Conservative Management Of Fissure In Ano With Manjisthadi Taila Matrabasti – A Pilot Study

INTRODUCTION:-Fissure in ano is the most common anorectal disease characterized by the severe cutting pain in the anal region. The prevalence1 of fissure in ano in india is 32.5% . Many modern treatment modalities like local application of soothing ointments, analgesics, stool softener in acute condition. Surgical management includes like Lord’ dilatation, Fissurectomy and internal Sphincterotomy . Sometimes the above surgical procedure may cause complication. So it is very essential to find some a better alternative and safest treatment option. AIMS:-The present pilot study aims that conservative management of fissure in ano with Manjisthadi taila matra basti . MATERIAL AND METHODS :-This pilot study was conducted at Shalya Tantra OPD of NPA Govt Ayurveda collage, Raipur (C.G) . Patients with fissure in ano who were selected randomly in this study . The diagnosis was made on the basis clinical feature and anorectal examination which includes inspection , palpation , digital rectal examination and proctological examination . RESULTS:- The intervention demonstrated a highly significant therapeutic effect across all assessed parameters, including pain, bleeding, constipation, sphincter tone, and anal ulcer (p < 0.01 in all cases). Pain showed a gradual but consistent reduction, achieving complete relief (100%) by Day 21, which was maintained up to Day 28. Bleeding reduced more rapidly, with complete cessation by Day 14, indicating early response to treatment. Constipation improved steadily, with complete resolution by Day 14, sustained throughout the follow-up period. Sphincter tone normalized by Day 14, suggesting restoration of normal anorectal function. Fissure ulcer healing showed marked improvement, with complete healing achieved by Day 14, and maintained thereafter. CONCLUSION :- Fissure in ano is the most prevenlent and anorectal condition . it can be manage easily with Ayurvedic conservative method with out any complication