Abstract
Background and Objectives:
Parikartika is by far the most common ano-rectal disease that, one comes across in the OPDs which is associated with severe pain, itching, tenderness, burning sensation and bleeding during defecation in anal region. Despite having various treatment modalities in case of Parikartika, even today many lacunas still exist.
From the Ayurvedic perspective, symptoms like pain and spasm are manifestations of increased Vata dosha; as such, the treatment is basically aimed at reducing the Vata levels at the region. Therefore, Sushrutha prescribes bastikarma, the first line of treatment for Vata diseases, in Parikartika, using taila or ghritha. Most of the drugs which are used in basti karma are vata pitta shamaka and vrana ropaka. To try & overcome the lacunas, in this study, an effort is made to find out the significance of krishna tila taila pichu in Parikartika by comparing its effects with Jatyadi taila pichu which is an established study. correlated with fissure-in-ano of current surgical practice.
Materials and Methods:
This study was conducted at BLDEA’S AVS Ayurveda Mahavidyalaya Vijayapur. 40 cases of Fissure-in-ano were selected from the OPD and IPD of BLDEA’S AVS Ayurveda Mahavidyalaya Vijayapur and randomly assigned into two Groups namely Group-A and Group-B with 20 patients in each group. Subjects under Group-A were treated with krishna tila taila pichu while subjects under Group-B were treated with Jatyadi taila pichu.
Results:
Assessment of Severity of Pain, Bleeding, Burning sensation, Itching, Tenderness, Ulcer, and Sphincter Spasm in Group-A showed 95%, 100%, 86%, 100%, 95%, 100%, 100%, improvement and in Group-B 86%, 100%, 84%, 100%, 100%, 95% 100% improvement respectively. On assessing the overall effect of the treatment krishna tila taila pichu showed good result with 96.57% relief while that of Jatyadi taila pichu showed with 95% relief.
Conclusion:
On comparing the results of Group-A and Group-B, the test shows that the treatments are statistically significant in both the groups. But compared to group B, Group A has shown slightly better results.