Case Study of Triphala Sidha Tila Taila in Acute Fissure in Ano (Parikartika): A Comprehensive Review
DOI:
https://doi.org/10.63682/jns.v14i28S.10039Keywords:
Parikartika, fissure in ano, Triphala, Tila Taila, sesame oil, matra basti, Ayurveda, wound healing, anal fissureAbstract
Parikartika, the Ayurvedic clinical correlate of acute fissure in ano, represents a significant global health concern affecting approximately 1 in 350 adults annually with a lifetime risk of 7.8%. Despite advances in conventional medical and surgical interventions, recurrence rates remain substantial, necessitating exploration of traditional Ayurvedic therapeutic modalities. Triphala Sidha Tila Taila, a classical Ayurvedic formulation combining the wound-healing properties of Triphala (Terminalia chebula, Terminalia bellerica, and Emblica officinalis) with the vata-pacifying and lubricating attributes of sesame oil (Tila Taila), presents a promising therapeutic approach for managing acute fissure in ano through topical application and matra basti (medicated oil enema) therapy.
This comprehensive review examines the therapeutic efficacy, pharmacological mechanisms, and clinical outcomes of Triphala Sidha Tila Taila in the management of acute fissure in ano (Parikartika), synthesizing evidence from classical Ayurvedic texts, contemporary clinical studies, and case reports. A systematic literature search was conducted across PubMed, Google Scholar, Scopus, and Ayurvedic databases from inception to 2025. Studies evaluating Triphala formulations, sesame oil applications, matra basti therapy, and Ayurvedic management of Parikartika were included. Data extraction focused on preparation methods, pharmacological properties, clinical outcomes, and safety profiles.
The evidence demonstrates that Triphala Sidha Tila Taila exhibits significant wound-healing, antimicrobial, anti-inflammatory, and analgesic properties. Clinical case studies report rapid symptom relief within 20 minutes to 48 hours, with complete healing observed within 7-21 days. The formulation addresses the pathophysiological triad of anal fissure: internal anal sphincter hypertonia, mucosal ischemia, and poor wound healing.
Triphala Sidha Tila Taila represents an effective, safe, and cost-effective therapeutic option for acute fissure in ano. The synergistic combination of Triphala's polyphenolic compounds and sesame oil's sesamin and sesamol content provides a multi-modal approach to pain relief, sphincter relaxation, and tissue regeneration. Further randomized controlled trials are warranted to establish standardized protocols and comparative efficacy against conventional treatments.
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