Abstract

A RANDOMIZED COMPARITIVE CLINICAL STUDY TO EVALUATE THE EFFECT OF TRIPHALA GHRITA GUDA-PICHU WITH TRIPHALA KWATHA AVAGAHA SWEDA IN THE MANAGEMENT OF PARIKARTIKA W.S.R. TO FISSURE-IN-ANO

Beatrice Synnah*, Rakesh R. N. and Aswin Haridas

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Abstract

Anal fissure is one of the most common anorectal problem due to increase intake of unhealthy irregular dietary habits and unhealthy lifestyles producing constipation. In this disease, a fresh cut linear fissure is developed either at anterior or posterior part of the anal canal and patients demand urgent relief from burning pain. Fissure means a crack, it is a longitudinal split in the anoderm of the distal anal canal, which extends from the anal verge proximally towards, but not beyond, the dentate line.[1] The incidence of fissure in ano is around 1 in 350 adults, commonly seen in the age group between 15 -40 years and equally affected in both men and women while it is uncommon in children and elderly.[2] Several surgical techniques have been adopted for treatment of fissure in ano which is an effective and standard procedure. But these surgical procedures have some demerits with potential long-term complications. Incontinence to flatus and faecal soiling are distressing complications of sphincterotomy, some of them had delayed wound healing, infection and recurrence of disease. Hence conservative management of fissure in ano is commonly preferrable. In this clinical study, 40 patients diagnosed with Parikartika (Fissurein- Ano) were randomly selected and subjected for clinical trial with consent. Patients of age between 18-65 years of either sex was selected. They were divided randomly into 2 groups – A and B, with 20 patients in each group. Group A was treated with Triphala Ghrita Guda Pichu and Group B was treated with Triphala Kwatha Avagaha Sweda. Explaining and demonstrating the method of guda pichu and avagaha sweda to the patient on the day of consultation was done. The patient was asked to do the same procedure, once daily for 7 days after the bowel has been passed. The study reveals that both Triphala Ghrita Guda pichu and Triphala kwatha Avagaha Sweda are helpful in treating Parikartika. It was found that Triphala Ghrita Guda Pichu proved effective in managing bleeding, burning sensation, pruritis, sphincter tone and tenderness. While Triphala Kwatha Avagaha Sweda shows more effective in treating pain, constipation and showed better results in reducing the size of fissure.

Keywords: Parikartika, Fissure-In-Ano Triphala Ghrita Guda pichu and Triphala kwatha Avagaha Sweda.