“A CLINICAL STUDY OF MANJISTHADI TAILA MATRAVASTI AND LATERAL SPHINCTEROTOMY FOR THE MANAGEMENT OF PARIKARTIKA W.S.R TO ACUTE FISSURE IN ANO.”

Abstract

Introduction - Fissure-in-ano (Parikartika) is a very common anorectal problem across the world. Anal fissure is a linear or longitudinal shaped tear in the anal canal starting just below the dentate line extending to the anal verge.

Aims – The present study aims at to determine the clinical study of Manjisthadi taila matravasti and lateral sphincterotomy in the management of parikartika w.s.r to acute fissure in ano.

Material and methods- This study was conducted at Shalya Tantra OPD of NPA Govt Ayurveda collage, Raipur (C.G). Patients with fissure in ano, who were selected randomly in this study. The diagnosis was made on the basis clinical feature and anorectal examination which includes inspection, palpation, digital rectal examination and proctological examination.

Results-

              Both treatment groups showed significant improvement in pain, bleeding per rectum, and constipation in patients with Acute Fissure-in-Ano (Parikartika). Group B (Manjisthadi Taila Matravasti and Lateral Internal Sphincterotomy) provided faster relief of pain and bleeding than Group A. Complete remission was observed in 75% of patients in Group A and 85% in Group B. The remaining patients in both groups showed marked improvement, with no treatment failures. Overall, the combination therapy was found to be more effective than Matravasti alone.

Conclusion –

              Both Manjisthadi Taila Matravasti and Manjisthadi Taila Matravasti with Lateral Internal Sphincterotomy were effective in the management of Acute Fissure-in-Ano (Parikartika). However, the combination therapy provided faster relief of pain and bleeding with a higher complete remission rate (85%). Therefore, it can be considered a more effective treatment modality than Matravasti alone.