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Anāmay Āshram

Anāmay Āshram

Kshar Sutra


Ksharasutra Therapy is an Ayurvedic Parasurgical Technique. Great Indian Surgeon Acharya Sushruta narrated in his teachings the use of Kshara for cure of ‘anal fistula’ and other anorectal diseases. The work of Acharya Sushruta was compiled as “Sushrut Samhita” in the Acharya Chakrapani Datta and Acharya Bhav Mishra have described in their classical Ayurvedic texts, the method of preparation and treatment of ‘fistula in ano’ by use of Kshara Sutra (K.S.). It is being used for the successful treatment of Anorectal Diseases from many years.

In this technique, a specially prepared thread (Kshar Sutra) is used to cure diseases. Kshar Sutra acts by “Herbal Chemical Cauterisation” and removes the disease from the body.Many studies have been published by Ayurvedic doctors recently with encouraging results for treatment of anal fistula, piles, fissures, anal abscess and other anorectal diseases by use of Kshara Sutra.


Both internal and external hemorrhoids can be treated successfully


Chronic fissures with sentinel piles are very easily treatable


All kind of simple and complicated fistula can be safely cured


Kshar Sutra Therapy is the most preferred treatment for pilonidal sinus


Painful Pus-filled boils around back passage can also be treated


All kind of small and big rectal polyps can be permanently removed

  • In Piles/Hemorrhoids

    Kshar Sutra is tied at the base/root of the pile mass. - The blood supply is cut and pile mass starts to dry
    - After a few days, pile mass sheds off.
    - The root was permanently damaged through Kshar Sutra thereby reducing the chances of recurrence.

  • In Fissure

    Fissure wound is healed by putting kshar sutra at the wound.
    - Muscles got relaxed by the kshar present on the thread reducing the congestion.

  • In Fistula

    - Kshar Sutra is put in the fistula track.
    - It starts draining out all the infection.
    - Kshar Sutra is changed every week.
    - Eventually the thread comes out itself by cutting and healing the whole fistula.

  • In Pilonidal Sinus

    - Sinus cavity is cleaned.
    - Kshar paste is used to scrap the cavity walls.
    - Kshar Sutra is put in the track and changed on weekly basis.
    - Eventually the thread comes out itself by cutting and healing the sinus track.

  • In Rectal polyp

    - Kshar Sutra is tied up at the base of polyp.
    - It dries up and finally shed off

Kshar sutra is also used in:

* Anal Stenosis

* Sentinel Tag/Piles

* Anal Incontinence

* Anal Condyloma

* Anal Hematoma

* Rectal Prolapse

* Anal Abscess 

The mode of action of Kshar sutra

1. The cut through of fistulous tract is affected by the pressure exerted on anorectal tissue by the moderately tight Kshar Sutra tied in the fistulous tract.
2. The presence of Kshar Sutra in the fistulous tract does not allow the cavity to close down from either ends and there is a continuous drainage of pus along the Kshar Sutra itself.
3. The Kshar Sutra slowly and gradually cuts through the fistulous tract from apex to the periphery. There is an ideal simultaneous cutting and healing of the tract and no pocket of pus is allowed to stay back.
4. The Kshara (Caustics) applied on the thread are anti-inflammatory, anti-slough agents and in addition, have property of chemical curetting. The Kshar Sutra remains in direct contact of the tract and therefore, it chemically curettes out the tract and sloughs out the epithelial lining, thereby allowing the fistulous tract to collapse and heal.
5. The Kshar Sutra, due to its antibacterial property, does not allow bacteria to multiply in its presence.
6. The pH of Kshar Sutra is between 8-9 which is alkaline and therefore it does not allow rectal pathogens to invade the cavity.
Vaidya Kuldeep Nautiyal
-(Kshar Sutra Specialist)

Vaidya Kuldeep Nautiyal

(Kshar Sutra Specialist)

Benefits of Kshar sutra over modern surgeries

  • The most significant benefit of Kshar Sutra therapy over conventional modern surgeries is that the muscles that support the anus and controls bowel movements are not dissected and hence the chances of anal inconsistency are lowered.

  • The Thread (kshar sutra) that is used in the therapy helps in cutting and healing the area simultaneously and not just works like modern surgery where they cut open the complete area and It becomes more prone to infections.

  • The probability of anal stenosis (narrowing of the anal canal after treatment) are almost nil

  • There is no damage done to Anal Sphincter

  • Minimal chances of recurrence and bleeding

  • Hospital stay is only for 4-5 hours

  • There is no need for antibiotic coverage.

  • The patient can get back to routine life after 3-5 days of the surgery

  • Post-treatment recovery is speedy and without any complications


Success rates :- Very high
Chances of recurrence :- Very low
Safety :- Very high
Chances of complications :- Negligible
Side effects :- Nil General advices
• To be ambulated (stay active like walking) during the period of treatment.
• To take normal food daily and avoid irritant spicy food.
• To take fibre containing diet & vegetables with plenty of water.
• To avoid such types of foods which cause constipation.
• To keep the bowel clear regularly by taking suitable and mild laxatives.
• To avoid prolonged sitting as well as standing during the treatment.
• To avoid long distance travelling and driving.
• To keep the anal region clean and do proper dressing

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