Abstract
Parikartika is a painful ano-rectal disorder described in Ayurvedic literature and is clinically comparable to Fissurein-Ano. It is characterized by Kartanavat Vedana (cutting pain), Daha (burning sensation), Raktasrava (bleeding per rectum),
Vibandha (constipation), Kandu (itching), and painful defecation. The disease is predominantly a Vata-Pitta Pradhana Guda
Vyadhi in which aggravated Vata causes pain, dryness, constipation, and sphincter spasm, while vitiated Pitta contributes to
inflammation, ulceration, burning sensation, and bleeding. Modern management includes dietary modification, stool softeners,
topical medications, and surgical procedures; however, recurrence and procedure-related complications remain concerns.
Ayurveda advocates a comprehensive therapeutic approach through Vata-Pitta Shamana, Vranaropana, Shothahara,
Vedanasthapana, and bowel regulation. Durvadi Ghrita and Jatyadi Ghrita are classical formulations possessing woundhealing, anti-inflammatory, haemostatic, and tissue-regenerative properties. Manual Anal Dilatation helps reduce sphincter
hypertonicity, improve local circulation, and facilitate fissure healing. This review highlights the Ayurvedic and modern
perspectives of Parikartika and explores the therapeutic role of Durvadi Ghrita, Jatyadi Ghrita, and Manual Anal Dilatation in
its management.