Permanent Cure for Piles & Fistula without Conventional Surgery
Led by Dr. B.S. Katiyar (MD, PGCKS) 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.

Punarnava Ayurvedic Hospital Sanctuary

Classical Shirodhara for Stress & Migraine

Standardized 21-Coat Ksharsutra Preparation

Patra Pinda Swedana for Severe Arthritis

Full-Body Therapeutic Snehan Massage

Sterile Day-Care Ksharsutra Procedure Suite

Nadi Pariksha (Ayurvedic Pulse Diagnosis)

Medicated Basti for Sciatica & Vata Relief

Authentic Medicinal Wood Droni Therapy Suite

Punarnava Ayurvedic Hospital Sanctuary

Classical Shirodhara for Stress & Migraine

Standardized 21-Coat Ksharsutra Preparation

Patra Pinda Swedana for Severe Arthritis

Full-Body Therapeutic Snehan Massage

Sterile Day-Care Ksharsutra Procedure Suite

Nadi Pariksha (Ayurvedic Pulse Diagnosis)

Medicated Basti for Sciatica & Vata Relief

Authentic Medicinal Wood Droni Therapy Suite

Punarnava Ayurvedic Hospital Sanctuary

Classical Shirodhara for Stress & Migraine

Standardized 21-Coat Ksharsutra Preparation

Patra Pinda Swedana for Severe Arthritis

Full-Body Therapeutic Snehan Massage

Sterile Day-Care Ksharsutra Procedure Suite

Nadi Pariksha (Ayurvedic Pulse Diagnosis)

Medicated Basti for Sciatica & Vata Relief

Authentic Medicinal Wood Droni Therapy Suite
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.

Standardized 21-Coat Ksharsutra Prepared at PAH Pharmacy
Grade 1 to 4 PilesPiles / Hemorrhoids (Arsha)
Gradual aseptic necrosis and spontaneous shedding of hemorrhoidal mass without scalpel incisions or heavy bleeding.
Complex & Recurrent FistulaAnal Fistula (Bhagandara)
Chemical cutting and simultaneous granulation tissue healing of high and complex fistulous tracts. <2% recurrence.
Acute & Chronic FissureAnal Fissure (Parikartika)
Immediate relief from agonizing burning pain and spasm. Promotes rapid mucosal healing without sphincterotomy.
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 |
Five-Fold Panchakarma Rejuvenation Therapy
Root-cause healing for chronic metabolic, neurological, musculoskeletal, and hormonal disorders through individual dosha-specific purification.
Stage 01: Poorva Karma (Preparation)
Deep oleation (Snehan) using medicated herbal oils and therapeutic herbal steam (Swedan) to liquefy and dislodge deep seated cellular toxins (Aama) towards the alimentary tract.
Stage 02: Pradhan Karma (Core Detoxification)
The five classical cleansing therapies (Vamana, Virechana, Basti, Nasya, Raktamokshana) selected according to your pulse diagnosis and aggravated doshas.
Stage 03: Paschatya Karma (Rehabilitation)
Post-detox restorative diet (Samsarjana Krama), rasayana herbs, and lifestyle alignment to permanently reignite metabolic fire (Agni).
The 5 Pradhan Karma Core Therapies
Prescribed individually after pulse diagnosis to target specific 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.

Rejuvenation, Pain Management & Metabolic Healing
Administered by experienced Ayurvedic Panchakarma therapists under the direct supervision of Dr. B.S. Katiyar and Dr. Smita Katiyar.
Stress & SleepShirodhara
शिरोधाराDeeply calms the central nervous system, regulates serotonin and cortisol levels, and relieves severe migraine, anxiety, chronic insomnia, and neurological fatigue.
Joint PainJanu Basti
जानुबस्तीProvides intensive lubrication to the degenerated knee joints, stimulates synovial fluid generation, relieves chronic osteoarthritis, and restores pain-free knee mobility.
Accurate DiagnosisNadi Pariksha
नाड़ी परीक्षाPerformed personally by Dr. B.S. Katiyar to evaluate Vata, Pitta, and Kapha constitution, metabolic toxins (Aama), mental state, and organ health without invasive procedures.
Core PanchakarmaBasti Therapy
बस्ती कर्मHeals colon microbiome, purges deep neurotoxins, and treats chronic constipation, sciatica, slip disc, arthritis, and Parkinson's disease.
Preparatory DetoxSnehan & Swedan
स्नेहन एवं स्वेदनSoftens cellular channels, opens micro-circulatory pores, liquefies stubborn metabolic waste, and prepares the patient for main purificatory therapies.
Women's HealthUttara Basti & Gynae Care
उत्तरबस्ती एवं स्त्रीरोगClears fallopian tube blocks, strengthens the endometrial lining, regulates menstrual cycles, and balances hormones naturally for PCOS without synthetic hormones.
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
MD (Ayurvedic Medicine), PGCKS (Ksharsutra Specialist)
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 Expertise

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 Expertise
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 wood droni tables, customized wooden steam boxes (Bashpa Swedan), and specialized Shirodhara stands.

Comfortable Inpatient Day Suites
Clean, air-cooled private and semi-private recovery rooms for outstation patients visiting from Lucknow, Kanpur Dehat, and Delhi.

In-House Authentic Herbal Pharmacy
Pure classical formulations, medicated oils (Taila), churnas, and freshly prepared Ksharsutra threads crafted under strict Ayurvedic Pharmacopoeia standards.
Dedicated Care for Outstation Patients
Day-care resting rooms, fast-track pulse diagnosis, and same-day discharge protocols for patients traveling from across Uttar Pradesh.
Select Your Primary Symptom to Discover the Exact Ayurvedic Protocol
Answer 3 quick questions to discover which Ayurvedic therapy fits your symptoms best.
Stories of Natural Healing & Relief
Over 91 verified 5-star reviews on Google from patients who regained healthy, pain-free lives.
“I was suffering from a recurrent anal fistula for 3 years after a failed allopathic surgery. Dr. B.S. Katiyar treated me with Ksharsutra. The procedure was done under local anaesthesia with minimal pain. Within 5 weeks, the tract healed completely. It has been 2 years now with zero recurrence. Truly grateful!”
Rajeshwar Sharma
Kanpur, Uttar Pradesh
“Dr. Smita Katiyar is a blessing. After 4 years of fertility clinic visits and hormonal side effects, I started Ayurvedic Panchakarma and Uttara Basti here. Within 5 months my periods regularized, and I conceived naturally. Highly recommend Punarnava to every woman struggling with PCOS.”
Meenakshi Agnihotri
Lucknow, Uttar Pradesh
“I was terrified of conventional piles surgery due to fear of losing control over stool. Dr. Katiyar explained the Ksharsutra thread procedure clearly. It took only 20 minutes, no hospital admission, and I resumed my shop duties in 4 days. 100% cure with no bleeding.”
Anil Kumar Srivastava
Kanpur Dehat, Uttar Pradesh
“Suffering from severe lower back pain and sciatica. 14 days of Kati Basti and Snehan Swedan completely relieved the nerve compression. The therapists are well-trained and the facility is very clean.”
Pooja Verma
Kanpur, Uttar Pradesh
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?
Speak directly with our OPD desk or send your medical reports on WhatsApp.