Parikartika and Its Ayurvedic Management: A Comprehensive Review and Proposed Integrative Algorithm

Author(s)	Dr. Namarta Sharma
Country	India
Abstract	Parikartika, a classical Ayurvedic entity, presents a striking clinical parallel to fissure-in-ano, characterized by tearing anal pain, bleeding, and sphincteric spasm. Its pathogenesis is rooted in the vitiation of Vata and Pitta doshas, often secondary to Agnimandya (diminished digestive fire) and the resulting passage of hard stools. This review synthesizes the classical Ayurvedic understanding of Parikartika with contemporary clinical evidence to propose an integrative management algorithm. The management principles focus on Samprapti Vighatana (breaking the pathogenetic chain) through Agni restoration (e.g., Deepana-Pachana herbs), Anulomana (mild laxation e.g., Triphala), and Vata-Pitta pacification. Topical medicated formulations like Jatyadi Taila and Yashtimadhu Ghrita demonstrate efficacy comparable to conventional topical agents (e.g., lignocaine-nifedipine) in promoting healing and pain relief in acute fissures. For chronic fissures, the para-surgical Ksharasutra (medicated seton) technique offers a sphincter-sparing alternative to Lateral Internal Sphincterotomy (LIS), with high healing rates albeit a slower recovery profile.
Keywords	Parikartika, Ayurveda, Ksharasutra, Jatyadi Taila, Integrative Medicine, Sphincter-Sparing Surgery, Shalya Tantra.
Published In	Volume 16, Issue 2, April-June 2025
Published On	2025-04-05

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