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: Naved Ahmad, MD Scholar, Department of Moalajat, Ajmal Khan
Tibbiya College, AMU, Aligarh 202002, India, email: drnavedmd22@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, Naved Ahmad, 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.
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