Abstract

AYURVEDIC MANAGEMENT OF FISSURE-IN-ANO ASSOCIATED WITH IRRITABLE BOWEL SYNDROME: A PERSPECTIVE

*Dr. Bhalendu Dhabhai, Dr. Vishnu Dutt Sharma

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Abstract

Anal fissure, or fissure-in-ano, is a prevalent anorectal condition characterized by a linear tear in the mucosa of the anal canal. It frequently coexists with bowel disturbances such as irritable bowel syndrome (IBS), which alter stool consistency and frequency, resulting in mechanical trauma to the anoderm and delayed healing. Ayurveda correlates IBS with ‘Grahani’ and fissure-in-ano with ‘Parikartika’. This paper explores the pathophysiology, clinical presentation, and integrated Ayurvedic management of IBS-associated fissure-inano, drawing upon classical Ayurvedic texts and contemporary research. Treatment strategies encompass Shodhana (purification), Shamana (palliative therapy), Basti (medicated enema), Kshara Karma (alkaline cauterization), dietary regulation, and lifestyle modifications. Emphasis is placed on restoring Agni (digestive fire), balancing doshas, and promoting tissue regeneration. The proposed integrative model underscores Ayurveda’s holistic and preventive approach, suggesting scope for further clinical validation in Indian proctology practice.

Keywords: Anal fissure, Irritable bowel syndrome, Ayurveda, Parikartika, Grahani, Basti, Kshara Karma.