How to Treat Fistula in ano Naturally Without Surgery


Fistula in ano is an abnormal hollow tract lined by granulation tissue having two openings around anal region. Fistula means reep or pipe like. The primary opening is in the peri anal region and another secondary opening in the peri anal skin. Secondary tracts may be multiple which extend from the same primary opening.

This disease may remain silent for months without symptoms or trace of discharge may persist without any inconvenience. Sinus can be differentiated from fistula as only one opening is present in sinus. It is an abnormal connection between epithelial surfaces. Mostly fistula begins in deep glands in the wall of rectum or anus and sometimes fistula occurs after drainage of perianal abscess. In this article we will know the Ayurveda point of view regarding fistula in ano known as .


Fistula-in-ano is a chronic granulating tubular tract consisting of fibrous tissue with two openings one in peri anal skin and other in anal canal. In this disorder there is pain and swelling around anal region. The patients with fistula are common in adults of 30-40 years of age. The incidence rate is more in males as compared to females. Usually the result of infection near anus causes collection of pus in nearby tissues. As pus drains off it leaves behind a channel like structure. Mostly it occurs due to anal gland infection.

Fistula in ano

The fistula in ano is mildly covered by medications as surgical procedure is done in Ayurveda by Char sutra ligation. According to the degree of lesions, fistula in ano can be divided into simple and complex fistula.


The Fistula in Ano Have Following Symptoms

  • Frequent anal abscess
  • Pain and swelling around anus
  • Pus discharge from fistula opening ( intermittent or continuous)
  • Bleeding
  • Irritation of skin around anus
  • Perianal dermatitis


The most common cause of anal fistula is anal abscesses (crypto glandular disease). Other causes which can also cause fistula in ano are as follows-

  • Tuberculosis
  • Crohn’s disease
  • Diverticulitis
  • Trauma
  • Radiations


  • H/O smoking and alcohol
  • Anorectal surgery
  • Sedentary lifestyle
  • Prolonged sitting
  • Spicy or oily food
  • Any skin infection


There are different classifications of fistula in ano

  • Parks classification ( Inter sphincteric , trans sphincteric, supra sphincteric and extrasphincteric)
  • High and low fistula in ano
  • Simple and complex

(Simple- inter and lower trans sphincteric)

(Complex- supra, trans and extrasphincteric)


Through this method, we can predict fistula tract (depending on location of external opening).The transverse anal line (dentate line) divides pelvic area into anterior and posterior part.

  • If the external opening is posterior to anal line, the fistula tract will follow a curved course.
  • If the external opening is anterior to anal line, the fistula tract will follow a straight course.


In Ayurveda darshan, sparshan and prashan is done.

(Medical history and examination)

  • Anoscopy
  • Ultrasound
  • MRI
  • Sigmoidoscopy
  • Colonoscopy
  • Fistulography


In classical Ayurveda texts, fistula in ano is known as “Bhagandar”. This disease is tridoshaj having five types (vaataj, pitaaj, kaphaj, sannipataj and aagantuk) .The fistula in ano affects raakt and maasa (blood and muscular portion of body.

In Ayurveda kshar sutra application in anal fistula is safe and effective. Kshar sutra is a thread which is coated with different medicinal drugs such as haridra (Curcuma longa), apamarg (Achyrenthes aspera), and snuhi (Euphorbia neriifolia). Firstly, the fistula tract is identified by the probing method then thread is tied and ligated in the fistula tract. The kshar sutra has the ksharn property (cutting), when the thread is ligated the fistula track is being cutted slowly and there is decrease in pus discharge.


In modern science, surgical procedure is done to get rid of fistula in ano. Some of operative procedures are as follows-

  • Fistulotomy
  • Fistulectomy
  • Endorectal advancement flap
  • Ligation of intersphincteric fistula tract (LIFT)


Planet Ayurveda is a GMP and ISO certified company, it has been spread worldwide due to its herbal and natural products. All products are manufactured as described in ancient classical texts. Planet Ayurveda provides the best combination of herbal remedies for various diseases. All products are free from chemicals, yeast, additives, and color. There is no artificial preservative added in the preparations. The best herbal combination for Fistula in ano by Planet Ayurveda is Fistula care pack.

alternative medicines for anal fistula

Herbal Remedies for Anal Fistula

Fistula care pack includes

  • Triphala guggul
  • Curcumin capsules
  • Vara churna
  • Nirgundi oil


1. Triphala guggul

Triphala guggul is a vati preparation mentioned in Ayurveda classical texts. It mainly contains two ingredients triphala – Amalaki (Phyllanthus emblica), haritaki (Terminalia chebula) and bibhitaki (Terminalia Billerica) and guggul (Comiphora mukul).These tablets help in blood circulation and act as a defence mechanism. It also regulates bowel movement. It has anti- inflammatory, anti – bacterial properties and is used in metabolic disorders.

Dosage– Two tablets thrice a day after meals.

2. Curcumin capsules

It is standardized capsule preparation which is obtained from plant extract. The main ingredient present in these capsules is Turmeric (Curcuma longa). Haridra is well known for its anti-inflammatory, antibacterial and anti-infective properties. Curcumin has a great effect on wounds, ulcer healing and it also acts as a blood purifier. It plays a very important role in regulating metabolism.

Dosage- Two capsules twice daily with plain water after meals.

3. Vara churna

Vara churna is standardized powder preparation which mainly contains triphala – Amalaki (Phyllanthus emblica ), haritaki  (Terminalia chebula) and bibhitaki ( Terminalia billerica) and guggul (Comiphora mukul).These drugs stimulates peristaltic movement , cleans colon and strengthen GIT. This powder helps in detoxification of the body and reduces swelling.

Dosage- 2-3 grams of powder is mixed with warm water and taken in the evening time.

4. Nirgundi oil

Nirgundi oil is a classical Ayurveda formulation used since ancient times. The main ingredient of this oil is Nirgundi (Vitex negundo), its property is to balance all tridoshas (vata, pitta and kapha).It is bitter, pungent and astringent in taste. It also has anti-inflammatory and analgesic properties. Nirgundi oil is applied locally on affected areas. It also acts as a muscle relaxant and reduces pain as it mainly acts on vata dosha. The oil heals the fistula and tones the area around anus.
Dosage-Nirgundi oil is applied locally over the affected area (anal region).


These days due to our sedentary lifestyles it leads to various diseases and there is disturbance in all tridoshas (vaat, pitta and kapha), so anal disorders are also occurring due to vitiated doshas but it can be corrected. All the information mentioned above is reliable, you can follow above guidelines regarding fistula in ano but for medicinal advice you must concern our doctors. The team of Planet Ayurveda is always available for your queries as there are well experienced doctors for your best management.

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Dr. Vikram Chauhan

Dr. Vikram Chauhan (MD - Ayurveda) is the CEO and Founder of Planet Ayurveda Pvt. Ltd. He is Author of the Book "Ayurveda – God’s Manual For Healing". He is an Ayurveda Expert Serving People worldwide through all the Possible Mediums, Operating from Main Branch in Mohali, India. With his Vast Experience in Herbs and their Applied Uses, he is successfully treating Numerous Patients suffering from Various Ailments with the help of Purest Herbal Supplements, Diet, and Lifestyle, according to the Principles of Ayurveda. For More Details, visit

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