scholarly journals PRELIMINARY CLINICAL STUDY TO EVALUATE JATYADI GHRITA SUPPOSITORY IN THE MANAGEMENT OF PARIKARTIKA WITH SPECIAL REFERENCE TO FISSURE-IN-ANO.

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

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):  
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):  
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):  
Rajesh Gundre

In today’s modern life style which is  more over sedentary life having more diseases than ever .one of them is fissure in ano caused by many reasons such as low fibre diet, non vegetarian diet, low physical activity, junk food, irregular meals, stress which all causes irregular bowel movements and constipation leads to the passage of hard stool causing erosion  and deep tear through the skin  of  anal margin extending in to anal canal which named as parikartika i.e. fissure in ano. In this study a single case was taken to treat the acute stage of fissure in ano with tila taila matra basti for 3 days only. assessment was done on the basis of acute pain ,burning sensation, spasm, itching ,constipation(hard stool).The acute stage was controlled in 1 hour to 2 days .


Author(s):  
Yogesh sharma Sharma ◽  
Santosh Shridhar Pathak ◽  
Vinay Raghunath Sonambekar ◽  
Pankaj Prabhakar Dixit

Arsha (hemorrhoids) is engorgement of the hemorrhoidal venous plexus, characterized by bleeding per rectum, constipation, pain, prolapse and discharge. The earliest reference of Arsha is available in Acharya Charaka, Sushruta and Kashyap Samhita. In modern point of view, it can be correlated with Haemorrhoids. In this study total 10 patients of Arsha having signs and symptoms of same, selected from Arogyashala Rugnalaya OPD of Shalyatantra Department. The patients were treated with prepared “Arshahar malam” to be applied locally for twise a day upto 10 days. The reference of Arshahar malam taken from various texts of Ayurvedic samhitas. It contains Nagkeshar, Lodhra, Nirgundi, lajjalu, Bheemseni Karpoor, Yasad Bhama And Tila Taila in appropriate proportion. All these drugs have property to subside the different symptoms belongs to Arsha. The combind effect of all these drugs are seen in this study.  Assessment was done on the basis of criteria such as bleeding, shotha according to grade of pile mass, and itching. On observation, result showed reduction of bleeding, shotha, and itching with advantages like affordable cost-effective and more acceptable to different categories of people, etc. were recorded in the Arshahar malam-treated group. No any complication seen in patients during follow up periods.


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.


Author(s):  
Rajendra Joshi ◽  
N. B. Mashetti ◽  
Rakesh Kumar Gujar

Dushta Vrana is a common and frequently encountered problem faced in surgical practice. The presence of Dushta Vrana worsens the condition of the patient with different complications and may become fatal. Local factors on wound like slough, infection and foreign body, affect the normal process of healing. A healthy wound in a normal body heals earlier with a minimum scar as compared to a contaminated wound. Therefore in this study all the efforts are made to make a Dushta Vrana into a Shuddha Vrana. Once the Vrana becomes Shuddha, Ropana of the Vrana will start. The objective of the study was to evaluate the clinical efficacy of Jatyadi Taila and Jatyadi Ghrita in Dushta Vrana. Clinically diagnosed 60 Patients of Dushta Vrana were randomly divided into two groups, each consisting of 30 Patients. Group A were treated with the Jatyadi Taila and Group B was treated by Jatyadi Ghrita. The results observed was based on the relief obtained on the subjective and objective parameters taken for consideration for this study viz, size of ulcer, discharge, smell, pain, burning sensation, itching and granulation were found significant (P Lass Than 0.05). On the basis of assessment criteria and overall result of treatment, the patients of Jatyadi Taila group showed better results when compared to Jatyadi Ghrita group. Even though statistically there is no much significant difference between the two groups, but by seeing the effect on individual parameters (subjective and objective) and over all response, Jatyadi Taila seems to be effective when compared to Jatyadi Ghrita. It is having more Ropana qualities when compared to Shodhana.


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):  
Yuwaraj D. Kale ◽  
Sarika Choure

Abhishyanda is one of the Sarvagata Vyadhi mentioned by Acharya Sushruta. In modern science, signs and symptoms of Netrabhishyanda may be correlated with conjunctivitis, which is the inflammatory condition of conjunctiva. Kavala Dharana, Dhumrapana, Aschyotana, Sechana Putapaka etc. are various suggested regimens in Ayurvedic texts for the treatment of Netrabhishyanda. Considering this effectiveness of Palasha as mentioned by Acharya Sushruta, it is planned to study the use of Palasha Mula Arka Aschyotana in Pittaja Netrabhishyanda. 60 patients having classical signs and symptoms of Pittaja Abhishyanda (Acute Bacterial Conjunctivitis) as per Ayurvedic and modern texts were selected for the study. After completion of therapy, mean Conjunctival hyperemia was reduced to 0.2167 ± 0.4086 in Control and 0.5667 ± 0.5040 in Trial Group. Palasha Mula Arka was found effective in reduction in conjunctival hyperemia, watering and the number of culture colonies, it was also found effective in burning sensation, discharge, foreign body sensation and photophobia.


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