CLINICAL EVALUATION OF AYURVEDIC COMPOUND AND MANUAL DILATATION OF ANUS IN THE MANAGEMENT OF PARIKARTIKA (FISSURE-IN ANO): AN OPEN PERSPECTIVE STUDY

Abstract

Parikartika (Anal fissure) is the most common cause of anal pain. The aim of this prospective study was to assess the effecti veness of Ayurvedic compound alo ng with manual dilatation of Anus and Jatyadi tail in anal fissure. 40 patients were included in this study and the therapeut ic outcome and side effects were recorded. Recurrence of symptoms occurred in two healed patients in four months. Remission of the disease was found in 80% of cases which is statistically significant. Partial remission in 12.5% and no remission was found in 7.5% of cases. The appetite was markedly improved, which was either nil or, reduced before treatment. The mean was 0.4 as compare d to 2.375 before treatment with SD 0.5905 and P is significant <0.001. Complete healing of the fissure occurred in 95% of the subjects by the end of 30 days (P<0.0001, statistically highly significant). The pain score in the subjects dropped from 3.325 (m ean) to 0.35 (mean) in 30days time with SD 0.4830, SEM dropped from 0.1154 to 0.07638 with P value < 0.001 which is statistically significant. Ninty nine percent of the subjects experienced a significant fall in the bleeding by the end of 30 days. There wa s also a significant reduction in the discharge with mean dropped from 3.375 to 0.2 and SD 0.4051, P value <0.0001.Perianal p ruritis was also significantly reduced with mean dropped from 3.175 to 0.35 before and after treatment respectively with SD 0.4830, SEM0.07638, and P value <0.001. Keyword : Vasti netra, parikartika, anulomak, depak, pachak, fissure in ano.