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Parikartika (Fissure in Ano) Defination  Parikartan

Parikartika (Fissure in Ano) Defination  Parikartan

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Published by: GAURAV on Feb 21, 2010
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05/11/2014

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PARIKARTIKA(FISSURE IN ANO)
DEFINATION
PARIKARTAN VAT VEDANA
PARI – ALL AROUND
KARTANA VAT VEDANA – CUTTING PAIN
A CONDITION IN WHICH PATIENT EXPERIENCES A SENSATION OF PAIN ASIF GUDA IS BEING CUT AROUND WITH SCISSORSETIOPATHOGENESIS1.VIRECHANA VYAPADA – MENTIONED BY CHARAKA & SUSHRUTA IN CONTEXOF VAMANA & VIRECHANA VYAPAD.(THIS DISEASE RESULTS WHEN APERSON HAVING MRIDU KOSHTA & ALPA BALA,INGESTS TIKSHNA, USHNA& RUKSHA DRUGS FOR VIRECHANA.)2.BASTI VYAPAD – IF RUKSHA BASTI CONTAINING TIKSHNA & LAVANADRUGS IS ADMINISTERED IN HEAVY DOSE.3.BASTINETRA VYAPADA – DUE TO INAPPROPRIATE ADMINISTRATION OFBASTINETRA & DEFECT IN BASTINETRA ITSELF.4.VATAJA ATISARA – ACCORDING TO CHARAKA & VAGBHATA, IT IS ASYMPTOM IN VATAJA ATISARA DUE TO TRAUMA BY HARD STOOL5.ACCORDING TO KASHYAPA THIS IS THE DISEASE OF GRAVID WOMEN.6.EXCESSIVE USE OF YAPANA BASTI LEADS TO PARIKARTIKA ALONG WITHOTHER DISEASESSYMPTOMSSUSHRUTA – CUTTING & BURNING PAIN IN THE REGION OF GUDA, NABHI,MEDHRA & BASTISHIRA. ARREST OF FLATUS & LOSS OF APPETITE(PAIN IN RG OF UMBILICUS, URINARY BLADDER & SUPPRESSION OF FLATUS ARE THE COMMON REFLEX SYMPTOMS OF ANAL FISSURE)MANAGEMENTA.LOCAL MEASURES
SUSHRUTA – 1) PICCHA BASTI WITH TILA KALKA + MADHUYASHTI +GHRITA + MADHU2) ANUVASANA BASTI FORTIFIED WITH YASHTIMADHU OR GHRITMANDA3) BASTI & PARISHEKA WITH OIL
 
CHARAKA – SNEHA BASTI, PICCHA BASTI, SHITALA BASTI FORTIFIED WITHKASHAYA & MADHURA DRAVYASB.GENERAL MEASURES
SUSHRUTA –1) COLD WATER BATH2) FOOD WITH PLENTY OF MILK.3) PITTASHAMAK CHIKITSA
SUMMARY –1. DIPANA & PACHANA2. VATAPITTA SHAMAN3. COOLING EXT APPLICATION4. PREPARTIONS TO COMBAT CONSTIPATION  TREATMENT AT GLACE
OIL BASTI – ANU / NARAYANA / YASHTIMADHU / JATYADI TAILA
SITZ BATH – WITH WARM WATER MIXED WITH ALUM
LAXATIVES – MRUDU ANULOMANA DRAVYA LIKE HARITAKI TO RELIEVECONSTIPATION.MODERN CONSEPT
FISSURE – CRACK / SPLIT / CLEFT / GROOVE
SYNONYMS – ANAL FISSURE, ANAL ULCER, ULCER IN ANO, FEACAL ULCER
DEFINATION
ACUTE SUPERFICIAL BREAK IN THE CONTINUITY OF ANODERM IN MIDPOSTERIOR(12 O CLOCK) OR MID ANTERIOR(6 O CLOCK) POSITION
 
AGE & SEX PREVALENCE 12 O CLOCK & 6 O CLOCK RATIOIN WOMEN – 60:40IN MEN – 90:10
IN CHILDREN LATERAL SITES & MULTIPLICITY IS VERY COMMON
MORE COMMON IN WOMEN THAN MENCAUSES OF SPECIFIC SITE
THE ANAL WALL, AT REST IS JUST LIKE ANTERIO-POSTERIOR SLITWITH ANTERIOR & POSTERIOR COMISSURES SAME AS THE ORALANGULAR TISSUES, WHICH ARE MORE VULNERABLE TO PRODUCEFISSURE AT THIS SITE
POSTERIOR WALL OF ANO-RECTAL JUNCTION IS RELATIVELY POORLY SUPPORTED BY MUSCULATURE ON THIS ASPECT

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