Ano-Rectal Diseases Treatment in Ayurveda

Common Symptoms

Presented as pain, bleeding from anus, constipation, and feeling of something coming out of the anus.

Hemorrhoids / Piles

It is the dilatation of veins related to the Anal Canal. Internal and external hemorrhoids are there.

Internal Hemorrhoids – Four Degrees

• First degree: Nothing will come out. Bleeding per rectum like splash on the pan and itching will be the symptoms.
• Second degree: Pile mass will come out during defecation and will go inside spontaneously after defecation.
• Third degree: Pile mass will come out during defecation, but won’t go inside by itself, need to be pushed inside.
• Fourth degree: Pile mass will remain outside permanently even though tried to push inside.

Usually pain is a symptom if it is blocked or associated with fissure. Anaemia will happen secondary due to blood loss.

External Hemorrhoids are seen on anal margin with pain and tenderness.

Ayurvedic View (Arshas)

Hemorrhoids comes under Arshas in Ayurveda. Reasons include poor digestion, hard physical work, continuous sitting on hard surface, frequent straining, holding or inducing natural urges, sudden weight loss, and pregnancy.

Herbal House Ayurveda Treatment

• Internal medicines
• Local Procedures – ligation
• Avagaha Sweda (Sitz bath)
• Pichu
• Mathra Vasthy
• Kshara Suthra
• Diet and lifestyle modification

Fissure in Ano

It is the tear in the perianal skin. Primarily occurs due to passing of hard stools due to constipation.

Sharp agonizing pain during defecation which lasts for few hours after that. Bleeding appears as streak of blood on stool and toilet paper.

Ayurvedic Correlation – Parikarthika

Main focus should be on stool softening and wound healing.

• Internal medicines
• Avagaham (Sitz bath)
• External application
• Mathravasthy (oil enema)

Fistula in Ano

Is an inflammatory track which has an internal opening in anal canal or rectum and an external opening on peri-anal skin. The track will be lined with granulation or fibrous tissue, so healing will be difficult.

Presented as a painful abscess with bloody or pus discharge in the perineum. On examination, a tract leading to anal canal can be identified.

Ayurvedic Correlation – Bhagandara

Herbal House Ayurveda Treatment

• Internal medicines
• Avagaha (Sitz bath)
• Kshara Suthra – Ultimate treatment for Bhagandara where cutting and healing happen simultaneously

Skin Diseases

Skin disorders like eczema, psoriasis, acne arise from blood impurity and Dosha imbalance.

Ayurvedic Treatment

• Virechana
• Lepanam
• Kashayadhara
• Thakradhara
• Blood purification therapies
• Herbal internal medicines