Non-Surgical Ayurvedic Management of Piles & Fissures
Ayurvedic treatment for piles (Arsha) and anal fissures combines internal herbal medicine, Kshara Sutra (medicated thread therapy), and Sitz baths — a classical alternative to surgery with high success rates.
Ayurveda has detailed Arsha Chikitsa with the renowned Kshara Sutra technique — a medicated thread that gradually cuts and heals fistulas/piles without conventional surgery. Internal medicines like Arshoghni Vati, Kankayan Vati, and Triphala address constipation (root cause) while Sitz baths with herbal decoctions reduce inflammation.
Internal: Arshoghni Vati, Kankayan Vati, Triphala Guggulu. Topical: Jatyadi Taila application, Yashtimadhu siddha ghrita. Sitz baths with Triphala/Daruharidra decoction twice daily. Kshara Sutra (a medicated thread) for fistula-in-ano — placed weekly, gradually cuts and heals over 4-12 weeks. Diet: high-fiber, ghee, warm liquids; avoid spicy/fried/fermented foods.
4-12 weeks depending on severity
₹3,000-8,000 for Kshara Sutra course; ₹1,500-4,000/month for medication
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