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Anal Fissure & Fistula Ayurvedic Treatments

Author : Gurnam Saini  

Ayurvedic medicine for piles and fissure by Pure Herbal Ayurved




Fissure in ano is an oval, ulcer like, longitudinal split in rectal tunel. It usually follows with extreme rectal discomfort worsened by hard defecation with the passing of little blood.





Types of Anal Fissues


1. Primary anal fissure:

Primary anal fissure can be categorized in acute and chronic situation. Acute fissure usually react to conventional treatment, if not then turn into serious fissure associated with tag, which is handled with surgical involvement.


2. Secondary anal fissure:


Secondary fissures are due to actual illnesses such as colitis, crohn’s illness, tuberculosis, past rectal operation; AIDS, syphilis etc. Secondary fissures have different clinical appearances and thus need specific line of control.


Ayurveda and Anal Fissure


In Ayurvedic literary fissure in ano is not described as another illness. All scholars describe this problem under the title of Parikartika.


Parikartika is happen by imbalance of vata and pitta dosha. Vata causes painful like cutting feeling and pitta causes burning feeling along with swelling.


In the same way it is said that parikartika is types of injury that happens due to stress by hard faeces in rectal tunnel.


There are various kinds of ayurvedic herbal and natural remedies such as ushna avagaha sweda (hot sitz bath), jatyadi herbal oil, guggulu preparations, natural fibers like isabgol etc. to treat anal fissure. All these are discuss in details further down in this article.



Causes of Anal Fissure, Fistula, Sinuses, Abscess


An unhealthy lifestyle is the main reason behind various kinds of ano-rectal problems. Deficiency of sufficient exercising, junk food, harmful diet, cigarette smoking, liquor, extend seated job, inappropriate drinking habits make digestive system (GIT) upset, which result infrequent intestinal routine.


Changed intestinal routine is significant aspect to cause piles, fissure in ano, abscess, sinuses, fistula in ano and other kinds of ano-rectal problems.


Alteration of bowel routine is said to be a strong reason behind anal fissure. It is recommended that the passing of hard faeces result in immediate injury to the rear part of rectal tunnel this cause break at muco-cutaneous joint resulting in severe pain and sometimes blood loss. 


Below are the patterns in the formation of ano-rectal diseases like anal fissure, anal sinuses and fistula:


  • changed intestinal habit
  • hard irregular faeces or constipation
  • trauma to muco-cutaneous membrane of rectal canal
  • tear or acute onset of fissure
  • either treat or turn into serious stasis of faecal matter
  • or infectious agent in chronic wound
  • results illness of the of rectal tunel
  • infection moves through rectal glandular to external environment leads to abscess like sinuses or fistula.




Herbal Ayurvedic Treatment for Anal fissure, Fistula, Sinuses, Abscess


The main aim of ayurveda therapy is to ease the spasm of sphincter, cleaning and healing of fissure, relaxing of rectal tunnel, reduce the agony sensation.


Hot fomentation sitz bath, nutritional materials like isabgol (psyllium husk); different herbal ayurvedic oils and many guggulu ayurvedic medicine can help heal these fissures.


Natural Remedies of Perianal Fissure, Fistula, Sinuses, Abscess



Avgaha sweda (hot fomentation-sitz bath)


Sitting in the warm/hot water tub after each time of defecation reduces discomfort and calms spasm of inner sphincter for some time. It also helps in washing of fissure injure. Sitz shower is impressive in treatments for fissure. It is done for 10 to 15 minutes. Adding triphala powder in the water helps in minimising pain and enhances the healing capacity of anal colon.


High Fibers Diet


Isabgol (psyllium husk) are seeds obtain from Plantago ovate plant. These are hygroscopic, which allows them to increase and become mucilaginous. These materials are a complicated carbs, which holds with standard water in the digestive tract creating bigger, smoother faeces. Larger and smoother stool expand and rest the sphincter muscle tissue helping the blood to circulate and it also require little stress to successfully pass.


Psyllium fiber is commonly used as a fiber complement for treating intestinal problems like hard stool. Also different medical studies revealed regular use of psyllium husk significantly increases faeces moisture.


Jatyadi ghee/oil


Jatyadi oil is described in ayurvedic texts for external use to heal various wounds and has been mentioned to treat anal rectal wounds. This coconut based oil is processed with leaves of Jasminum officinale, leaves of Azadirachta indica, Curcuma longa or turmeric, Berberis aristata, Glycirrhiza glabra or liquorice, Picrorhiza kurroa, bee wax and other vegetation. 

Regional use of jatyadi oil/ghee display remarkable results in anal fissure, fistula and sinus by:


  • covering the wound with a protective coating
  • it relaxes rectal tunnel so minimize discomfort by soothing sphincter overall tone.
  • it clears injury as well as very excellent therapy for healing.


Herbal Ayurvedic Medicine For Piles and Fissure


A research paper presented by Ashish Soni, emphasises the importance of jatyadi ghee. It is an ayurvedic concoction prepared with herbs like chameli patra, nimba patra, haridra patra besides many others. It is very useful as it forms a protective layer over the fissure wound, sooths the anal canal to relieve pain by relaxing the sphincter tone and cleans wound and expedites the healing process.



Guggulu (Commiphera mukul) preparations


Triphala guggulu, kaishor guggulu, shigru guggulu, lakshadi guggulu are said very great outcomes in control over various anorectal problem. Triphala guggulu also expertise in bowel problems like constipation.


Kaishor guggulu will work when there is dermatitis, itchiness and extreme burning situation (increase pitta signs).

Shigru guggulu is given when there is much swelling and discomfort.


Lakshadi guggulu works in affiliate bleeding haemorrhoids.


In secondary fissure where colitis is main problem bilwa (Eagle marmelos), kutaj (Holarrhena antidysentrica), takra (butter milk) can be the first range of therapy.



In the same research as mentioned above Ashish Soni also mentions about the effectiveness of guggulu.  Guggulu in the form of Triphala guggulu, kaishor guggulu, shigru guggulu and lakshadi guggulu has been found to be useful for this disease. These herbal formulations treat symptoms like constipation, dermatitis (associated with anal fissure), itching, excessive burning condition, inflammation, bleeding and pain.



In a research article presented by Panigrahi Hemanta the usefulness of guggulu for the treatment of anal fissure has been emphasised. The study was conducted on 40 patients suffering from fissure-in-ano. 500 mg of triphala guggulu was administered to these patients for a month along with other medicines (jatyadi tail) and remedial procedure(Lord’s procedure). After a month’s time 80% of the patients showed a complete remission of the disease.


Ayurvedic Treatment of Anal fissure, fistula, sinus, abscess in Melbourne, Australia


To get the best herbal ayurveda treatment plan for any perianal diseases like fissure, fistula, sinus, abscess reach out for Pure Herbal Ayurved Clinic based in Northcote, Melbourne.


Highly experienced Ayurvedic doctors will formulate the best treatment plan according to one’s own ayurvedic body type.


Ayurvedic diet and lifestyle also play an important role in preventing and treating anal fissure and fistula. 


If you wish to enquire more information on Anal Fissure or Fistula Ayurvedic Natural Treatment in Melbourne, you may contact us at Pure Herbal Ayurved Clinic.









Disclaimer: The information on ayurvedic products and medicines on our website is for educational purposes only. One should not buy these products over the counter. These should only be taken after ayurvedic consultation with an ayurvedic practitioner. The uses and indications of these herbal products are based on Traditional Ayurvedic text books. These herbs should be supplemented with appropriate diet and lifestyle to get beneficial effects. Although there is a lot of research done on Ayurveda these days, yet these herbal products might not hold enough current research based evidence.





  1. Ashish Soni, ‘Fissure in Ano- A Clinical Approach’, Journal of Pharmaceutical and Scientific Innovation, https://jpsionline.com/admin/php/uploads/403_pdf.pdf
  2. Panigrahi Hemanta, ‘Clinical Evaluation of Ayurvedic Compound and Manual Dilatation of Anus in the Management of Parikartika (Fissure-in-Ano): An Open Perspective Study’, Indian Journal of Research in Ayurveda and Pharmacy, https://www.ijrap.net/admin/php/uploads/903_pdf.pdf



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Author Bio:

Gurnam Saini has over 15 years’ experience in Ayurvedic naturopathy treatments in Melbourne, Australia. He has completed his bachelor degree in Ayurvedic Medicine and Surgery from Baba Farid University of Health Sciences, India. He has done MD in Alternative Medicine and certificate courses in Panchakarma Detox, Pulse diagnosis and skin care. He is also a member of the Australasian Association of Ayurveda (AAA). He has won awards for ground-breaking work in Ayurveda globally. Read More