Research Article | Open Access
Volume 2026 - 5 | Article ID 314 | https://dx.doi.org/10.51521/IJMCCR.2026.e5-1-115
Academic Editor: John Bose
Mursaleen
Naseer1, Naved Ahmad2, Mohd Bilal Tafseer3,
Abdul Haque4
1Assistant Professor,
Department of Moalajat, Ajmal Khan Tibbiya College, AMU, Aligarh 202002, India,
email: mursaleennaseer1@gmail.com
2MD Scholar, Department
of Moalajat, Ajmal Khan Tibbiya College, AMU, Aligarh 202002, India, email:
drnavedmd22@gmail.com
3Assistant Professor,
Department of Ilmul Advia, Ajmal Khan Tibbiya College, AMU, Aligarh 202002,
India, email: bilal.tafseer@gmail.com
4Assistant Professor,
Department of Jarahat, Ajmal Khan Tibbiya College, AMU, Aligarh 202002, India,
email: haque6713@gmail.com
Corresponding
Author: Mursaleen Naseer, Assistant Professor, Department
of Moalajat, Ajmal Khan Tibbiya College, AMU, Aligarh 202002, India, Email:
mursaleennaseer1@gmail.com.
Citation:
Mursaleen Naseer, Naved Ahmad, Mohd Bilal Tafseer, Abdul Haque, (2026)
Therapeutic Evaluation of Compound Unani Formulation for Chronic
Fissure-In-Ano: A Case Series. Int J Med Clin Case Rep, 5(1), 1-5.
Copyright:
© 2026, Mursaleen Naseer, et al. This is an open-access article distributed
under the terms of the Creative Commons Attribution 4.0 International License,
which permits unrestricted use, distribution and reproduction in any medium,
provided the original author and source are credited.
Abstract
Anal fissure is a painful linear tear in
the distal anal canal, often described as a sharp or cutting sensation during
defecation. It affects approximately one in 350 adults and is most common
between the ages of 15 and 40 years. In the Unani system of medicine,
Shuqaq-i-Miqad is associated with Shadeed qabz, Sue mizaj har yabis,
warm-e-har, warm-e-barid wa reehi, the passage of acrid (irritant) humors, and
local trauma. Management typically emphasizes a high-fiber diet, gentle
laxatives, avoidance of tursh, qabiz, and khushk foods, and the use of drugs
that promote healing, reduce inflammation, and provide lubrication. In the
present study, a Unani treatment regimen consisting of Shahtra Decoction
(Khisanda Shahtra) (comprising Chirayta, Sandal Safed, Unnab, Barg-e-Sana
Makki, and Barg-e-Henna) along with Luab-e-Aspaghol (mucilage of Plantago
ovata) was administered to three male patients with clinically diagnosed
chronic fissure-in-ano. All patients presented with posterior midline fissures
associated with sentinel piles, and proctoscopic examination was deferred
because of severe pain. The treatment resulted in significant improvements in
pain, bleeding, and local inflammation, along with improved bowel habits and
progressive fissure healing over a three-week follow-up period. No adverse
effects were observed during treatment. These findings suggest that the Unani
regimen may offer an effective and safe conservative approach for the
management of chronic fissure-in-ano; however, further studies with larger sample
sizes are required to validate these results.
Keywords: Anal Fissure, Shuqaq-i-Miqad, Khisanda Shahtra, Luab-e-Aspaghol, Wound Healing.
.png)
.gif)
.jpg)
