Dr. Bhujbale's Ayurveda & Piles Clinic

An anal fistula can be described as a narrow tunnel with its internal opening in the anal canal and its external opening in the skin near the anus. There are some effective ayurvedic remedies available for treating the same too.

Panchakarma, a formidable Ayurvedic therapy, eliminates accumulated toxins from the body, improves metabolic rate and digestive fire and brings balance to the doshas (the energetic principles of the body and mind). Panchakarma is recommended for everyone.

There are few common myths about ayurveda including the time taken to cure a disease using this treatment. Its always better to consult a good doctor to know more about this effective way of treating major illnesses.

Anal fistula, a challenge for modern surgery, but can be cured with grade ksharsutra in Ayurveda (Indian system of medicine).  Anal fistula is a disease for which different methods of treatment have been advocated time to time, even today when we are talking about robotic surgery, this disease has no satisfactory method of treatment in modern surgery. The latest method of video assisted anal fistula treatment (VAAFT) is not satisfactory due to high incidences of recurrence after the surgery. But at Sushruta Anorectal Institute New Delhi; with the help of Graded KsharsutraTM all these patients of complex Anal fistula are being successfully treated.

In Ayurveda about 2000 yrs ago Acharya Sushruta has indicated ksharsutra treatment to treat fistula-in-ano. Late professor P J Deshpandey at the faculty of Ayurveda Institute of Medical Sciences B H U; had done extensive research in this field and established a treatment module to cure this disease. In 1990 Indian council of medical research has clinically evaluated this Ayurvedic treatment module at four premiere institutes in our country including AIIMS Delhi & PGI Chandigarh. Subsequently, it was concluded by I.C.M.R. that in the patients of fistula in ano, ksharsutra treatment is more effective& convenient as compared to modern surgery.

Ksharsutra is a thread coated with certain Ayurvedic medicines known for their antiseptic, debridement & healing properties. After u v sterilization this medicated thread (ksharsutra) is used under complete aseptic precautions in the patients. The patient is routinely investigated with special reference to any other associated disorder like hypertension, diabetes mellitus, tuberculosis etc. The next step lies in the proper identification& evaluation of the fistulous tract. It is mandatory to define the fistula tract wrt its depth, direction & branching pattern. This may be achieved by careful probing under expert hands using malleable probes& if required help may be taken from other investigations like x-ray fistulogram or MRI fistulogram.

Once the tract has been clearly defined the Ksharsutra is placed in it with the help of certain instruments, under local anesthesia. This entire procedure is usually completed in ten to fifteen mins. As there is no cutting of tissues hence no bleeding, no pain & patients can go home after half an hr rest in the daycare room. The medicine-coated on the thread is gradually released in the tract. The cumulative effect of the coated drugs exerts a powerful debridement effect on the fistula tract & induces healing by the fresh & healthy granulation tissues. Thus Ksharsutra is the mechanism of drug delivery precisely at the tissues involved. 

Every seventh or tenth day the old sutra is replaced with a new Ksharsutra till there is a final cut through. It has been observed that the tract heals @ 0.5-1 cm per week. The post-operative complications like recurrence of the disease, fecal incontinence, bleeding is not seen with Ksharsutra treatment. Further, this therapy is performed as an OPD procedure. No general anesthesia & no hospitalization is required. Patient maintains his normal routine activities as usual during the treatment period.  

 We have been working on this disease including piles fissures & pilonidal sinus for the last 30 yrs. Here we have developed the concept of Graded KsharsutraTM which has given us a more effective & convenient way to treat anal fistula. At Sushruta Anorectai Institute we have treated on record thousands of patients of anal fistula from different states including overseas patients. We have records to prove that the patients of high anal complex fistula, those have been operated two or three times but failed to heal were successfully treated at this institute.

Diabetes is often called the silent killer. This is because you would not even know when it sneaks up on you. It may not have any symptoms initially but once you have it, you would need lifelong administration of drugs. Diabetes or diabetes mellitus, is a metabolic disease in which sugar does not get metabolized properly in the body. This means that the blood sugar levels continue to be high, threatening the normal functioning of the body.

Types of Diabetes

There are three types of diabetes. These are:

1. Type 1 Diabetes: this is a condition in which in which the body does not produce insulin at all. Patients suffering from this condition may need to take insulin supplements for the rest of their life, in order to properly metabolize sugar in the body. This is a very rare, genetic condition.

2. Type 2 Diabetes: this is a condition in which the insulin product is impaired and there is not enough insulin in the body for metabolizing sugars properly. This leads to high blood sugar and eventually, the symptoms of diabetes.

3. Gestational Diabetes: This is an affliction of pregnant women. Some women’s bodies may not be able to produce enough insulin at the time of pregnancy and therefore they have excess sugar in their blood stream. Gestational diabetes may be harmful for both the mother and the baby.

Diabetes Treatment in Ayurveda

For Ayurvedic treatment of diabetes, the first step is usually dietary planning and lifestyle change. Adopting a more active lifestyle, and a healthy, balanced diet low on sugars and starches, is a must. You must begin by avoiding sugars in all forms. This means you will have to get rid of rice, potatoes, white bread, sugar coated cereals, bananas, colocasia and much more. Add a lot of green leafy vegetables to your diet to improve your nutritional status and metabolism. In addition to these, also add some herbs to your diet. Ayurvedic herbs that act as natural medicine for diabetes include turmeric, bitter gourd, gurmar leaves, bael, fenugreek and many more.

Apart from diabetes Ayurvedic treatment, you could also practice yoga, which can help you improve your health. Several yogic asanas help massage your internal organs so that they are healthier and can function much better. Some of the asanas are especially beneficial for the pancreas, which produce insulin. You may have to make some changes to your lifestyle as well. For starters, you will have to maintain a more active lifestyle. You will also have to avoid sleeping in the daytime. Avoid smoking and consuming alcohol and take extra care of your feet.

Here are a few home remedies that may help cure diabetes naturally:

Juice of Bitter Gourd:

You may consume 30ml of fresh juice of Karela/ bitter melon every day early in the morning. You can also mix it with other things to make simple recipes and consume it.

How to prepare:

1. Separate the seeds and mix the fruit in the mixer. Add a little bit of water and mix it in the blender. Use a sieve to obtain the juice.

2. Small and thin pieces of the bitter gourd are cut. Fry them with some mustard oil and the required quantity of salt. Add green chillies and onions to the pan and heat the mixture for 10-15 minutes.

Aloe Vera and Ground bay leaf:

The mixture of aloe vera gel (1 tbsp), ground bay leaf (1/2 tsp), and turmeric (1/2 tsp) is recommended to be taken twice a day before lunch and dinner for effective hyperglycaemic control.

Methi Seeds:

Methi seeds, also known as Fenugreek seeds, when taken by itself or in combination with other Ayurvedic herbs, can act as an effective remedy to lower the symptoms of diabetes.

How to prepare:

1. Grind a few Methi seeds and turmeric together and take it with a glass of milk at least twice a day.

2. Soak fenugreek seeds in warm water overnight followed by chewing it in the morning.

3. Soak 4tbsp of fenugreek seeds in about 300ml of water overnight and chew it the following morning.

4. Prepare chapattis with fenugreek seed powder

Jamun Seeds:

The powdered seeds of Eugenia jambolana (about 1 tsp) should be taken twice a day with lukewarm water. Jamun has the beneficial property of not allowing the starch in food to get converted into sugar.

Amla:

Amla juice (Embelica officinalis) (20 ml) two times a day is beneficial for a diabetic patient. You may also use powdered ‘Amla’ powder and consume it twice a day.

Banyan Tree Bark:

A decoction of the bark of banyan tree is taken (50 ml) twice a day.

Preparation method: 20 gm of the banyan tree bark is boiled in 4 glasses of water. Evaporate the water until only about one glass of the decoction is remaining and drink it when it is warm.

Cinnamon Powder:

Cinnamon powder is probably considered as one of the most important home remedies.

How to prepare: Add 3-4 Tbsp of cinnamon powder and add to one litre of water and boil the same for about 20 minutes. Strain this mixture and cool the same. It is recommended to consume it every day.

Aloe vera is one of the most popular medicinal plants that have been in use for thousands of years. It is particularly famous for the treatment of skin injuries although it offers a host of health benefits. This short stemmed shiny plant stores moisture in its leaves and is widely used in the pharmaceutical, cosmetic and food industries. The gel within the aloe vera stem contains bioactive compounds found in plants such as vitamins, antioxidants and amino acids.

Some of the notable health benefits of Aloe Vera include the following,

1. It contains antibacterial and antioxidant properties: Aloe Vera is known to contain the most beneficial antioxidants called as polyphenols. These polyphenols, as well as other similar compounds found on aloe vera, can prevent the growth of bacterial infections in human beings.
2. Helps in healing cuts and burns: Aloe Vera can also be used as a topical medicine by applying the gel on the skin. It has been used since ancient times for the treatment of sores, cuts and burns which also includes sunburns. Aloe Vera is the first FDA approved ointment that got the status of an effective over-the-counter medication in the year 1959. It can, therefore, be used in first and even second degree burns.
3. Prevents dental plaque: Tooth decay, as well as gum diseases, affect almost all individuals over the world. One of the best ways to steer clear of the oral infections is to prevent plaque buildup which is the bacterial biofilms on the teeth. The aloe vera mouthwash is as effective as chlorhexidine solutions in reducing the problems of dental plaque by killing the harmful yeast called Candida albicans and bacterium named Streptococcus mutans.
4. Aids in the treatment of canker sores: Most people have experienced mouth ulcers or canker sores at least once in their lifetime. It mostly affects the area underneath the lip or inside the mouth and can be very painful at times. Several studies show that aloe vera gel helps in accelerating the healing process of canker sores.
5. Reduces constipation: The latex of aloe vera has been found beneficial in the treatment of constipation. The latex is the sticky yellow residue underneath the leaf skin and contains aloin and barbaloin which offers effective latex effect.
6. Prevents formation of wrinkles: Topical aloe vera gel assists in slowing down the ageing process with regular usage. Using aloe vera gel regularly helps in boosting the production of collagen and improves skin elasticity within three months of regular usage.
7. Lowers down blood sugar levels: There was a time when aloe vera was used as a conventional remedy for diabetes. Aloe vera helps in enhancing insulin sensitivity as well as managing blood sugar levels. It has been used in numerous animals and humans affected with type 2 diabetes and the results are impressive enough to regard it as an alternative treatment option.

Along with these benefits, aloe vera juice is regarded as a sustainable way of weight management which has made it a well-favoured choice of overweight people all over the world.

Erectile dysfunction can severely limit life’s simple pleasures. It may also cause strife in one’s marital life and be a cause for social embarrassment and low self-esteem. Erectile dysfunction, which is commonly referred to as impotence, is either the inability to continue with an erection into climax for a continued period, or being able to maintain the erection for a very short time or not being able to get an erection at all.

Causes of Erectile Dysfunction According to Ayurveda

Erectile dysfunction is usually caused due to a number of factors which include lifestyle habits, physical as well as psychological issues. Defects within the spinal cord, injuries or problems with blood flow may cause erectile dysfunction. An overly abusive childhood or sex associated with guilt may also be responsible. In Ayurveda, the disorder is linked to ‘shukra dhatu’. Any problem with this, may, thus result in multiple sexual problems including erectile dysfunction.

How can Ayurveda help cure ED?

According to Ayurveda, ED is basically a condition of low vitality. Generally, vitiation of vata dosha is responsible for Klaibya or ED. On the basis of the cause, seven types of Klaibya are mentioned in Ayurvedic texts, e.g. Manasik klaibya is caused by psychological factors, Doshaj klaibya is caused by physiological factors, Shukrakshayaj is caused by deficiency of Shukra dhatu, Vyadhi is cause by some other disease like diabetes, Aghataj is caused by surgical or accidental trauma, Shukranirodhaj is caused by suppression of sexual urge and Sahaj means congenital.

Ayurveda takes a more holistic approach. The exact combination of the methods and the exact implementation chosen may vary according to the specific causes.

1. Vajikarana therapy – This is a holistic cleansing process that aims to correct the bodily faults which might have been causing ED. It includes certain processes, such as controlled regurgitation, to flush out toxins from the body, specially designed Ayurvedic massages, a tailor made diet, and various other herbal concoctions which can rejuvenate one’s vitality.
2. Specified drugs to correct ED – Certain Ayurvedic herbs can be quite effective as well; both in the form of special Ayurvedic medicine or home remedies. Some of these herbs include:
   • Ashwagandha
   • Shilajit
   • Shatavari
3. Bringing in lifestyle modifications – Drinking excessively, smoking and consuming junk food may all lead to weight gain as well as other imbalances within the body. These may affect pressure or sugar levels in your body as well as the heart’s condition, thus resulting in ED. Ayurveda requires one to cut down on or quit certain habits related to one’s lifestyle which might be causing ED.
4. Yoga and meditation – Regular exercises would definitely help in this regard. Meditation and yoga would thus be an integral part of the treatment process.