Punarnava Ayurvedic Hospital Official Seal
PUNARNAVAHOSPITAL
Panchakarma & Ksharsutra Centre
Ayurvedic Surgery & Panchakarma Centre · Kanpur

Permanent Cure for Piles & Fistula

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.

Zero General Anaesthesia · Safe Local Procedure
100% Sphincter Muscle Preservation
Back to Normal Routine in 3–5 Days
ICMR & Ministry of AYUSH Endorsed
20+ Years Clinical Heritage
98% Permanent Healing Rate
4.2★(91+ Verified Reviews)
Punarnava Ayurvedic Hospital Classical Droni Suite
Ayurvedic Surgery Centre · Kanpur

Classical Panchakarma & Advanced Ksharsutra Centre

68, Lakhanpur, Vikas Nagar, G.T. Road, Kanpur

Dr. B.S. Katiyar (MD, PGCKS)
Dr. B.S. Katiyar
MD Ayurveda, PGCKS
98.4%
Permanent Cure
Ministry of AYUSH Endorsed
Zero General Anaesthesia
Same-Day Walk-Home Recovery
4.2★ Rated (91+ Reviews)
Experience
20+
Years Clinical Practice
Established in Kanpur
Outcomes
15,000+
Patients Treated
Across UP & North India
Clinical
98%+
Success Rate
Minimal recurrence in piles & fistula
Heritage
35+
Years Hospital Heritage
Trusted Ayurvedic hospital in Kanpur
About Punarnava Hospital

Whetheryouseekfreedomfromchronicpain,permanentcureforpiles,orholisticrejuvenation,ourhospitalprovidestime-testedAyurvediccareforeverypatient.

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

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

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

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

Classical Shirodhara for Severe Migraine, Stress & Neuro Reset

Classical Shirodhara for Severe Migraine, Stress & Neuro Reset

Janu Basti Medicated Warm Oil Retention for Knee Cartilage

Janu Basti Medicated Warm Oil Retention for Knee Cartilage

Patra Pinda Swedana (Potli) Fomentation for Sciatica & Spine

Patra Pinda Swedana (Potli) Fomentation for Sciatica & Spine

Classical Handcrafted Teakwood Droni Therapy Chamber

Classical Handcrafted Teakwood Droni Therapy Chamber

Nasya Karma Cranial Infusion for Chronic Sinusitis & Migraine

Nasya Karma Cranial Infusion for Chronic Sinusitis & Migraine

Clinical Jalauka Leech Therapy for Varicose Veins & Blood Detox

Clinical Jalauka Leech Therapy for Varicose Veins & Blood Detox

Fresh Decoction (Kvatha) Preparation for Purificatory Detox

Fresh Decoction (Kvatha) Preparation for Purificatory Detox

In-House Ayurvedic Pharmacy & Precision Herbal Dispensary

In-House Ayurvedic Pharmacy & Precision Herbal Dispensary

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

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

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

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

Classical Shirodhara for Severe Migraine, Stress & Neuro Reset

Classical Shirodhara for Severe Migraine, Stress & Neuro Reset

Janu Basti Medicated Warm Oil Retention for Knee Cartilage

Janu Basti Medicated Warm Oil Retention for Knee Cartilage

Patra Pinda Swedana (Potli) Fomentation for Sciatica & Spine

Patra Pinda Swedana (Potli) Fomentation for Sciatica & Spine

Classical Handcrafted Teakwood Droni Therapy Chamber

Classical Handcrafted Teakwood Droni Therapy Chamber

Nasya Karma Cranial Infusion for Chronic Sinusitis & Migraine

Nasya Karma Cranial Infusion for Chronic Sinusitis & Migraine

Clinical Jalauka Leech Therapy for Varicose Veins & Blood Detox

Clinical Jalauka Leech Therapy for Varicose Veins & Blood Detox

Fresh Decoction (Kvatha) Preparation for Purificatory Detox

Fresh Decoction (Kvatha) Preparation for Purificatory Detox

In-House Ayurvedic Pharmacy & Precision Herbal Dispensary

In-House Ayurvedic Pharmacy & Precision Herbal Dispensary

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

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

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

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

Classical Shirodhara for Severe Migraine, Stress & Neuro Reset

Classical Shirodhara for Severe Migraine, Stress & Neuro Reset

Janu Basti Medicated Warm Oil Retention for Knee Cartilage

Janu Basti Medicated Warm Oil Retention for Knee Cartilage

Patra Pinda Swedana (Potli) Fomentation for Sciatica & Spine

Patra Pinda Swedana (Potli) Fomentation for Sciatica & Spine

Classical Handcrafted Teakwood Droni Therapy Chamber

Classical Handcrafted Teakwood Droni Therapy Chamber

Nasya Karma Cranial Infusion for Chronic Sinusitis & Migraine

Nasya Karma Cranial Infusion for Chronic Sinusitis & Migraine

Clinical Jalauka Leech Therapy for Varicose Veins & Blood Detox

Clinical Jalauka Leech Therapy for Varicose Veins & Blood Detox

Fresh Decoction (Kvatha) Preparation for Purificatory Detox

Fresh Decoction (Kvatha) Preparation for Purificatory Detox

In-House Ayurvedic Pharmacy & Precision Herbal Dispensary

In-House Ayurvedic Pharmacy & Precision Herbal Dispensary

Signature Ayurvedic Para-Surgery

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.

21-Coat Botanical Thread Preparation

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.

11 Coats
Snuhi Latex

Proteolytic enzymatic excision of unhealthy tissue

7 Coats
Apamarga Kshara

Natural alkaline chemical cauterization

3 Coats
Pure Turmeric

Antiseptic wound granulation & rapid healing

Standardized 21-Coat Ksharsutra Preparation
Standardized In-House Minor OT SetupGrade-A Sterile
Clinical Treatment Protocol Flowchart

How Ksharsutra Heals: Clinical Step-by-Step Flowchart

Scientific non-excisional protocol documented by ICMR & AIIMS clinical trials

01Day 0

Crypt & Tract Probing

High-definition proctoscopy & blunt probing to map fistulous tracts or isolated hemorrhoidal pedicles without creating false channels.

Clinically Verified
02Day 1 (15 Mins)

Local Anaesthesia Ligation

Medicated thread coated with Snuhi latex & Apamarga Kshara is placed through the tract under gentle, painless local anaesthesia.

Clinically Verified
03Days 3–14

Simultaneous Cutting & Cure

Enzymatic debridement clears chronic infection, draining pus pockets while healthy granulation forms from base upwards.

Clinically Verified
0498%+ Cured

Permanent Closure & Continence

Thread detaches spontaneously once tract is 100% healed. Zero sphincter damage, <2% recurrence, and full bowel control.

Clinically Verified
Grade 1 to 4 Piles98% Cure Rate

Piles / Hemorrhoids (Arsha)

Action Mechanism Flowchart
1. Vascular base ligation
2. Enzymatic tissue necrosis
3. Spontaneous shedding (5-7d)

Gradual aseptic necrosis and spontaneous shedding of hemorrhoidal mass without scalpel incisions or heavy bleeding.

Natural shedding without open wounds
Walk home same day (Day-care)
Safe under local anaesthesia
Complex & Recurrent Fistula<2% Recurrence

Anal Fistula (Bhagandara)

Action Mechanism Flowchart
1. Full tract threading
2. Chemical tract drainage
3. Granulation (<2% recurrence)

Chemical cutting and simultaneous granulation tissue healing of high and complex fistulous tracts. <2% recurrence.

100% Sphincter preservation (no leakage)
Proven effective after failed surgeries
Complete deep tract granulation
Acute & Chronic FissureRapid Relief

Anal Fissure (Parikartika)

Action Mechanism Flowchart
1. Sphincter spasm relief
2. Botanical ulcer healing
3. Painless bowel movement

Immediate relief from agonizing burning pain and spasm. Promotes rapid mucosal healing without sphincterotomy.

Instant spasm & burning pain relief
Herbal mucosal healing & lubrication
Avoids conventional sphincterotomy cuts

Clinical Comparison: Ksharsutra vs Conventional Surgery

Why modern surgeons and patients prefer classical Ayurvedic Ksharsutra

Anaesthesia Type
Punarnava Ksharsutra:

Gentle Local Anaesthesia (Safe, no hospital admission needed)

Conventional Surgery:

General or Spinal Anaesthesia (Requires pre-op ICU clearance)

Hospital Stay
Punarnava Ksharsutra:

Day-care procedure (Discharge in 2–4 hours)

Conventional Surgery:

3 to 7 days hospital admission

Damage to Anal Sphincter
Punarnava Ksharsutra:

Zero damage. Muscular ring remains fully intact

Conventional Surgery:

Risk of sphincter division leading to faecal incontinence

Recurrence Rate (Fistula)
Punarnava Ksharsutra:

Under 2% (Clinically validated by ICMR studies)

Conventional Surgery:

20% to 35% recurrence rate reported

Recovery Time
Punarnava Ksharsutra:

3 to 5 days to resume office/desk work

Conventional Surgery:

3 to 6 weeks bed rest and painful daily dressings

Post-Operative Pain
Punarnava Ksharsutra:

Mild to moderate, managed easily with warm sitz baths

Conventional Surgery:

Severe pain requiring heavy narcotic analgesics

Facing severe pain or bleeding? Get a clear second opinion from Dr. B.S. Katiyar before consenting to open surgery.
Classical Vedic Detoxification

Five-Fold Panchakarma Rejuvenation Therapy

Root-cause healing for chronic metabolic, neurological, musculoskeletal, and hormonal disorders through individual dosha-specific purification.

Eliminates Aggravated Kapha

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:

Bronchial Asthma & Bronchitis
Psoriasis & Chronic Skin Eczema
Allergic Rhinitis & Sinusitis
Metabolic Sluggishness & Obesity
1. Vamana Karma (Therapeutic Emesis)
Herbal Kvatha Preparation for Bio-Purification100% Classical
Phase IDays 1 to 7

Poorva Karma (Preparation)

Internal & external oleation (Snehan) with medicated herbal ghee followed by therapeutic herbal steam (Swedan) to liquefy deep metabolic toxins.

Deep cellular oleation (Snehan)
Full-body herbal oil Abhyanga
Medicinal herbal steam bath (Swedan)
Direct Vaidya Supervision
Phase IITargeted Protocol

Pradhana Karma (Core Cleansing)

The five classical deep-cleansing therapies selected strictly based on Nadi Pariksha pulse diagnosis to permanently purge vitiated doshas.

Individualized core Panchakarma
Standardized classical herbal decoctions
Direct senior physician monitoring
Direct Vaidya Supervision
Phase IIIDays 8 to 12

Paschatya Karma (Rejuvenation)

Graduated restorative dietary regimen (Samsarjana Krama), rasayana vitality herbs, and lifestyle alignment to rebuild peak metabolic fire (Agni).

Samsarjana Krama restorative diet
Cellular revitalizing Rasayanas
Preventive Dinacharya & dietary guidelines
Direct Vaidya Supervision
Specialized Clinical Therapies

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
Stress & Sleep45–60 mins / 7–14 days course
शिरोधारा

Shirodhara

1. Rhythmic frontal oil stream
2. Neuro-endocrine reset

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

Best Suited For:

Relieves chronic insomnia & anxietyTreats hypertension & migrainesImproves mental clarity & cognitive memory
Janu Basti
Joint Pain40–50 mins / 7–21 days
जानुबस्ती

Janu Basti

1. Deep knee joint retention
2. Synovial fluid replenishment

Retention of warm medicated herbal oil over the knee joints within a dough ring reservoir.

Best Suited For:

Lubricates knee joints & cartilageReduces stiffness and crepitusPostpones or avoids knee replacement
Nadi Pariksha
Accurate Diagnosis20–30 mins consultation
नाड़ी परीक्षा

Nadi Pariksha

1. Lumbar spine pool retention
2. Sciatic nerve decompression

Classical Ayurvedic radial pulse diagnosis to detect sub-clinical dosha imbalances before diseases manifest.

Best Suited For:

Identifies disease root causes earlyMaps exact doshic imbalanceCustomizes personalized diet & herbal plan
Basti Therapy
Core Panchakarma8, 16, or 30 days protocol
बस्ती कर्म

Basti Therapy

1. Medicated intra-uterine infusion
2. Fallopian & ovarian reset

Medicated herbal decoction and oil enemas — the crown jewel of Panchakarma for Vata disorders.

Best Suited For:

Heals gut lining & chronic constipationReverses neuro-muscular disordersBalances all 80 types of Vata diseases
Snehan & Swedan
Preparatory Detox60 mins session
स्नेहन एवं स्वेदन

Snehan & Swedan

1. Medicated intra-uterine infusion
2. Fallopian & ovarian reset

Therapeutic whole-body herbal oil massage followed by steam box or herbal leaf bolus fomentation.

Best Suited For:

Eliminates muscle spasm and body acheImproves lymphatic drainage & skin radianceDissolves cellular stagnation
Uttara Basti & Gynae Care
Women's HealthCustom protocol (3–6 cycles)
उत्तरबस्ती एवं स्त्रीरोग

Uttara Basti & Gynae Care

1. Medicated intra-uterine infusion
2. Fallopian & ovarian reset

Specialized intra-uterine herbal oil therapy guided by Dr. Smita Katiyar for infertility and uterine disorders.

Best Suited For:

Naturally unblocks fallopian tubesRebalances hormones in PCOSBoosts conception rates naturally
Clinical Leadership

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
20+ Years Clinical Experience

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 Clinical Mastery

Ksharsutra Surgery for Piles, Fissure & Fistula
Nadi Pariksha (Pulse Diagnosis)
Classical Panchakarma Protocols
Chronic Spine, Disc & Sciatica Management
Diabetes & Metabolic Rehabilitation
Mon–Sun: 9:30 AM – 2:00 PM | Mon–Sat: 5:30 PM – 8:00 PM
Call Direct
SKSenior Vaidya
18+ Years Dedicated Clinical Practice

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

Natural Ayurvedic Infertility Management
PCOS & PCOD Reversal Protocols
Uttara Basti (Intra-Uterine Herbal Therapy)
Endometriosis & Menstrual Irregularities
Ayurvedic Antenatal & Postnatal Care
Mon–Sat: 10:00 AM – 2:00 PM | Mon–Fri: 5:30 PM – 7:30 PM
Call Direct
Clinical Consultation Journey

From Nadi Diagnosis to Recovery: Patient Care Flowchart

Thorough root-cause analysis without unnecessary chemical prescriptions

1

Nadi Pariksha Pulse Reading

Three-finger radial artery assessment evaluating Vata, Pitta, and Kapha imbalances and metabolic fire (Agni).

Standardized Step
2

Report & History Analysis

Correlating Ayurvedic findings with your existing MRI, USG, blood tests, or previous failed surgical history.

Standardized Step
3

Targeted Protocol Design

Custom Ksharsutra surgical appointment or tailored Panchakarma detox schedule with clear timelines.

Standardized Step
4

Pathya & Rasayana Longevity

Comprehensive dietary chart (Pathya-Apathya) and rejuvenating herbs ensuring long-term disease-free vitality.

Standardized Step
Hospital Infrastructure

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
Certified Infrastructure

Hygienic Ksharsutra Minor OT

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

NABH & AYUSH Sterile Standards
Classical Panchakarma Droni Rooms
Certified Infrastructure

Classical Panchakarma Droni Rooms

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

NABH & AYUSH Sterile Standards
Nadi Pariksha OPD Diagnostic Suite
Certified Infrastructure

Nadi Pariksha OPD Diagnostic Suite

Dedicated pulse diagnosis and clinical consultation chambers ensuring privacy and thorough root-cause evaluation.

NABH & AYUSH Sterile Standards
In-House Authentic Herbal Pharmacy
Certified Infrastructure

In-House Authentic Herbal Pharmacy

Pure classical formulations, medicated oils (Taila), churnas, and freshly prepared Ksharsutra threads crafted under strict Ayurvedic Pharmacopoeia standards.

NABH & AYUSH Sterile Standards
Registered Ayurvedic Hospital under UP State AYUSH Medical Council
Ayurvedic Constitution & Health Guide

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:

Arsha / Bhagandara (Ksharsutra Recommended)98% Permanent Cure

Ksharsutra Para-Surgery

Preserves anal sphincter muscles completely. Local anaesthesia, minimal downtime (<5 days), and <2% recurrence.

No registration fee for initial visit
Clinical Clarity

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.

WhatsApp Doctor