A 36-year-old male patient came to the OPD complaining of hard stool, burning pain in the ano (during and after defecation), and per rectal bleeding during defecation form the previous month. A longitudinal tear at the anal canal midline posterior was seen during the clinical examination. This trauma was brought to anal canal by passages of hard stool a month ago. Parikartika, or Acute fissure in ano, the term is used to describe this condition. USHIR Malahar has Vranaropaka, Dahashamaka properties. Local application of Ushir Malahar was used in this case. Malahar provides desired form and consistency to the ointment. Ointment form is chosen because of its easy application on the fissure. A noticeable symptomatic relief after 15 days of treatment was seen.
Dr. Komal Gutte*1, Dr. D.W. Lilke2, Dr. Vitthal Kasle3, Dr. Onkar Jadhav4 (Sun,) studied this question.