Abstract

The word “Parikartika'' means “cutting agony at the anal region,” or “Kartanvat vedana .” The main signs of this illness are a drop of blood or a streak of fresh blood, together with excruciating pain and a burning feeling that lingers for several hours during and after a bowel movement. According to Acharya Sushruta, the person who does not adhere to the Aahara Vidhi and consumes food like Shushka(Dry), Viruddha (Incompatible), and Vishtambhi (Obstructing) develops a condition called Agnivaishmya (dyspepsia), which is the main cause of all illnesses. One of the significant causes of the fissure-formation process is constipation. . The modern diet of most people is erratic due to the prevalence of fast food. Additionally, one leads a sedentary lifestyle and is constantly under stress. All of these cause the digestive system to become disturbed, which in turn causes a variety of diseases. Anorectal disorders are the most prevalent ones. The disease typically develops in females during pregnancy and after giving birth The majority of acute anal fissures resolve without surgical intervention. Finger anal dilatation, as well as lateral internal sphincterotomy, are two common operative techniques. Ayurved Treatment in Parikartika consists of Basti Karma, Pichoodharan, Ksharakarma, Agnikarma, Shastrakarma, and a few oral medications administered by Sushrutacharya and Charakacharya.

Keywords: Fissure-in-ano, Parikartika, constipation