Ayurvedic Diet And Medicines For Anal Fistula

Article by Dr Raghuram Y.S. MD (Ay) and Dr Manasa B.A.M.S
Ayurvedic medicines for external application for fistula in ano: 

Vatapatradi Lepa – Paste prepared with Vata patra (leaves of Ficus bengalensis ), ishtika churna (powder of bricks), shunti (ginger), guduchi (Tinospora cordifolia) and Punarnava (Boerhavia diffusa) 

Kushtadi Lepa – Paste prepared from Kushta (Saussurea lappa), Trivrit (Operculina turpethum), Tila (sesame), Danti mula (roots of Baliospermum montanum), Pippali (long pepper), Saindhava lavana (Rock salt), Madhu (honey), Haridra (turmeric), Amalaki (Emblica officinalis), Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellirica) and Tuttha (Purified Copper Sulphate)

Tiladi Lepa – Paste prepared from Tila (sesame), Trivrit (Operculina turpethum), Nagadanti (roots of Baliospermum montanum), Manjishta (Rubia cordifolia) and Saindhava Lavana (rock salt) mixed in honey

Rasanjanadi Lepa – Paste prepared from Rasanjana (aqueous extract of Daruharidra, Berberis aristata), Haridra (turmeric), Daruharidra (Berberis aristata), Manjishta (Rubia cordifolia), Nimba Patra (tender leaves of neem), Trivrit (Operculina turpethum), Tejovati (bark of Zanthoxylum alatum) and Danti mula (roots of Baliospermum montanum)

Tila-abhayadi Lepa – Paste made up of Tila (sesame), Haritaki (Terminalia chebula), Lodhra (Symplocos racemosa), Nimba patra (leaves of neem), Haridra (turmeric), Vacha (Acorus calamus), Kushta (Saussurea lappa) and Gruha dhuma (soot of chimney)

Karaviradhya Tailam – Oil prepared using Karaveera mula (root of Nerium indicum), Haridra (turmeric), Danti (Baliospermum montanum), Langali (Gloriosa superba), Saindhava lavana (rock salt), Chitrakamula (root of Plumbago zeylanica), Matulunga (Citrus medica), Arka ksheera (latex of Calotropis gigantea)

Nishadi Tailam – Oil prepared from Nisha / Haridra (turmeric), Arka ksheera (latex of Calotropis gigantea), Saindhava Lavana (rock salt), Chitraka mula (root of Plumbago zeylanica), Guggulu (Commiphora mukul), Langali (Gloriosa superba) and Vatsaka / Kutaja (Holarrhena antidysenterica)
Read related: Anal Fistula Symptoms, Types, Differential Diagnosis, Treatment

Vidalasthi lepa – paste prepared from vidalasthi (bone of cat) ground in decoction of Triphala i.e. fruits of Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellirica) and Amalaki (Emblica officinalis).

Shunosthyadi Lepa – paste prepared from shuna asthi (bone of dog) and bhulata (earthworm) ground in takra (buttermilk) and mixed in khara rakta (blood of donkey)

Narasthi taila – oil prepared by processing nara asthi (human bones) in the sesame oil

Oral Ayurvedic medicines for anal fistula:
Khadiradi Kwatha –
Decoction prepared from Khadira (Acacia catechu), Amalaki (Emblica officinalis), Haritaki (Terminalia chebula), Bibhitaki (Terminalis bellirica) mixed with Mahisha ghrita (ghee of buffalo) and vidanga churna (powder of Embelia ribes)

Navakarshika Guggulu – Nava means nine (9), Karshika means a quantity equal to a karsha (approximately 12 grams = 1 karsha), Guggulu means Commiphora mukul. Thus Navakarshika Guggulu is a compound prepared using Guggulu as a chief ingredient, the total quantity of Guggulu along with other ingredients of the compound being taken in 9 Karsha quantities. Read more about navakarshika guggulu

 

Saptavimshati Guggulu This is a Guggulu preparation with 27 ingredients.
Dusparshakadi Kashayam
Chiruvilwadi Kashayam
Gandharvahastadi Kashayam
Punarnavadi Kashayam
Abhayarishta
Mridwikarishta
Dantyarishta
Vidangarishta
Bahushala guda
Kalyanaka guda
Manibhadra guda
Suranavaleha
Vyaghryadi leham
Saptavimshati Guggulu
Triphala Guggulu
Changeri Ghrita
Avipattikara Churna
Triphala Churna
Kasisadi Taila
Arshoghna vati
Kankayana Gutika Arsha
Arshakutara Rasa etc
Read related: Anal Fistula: 25 Diet And Lifestyle Tips To Avoid Repeated Infection

Proprietary Ayurvedic medicines for anal fistula: products:

  • Cap Arsol (BAN)
  • Tab Arshonyt (Charak)
  • Cap Balvac (BAL Vedics)
  • Tab Kultab (Vasu)
  • Tab Pilex and Ointment Pilex (Himalaya)
  • Tab Pilocure (Alopa)
  • Tab and Ointment Pilorid (Nagarjuna)
  • Tab Pirrhoids (Baidyanath)
  • Cap Pylapy (Capro)
  • Tab Rectocare (Bacfo)
  • Cap and ointment Sukhada (Ayulabs)
  • Cap Sunarin (Phyto pharma) etc

Pathya (wholesome food and activities) in Bhagandara (Anal Fistula)

  • Takra – buttermilk
  • Rakta shali – red rice
  • Maha shali – big sized rice (Basmati)
  • Shashtika shali – paddy or rice grown in 60 days
  • Mulaka – radish
  • Kulattha – horse gram
  • Bilwa –Aegle marmelos
  • Kutaja – Holarrhena antidysenterica
  • Indrayava – seeds of Holarrhena antidysenterica
  • Avagahana – tub bath
  • Kshara – alkalis
  • Yava kshara – alkali made by burning the full plant of barley
  • Shunti – ginger
  • Pippali – long pepper
  • Dadima – pomegranate
  • Amla phala – sour fruits
  • Guda – jiggery
  • Karanja – Pongamia pinnata
  • Ghrita – ghee
  • Mamsa rasa – meat soup
  • Trivrit patra – leaves of Operculina turpethum, Danti patra – leaves of Baliospermum montanum, Palasha patra – leaves of Butea monosperma, Chitraka patra – leaves of Plumbago zeylanica fried in ghee and oil and mixed with curds
  • Ushna jala – hot warer
  • Arishta, tushodaka, seedhu, madira – fermented herbal drinks
  • Dadhi manda – watery part of curds
  • Kantakari jala – water processed with Solanum xanthocarpum
  • Shunti-dhanyaka jala – water processed with ginger and coriander
  • Yavagu – gruel
  • Yusha – soups
  • Dugdha – milk etc.

Apathya (unwholesome foods and activities) in Bhagandara (Anal fistula) –

  • Kashaya rasa ati sevana – excessive intake of astringent foods
  • Katu rasa / ahara – foods which are spicy or pungent in nature
  • Lavana- excessive consumption of salt or salty foods
  • Ruksha – dry foods
  • Atisheeta-atiushna ahara – excessive hot or cold foods
  • Vidahi anna – corrosive foods
  • Amla – excessive consumption of sour foods
  • Abhishyanda ahara – food which increases kapha, cause blocks and congestion in the body
  • Viruddha ahara – mutually incompatible foods
  • Ajeerna bhojana – foods which cause indigestion
  • Pramita ahara – restricted diet
  • Asatmya bhojana – incompatible on non-suitable foods
  • Mamsa – flesh of cow, fish, pig, buffalo, sheep, goat etc in excess
  • Puti mamsa – consumption of putrified meat
  • Guru ahara – hard to digest foods
  • Paishtika ahara – excessive consumption of foods made out of flour
  • Shushka shaaka – dry vegetables
  • Harita – lot of green and fresh vegetables
  • Vasa – muscle fat
  • Paryushita, puti, sheeta, sankeerna ahara – contaminated, putrid, cold and stored foods
  • Vikruta jala – contaminated water
  • Adhika sneha – excessive consumption of fats
  • Sukha shayya asana – comfortable bed and seats (always)
  • Diwaswapna – day sleep
  • Kathora asana – hard seating
  • Ushtra ashwadi gamana – always riding horses and camels
  • Kshata – injury to the anal region
  • Pravahana – straining at defecation and urination (practise)
  • Vega dharana – forcibly holding the reflexes of defecation and urination, farting
  • Teekshna Madhya – strong alcohol
  • Maithuna – indulgence in sexual activities
  • Avyayama – lack of exercise
  • Shoka – grief
  • Vata – excessive exposure to breeze
  • Atapa – excessive exposure to heat of sun
  • Read related: Anal Fistula: Ayurvedic Concept, Types, Treatment

Single herbs which are beneficial in Bhagandara, anal fistula

  • Kutaja – Holarrhena antidysenterica
  • Indrayava – seeds of Holarrhena antidysenterica
  • Dadima – pomegranate
  • Daruharidra – Berberis aristata
  • Haridra – turmeric
  • Nimba – neem
  • Patha – Cyclea peltata
  • Danti – Baliospermum montanum
  • Trivrit – Operculina turpethum
  • Yavani – Bishops weed
  • Shunti – ginger
  • Pippali – long pepper
  • Chitraka – Plumbago zeylanica
  • Haritaki – Terminalia Chebula
  • Bibhitaki – Terminalia bellirica
  • Amalaki – Emblica officinalis
  • Bilwa – Aegle marmelos
  • Rasanjana – extract of Berberis aristata
  • Yavasa – Alhagi camelorum
  • Kantakari – Solanum xanthocarpum
  • Takra – buttermilk
  • Saindhava lavana – rock salt
  • Palandu – onion
  • Tila – sesame
  • Nagakeshara – Mesua ferrea
  • Yashtimadhu – Liquorice
  • Kamala – lotus and its variants
  • Rakta chandana – red sandal wood etc
  • Click to Consult Dr Raghuram YS MD (Ayu)

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