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Case study shows improved outcomes using Ksharakarma and internal Ayurveda for acute fissure in ano, suggesting effective integrative treatment options.
Fissure in ano is a common and distressing anorectal disorder characterized by a longitudinal tear in the anoderm distal to the dentate line, resulting in the severe pain, burning sensation and bleeding during defecation. In Ayurveda it is correlated with Parikartika, described as Vata-Pitta dominanat condition arising from Vibandha, Ruksha-Ahita Ahar and Vegdharana. Modern conservative management includes analgesics, stool softeners, topical nitrates and calcium channel blockers, while surgical options like lateral internal sphincterectomy carry risks of incontinenece and recurrence. Ayurveda offers a comprehensive approach through Para surgical procedures and internal medications that address both local pathology and systemic factors. Kshara karma, one of the Anushastra Karma described by Acharya Sushrut, is indicated in anorectal disorders due to its Chhedana, Bhedana, Lekhana and Ropana properties. The present case study documents the clinical outcome of Kshara Karma combined with internal Ayurvedic medications in Acute Fissure in ano.
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*1Dr. Shweta B. Pandhare, 2Dr. Gayatri Mawale, 3Dr. Ganesh Belorkar, 4Dr. Rushikesh Andhare (2026) studied this question.
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