A Clinical Study to Evaluate the Efficacy of Himsradi Taila Pichu in the Management of Parikartika W.S.R to Acute Fissure-in-Ano

Background: Parikartika, described in Ayurvedic classics, is a painful anorectal condition comparable to acute fissure-in-ano, characterized by cutting pain, burning sensation, bleeding, and constipation. Early conservative O.P.D based management is essential to prevent chronicity. Objective: To evaluate the efficacy and safety of Himsradi Taila Pichu in the management of Parikartika (acute fissure-in-ano) through a pilot study. Materials and Methods: A single-arm, open-label pilot study was conducted on 15 patients diagnosed with acute fissure-in-ano. Himsradi Taila was applied locally as Taila Pichu once daily. Assessment was done before and after treatment using subjective and objective parameters. Descriptive statistical analysis was applied. Results: Mean pain score reduced from 2.6 to 0.0 (100% relief), bleeding score from 1.6 to 0.0 (100% relief), and sphincter tone score from 1.8 to 0.0 (100% normalization). Constipation improved in all patients, and fissure healing occurred within 28 days. No adverse effects were observed. Conclusion: Himsradi Taila Pichu is safe, effective, and suitable for conservative management of Parikartika.