A Randomized Single Blind Controlled Trial to Evaluate the Analgesic Effect by Application of Katuki Lepa and Lidocaine 2% Gel in Fissure in Ano

Abstract

Anal fissure is the common disease having the incidence of 30 to 40% of the  population, young adult’s i.e.80-90% will have the posterior midline and rarely  anterior. Parikartika is ‘Kartanavat vedana in Gudapradesh’ and it is not  mentioned as a single disease ailment but explained as Vyapat, Purvarupa,  Lakshana of other diseases. The aim and objective of this study was to evaluate  to the analgesic effect by application of Katuki Lepa and lidocaine 2% gel in  fissure in ano. Subjects were selected from attending Shalyatantra O.P.D of  K.L.E’s Ayurveda Hospital Belgaum, Karnataka, India. Randomly fissure in  ano subjects age between 20 to 60 yrs subjects are selected as per randomization  chart. Each trial and control group containing 15 subjects were included in the  study. In trail group Katuki Lepa applying externally daily once and continued  for 7 days. In control group 2% lidocaine gel for external application daily once  for 7 days. Subject was assessed daily for 7 days. Subjects showed  improvement in aspects of decreasing pain and sphincter spasm. Pain reduction  in treated group was 94.65 % in control group and 73.73% trial. Analgesics  effect of effective in fissure in ano and helped in preventing fistula in ano as  further complication.