Anal fistula

Persistent pus discharge, pain near the anus, and repeated swelling suggest an anal fistula, bhagandara in Ayurveda. It’s seen as a deep-seated channel formed by chronic infection, usually due to untreated arśas or abscess. Bhagandara is classified as a serious mārga roga, affecting the pāyu (anal pathway) and surrounding tissues.

Common Causes of Anal fistula

Neglected hemorrhoids or abscess that bursts externally.
Low immunity and weak agni lead to poor wound healing.
Long-standing infection from poor hygiene or diet.
Suppressed urges or irregular bowel habits aggravate vāta.
Post-surgical complications or trauma in the anal region.

Symptoms of Anal fistula

Recurring pus or discharge near the anal opening.
Pain or swelling that worsens while sitting.
Foul smell from the fistulous tract.
Low-grade fever or fatigue from chronic infection.
Hard lump or external opening near the anus

Ayurveda’s Approach to Healing Anal fistula

Kṣāra sūtra—a medicated thread—cuts and heals the fistula gradually.
Herbs like nimba (neem) and guḍūcī purify blood and fight infection.
Regular sitz baths with antiseptic decoctions cleanse the tract.
Mild purgatives balance doṣas and support tissue healing.
Rejuvenating rasāyana therapy strengthens immunity and prevents recurrence.