etc. which directly affects the digestion of an individual. And we all know that our digestion is the direct key to our health. Early-stage or acute fissure can be cured by local application of medicines or by subsiding digestive issues (constipation or loose motions). But chronic fissure or fissure due to spasticity of sphincters is still a point of worry and research. In our study, we included 60 patients having signs and symptoms of Parikartika from OPD, and Arka kshar was used for local application. The patient was clinically assessed based on pain, per rectal bleeding, itching etc. Significant results were observed in spasticity and symptoms of patients.

Author(s):  
Ashwini Bhikaji Rathod

The earliest reference of Parikartika was available in Acharya Charaka, Sushruta and Kashyap Samhita. In modern point of view, it can be correlated with Fissure-In-Ano. Now a day, in Modern technological era, due to changing life style, consumption of fast foods, improper sleep habits may ultimately results into irregular bowel movements and constipation leads to the passage of hard stool and finally it causes erosion and deep tear through the skin of the anal margin extending into anal canal, which named as Parikartika i.e. Fissure-In-Ano. In this study total 10 patients of Parikartika having signs and symptoms of same, selected from Arogyashala Rugnalaya OPD of Shalyatantra Department. The patients were treated with self-made “Jatyadi Ghrita Suppository” per anus for 10 days daily. Assessment was done on the basis of criteria such as burning sensation, pain, spasm, and itching. The better result was observed in reduction of burning sensation, pain, spasm and itching after treatment. Key words: Parikartika, Jatyadi Ghrita, Suppository, Fissure-In-Ano


Author(s):  
Mamta Gopalrao Mate ◽  
D. N. Farande ◽  
Vinay M. Pandey ◽  
Snehal Kukade

Background: Parikartika is characterized by sharp cutting pain in anal regionIn Parikartika, Teevrashoola, bleeding is seen, similarly severe pain and slimy blood discharge are seen in Fissure-in-ano. Objective: To assess the efficiency of Kasisadi Ghruta local application in the management of fissure-in-ano. Methods: The patient having classical signs and symptoms of Parikartika (fissure in ano) having Age group 20 to 60 years were recruited for the study. Trial group was treated with Kasisadi Ghruta twice a day local application for 28 days. Results: Average relief observed was 62.5% in most of symptoms. Kasisadi Ghruta is having Shothahara, Vedanasthapana and Ropana properties due to which it helps in healing of fissure in ano. Conclusion: Kasisadi Ghruta local application is having better results in fissure-in-ano.


Author(s):  
Om Dhote

Fissure in Ano ( Parikartika) is a vertical tear or an elongated longitudinal ulcer in the long axis of stratified squamous epithelium of the lower anal canal. Ancient text couldn’t give a brief idea about this condition. Mainly it has been described as complication of Bastikarma and Atisar. It is so named in which sharp cutting pain is felt in the anus. For that Modern surgical treatment of choice is again has limitations such as faecal incontinence. Hence, karpoor Ghrita having effective Vranaropan & vedanashamak, tridoshaghna  property i.e. it relieves burning sensation quickly. So we modified a method of Local Application is conceived for this study.   


Author(s):  
Kallanagouda H. ◽  
S. C. Sarvi

Background: Jaundice (Kamala) is a yellowish pigmentation of the skin, the conjunctival membranes over the sclera (whitish of the eyes), and other mucous membranes caused by hyperbilirubinemia (increased levels of bilirubin in the blood). Today’s lifestyle with unhygienic and poor dietary habits and alcoholic habits etc. are responsible factors to promote hepatic damage which clinically reflects as Kamala Roga. The incidence of such causes resulting in Jaundice. In India it is 2.37-3.15 per 1000 population. The effect of Ayurvedic treatment was assessed in relation to improvement in overall clinical signs and symptoms. Objectives: To evaluate the effect of Phalatrikaadi Kwatha and Darvyadi Kwatha in Kamala Roga. Methodology: A comparative clinical study was conducted on Kamala for period of 15 days. The patients were divided into 2 groups. In Group A 20 patients were administered with Phalatrikadi Kwatha internally and in Group B 20 patients were administered with Darvyadi Kwatha internally. Results: Group A and Group B have shown statistically significant result. Group B treated with Darvyadi Kwatha showed better result compared with Group B treated with Phalatrikadi Kwatha.


2021 ◽  
Vol 9 (8) ◽  
pp. 1623-1628
Author(s):  
Suresh Y. Bhajantri ◽  
Gannur P. G. ◽  
Gujar R. S.

Background: Parikartika (Fissure-in-ano) is a clinical condition enrolled with the Laxana’s like Kartanavat (cut- ting type of pain) and Chedanavat Shoola in the anal region and it can be correlated with Anal Fissure associated with Pain, Burning sensation during Defecation and tear in the distal Anal Canal. The Incidence rate of Anal Fis- sure is around 1 in 350 adults they occur equally common in men and women and most often occurs in adults aged 15 to 40. Aims and Objectives: To compare the Efficacy of Daruharidra Chandana Malahara with Pan- chavalkala Malahara in the Management of Parikartika (Acute fissure in ano). Materials and Methods: For the Present study, cases were selected from OPD and IPD of Shalya Tantra with the Classical Clinical Features like Kartanvat and Chedanavat Shoola in the anal region. Intervention: Daruharidra Chandana Malahara Lepa and Panchavalkala Malahara Lepa, applied Locally into Two Groups with each Group having 20 Patients for 7 days along with Triphala Choorna (1tsp) HS. Results: Copesetic Relief was seen in Signs and Symptoms and Im- proved Quality of Life after Treatment. Conclusion: The Study Was Proved that Parikartika was Effectively Managed by Daruharidra Chandana Malahara Lepa comparatively Panchavalkala Malahara Lepa. Keywords: Parikartika, Fissure-in-ano, Daruharidra Chandana Malaharal Lepa, Panchavalkala Malahara Le- pa.


Author(s):  
Gaurangi Girish Karmarkar ◽  
Prajakta Rasal ◽  
VINAY ANKUSH PAWAR

Background: Inappropriate physical activities as well as improper dietary habits lead to Osteoarthritis. The vitiated Vata vitiates other Dosha that gets launched in Sandhi (joints) which leads to pathological changes termed as Sandhigata Vata. In Ayurveda, Shodhana and Shamana Chikitsa are indicated for pacification of aggravated Dosha and Rasayana Chikitsa for replenishment of Dhatukshaya. Methods: In the present study, 30 study subjects showing classical signs and symptoms of Sandhigata Vata were enrolled. Gokshuradi Guggulu as Shamana Chikitsa, Gandharvahastyadi Kashaya as a Nitya Shodhana along with Dashamoola Kwath Parisheka was given for 14 days followed by Rasayana Churna (Gokshura-Guduchi-Amalaki) for three months. Assessment of clinical efficacy was done on the basis of subjective and objective parameters - Shool (Resting Pain), Shool (Nocturnal Pain), Akunchan Prasarna Shool (Pain of Movements) of Knee, assessment of Pain of Weight bearing, Difficulty in Walking (Sakashtagaman), Pidanasahatwa (Tenderness), Shotha, Range of movementwas done. The data generated through clinical study was subjected to appropriate statistical tests. Results: Significant relief was observed in all symptoms which was statistically significant too (p < 0.05). Not a single adverse event reported in any of the study subjects during or after the study. Discussion: Gokshuradi Guggulu is an effective Rasayana as well as Shaana, Guggulu acts as Vatahara, Shoolahara. Gandharvahastyadi Kashaya helps in vatanulomana & regularizes vatadosha. Dashamoola Kwath Parisheka pacifies Vatadosha and thus relieves pain and swelling in Sandhigata Vata. Rasayana Churna proved to be very effective in managing the degenerative joint disorder like Sandhigata Vata. Conclusion: Present study reveals that the selected composite management of Nitya Shodhana, Shamana and Rasayana Chikitsa has potential effect on Sandhigata Vata with the added advantage of being free from side effects.  


2021 ◽  
Vol 10 (3) ◽  
pp. 3059-3060
Author(s):  
S Kukade

Parikartika is charecterised by sharp cutting pain in the anal region. In parikartika teevrashoola, bleeding is observed, equally extreme pain slimy blood discharge are seen in fissure-in-ano. To test the efficacy of thelocal application of kasisadi ghruta in managing. Classical signs and symptoms of parikartika (fissure in ano) age groups of 20 to 60 years have been recruited for the research. The trial group obtained treatment with kasisadi ghruta local application for 28 days, twice a day. Average relief observed was observed 62.5% for most symptoms shothahara, vedanasthapana, and ropana are in kasisadi ghruta. Properties because of which it helps in healing the ano fissure.


Author(s):  
Pankaj Chhayani ◽  
Hemang Raghavani ◽  
Dhananjay Patel

Tamaka Shvasa is described as a most difficult to cure (Yapya) among all diseases in Ayurveda. In present study Tamaka Shvasa is correlated with Bronchial Asthma because of its symptomatology is much similar with Tamaka Shvasa. In modern medical science, steroids and bronchodilators are mainly used for its management, but they cause certain side effects. Present study was undertaken to provide safe and effective remedy for Tamaka Shvasa through Ayurvedic medicaments. Shirishadi tablet was given as internal medicine for 30 days. Upto 60% relief was found in signs and symptoms of Tamaka Shvasa.


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