• Dr. Ashish Sharma
• Dr. Anil Kumar

Fissure in ano is one of the commonest anal disorders with elaborative descriptions available in the texts of modern surgery. In Ayurveda, fissure in ano is described by the term guda parikartika or simply, parikartika and is usually described as a symptom found in other diseases like arsha, grahani, atisara, udavarta etc. or as a complication of faulty instrumentation and excessive or improper panchkarma (virechana and vasti) procedures which produce a tear in anal region with features of cutting or tearing type of pain, burning sensation and bleeding during and after defecation. Unlike modern surgery, where the management of fissure in ano revolves around relieving of muscular hypertonia through pharmacological or surgical means, principles of management of parikartika in Ayurveda are more focused on stabilizing the digestive functions and improving the nature, character and consistency of stool in addition to the use of laxatives (like castor oil) and wound healing (vranaropaka) agents. Hence, the present article reviews and analyzes the whole concept and the management of parikartika as described in Ayurveda in the light of the available knowledge in the modern surgical texts about fissure in ano.

Fissure in ano, constipation, parikartika, anuvasana vasti, pichchha vasti.

"A COMPREHENSIVE REVIEW OF GUDA PARIKARTIKA (FISSURE IN ANO) IN AYURVEDA", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.6, Issue 4, page no.436-439, April-2019, Available :http://www.jetir.org/papers/JETIR1905O69.pdf

"A COMPREHENSIVE REVIEW OF GUDA PARIKARTIKA (FISSURE IN ANO) IN AYURVEDA", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.6, Issue 4, page no. pp436-439, April-2019, Available at : http://www.jetir.org/papers/JETIR1905O69.pdf