Study on Effectiveness of Chakramarda (Cassia tora) Ghrit and Go-Ghrit in the Management of Parikartika (Fissure in Ano)

Abstract

The term Parikartika is used for the condition of Guda (anus) where cutting and burning pain occurs, also along
with this pain occurs in anus, penis, umbilical region and neck of urinary bladder with cessation of flatus. In modern
medicine trend of the management depends on the type of the disease, e.g. in cases of acute variety with short history
of the problem can be treated on the conservative lines, which results in healing of almost all acute and majority
of chronic fissures. Priority must be placed normalization of bowel habits such that the passage of stool causes less
trauma to anoderm. The addition of fiber to the diet to bulk up the stool, stool softener and adequate water intake are
the simple and helpful measures. In the present study, an effort was made to derive a standard and easily accessible
treatment for fissure-in-ano. Chakramarda is having vra?a shodhana and ropa?a properties which can help the Vra?a
(ulcer) to heal rapidly. Its base is Ghrit which itself is having Samskaranuvarti (i.e. it enhances the properties of drug)
and healing properties. Chakramarda Ghrit is economically beneficial by virtue of easily available ingredients and
a time tested classical formulation. Hence, it was selected for the clinical evaluation in the present study. It proved
to be significant in managing Fissure in ano, it reduced pain, itching, bleeding and promoted healing. Properties of
its chemical constituent’s probable mode of action can be derived that Chakramarda is efficient in healing any ulcer
like anal fissure.