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Home Services Digestive, Liver & Kidney Piles, Fissure & Fistula
Digestive Health · Arsha Chikitsa

Piles, Fissure & Fistula

Arsha (haemorrhoids/piles), Parikartika (fissure) and Bhagandara (fistula) are classified together in Ayurveda as anorectal disorders involving Vata-Pitta imbalance and Agni impairment. Ayurveda offers both non-surgical (Shamana) and minimally invasive surgical (Kshara Sutra) approaches with excellent outcomes and low recurrence rates.

Duration: Kshara Karma: 2–4 sessions · Kshara Sutra: 4–8 weeks
Wakad, Pune
BAMS Qualified Specialists
Overview

Arsha (haemorrhoids/piles), Parikartika (fissure) and Bhagandara (fistula) are classified together in Ayurveda as anorectal disorders involving Vata-Pitta imbalance and Agni impairment. Ayurveda offers both non-surgical (Shamana) and minimally invasive surgical (Kshara Sutra) approaches with excellent outcomes and low recurrence rates.

How It Works

Piles are treated with a combination of Agni correction, stool softening, and the revolutionary Ayurvedic technique of Kshara (alkaline cauterisation) — either as Kshara Karma (topical application) or Kshara Sutra (medicated thread ligation for fistula). This approach offers a definitive cure for fistula with a significantly lower recurrence rate than conventional surgery.

01
Anorectal examination and grading of haemorrhoids (Grade I–IV) or fistula classification
02
Agni correction and Virechana — eliminates root cause of constipation and Pitta accumulation
03
Kshara Karma (grade I-II piles, fissures): topical alkaline paste application in 2–3 sessions
04
Kshara Sutra ligation (fistula, grade III-IV piles): medicated thread placed under local anaesthesia — changed weekly
05
Post-procedure protocol: Triphala, Abhayarishta, Arshkuthar Rasa — prevents recurrence
Key Benefits
Complete cure of grade I-III piles without major surgery
Kshara Sutra for fistula: 96% success rate, < 5% recurrence — superior to conventional surgery
Heals chronic fissures in most cases without requiring cutting
Corrects the root constipation and Agni impairment preventing recurrence
Quick recovery — outpatient procedure with minimal downtime
No general anaesthesia required for Kshara Karma / Kshara Sutra
Conditions It Helps
Internal and external haemorrhoids (grades I–IV)
Anal fissure (acute and chronic)
Anal fistula (low and high level)
Pilonidal sinus
Rectal prolapse (mild)
Post-haemorrhoidectomy complications
Book Your
Piles, Fissure & Fistula Consultation

Our BAMS specialists will assess your prakriti and create a personalised treatment plan for you.

8979849640 Book Appointment →
Mon–Sat: 11 AM – 8 PM  ·  Sun: 4 PM – 8 PM
Office 203, Stellar Complex, Wakad
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📞 8979849640
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📍 Wakad, Pune – 411057

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