According to Ayurveda Parikartika is treated by internal palliative medicine and local

therapies like Anuvasanabasti, Picchabasti, Pichu dharana, Tailapooran, lepa, are

given prime importance in management of parikartika.

In allopathy, the conservative management of an acute fissure in ano is pain relief,

soothing ointment and stool softner and surgical managemrnt like Lord’s anal dilation

fissurectomy, Left Lateral Sphincterotomy. This procedure has its own complication

like incontinence which is more horrible than the actual pathology.

Patha is very effective daha shamak, sthambak and shola nashak also patha is

mentioned in ambashtadi gana by acharya Sushrut which has vrana ropak properties

so it helps in reliveing the symptoms and healing of the disease. Hence the concept

of using patha is derived. Patha taila pichu will be used in this study which can be

done by self, and also it is very much cost effective.

As the disease in itself is very disturbing and can be managed conservatively in acute

stage, so more and more study should be conducted for the betterment of the

patient.

Many studies have been conducted on conservative management of Parikartika in

various Ayurved institutes around the country. However they have anecdotal

approach so we decided to evaluate the efficacy of the proposed drug i.e Patha taila

pichu in management of parikartika w.s.r to Fissure in ano.