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@article{204836,
        author = {Dr. Devan Reghunathan and Prof. Dr. Rajeshwar Reddy and Dr neethu Suresh},
        title = {Pathya vs. Apathya: A Dietary Blue-Print for the Management and Prevention of Anal Fissures},
        journal = {International Journal of Innovative Research in Technology},
        year = {2026},
        volume = {13},
        number = {1},
        pages = {4204-4207},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=204836},
        abstract = {Background: Parikartika, which corresponds directly to anal fissures in modern medicine, is becoming an increasingly common anorectal condition. It presents as a painful longitudinal tear in the distal anal canal, often causing a sharp, knife-like cutting sensation (Kartanavat Shoola) accompanied by streaks of bright red blood during or after bowel movements [3]. While temporary relief can be achieved through conservative topicals or modern parasurgical steps, high recurrence rates highlight a deeper clinical problem. Most conventional treatments fail to fix the underlying metabolic root cause: a weak digestive fire (Agnimandya) that leads to habitually hard, dry stools (Krura Kostha) [10].
Objective: This review outlines a practical, clinical blueprint detailing wholesome dietary and behavioral habits (Pathya) alongside unwholesome practices to avoid (Apathya). Our goal is to provide a comprehensive management framework that safely resolves acute cases of Parikartika and prevents them from turning into chronic, calloused ulcers.
Conclusion: Correcting digestion (Agni Chikitsa) by strictly following personalized Pathya dietary rules helps lower elevated resting pressure in the internal anal sphincter. This approach accelerates mucosal wound healing and serves as a sustainable, cost-effective alternative to surgical muscle division.},
        keywords = {Parikartika, Pathya-Apathya, Fissure-in-ano, Apana Vata, Agnimandya, Shalya Tantra.},
        month = {June},
        }