Abstract

*Dr. Ajay Gindewar, Dr. Veena Kulkarni, Dr. Nikita Dasarwar

ABSTRACT

Parikartika is a condition which is related to 'Kartanvat Vedana' around the Guda region i.e. cutting type of pain at anal region.[1] And which is tremendous pain after defecation and patient had fear about defecation and patient avoid to take food and again stool not pass for 2-3 days and while passing severe pain occurred and this procedure is repeated and spasm of sphincter muscle. Fistula is also called as ‘sarvat kastatam vikar ‘as per susruta and in this pus and flatus discharge from opening at perianal region and which is connected to rectum and this tunnel is lined by squasmous epithelium and lined by granulation tissue and this non healing track/tunnel is cure by surgery like coring of fistula and ksharsutra.[2] Wound healing is a normal event and is required for the healing of damaged tissues and requires the deposition of collagen into the tissues, whereas fibrosis is the replacement of normal structural elements of the tissue with excessive accumulation of scar tissue comprised of distorted collagens. In contrast, fibrosis is a chronic uncontrolled pathology in which cytokines are constantly being produced to drive the continuous production of collagens. Jatyadi taila are Shothahara, Vedanasthapana and Ropaka. Naktahva and Abhaya have wound healing properties. Katuka improves re-epithelialization, neo-vascularization and migration of endothelial cells, dermal myofibroblasts and fibroblasts into the wound bed. Madhuka has soothing and healing action on skin lesions topically. Nymphaea stellata has astringent and antiseptic properties. Tuttha I.e. copper sulphate induces vascular endothelial growth factor (VEGF) expression in the wound. The post-operative fissure fistula wound healing with fibrosis has trouble for surgeon and patient to tackle pain this is very impressive in treatment and application of jatyadi tail we know about wound healing but it also has beneficial in healing without fibrosis and no pain and no fibrosis at post-operative wound.