Abstract

GUDA PARIKARTIKA AND ITS MANAGEMENT

*Dr. Saraswat Shruti, Dr. Kumar Rajeev, Dr. Singh Manoj Pratap and Dr. Gupta Sachin

Abstract

The health of any person depends on his life style and food stuff. Diet and life style plays an important role in guda parikartika which is evident by references. The reference about Parikartika is available from all Bruhatrayees and later authors of Ayurveda. The disease Parikartika is mentioned in bastikarmavyapat[1], vamanavirechanavyapat [2] and in Garbhini chikitsa.[3] The word Parikartika means parikartanavatvedana[4] around guda i.e. cutting type of pain. On the basis of the site, signs, and symptoms the disease parikartika can be correlated to fissure- in- ano, described in modern medical science. In day-to-day practice, among all anorectal disease encountered in practice, the anal fissure represents one of the most common disease due to altered life style in about 30-40% of the population. and commonly seen in youngsters, pregnant women and purpureal period. Fissure-in-ano is a painful tear or split in the epithelial lining of the distal anal canal and causes severe anal pain during and after defecation hampering the daily activities of the person. Management of fissureIn modern medicalscience is medical and surgical, which includes analgesic, stool softeners, soothing ointments and anal dilatation, sphincterotomy, fissurectomy respectively. and in Ayurveda guda parikartika is treated with avgahasweda, high fiber diet, local therapies in the form of anuvasanabasti, pichchabasti, madhur, Kashaya dravya siddha basti, lepa, guggulu.

Keywords: Gudaparikartika, fissure in ano, anal dialation, sphincterotomy, fissurectomy, avgahasweda, anuvasanabasti, pichchabasti, guggulu.