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Ayurvedic approach in the management of piles

Piles is a very painful disease wherein the internal and external veins of the anal region become varicose. The veins can be seen protruding from the anal area.

Lifestyle triggers:

  • Regular intake of junk food.
  • Absence of dietary fibers in the food.
  • Sitting or standing work for most of the time of the day.
  •  Lack of regular exercise regimen.
  • Chronic constipation and other bowel disorders.
  • Forceful excretion of faeces.
  • Strenuous work like weight lifting etc.
  • Excessive Obesity.
  • Mental Stress.

Other causes:

  • Carcinoma (cancer) rectum.
  • Difficulty in urination.

Symptoms of Piles:

  • Bleeding during passing stools.
  • Anemia due to profuse bleeding.
  • Itching and/or pain in the rectal region.
  • Problematic Sitting.


  • Drink lot of water (average 5 liters /day).
  • Eat food which is rich in dietary fibers.
  • Have enough sleep in nights.
  • Maintain Oral and Anal hygiene.
  • Reduce weight.


  • Avoid having spicy, fried and stale or junk food.
  • Avoid liquor, smoking and non -vegetarian diet.
  • Don’t put pressure during defecation.
  • Avoid Sitting for a long duration on hard surface.
  • Stop anal coitus.

Objective of ayurvedic treatment:

  • Shrinkage of pile mass and prevention of bleeding in the pile mass.
  • Cure of itching, inflammation and infection in anal region.

Ayurvedic Treatment regimen:

  1. Internal Medicines(Bhesaja)-
  • Dietic regimen
  • Medicines
  • Parasurgical-
  • Agni karma (thermal cauterization)
  • Ksarakarma / Ksharasutra (chemical cauterization)
  • Surgical (shastrakarma)

How it works to treat piles?
For the treatment of Arsah Ayurveda beholds the sequels of systematic derangement of Doshas and digestive system particularly “Mandagni (low digestive power / slow digestion capacity)”.. The medicines prescribed in Bhesaja group were with the objectives of:

  • Dipana (Appetizers)
  • Pacana (Digestives)
  • Anulomana (Vata Varcas) (Drugs improving intestinal peristalisis)
  • Rakta Samgraha (Haemostatic)
  • Rasayana (Restorative therapy)







What is ksarasutra?

The most popular method devised by ancient acharyas to treat this disease is ksarasutra, the full proof method available to cure fistula-in-ano.
Ksara-sutra is a medicated thread which is prepared by applying the coatings of apamargkshara( Achyranthes Aspera), haridrachurna(powder of turmeric/curcuma longa) etc. with snuhiksheer ( Euphorbia nerifolia) as binding agent. The thread is then sterilized by U V Radiation.

Indications of Ksarasutra:

  • Hemorrhoids
  • Fistula-in-ano
  • Pilonidal sinuses
  • Other ailments where ever applicable.

From the team of Siri ayurveda.

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