CLINICAL STUDY TO EVALUATE THE LOCAL EFFECT OF DOORVA GHRITA IN MANAGEMENT OF PARIKARTIKA

Abstract

Acharya Sushruta has described the term ‘Parikartika’ as a condition of Guda (anus) where cutting and burning pain is present. Parikartika (fissure in-Ano) is very common and painful condition. The factors responsible for causation of Parikartika are found in various texts as Vamana  Virechana Vyapada, Basti Karma Vyapad and Upadrava of Atisara, Grahani, Arsha, Udavarta etc. According to modern treatment of Acute fissure-in-ano is painkiller, stool softner and soothing ointment.& surgical treatment is anal dilatation, sphincterotomy, fissurectomy are in vague but the complication of these procedures like recurrence, incontinence and pruritus are even more agonizing than the actual pathology. Hence, there is definite need for search of new drug or therapy in management of Acute fis-sure in ano. Doorva ghrita is having ingredients with Vrana Shodhana and Ropaņa properties which can help the Vrana (wound) to heal rapidly. The present study was conducted to evaluate the local effect of Doorva ghrita in management of Parikartika w.s.r. to Acute fissure in-ano. The symptoms like pain, bleeding, size of ulcer were assessed during treatment. The trial drug proved statistically significant in early wound healing. The results revealed that the estimated treatment shown significant improvement (p< 0.01) in all cardinal sign and symptoms. However the statistical observations reveals that Doorva ghrita was found efficacious in management of Acute fissure in ano. The present study proved that the ancient management is safe, easily available devoid of complications and has better acceptability.