Effect of Yashtimadhu Suppository with Cocoa Butter Base in the Pain Management of Parikartika

Parikartika is one of the common ano-rectal anomalies observed in clinical practise. In Ayurveda Samhitas, this condition mostly mentioned as an Upadrava Grahani, Atisara, Arshas and Vamanavirechanavyapat. ‘Kartanavatvedhana’ described predominant symptom which means cutting type pain anus. As per description signs symptoms, can be co-related to fissure-in ano modern contexts. Yashtimadhu most widely used drug for Parikartika. Acharya Susruta has Trividhakarma Adhyaya post-operative management treatment Vamana virechana vyapat. form Thaila Ghrita are commonly used. Here, Yashtimadhuchurna was prepare a suppository with cocoa butter its base Objectives: The objective study evaluate any difference efficacy treating Materials Methods: conducted open labelled, randomized, single arm study. 40 Patients who fulfilling inclusion, exclusion, diagnostic criteria complying informed consent selected from OPD IPD Sri Jayendra Saraswathi College Hospital [IEC NO- IEC/ SJSACH/ 09/2021, CTRI CTRI/2021/07/035252]. Case proforma prepared all appropriate details patient along history physical, rectal examination done diagnose Relevant laboratory investigations were performed. given twice day about 14 days patients 4 follow-ups once week month after i.e., 7th, 14th, 21st, 28th day. subjective parameter ulceration, sphincter tone. Grading according specified assessment statistically analysed. Results: On completion study, statistical analysis on data collected. intervention, showed significant outcome.