Abstract

A CASE STUDY OF ACUTE FISSURE IN ANO W.S.R TO PARIKARTIKA TREATED WITH NIMBA MALAHAR

*Dr. Rohini B. Pardakhe, Dr. D. W. Lilke, Dr. Sonali V. Mane and Dr. Snehal B. Kothawale

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Abstract

In recent era, patients suffering from ano-rectal diseases are quite high in number. Among that acute fissure in ano is one of the commonest anal disorders. Fissure in ano is a longitudinal tear in lower anoderm. It is most painful condition affecting the anal region. In Ayurveda, fissure in ano resemble to Parikartika having cutting and burning pain at Guda (anus). Acharya Charaka and Acharya Shushruta stated that parikartika is Basti and virechana vyapada. Here a case report of 45 year female presented with hard stool, bleeding per rectum during and after defecation, stool streaked with blood, burning and cutting pain at anal region since 7 days. Patient was treated with daily application of Nimba malahar topically for wound healing and internally Trifgola as a potent laxative for relief of constipation, which give effective result within 7 days. Topical use of nimba malahar and oral Trifgola were found effective on acute fissure in ano.

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