Permanent Cure for Piles & Fistula
Led by Dr. B.S. Katiyar (M.D. (Ayurvedic Medicine) Lko, P.G. Diploma in Ksharsutra) with 20+ years of clinical excellence. We offer ancient Ayurvedic Ksharsutra surgery and classical Panchakarma therapy under local anaesthesia with minimal downtime.

Classical Panchakarma & Advanced Ksharsutra Centre
68, Lakhanpur, Vikas Nagar, G.T. Road, Kanpur
Whetheryouseekfreedomfromchronicpain,permanentcureforpiles,orholisticrejuvenation,ourhospitalprovidestime-testedAyurvediccareforeverypatient.

Nadi Pariksha: Three-Finger Radial Pulse Root-Cause Diagnosis

Sterile Day-Care Ksharsutra Minor OT & 21-Layer Thread Tray

Classical Shirodhara for Severe Migraine, Stress & Neuro Reset

Janu Basti Medicated Warm Oil Retention for Knee Cartilage

Patra Pinda Swedana (Potli) Fomentation for Sciatica & Spine

Classical Handcrafted Teakwood Droni Therapy Chamber

Nasya Karma Cranial Infusion for Chronic Sinusitis & Migraine

Clinical Jalauka Leech Therapy for Varicose Veins & Blood Detox

Fresh Decoction (Kvatha) Preparation for Purificatory Detox

In-House Ayurvedic Pharmacy & Precision Herbal Dispensary

Nadi Pariksha: Three-Finger Radial Pulse Root-Cause Diagnosis

Sterile Day-Care Ksharsutra Minor OT & 21-Layer Thread Tray

Classical Shirodhara for Severe Migraine, Stress & Neuro Reset

Janu Basti Medicated Warm Oil Retention for Knee Cartilage

Patra Pinda Swedana (Potli) Fomentation for Sciatica & Spine

Classical Handcrafted Teakwood Droni Therapy Chamber

Nasya Karma Cranial Infusion for Chronic Sinusitis & Migraine

Clinical Jalauka Leech Therapy for Varicose Veins & Blood Detox

Fresh Decoction (Kvatha) Preparation for Purificatory Detox

In-House Ayurvedic Pharmacy & Precision Herbal Dispensary

Nadi Pariksha: Three-Finger Radial Pulse Root-Cause Diagnosis

Sterile Day-Care Ksharsutra Minor OT & 21-Layer Thread Tray

Classical Shirodhara for Severe Migraine, Stress & Neuro Reset

Janu Basti Medicated Warm Oil Retention for Knee Cartilage

Patra Pinda Swedana (Potli) Fomentation for Sciatica & Spine

Classical Handcrafted Teakwood Droni Therapy Chamber

Nasya Karma Cranial Infusion for Chronic Sinusitis & Migraine

Clinical Jalauka Leech Therapy for Varicose Veins & Blood Detox

Fresh Decoction (Kvatha) Preparation for Purificatory Detox

In-House Ayurvedic Pharmacy & Precision Herbal Dispensary
Ksharsutra Surgery for Piles, Fissure & Fistula
Why live with agonizing pain or risk sphincter muscle damage from conventional surgery? Ksharsutra is an ancient Ayurvedic therapy endorsed by the Ministry of AYUSH and ICMR that heals deep tracts naturally.
What is Ksharsutra?
Ksharsutra is a specially prepared linen thread coated repeatedly with herbal extracts, including Snuhi latex (Euphorbia nerifolia), Apamarga Kshara (Achyranthes aspera), and pure Haridra (Turmeric) powder. When placed in the fistula tract or around hemorrhoidal tissue, it exerts simultaneous excision, chemical cauterization, and natural antiseptic healing without cutting healthy rectal muscles.
Proteolytic enzymatic excision of unhealthy tissue
Natural alkaline chemical cauterization
Antiseptic wound granulation & rapid healing

How Ksharsutra Heals: Clinical Step-by-Step Flowchart
Scientific non-excisional protocol documented by ICMR & AIIMS clinical trials
Crypt & Tract Probing
High-definition proctoscopy & blunt probing to map fistulous tracts or isolated hemorrhoidal pedicles without creating false channels.
Local Anaesthesia Ligation
Medicated thread coated with Snuhi latex & Apamarga Kshara is placed through the tract under gentle, painless local anaesthesia.
Simultaneous Cutting & Cure
Enzymatic debridement clears chronic infection, draining pus pockets while healthy granulation forms from base upwards.
Permanent Closure & Continence
Thread detaches spontaneously once tract is 100% healed. Zero sphincter damage, <2% recurrence, and full bowel control.
Piles / Hemorrhoids (Arsha)
Gradual aseptic necrosis and spontaneous shedding of hemorrhoidal mass without scalpel incisions or heavy bleeding.
Anal Fistula (Bhagandara)
Chemical cutting and simultaneous granulation tissue healing of high and complex fistulous tracts. <2% recurrence.
Anal Fissure (Parikartika)
Immediate relief from agonizing burning pain and spasm. Promotes rapid mucosal healing without sphincterotomy.
Gastrointestinal & Hepatobiliary Care
Holistic Ayurvedic therapy for Fatty Liver, Chronic Acidity (GERD), IBS, Sluggish Digestion, and Hepatobiliary Congestion through classical bio-cleansing.
Clinical Comparison: Ksharsutra vs Conventional Surgery
Why modern surgeons and patients prefer classical Ayurvedic Ksharsutra
| Clinical Aspect | Punarnava Ksharsutra Therapy | Conventional Open Surgery |
|---|---|---|
| Anaesthesia Type | Gentle Local Anaesthesia (Safe, no hospital admission needed) | General or Spinal Anaesthesia (Requires pre-op ICU clearance) |
| Hospital Stay | Day-care procedure (Discharge in 2–4 hours) | 3 to 7 days hospital admission |
| Damage to Anal Sphincter | Zero damage. Muscular ring remains fully intact | Risk of sphincter division leading to faecal incontinence |
| Recurrence Rate (Fistula) | Under 2% (Clinically validated by ICMR studies) | 20% to 35% recurrence rate reported |
| Recovery Time | 3 to 5 days to resume office/desk work | 3 to 6 weeks bed rest and painful daily dressings |
| Post-Operative Pain | Mild to moderate, managed easily with warm sitz baths | Severe pain requiring heavy narcotic analgesics |
Gentle Local Anaesthesia (Safe, no hospital admission needed)
General or Spinal Anaesthesia (Requires pre-op ICU clearance)
Day-care procedure (Discharge in 2–4 hours)
3 to 7 days hospital admission
Zero damage. Muscular ring remains fully intact
Risk of sphincter division leading to faecal incontinence
Under 2% (Clinically validated by ICMR studies)
20% to 35% recurrence rate reported
3 to 5 days to resume office/desk work
3 to 6 weeks bed rest and painful daily dressings
Mild to moderate, managed easily with warm sitz baths
Severe pain requiring heavy narcotic analgesics
Five-Fold Panchakarma Rejuvenation Therapy
Root-cause healing for chronic metabolic, neurological, musculoskeletal, and hormonal disorders through individual dosha-specific purification.
Poorva Karma: Cellular Oleation & Thermal Sudation
Essential preparatory bio-mobilization before core Panchakarma elimination
In classical Ayurveda, bio-purification cannot be performed on unprepared, dry tissues. Poorva Karma uses medicated oleation and therapeutic steam to liquefy deep-seated cellular toxins (Aama), dilate micro-channels (Srotas), and smoothly mobilize morbid doshas into the alimentary canal (Koshtha) so they can be expelled safely during Pradhana Karma.
1. Internal Snehana (Ghee)
Graduated daily intake of medicated herbal ghee that penetrates cellular membranes to dissolve fat-soluble endotoxins.
2. External Abhyanga
Rhythmic full-body synchronized warm herbal oil massage that softens peripheral tissues and activates lymphatic drainage.
3. Swedana (Herbal Steam)
Therapeutic steam chamber with Dashamoola decoctions that opens micro-pores and melts solidified toxins into the gut.
4. Deepana & Pachana
Classical digestive stimulants and herbal decoctions that rekindle preliminary Agni to digest sticky unprocessed Ama.

Pradhana Karma: The 5 Classical Panchakarma Therapies
Once Poorva Karma mobilizes deep toxins into the koshtha, the senior physician administers the targeted cleansing therapy based on pulse diagnosis and aggravated doshas:
1. Vamana Karma (Therapeutic Emesis)
Controlled medicated emesis that purges deep toxins from the respiratory and upper gastrointestinal tracts. Treats chronic asthma, psoriasis, and vitiligo.
Key Clinical Indications:

Paschatya Karma: Restorative Diet & Rasayana Vitality
Metabolic fire rekindling, cellular tissue nourishment, and disease recurrence prevention
Following deep biological purification, the metabolic fire (Jatharagni) is delicate and must be rekindled like a gentle flame. Paschatya Karma employs Samsarjana Krama—a graduated sequence from light liquid broths to nutritious meals—rebuilding digestion without toxic burden. Concurrently, specialized Rasayana herbs nourish all seven bodily tissues (Dhatus), restore vital immunity (Ojas), and permanently prevent disease recurrence.
1. Samsarjana Krama (Diet)
Graduated intake from thin rice water (Peya) to thick gruel (Vilepi) and seasoned lentil broth (Yusha) to restore Agni.
2. Rasayana Therapy
Customized Rasayana herbs that nourish all 7 vital tissues (Dhatus), slow cellular degeneration, and amplify Ojas.
3. Shamana & Agni Deepana
Gentle balancing herbs that pacify residual minor dosha traces and stabilize balanced gut metabolic absorption.
4. Dinacharya & Lifestyle
Constitution-specific daily routines, sleep hygiene, and dietary guidelines to guarantee permanent freedom from relapse.

Rejuvenation, Pain Relief & Classical Healing
Administered by experienced Ayurvedic Panchakarma therapists under the direct supervision of Dr. B.S. Katiyar and Dr. Smita Katiyar.

Shirodhara
Continuous gentle rhythmic stream of warm herbal oil or medicated milk poured onto the forehead (Ajna chakra).
Best Suited For:

Janu Basti
Retention of warm medicated herbal oil over the knee joints within a dough ring reservoir.
Best Suited For:

Kati Basti
Retention of warm medicated herbal oil (Mahanarayan / Ksheerabala Taila) over the lumbosacral spine within a leakproof herbal dough ring.
Best Suited For:

Greeva Basti
Continuous reservoir retention of warm medicinal oils (Prasarinyadi / Murivenna) over the cervical spine and nape of the neck.
Best Suited For:

Hriday Basti (Hrid Basti)
Gentle retention of warm cardio-protective herbal oils (Arjuna / Dashamoola) over the cardiac chest region (Anahata chakra).
Best Suited For:

Prishtha Basti
Comprehensive continuous medicated warm oil pooling covering the entire thoracic and mid-back spine.
Best Suited For:

Nabhi Basti (Chakra Basti)
Warm herbal digestive oil pooling directly over the umbilicus (Nabhi Chakra / solar plexus).
Best Suited For:

Netra Basti (Akshi Tarpana)
Bathing the eyes in clear, medicated lukewarm herbal ghee (Triphala Ghrita) within gentle flour rings over the eye sockets.
Best Suited For:

Nadi Pariksha
Classical Ayurvedic radial pulse diagnosis to detect sub-clinical dosha imbalances before diseases manifest.
Best Suited For:

Basti Therapy
Medicated herbal decoction and oil enemas — the crown jewel of Panchakarma for Vata disorders.
Best Suited For:

Snehan & Swedan
Therapeutic whole-body herbal oil massage followed by steam box or herbal leaf bolus fomentation.
Best Suited For:

Uttara Basti & Gynae Care
Specialized intra-uterine herbal oil therapy guided by Dr. Smita Katiyar for infertility and uterine disorders.
Best Suited For:
Meet Our Senior Ayurvedic Physicians
Over two decades of dedication to classical healing, continuous clinical research, and compassionate patient care in Kanpur.
Dr. B.S. Katiyar
M.D. (Ayurvedic Medicine) Lko, P.G. Diploma in Ksharsutra
Chief Physician & Ksharsutra Surgeon
Physician Background
Dr. B.S. Katiyar is one of Uttar Pradesh's foremost authorities on Ksharsutra surgery and classical Panchakarma. Alumnus of the prestigious Lucknow University, Dr. Katiyar has successfully operated on thousands of complicated piles, fissure, and high-tract anal fistula cases without general anaesthesia. He is renowned for his mastery in Nadi Pariksha (pulse diagnosis) and managing chronic lifestyle diseases.
Key Areas of Clinical Mastery
Dr. Smita Katiyar
MD, B.SC., BAMS (Ayurvedic Gynaecology & Infertility)
Senior Consultant — Women's Health & Panchakarma
Physician Background
Dr. Smita Katiyar is a celebrated pioneer in natural Ayurvedic gynaecology and reproductive medicine. She specializes in resolving complex hormonal imbalances including PCOS, unexplained infertility, uterine fibroids, and menopausal symptoms through specialized Panchakarma therapies like Uttara Basti. Her compassionate, holistic methodology has helped countless couples achieve parenthood naturally.
Key Areas of Clinical Mastery
From Nadi Diagnosis to Recovery: Patient Care Flowchart
Thorough root-cause analysis without unnecessary chemical prescriptions
Nadi Pariksha Pulse Reading
Three-finger radial artery assessment evaluating Vata, Pitta, and Kapha imbalances and metabolic fire (Agni).
Report & History Analysis
Correlating Ayurvedic findings with your existing MRI, USG, blood tests, or previous failed surgical history.
Targeted Protocol Design
Custom Ksharsutra surgical appointment or tailored Panchakarma detox schedule with clear timelines.
Pathya & Rasayana Longevity
Comprehensive dietary chart (Pathya-Apathya) and rejuvenating herbs ensuring long-term disease-free vitality.
State-of-the-Art Traditional Healthcare
A clean, peaceful, and fully equipped hospital sanctuary with separate male and female therapy wings, hygienic Ksharsutra procedure rooms, and in-house herbal pharmacy.

Hygienic Ksharsutra Minor OT
Dedicated minor surgical suite with sterilisation units and local anaesthesia monitoring for day-care proctology procedures.

Classical Panchakarma Droni Rooms
Handcrafted medicinal teak droni tables, customized wooden steam boxes (Bashpa Swedan), and specialized Shirodhara equipment.

Nadi Pariksha OPD Diagnostic Suite
Dedicated pulse diagnosis and clinical consultation chambers ensuring privacy and thorough root-cause evaluation.

In-House Authentic Herbal Pharmacy
Pure classical formulations, medicated oils (Taila), churnas, and freshly prepared Ksharsutra threads crafted under strict Ayurvedic Pharmacopoeia standards.
Identify the Right Ayurvedic Therapy for Your Health
Answer 3 quick questions to discover which Ayurvedic therapy fits your symptoms best.
1. Select Your Primary Symptom:
Ksharsutra Para-Surgery
Preserves anal sphincter muscles completely. Local anaesthesia, minimal downtime (<5 days), and <2% recurrence.
Frequently Asked Questions
Clear, transparent answers about Ksharsutra surgery, Panchakarma recovery, cost, and OPD visits.
Yes, Ksharsutra is an Ayurvedic para-surgical technique endorsed by the Indian Council of Medical Research (ICMR) and the Ministry of AYUSH. A medicated herbal thread coated with Snuhi latex, Apamarga alkali, and Haridra is placed in the tract. It slowly cuts and heals the fistula or piles mass simultaneously under local anaesthesia. There is zero risk of incontinence, no cut to sphincter muscles, and recovery takes just 3–5 days.
Have a specific clinical question or report?
Send your MRI, sonography or colonoscopy reports directly on WhatsApp for review.