Abstract
Fissure-in-ano is an elongated ulcer in the long axis of the lower anal canal. One in every ten people is affected by anal fissure in their lifetime. It occurs equally in both sexes and is mostly seen between 30-50 years of age. Sometimes it occurs in children also. Constipation is the primary and sole cause of initiation of a fissure-in-ano. Passage of hard stool, irregularity of diet, consumption of spicy and pungent food, faulty bowel habits, and lack of local hygiene can contribute to initiation of the pathology. Fissure-in-ano is of two types, acute and chronic. If a fissure is present for more than six weeks, it is termed a chronic fissure. In Ayurveda it may be correlated with Parikaṛthika. Pichu dhārana was found to be effective in chronic fissure-in-ano. The aim of this study is to find out the effectiveness of Dwiharidra rasakriya pichu in the management of chronic fissure-in ano.
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