The fistula is an opening between two organs of the body, or between an organ and the skin, that would not normally exist, caused by injury, infections, etc and this produces a thick yellow liquid because of infection.
The rectum or the external opening of anus is one of the most sensitive places of the human body, in ayurveda it is known as a marma (marmas are highly raw and sensitive points of body, an injury or a hit on these points can be cause of sever pain, syncope or even worse death.). This ceaseless wound or fistula can panic any life.
The anal fistula is a scandalous disease due to it location and recurrences even with skilled surgeons. Modern surgeons have advocated a number of classifications and operations.
Fistula in anus is defined as communication between anal canal or rectum and external surface. In majority of cases it follows it follows after a perianal or ischiorectal abscesses, which produces a thick yellow liquid or pus because of infection. In ayurveda the anal fistula is called as Bhagander.

The origination and development of a disease
This malady originates with a deep-seated bubble within three to five centimeter circumference around the opening of anus. The shallow boils can be distinguished with very low pain whereas the fistula originator boil can be associated with fever and pain.
This fistula creator boil makes a tube like track and when this tract communicates with rectum, faecal matter, and flatus is discharged through this channel or tract. If this tract establishes communication with other neighboring organ like urinary bladder or vagina as the result urine can be discharged through this as well.

The classification of fistula
In ayurveda the Bhagander is an abnormal passage in perineum leading from a suppurating cavity to the body surface. The Bhagander is classified in five types as
1. Shataponak (vata type)
2. Ushtragreeva (pitta type)
3. Parisravi (kapha type)
4. Shambukavrut (mixed type)
5. Agantuk (due to infection, trauma or other injury)

The management of fistula in ayurveda—
With the above description it is very clear that the explanation of the Sushruta is very similar to modern description of fistula. He has illustrated various surgical ways to manage the fistula including (agnikarma or the cauterization, this is the act of coagulating blood and destroying tissue with a hot iron or caustic agent known as Kshar) but in the present days the Kshar-sutra therapy is being recognized globally each day. The toper medical institute of modern medical science of in India the All India institute of medical sciences New Delhi is using the Kshar-sutra frequently in various form of fistula and sinuses.
Sushruta has advised to use the enema therapy (Basti a part of Panchkarma) in those wounds those are specially situated in lower part of the body. Apart from this hot bath of the back and lower portion or the fomentation of pretentious area should be regular part of daily routine of patient as well as smooth laxatives, analgesics, oral medicines and dietetic instructions must be essential part of prescription.


Fistula is a terrifying disorder, if it is communicating in between two important internal body organs, even verse it can be fatal. Many other diseases can originate due to it and only medicine can not be solution of it and surgery is converted into must. In modern surgeons employ the fistulectomy. In this procedure surgeon cut off the separating membrane or piece and make one track from anus to the lateral ending surface of fistula, but this is not appreciable, on other hand the Kshar sutra does not make any separation, the Kshar sutra heals the anal fistula from inside without any pain and other complications.
This is cheaper, safe and more success full too. The all procedure takes only few minutes only and no need of unnecessary anesthesia. Please send your feedbacks and ideas so that we can offer you the ayurvedic solution of your maladies.

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J.A.Y (journal of ayurveda and yoga)

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