Perianal disease presented chiefly as hemorrhoids , fissures and fistula/abscess .In most of condition surgical intervention is required. Post operative pain and burning sensation is a frequent complaint in patient undergone surgery. So management of these wounds needs special attention itself. Post operative wound care of ano rectal surgeries is different from that of other wound due to following reasons;

1. Fecal material contaminates the wound, so frequent dressing is required to keep the wound clean.

2. Wound being on dependent part causes pain and burning sensation which makes it difficult for patient to walk and sit.

In ano rectal surgeries wound, pain and burning sensation are the most common symptom present locally. Acharya Sushrut explained MADHU-SARPI in Chikitsa Sthan

 After any anorectal surgery patient always complains about pain at operated site at least for 2-3 days. In pain and burning sensation management post operatively, Surgeons do prefer using OPOIDS and NSAIDS both of these have their own side effects like gastric pain, mucosal erosion/ulceration etc. so ancient science gives prolong pain relief with wound healing medicines

Also,

1.Gud is marma sthan,which is one of most important tri-marma according to ayurveda

2.In other wound we are able to rest certain site orcover it but in ano rectal wounds anal region is in continuous working mode

3.other wounds are generally covered either with suture or with dressing

4.As the area is continuosly in contact with faecal matter there are high chances wound’s gettng infected

5.Nerve supply is most prominent in anal region

So the drug selected Madhu-Sarpi is having properties of analgesic , anti-inflammatory, wound healing