Ayurveda treatment of Anal Fissures by prescribing illness specific medicinal herbs and dietary recommendations

Causes of Anal Fissures as per principles of ayurveda:

Ayurvedic Insights into the Causes of Anal Fissures: Unraveling the Dosha Dynamics and Root Imbalances

Anal fissures, termed Parikartika in Ayurveda, arise from a complex interplay of doshas and various factors disrupting the delicate balance of the digestive system. Understanding the causes in the Ayurvedic context provides valuable insights into the root imbalances and offers a holistic approach to rectifying these issues.

1. Vata Imbalance (Vata Prakopa):

   • Relevance: Vata dosha governs the movement and elimination functions in the body. Imbalance in Vata leads to dryness and hardening of stools, causing strain during bowel movements and resulting in fissures.

2. Pitta Imbalance (Pitta Prakopa):

   • Relevance: Pitta dosha, associated with heat and inflammation, can lead to irritation and inflammation of the anal region. Excessive Pitta can contribute to the development and persistence of anal fissures.

3. Constipation (Vibandha):

   • Relevance: Constipation is a significant factor in Ayurveda contributing to anal fissures. Insufficient fiber intake, dehydration, and weakened digestive fire (agni) can lead to the formation of hard stools, causing trauma during defecation.

4. Straining During Bowel Movements (Mala Nashana):

   • Relevance: Excessive straining, often due to constipation, can lead to the tearing of the anal tissues. This strain disrupts the balance of Vata and Pitta doshas in the anal region, predisposing individuals to fissures.

5. Dietary Factors (Ahara Nidana):

   • Relevance: Consumption of spicy, hot, and pitta-aggravating foods can contribute to the aggravation of Pitta dosha, causing inflammation in the anal area. This inflammation may increase the susceptibility to anal fissures.

6. Anal Trauma (Guda Trauma):

   • Relevance: Trauma to the anal region, whether due to excessive wiping, use of harsh toiletries, or physical injuries, can disrupt the integrity of the anal tissues and lead to the formation of fissures.

7. Dehydration (Apatarpana):

   • Relevance: Insufficient water intake can result in dehydration, leading to the hardening of stools. Dehydrated stools are more likely to cause friction and injury during bowel movements, contributing to anal fissures.

8. Pregnancy (Garbhinivriddhi):

   • Relevance: The pressure exerted on the rectal area during pregnancy, coupled with hormonal changes, can contribute to the development of anal fissures.

9. Inflammatory Bowel Diseases (Grahani Roga):

   • Relevance: Conditions like inflammatory bowel disease, where there is chronic inflammation of the digestive tract, can increase the risk of anal fissures due to persistent irritation and inflammation.

10. Unhealthy Lifestyle (Asadvritta):

    • Relevance: Unhealthy lifestyle practices, including irregular eating habits, lack of exercise, and disturbed sleep patterns, contribute to overall doshic imbalances and may lead to anal fissures.

11. Excessive Spicy Food Consumption (Ati Ushna Ahara):

    • Relevance: Consuming excessive spicy foods aggravates Pitta dosha, contributing to heat and inflammation in the digestive tract, including the anal region.

12. Prolonged Sitting (Asana Kallola):

    • Relevance: Sedentary habits and prolonged sitting can impair digestive functions and contribute to the stagnation of Vata, leading to constipation and the development of anal fissures.

13. Stress and Anxiety (Chitta Bhrama):

    • Relevance: Mental stress and anxiety can impact digestive function, aggravating Vata dosha and contributing to irregular bowel movements, potentially leading to anal fissures.

14. Use of Harsh Toiletries (Ati Atapa):

    • Relevance: Harsh toiletries or excessive wiping can cause trauma to the delicate anal tissues, disrupting their integrity and increasing the risk of fissures.

15. Lack of Dietary Fiber (Ananna Sevana):

    • Relevance: Inadequate fiber intake results in hard and dry stools, contributing to constipation and the development of anal fissures.

16. Hereditary Factors (Gotra Dushti):

    • Relevance: Genetic predispositions may influence an individual’s susceptibility to anal fissures, indicating a potential familial link in some cases.

17. Use of Certain Medications (Ati Aushadha Sevana):

    • Relevance: Long-term use of certain medications, especially those that may contribute to constipation or affect digestive function, can be a causative factor for anal fissures.

18. Obesity (Ati Santarpana):

    • Relevance: Excess body weight and obesity can contribute to increased pressure on the rectal area, potentially leading to the development of anal fissures.

19. Food Allergies or Sensitivities (Ahara Abhishyanda):

    • Relevance: Allergic reactions or sensitivities to certain foods may cause inflammation in the digestive tract, contributing to the development of anal fissures.

20. Hormonal Imbalances (Dosha Viparita Agama):

    • Relevance: Hormonal imbalances, particularly in women, may influence the elasticity of anal tissues, potentially contributing to the development of anal fissures.

Understanding these causes through an Ayurvedic lens emphasizes the importance of addressing not only the symptoms but also the root imbalances that give rise to anal fissures. A personalized approach, considering an individual’s unique constitution and lifestyle, is crucial for effective management and prevention.

Illness specific medicinal herbs used in preparing ayurveda medications for treatment of Anal Fissures:

Ayurvedic Medicinal Plants for Anal Fissures: Nature’s Remedies for Soothing Relief

Ayurveda harnesses the healing power of various medicinal plants to address anal fissures (Parikartika). These plants offer a natural and holistic approach, targeting the root causes and symptoms of anal fissures. Each plant carries unique properties that contribute to the overall well-being of the digestive system and the anal region.

1. Triphala (Terminalia Chebula, Terminalia Bellirica, Emblica Officinalis):

   • Relevance: Triphala is a potent combination of three fruits known for their laxative and detoxifying properties. It helps regulate bowel movements, alleviates constipation, and promotes overall digestive health.

2. Yashtimadhu (Glycyrrhiza Glabra):

   • Relevance: Yashtimadhu, or licorice, possesses anti-inflammatory properties. It helps soothe the anal region, reducing pain and inflammation associated with anal fissures.

3. Haritaki (Terminalia Chebula):

   • Relevance: Haritaki, one of the components of Triphala, acts as a mild laxative and helps soften stools. It aids in preventing constipation, a significant factor in the development of anal fissures.

4. Aloe Vera (Aloe Barbadensis Miller):

   • Relevance: Aloe vera’s cooling and anti-inflammatory properties make it beneficial for topical application. It helps in reducing pain and promoting the healing of anal fissures.

5. Neem (Azadirachta Indica):

   • Relevance: Neem, with its antibacterial and anti-inflammatory attributes, is used in sitz baths or topical applications. It helps in soothing the anal region and preventing infections associated with anal fissures.

6. Guggulu (Commiphora Wightii):

   • Relevance: Guggulu has anti-inflammatory properties and is often included in formulations to reduce inflammation in the anal area. It aids in promoting healing and relieving pain.

7. Shunthi (Zingiber Officinale):

   • Relevance: Shunthi, or ginger, is known for its digestive benefits. It helps in reducing inflammation, improving digestion, and preventing constipation, contributing to anal fissure management.

8. Daruharidra (Berberis Aristata):

   • Relevance: Daruharidra possesses antimicrobial properties and aids in reducing inflammation. It is used in topical applications for anal fissures to prevent infections.

9. Hareetaki (Terminalia Chebula):

   • Relevance: Hareetaki, a variant of Haritaki, is included in formulations for its laxative properties. It supports bowel regularity and helps prevent constipation.

10. Bilva (Aegle Marmelos):

    • Relevance: Bilva leaves are known for their astringent properties. They help in reducing bleeding associated with anal fissures and contribute to overall rectal health.

11. Kutaja (Holarrhena Antidysenterica):

    • Relevance: Kutaja is traditionally used for its anti-diarrheal and anti-inflammatory properties. It aids in managing symptoms associated with anal fissures.

12. Vidanga (Embelia Ribes):

    • Relevance: Vidanga possesses anti-parasitic properties and is included in formulations for anal fissures to address any parasitic infections that may aggravate the condition.

13. Arjuna (Terminalia Arjuna):

    • Relevance: Arjuna bark has astringent properties and is included for its benefits in reducing bleeding and promoting healing in cases of anal fissures.

14. Musta (Cyperus Rotundus):

    • Relevance: Musta is known for its anti-inflammatory and digestive properties. It helps in reducing inflammation and promoting smooth digestion to prevent constipation.

15. Pippali (Piper Longum):

    • Relevance: Pippali, or long pepper, is used for its digestive and anti-inflammatory benefits. It aids in improving digestion and reducing inflammation in the digestive tract.

16. Trikatu (Black Pepper, Long Pepper, Ginger):

    • Relevance: Trikatu, a combination of black pepper, long pepper, and ginger, supports digestion and alleviates digestive discomfort. It is beneficial in preventing constipation.

17. Chitrak (Plumbago Zeylanica):

    • Relevance: Chitrak is included for its digestive and carminative properties. It aids in improving digestion and preventing constipation, contributing to anal fissure management.

18. Amalaki (Emblica Officinalis):

    • Relevance: Amalaki, or Indian gooseberry, is a component of Triphala and offers antioxidant properties. It supports overall digestive health and helps prevent constipation.

19. Shatavari (Asparagus Racemosus):

    • Relevance: Shatavari is known for its soothing properties and is used to reduce inflammation. It aids in promoting healing and providing relief in cases of anal fissures.

20. Bhringaraja (Eclipta Alba):

    • Relevance: Bhringaraja is included for its anti-inflammatory properties. It helps in reducing inflammation in the anal region, contributing to the management of anal fissures.

These Ayurvedic medicinal plants showcase the diverse array of natural remedies available for managing anal fissures. Integrating these plants into formulations, dietary practices, and topical applications provides a holistic approach to address the root causes and symptoms, promoting overall rectal health. It’s important to consult with an Ayurvedic practitioner for personalized guidance and to ensure the appropriate use of these plants based on individual constitution and specific conditions.

Over the counter ayurveda medications prescribed for Anal Fissures:

Ayurvedic Medications for Anal Fissures: Tailored Formulations for Holistic Healing

Ayurveda employs a range of medications, each carefully crafted to address the root causes and symptoms of anal fissures (Parikartika). These formulations blend traditional wisdom with the healing properties of herbs to provide relief, promote healing, and restore balance to the digestive system and the anal region.

1. Arshoghni Vati:

   • Relevance: Arshoghni Vati is formulated with herbs like Haritaki and Neem, known for their anti-inflammatory and antibacterial properties. It helps reduce inflammation, prevent infections, and promote healing in anal fissures.

2. Triphala Guggulu:

   • Relevance: Combining Triphala with Guggulu, this formulation aids in regulating bowel movements, preventing constipation, and reducing inflammation. It is beneficial for overall digestive health and anal fissure management.

3. Kankayan Vati:

   • Relevance: Kankayan Vati contains ingredients like Kajjali and Vatsanabha, which have laxative and analgesic properties. It helps soften stools, reduce pain, and support the healing of anal fissures.

4. Panchatikta Ghrita Guggulu:

   • Relevance: This ghee-based preparation contains bitter herbs like Neem and Kutki. It is anti-inflammatory, detoxifying, and supports the healing of anal fissures by reducing inflammation and promoting tissue repair.

5. Abhayarishta:

   • Relevance: Abhayarishta is an Ayurvedic fermented formulation with Haritaki and other herbs. It acts as a mild laxative, aids digestion, and helps prevent constipation, contributing to anal fissure management.

6. Nirgundi Oil:

   • Relevance: Nirgundi oil, derived from the Vitex negundo plant, has anti-inflammatory properties. External application helps soothe the anal region, reduce pain, and promote the healing of anal fissures.

7. Jatyadi Taila:

   • Relevance: Jatyadi Taila is an oil containing ingredients like Jatiphal and Neem. It is beneficial for external application, providing relief from pain, inflammation, and promoting wound healing in anal fissures.

8. Triphala Churna:

   • Relevance: Triphala Churna, a powder of three fruits, is a gentle laxative. It helps regulate bowel movements, prevent constipation, and supports overall digestive health in anal fissure management.

9. Chiruvilwadi Kashayam:

   • Relevance: Chiruvilwadi Kashayam is a decoction containing herbs like Chiruvilwa and Indrayava. It aids in digestion, reduces inflammation, and supports the management of anal fissures.

10. Bilvadi Churna:

    • Relevance: Bilvadi Churna, made from Bael fruit, is beneficial for its astringent properties. It helps reduce bleeding associated with anal fissures and contributes to rectal health.

11. Gandharva Haritaki:

    • Relevance: Gandharva Haritaki, a classical Ayurvedic formulation, is used for its laxative and digestive properties. It aids in preventing constipation and supports anal fissure management.

12. Khadirarishta:

    • Relevance: Khadirarishta is an Ayurvedic fermented formulation containing Khadira (Acacia catechu). It is known for its anti-inflammatory and wound-healing properties, beneficial for anal fissures.

13. Kshara Taila:

    • Relevance: Kshara Taila, prepared with alkaline ash obtained from specific plant materials, is used for local application. It has caustic properties that aid in promoting the healing of anal fissures.

14. Mustakarishta:

    • Relevance: Mustakarishta is a fermented formulation containing Musta (Cyperus rotundus). It supports digestion, reduces inflammation, and contributes to anal fissure management.

15. Haridrakhanda:

    • Relevance: Haridrakhanda, a powdered formulation with turmeric, helps reduce inflammation and promotes healing. It is beneficial for both internal consumption and external application in anal fissures.

16. Pilief Ointment:

    • Relevance: Pilief Ointment contains herbs like Haritaki and Neem. It provides soothing relief, reduces pain, and supports the healing of anal fissures when applied topically.

17. Punarnavadi Kashayam:

    • Relevance: Punarnavadi Kashayam is a decoction containing Punarnava and other herbs. It aids in reducing inflammation, supporting kidney function, and contributes to anal fissure management.

18. Dadimadi Ghrita:

    • Relevance: Dadimadi Ghrita, prepared with ghee and Dadima (pomegranate), has anti-inflammatory properties. It helps soothe the anal region and promotes the healing of fissures.

19. Bhrihatyadi Kashayam:

    • Relevance: Bhrihatyadi Kashayam is a decoction containing Bhrihati and other herbs. It aids in reducing inflammation, improving digestion, and supporting anal fissure management.

20. Varanadi Kashayam:

    • Relevance: Varanadi Kashayam is a decoction containing Varana and other herbs. It supports digestive health, helps regulate bowel movements, and contributes to anal fissure management.

These Ayurvedic medications offer a comprehensive and holistic approach to managing anal fissures, addressing both the symptoms and underlying imbalances. It is essential to consult with an experienced Ayurvedic practitioner for personalized guidance and to ensure the appropriate use of these medications based on individual constitution and specific conditions.

Ayurveda treatment of Anal Fissures at Nakra Ayurveda Hospitals and Herbals Pvt Ltd

Ayurvedic Treatments for Anal Fissures: A Holistic Approach to Healing

Ayurveda employs a multifaceted approach to address anal fissures (Parikartika), combining internal medications, external applications, lifestyle modifications, and dietary adjustments. Each treatment modality aims to balance doshas, alleviate symptoms, and promote overall rectal health.

1. Dietary Modifications (Ahara Chikitsa):

   • Relevance: Dietary adjustments play a pivotal role in anal fissure management. Emphasizing a diet rich in fiber from fruits, vegetables, and whole grains helps prevent constipation, a significant contributor to fissures. Avoiding spicy and hot foods helps pacify aggravated Pitta dosha, reducing inflammation in the anal region.

2. Lifestyle Changes (Vihara Chikitsa):

   • Relevance: Ayurveda emphasizes the importance of a balanced lifestyle. Regular exercise, maintaining proper hygiene, and adopting healthy bowel habits contribute to overall rectal health. Avoiding prolonged sitting and incorporating stress-reducing practices also play a crucial role in preventing and managing anal fissures.

3. Sitz Baths (Snan Chikitsa):

   • Relevance: Sitz baths, or warm water baths, are beneficial for soothing the anal region and reducing inflammation. Adding medicated substances like Triphala decoction or Neem water enhances the healing properties. Sitz baths improve blood circulation, relax the muscles, and provide relief from pain and discomfort associated with anal fissures.

4. Medicated Enemas (Basti Chikitsa):

   • Relevance: Basti, or medicated enemas, are employed to cleanse the colon and regulate bowel movements. Enemas with herbal formulations like Triphala help soften stools, alleviate constipation, and contribute to anal fissure management by reducing strain during defecation.

5. Herbal Medications (Aushadha Chikitsa):

   • Relevance: Internal medications, such as Arshoghni Vati, Triphala Guggulu, and Abhayarishta, are prescribed based on the individual’s constitution and doshic imbalances. These formulations address constipation, reduce inflammation, and promote healing, providing a comprehensive approach to anal fissure treatment.

6. Topical Ointments and Oils (Lepa Chikitsa):

   • Relevance: External applications, including Jatyadi Taila, Nirgundi oil, and Pilief Ointment, offer localized relief. These ointments and oils have anti-inflammatory, analgesic, and healing properties, providing comfort and supporting the recovery of anal fissures.

7. Ayurvedic Procedures (Upakrama Chikitsa):

   • Relevance: Kshara Karma, a procedure involving the application of alkali substances like Apamarga Kshara, is used for cauterization. This procedure aids in promoting healing, reducing hypertrophied tissues, and managing anal fissures. However, its application requires expertise and precision.

8. Dietary Supplements (Rasayana Chikitsa):

   • Relevance: Rasayana treatments focus on rejuvenation and nourishment. Ayurvedic supplements like Chyawanprash, rich in rejuvenating herbs, can support overall health, including digestive function, and contribute to the healing process of anal fissures.

9. Yoga and Pranayama (Yoga Chikitsa):

   • Relevance: Certain yoga postures and pranayama exercises promote digestive health and reduce stress, contributing to anal fissure management. Poses like Pawanmuktasana and deep abdominal breathing techniques enhance bowel regularity and relaxation.

10. Detoxification (Panchakarma Chikitsa):

    • Relevance: Panchakarma therapies, such as Virechana (therapeutic purgation), help detoxify the body, balance doshas, and improve digestion. When conducted under the guidance of a qualified Ayurvedic practitioner, Panchakarma can play a crucial role in managing anal fissures.

11. Ayurvedic Formulations for Hemorrhoids (Arsha Chikitsa):

    • Relevance: Specific formulations targeting hemorrhoids, such as Arsha Harivati, may be prescribed if hemorrhoids coexist with anal fissures. These formulations address symptoms like bleeding, pain, and inflammation associated with both conditions.

12. Psychological Counseling (Manasa Chikitsa):

    • Relevance: Stress and anxiety can exacerbate digestive issues. Psychological counseling, including practices like meditation and mindfulness, can help manage stress levels, contributing to improved digestion and overall well-being.

13. Dosha-Specific Treatments (Dosha Prakriti Chikitsa):

    • Relevance: Tailoring treatments based on an individual’s dosha constitution (Vata, Pitta, Kapha) ensures a personalized approach. Balancing doshas through dietary choices, herbal formulations, and lifestyle adjustments addresses the root imbalances contributing to anal fissures.

14. Hydration and Fluid Intake (Ushnodaka Sevana):

    • Relevance: Adequate hydration is crucial for maintaining soft stools and preventing constipation. Drinking warm water throughout the day supports digestion, enhances bowel movements, and contributes to anal fissure management.

15. External Compresses (Pratisarana Chikitsa):

    • Relevance: Applying cold or warm compresses to the anal region can provide relief from pain and inflammation associated with anal fissures. Herbs like sandalwood or turmeric may be included in the compress for additional benefits.

16. Agni Deepana (Kindling the Digestive Fire):

    • Relevance: Improving digestive fire through Agni Deepana herbs like ginger and cumin aids in better digestion and absorption of nutrients. This, in turn, supports overall digestive health and prevents constipation.

17. Regular Follow-ups (Nidana Parivarjana):

    • Relevance: Regular follow-up consultations with an Ayurvedic practitioner are essential for monitoring progress, adjusting treatments, and addressing any emerging issues. This ensures a tailored and dynamic approach to anal fissure management.

18. Balancing Vata (Vata Shamana):

    • Relevance: Focusing on Vata-pacifying measures, including warm, nourishing foods, and lifestyle practices, helps balance the excess Vata that can contribute to dryness and constipation, common factors in anal fissures.

19. Anti-Inflammatory Diet (Shothahara Ahara):

    • Relevance: Consuming an anti-inflammatory diet, including foods like turmeric, ginger, and green leafy vegetables, helps reduce inflammation in the anal region, promoting healing in anal fissures.

20. Customized Herbal Blends (Rasaoushadha):

    • Relevance: Ayurvedic practitioners may create customized herbal blends based on an individual’s unique needs. These blends can address specific symptoms, doshic imbalances, and contribute to the overall management of anal fissures.

Ayurvedic treatments for anal fissures emphasize a holistic and individualized approach, recognizing the interconnectedness of physical, mental, and lifestyle factors. It is crucial to consult with a qualified Ayurvedic practitioner to receive personalized guidance tailored to one’s unique constitution and specific condition.