A Clinical Study of Arka Kshara Patana in the Management of Jirna-Gudprikartika (Chronic Fissure In Ano)

Abstract

Fissure means a tear or crack. In other words, fissure-in-ano is simply just a  tear in the anal canal. Mainly occurs because of constipation or loose motion  (frequently passing stool) or as a complication of Virechan & Basti karma.  One and most important sign of fissure-in-ano is pain and bleeding during  and after defecation. Severity and complication increase along with time,  recurrence, and routine habits. Daily lifestyles include dietary habits,  working field, personal hygiene, sleep & bowel habits, stress, etc. which  directly affects the digestion of an individual. And we all know that our  digestion is the direct key to our health. Early-stage or acute fissure can be  cured by local application of medicines or by subsiding digestive issues  (constipation or loose motions). But chronic fissure or fissure due to  spasticity of sphincters is still a point of worry and research. In our study,  we included 60 patients having signs and symptoms of Parikartika from  OPD, and Arka kshar was used for local application. The patient was  clinically assessed based on pain, per rectal bleeding, itching etc. Significant  results were observed in spasticity and symptoms of patients.