Published Paper Details:

Parikartika is one of the most painful and commonest condition in Gudagata Vikaras affecting majority of the population in the world1. Acharya's have explained it as one among the Vamana Virechana Vyapat2,3 and Bastivyapat4. It is caused by Sthana Samshraya of vitiated Vata & Pitta Dosha in Gudapradesha, leading to Kartanavat Vedana and Daha in Gudapradesha. It can be correlated to fissure-in-ano based on signs and symptoms5. In the Chikitsa of Parikartika, Acharyas have mentioned Madhura, Kashaya Rasa Sneha Yukta Dravya's in the form of Piccha Basti, Anuvasana Basti6, Pichu, Varti & Lepa, which pacifies Vata and Pitta Dosha's. Acharya Sushrutha has mentioned Anuvasana Basti with Grithamanda & Yastimadhu Taila in Parikartika7. Acharya Sushrutha has mentioned Pichu Prayoga in the context of Shashti Upakrama8, in the management of Vrana. Gandhaka Druti9 is mentioned in Rasa Ratna Samucchaya in the context of Uparasas, is having Vedanasthapaka and Vranaropaka properties, so it has been selected in the treatment of Parikartika. Hence the present study is under taken to evaluate and compare the efficacy of Gandhaka Druti Pichu and Yastimadhu Taila Pichu in the management of Parikartika w.s.r to Acute Fissure-in-Ano.