scholarly journals Clinical study on the effect of Dwiharidra rasakriya pichu in the management of Parikartika (Fissure in ano)

2016 ◽  
Vol 7 (3) ◽  
Author(s):  
Neetu Vishwakarma ◽  
Srinivasa Kumar K ◽  
Nagamani D

Parikartika is one of the most common disorder of ano-rectal diseases. Parikartika resembles with ‘fissure in ano’ having cutting and burning pain in guda (anus). It is most painful condition affecting the anal region. In Parikartika, the local treatment is such as ointments, Ghrita, Taila and dilatation also known.  In the present clinical study the Dwiharidra Raskriya Pichu is taken as external application on fissure (Parikartika). 

2020 ◽  
Vol 3 (1) ◽  
pp. 59-63
Author(s):  
Suryanaryana Reddy V ◽  
Ravindra Prasad B ◽  
Ram Mohan C ◽  
Vamshi Chandra B ◽  
Satya Dev

Background: Fissure-in-ano is a very common problem across the world which causes considerable morbidity and affects the patient’s quality of life to a greater extent. Anal fissure is a common painful condition affecting the anal canal. The main aim of study was to compare the efficacy of outcome of subcutaneous fissurectomy versus lateral internal sphincterotomy in chronic fissure in Ano. Subjects and Methods: The study was a prospective, parallel group, comparative trial. The study was conducted at Department of General Surgery, Chalmeda AnandRao Institute of Medical Sciences, Karimnagar. The number of patients included in the study was 50. Patients were divided into lateral internal sphincterotomy groups and subcutaneous fissurectomy groups. Patients were followed up regularly for relief of symptoms i.e., pain in the anal region and bleeding from anal region and for complications like incontinence; duration of sitz baths and number of work days lost. Results: The mean age group in the present study was 38.24  9.96 for subcutaneous fissurectomy and 39.2  10.4 for lateral internal sphincterotomy; there was no significant difference in the mean age in either of the groups with P value > 0.05. Conclusion: The current study shows results in favor of subcutaneous fissurectomy with a healing rate of 100% with faster pain-relief and minimal or no complications if performed by the hands of an experienced surgeon.


Author(s):  
M. V. Sreerag ◽  
Mukhund Dhule

Parikarthika (Fissure in ano) is one of the most painful condition which is occurring in the ano rectal region. Due to irregular food habits and modern life styles of peoples in the present era has also added to the increase in the rate of incidence of fissure in ano. The aim of the present pilot study was to assess the effectiveness of Murivenna ointment in the management of Parikarthika. This study was conducted in 22 patients diagnosed as acute fissure in ano. Patients Murivenna ointment was applied locally with digitally in fissure bed (Parikartika) of all 22 patients. All patients were advised to follow this twice daily after sitz bath for 4 weeks or till healing of fissure bed whichever is earlier. Adjuvant drug Triphalachurnam 5 gm orally at bedtime with lukewarm water was prescribed daily to all patients with constipation. There was significant relief in symptoms like pain in ano and bleeding per rectum in all patients after 30 days of treatment. The anal sphincter tonicity became normal in 21 patients (95.45%) after 30 days of treatment. Ulcer in ano was completely healed in 19 patients (86.36%) after 30 days of treatment. There was no reoccurrence in all patients after 30 days of follow up. The irritable symptoms like pain and bleeding per rectum were effectively relieved within 14 days of treatment in all patients. It is one of the effective treatments in the management of fissure in ano as it relieved the cardinal symptoms of fissure in ano such as cutting pain and burning pain.


Author(s):  
Priyanka kharavalikar Priyanka

   Parikartika is a Guda-gata vyadhi related to Ano rectal diseases. This disease has been explained by all acharyas in bruhatrayee. Is the nirukti of parikartika i.e. cutting type of pain observed in Guda pradesha. Parikartika is a common painful condition among Anorectal diseases which resembles with fissure in ano. This Is a case report of 33yr male patient with complaints of Guda Pradesh Daha (Burning sensation at anal region), Sarakta mala pravrutti (stool mixed with blood), Malavasthambha (Constipation) since last 4 days. He was treated with Yashtimadhu Ghruta Matra Basti for 7days.He got significant positive relief within 7 days.


GYNECOLOGY ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. 28-32
Author(s):  
Valerii G. Volkov ◽  
Tatyana V. Zakharova

Relevance. Empirical treatment of vaginitis is indicated due to its polymicrobial etiology and limited microbiological analysis. The aim of the study was to study the combination of ornidazoleneomycinprednisoloneeconazole (ONPE, Elzhina) as a first-line drug for local treatment of patients with various forms of non-specific vaginitis. Materials and methods. The study included 55 non-pregnant women aged 18 to 50 years (381.5 years) who had clinical and laboratory signs of acute vaginitis. Results. All patients at the initial treatment complained of pathological discharge, 47 (85.5%) noted itching, burning, pain in the genital area of various degrees of severity, 17 (30.9%) discomfort when urinating, 9 (16.4%) unpleasant smell, 8 (14.5%) dyspareunia, 4 (2.2%) complained of sensations of a foreign body in the vagina. The clinical and laboratory effectiveness of treatment was 89.1% (49). In 6 (10.9%) patients, clinical improvement was noted, with the remaining laboratory signs of aerobic vaginitis. Conclusion. The new combination of ornidazoleneomycinprednisoloneeconazole (ONPE, Elzhina ) has a good efficacy and safety profile and can be used to initiate empirical treatment of non-specific inflammatory diseases of the lower genital tract.


Author(s):  
Lakshmi S P ◽  
Harini A

Introduction: All the skin diseases in Ayurveda have been classified under the broad heading, “Kushta”. Dadru is one among Kushta. It involves the clinical features like kandu, raga, pidaka, utsannamandala. Dadru kushta mostly simulates with ‘Dermatophytosis’ commonly referred to as ringworm which is highly contagious. In this study an effort has been made to evaluate the Dadrughna karma (Antifungal activity) of the oil prepared from Dadrughna (Cassia alata Linn) leaves. Materials and methods: In the present study, action of Dadrughna (Cassia alata Linn) patra taila on Dadru kushta was evaluated in 32 subjects who were treated with Dadrughna patra taila as an external application twice a day for 30 days and follow up was done on 45th day. Assessment was done for subjective parameter-itching and objective parameters-distribution of lesion, severity of inflammation, extent of lesion. Results: The effect of therapy was assessed before treatment, 15th day, 30th day of treatment and follow up was done on 45th day. The results were statistically analyzed; it showed significant changes in subjective parameter-itching (p<0.001) and Objective parameters- distribution of lesion (p <0.001), severity of inflammation (p<0.001), extent of lesion (p <0.001). Discussion and conclusion: The external application of Dadrughna patra taila applied for 30 days has helped in reduction of itching, distribution of lesion, extent of inflammation and severity of inflammation where the taila was found more effective in reducing itching when compared to other symptoms KEY WORDS: Dadru kushta, Dermatophytosis, Dadrughna (Cassia alata Linn), Dadrughna patra taila


Author(s):  
Athira.C ◽  
Ajay Bhat U

Gridhrasi is a Vyadhi characterized by Stambha (stiffness), Ruk (pain), Toda (pricking pain), Spandana (twitching) etc. Though it is of two types – Vataja and Vatakaphaja, Vata being the prime cause for this condition has to be tackled to gain relief. Gridhrasi, according to its signs and symptoms can be compared to sciatica in modern medical science which is a painful condition in which pain commences from the buttock and radiates into the lower extremity along its posterior or lateral aspect, more or less comprising of the area of distribution of the sciatic nerve. Thus, this study was taken up to evaluate the efficacy of Rasona taila and Gandharvahastadi eranda taila in the management of Gridhrasi (Sciatica). Methods: In the present study, 60 subjects diagnosed with Gridhrasi were randomly selected and assigned into two equal groups Group A and Group B comprising 30 subjects each. Subjects of Group A received Rasona taila 10ml orally in morning before food and subjects of Group B received Gandharvahastadi eranda taila 10 ml orally in morning before food, both for duration of 21 days. The data obtained in both the groups were recorded, tabulated and statistically analyzed using appropriate statistical methods. Results: After obtaining all the necessary data, the results were formulated by applying suitable statistical tests. Group A showed better results statistically when compared to Group B. Conclusion: Rasona taila has better effects than Gandharvahastadi eranda taila both clinically and statistically in reducing the signs and symptoms of Gridhrasi.


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