Talapodichili herbs 1210x423 - Ano-Rectal Disorders

Ayurveda treatment for fistula in ano-rectal disorders

Fistula can be regarded as a condition, which results from an abnormal connection (tract / sinus) that forms between two organs that are lined with epithelial cells. Fistula may be from anal canal to the external surface of skin near anus (perianal skin), or between the rectum and vagina or urinary bladder. The main cause is the unattended abscess which leads to the tract formation from the anal canal.

  • Ayurveda treatment for fistula in ano-rectal disorders

Fistula in ano can be correlated to Bhagandara, one among the eight mahagadhas. A sinus tract (Nadi Vrana) in the region of Guda (anal region), which is caused by imbalance of all the three doshas and which gets lodged in the anal region due its Kha Vaigunya (aggravated / obstructed Apana Vayu and increased pitta caused by long standing, long sitting habits, constipation, issues of digestive system, food habits which disturbs digestion and increases pitta).


  • A fistula develops if there is an outburst of the abscess, or an incomplete treatment of the abscess.
  • Other causes are Crohn’s disease or ulcerative colitis (disease that affect the intestines), low immunity, hemorrhoids.


  • Pain in the perianal / ano rectal region
  • Discharge — either bloody or purulent
  • Itching in the perianal region
  • Systemic symptoms (if abscess becomes infected)
  • Pain, which is usually constant, throbbing and worse when sitting down
  • Skin irritation around the anus, swelling, redness and tenderness
  • Discharge of pus or blood from the abscess
  • Constipation or pain associated with bowel movements
  • Fever

Classification based on the predominance of the dosha:

  1. Shataponaka – Vataja type of Bhagandhara which expresses as severe pain and multiple small openings
  2. Ushtragreeva – Pitta type of Bhagandhara, characterized by red colored pustule which suppurates quickly giving a foul smelling discharge
  3. Parisravi – Kapha type of Bhagandhara, Which has increased itching, thick discharge and is a less painful condition.
  4. Shambukavruta – Combination type which has pustules resembling teet of cow, creating spiral sinuses inside resembling that of seashell.
  5. Agantuka – Caused by trauma or any injury to the anus, if neglected forms sinuses and gets infected.

Ayurveda treatment in fistula in ano:

Treatment for Bhagandhara involves one or following of the procedures depending on the type and the path of tract. Through ayurveda treatments the recovery is faster, less painful and reoccurrence  rate is very low.

The treatment modalities includes panchakarma, kshara Sutra, kshara karma, and agni karma external therapies, internal medications, Activities,  Advice of food and life style changes

  • Panchakarma – Mrudu Virechana and Basti
  • Kshara-sutra  – In this procedure the tract is probed and the kshara sutra (alkanine thread) is passed through it and changed at regular intervals until the healing is complete.
  • Application of Kshara – Application of  medicine (alkaline in nature) derived from a combination of various                  herbs.
  • Agnikarma – thermal cautery .
  • Internal Medication – A combination of herbs which works on the following principles is administered
    • Balance the Doshas
    • Improve digestion
    • Improve dietary habits
  • Externally – Medicated Sitz bath.


  • Specific Asanas, Pranayama, Meditation, Mudra.
  • Food and lifestyle changes:  specific to the individuals constitution, nature of work and geographical conditions.