Best Ayurvedic Treatment for Piles, Fissure, Fistula

Ayurveda, the ancient Indian system of medicine, offers holistic and natural treatments for various health conditions, including piles, fissure, and fistula termed as Arsha, Vagandar, Naligha in Ayurved. These conditions affect the anal region and can cause discomfort and pain during defication, sometimes bleeding from anal region. Ayurvedic treatments aim to address the root cause of the problem, minimise the symotoms & suffering, & to cure the disease.

Piles (Hemorrhoids):


  • Bleeding per rectum
  • Itching in anal region
  • Something mass like structure coming from anus
  • Pain in anal region

Ayurvedic Treatment for Piles

Treatment of Piles

  1. Dietary Modifications: Ayurveda emphasizes dietary changes to manage piles. Including fibre-rich foods like fruits, green leafy vegetables, whole grains, and legumes can prevent constipation, a common trigger for piles. Less Animal protein intake also helps in Haemorrhoids.
  2. Herbal Remedies: Ayurvedic herbs like Triphala, Amla, Haritaki, Nagakesara, Bel, Teuri, Sonamukhi , Bahera, Isabgol are beneficial for piles, fissure & fistula.. Triphala, a blend of three fruits Amla, Haritaki & Bahera helps in bowel regularity and reduces inflammation.
  3. Ayurvedic Medicines: Medicines like Arshoghni Vati, Arshakuthar Ras, Kankayan Vati, Kutajarishta, Pancharista and Abhayarishta are commonly used in Ayurveda to treat piles. These medicines aid in reducing pain, swelling, and bleeding associated with piles.
  4. Sitz Baths: Warm water sitz baths with herbal decoctions like Triphala or Neem, Tulsi mixed with iodine can provide relief from pain and itching caused by piles.
  5. Lifestyle Changes: Ayurveda recommends avoiding hurry, curry, anxiety, tension, excessive exercise, soft bed, alcohol, very hot food, anger, prolonged sitting, straining during bowel movements, and spicy foods to prevent worsening of piles.
  6. Kshara Sutra Therapy: This is a Ayurvedic surgical procedure for treating Piles. A medicated thread (Kshara Sutra) is tied over piles gradually cutting and healing the piles over multiple sessions.

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Fissure (Anal Fissure):


  • Pain during or after defication.
  • Cramping in anal region.
  • Blood with stool.
  • Itchiness around the anus.
  • a small crack or tear in the skin around the anus.

Ayurvedic Treatment for Fissure

Treatment of Fissure

  1. Dietary Recommendations: Similar to piles, a high-fiber diet is crucial for managing anal fissures. Adequate water intake and avoiding constipating foods are also essential.
  2. Herbal Ointments: Ayurvedic ointments containing ingredients like Aloe Vera, Haritaki, Akanda mool, Ghrita, jasad, kankan and Jatyadi oil, Kasisadya tail, Pippaladya tail are beneficial for healing anal fissures and reducing pain and inflammation.
  3. Stool Softeners: Ayurvedic formulations like Bel churna, Teuri mool curna, Isabgol (Psyllium husk) or Triphala Churna can help in softening stools, making bowel movements less painful for fissure patients.
  4. Ayurvedic Suppositories: Herbal suppositories containing oils like Sesame oil, Jatyadi oil, or Ghee infused with healing herbs are used to lubricate the anal canal and promote healing of fissures.
  5. Yoga and Pranayama: Gentle yoga poses and breathing exercises like Dhanurasan, Trikonasan, Biparit Karnani can improve blood circulation to the anal region, aiding in the healing process of anal fissures.

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Fistula (Anal Fistula):


  • Skin irritation in anal region.
  • A constant, hammering pain that may be worse when you sit down, move around, during defication or cough.
  • Foul mucosal discharge from anus.
  • passing pus or blood during defication.
  • swelling and redness around youranus.

Ayurvedic Treatment for Fistula

Treatment of Fistula

  1. Kshara Sutra Therapy: This is a specialized Ayurvedic procedure for treating fistulas. A medicated thread made with apamarga, haridra , manasa khar(Kshara Sutra) is placed in the fistula tract, gradually cutting and healing the tract over multiple last the tract completely healed.
  2. Herbal Remedies: Ayurvedic herbs like Triphala ,Turmeric, Neem, Snuhi,Apang minerals like Jsad,Kasisand ,gandhak are used internally and externally to reduce inflammation, control infection, and promote fistula healing.
  3. Dietary Guidelines: Maintaining a balanced diet with a focus on easy-to-digest foods can support the healing process of fistulas.
  4. Ayurvedic Laxatives: Mild laxatives like Triphala churna or Gandharva Haritaki are recommended to avoid constipation, which can worsen fistula symptoms.
  5. Hygiene Practices: Keeping the anal area clean and dry, using herbal washes or sitz baths, and wearing loose cotton clothing are important for managing fistulas.

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