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Shalya Tantra: The Surgical Wing of Ayurveda

At Healing Earth, our Ayurvedic Shalya Tantra surgical care center—housed within a dedicated Shalya Tantra department in Ayurvedic hospital—embodies the art and science of Ayurvedic surgery. Specializing in para‑surgical procedures like Ksharasutra therapy for fistula and piles, Agnikarma for pain relief, Jalaukavacharana for wound care, and Raktamokshana for chronic ulcers and vascular issues, our approach blends timeless knowledge from Sushruta Samhita with modern sterilization and patient care protocols. With fully equipped surgical suites, expert clinicians trained in traditional and contemporary methods, and a focus on holistic recovery, we deliver comprehensive ayurvedic surgical care department services for trauma, anorectal disorders, non-healing wounds, and more. Learn more about this advanced clinical offering on our Shalya Tantra Department page, and discover how our healing spaces integrate seamlessly within our broader Facilities. Research highlights that classical Shalya Tantra treatments like Ksharasutra and Agnikarma continue to show high efficacy in managing chronic anorectal disorders and wound healing—reinforcing why traditional surgical care is still relevant today ([turn0search8] an integrative review pointing to evidence-based clinical validity).

Para-surgical Procedures (Anushastra Karma):

Ksharasutra therapy is used for treating fistula-in-ano, pilonidal sinus, and piles. Agnikarma helps manage musculoskeletal disorders, pain, and varicose veins, while Raktamokshana (bloodletting) is effective for skin issues, hypertension, and joint pain. Jalaukavacharana (leech therapy) aids in healing chronic wounds, varicose ulcers, and inflammatory conditions.

Non-Invasive and Minimally Invasive Surgeries:

Ayurveda offers effective management for piles, fissures, and fistulas through natural therapies. It also provides wound care, abscess drainage, and treatment for sinus, ulcers, and soft tissue swellings. Supportive Ayurvedic protocols aid in faster pre- and post-operative healing

Fracture and Dislocation Care (Bhagna Chikitsa):

Ayurvedic bone setting involves traditional techniques for aligning fractures and dislocations. Bandhana (splinting and immobilization) is used to support and stabilize the injured area. Herbal lepa (pastes) and internal medicines aid in pain relief and promote bone healing.

 Expert Leadership
Our Shalya Tantra Department is headed by highly qualified and well-experienced Ayurvedic surgeons, trained in both traditional Shalya Tantra and modern surgical advancements. Their expertise ensures that every patient receives precision care, from diagnosis to post-operative management.
Comprehensive Surgical & Para-Surgical Facilities
The department is equipped with:
  • State-of-the-art Minor and Major Operation Theatres (OTs)
    Designed as per standard surgical norms with sterile environments, these OTs are suitable for conducting a wide range of Ayurvedic and integrative surgical procedures.
  • Modern and Traditional Instruments Our facility includes both modern surgical tools and specialized Ayurvedic instruments like Ksharasutra sets, Agnikarma Shalakas, Raktamokshana kits, and Jalauka (leech) therapy units.
  • Trained Paramedical and OT Support Staff Our team comprises skilled Ayurvedic paramedics and operation theatre technicians who assist in procedures with efficiency and empathy, ensuring patient comfort and surgical precision..

Ayurveda surgery issue

Pilonidal Sinus

Anal Fistula

Anal Fissure

hemorrhoids

Varicose Veins

Varicose Ulcers

Diabetic Foot

Pilonidal Sinus

Anal Fistula

Anal Fissure

hemorrhoids

Varicose Veins

Varicose Ulcers

Diabetic Foot

 Why Choose Healing Earth’s Shalya Tantra Department?
  • A unique integrative approach that reduces complications and promotes faster
    recovery
  • Emphasis on non-invasive techniques with long-term relief and minimal recurrence
  • Cost-effective, safe, and natural alternatives to conventional surgery
  • Personalized care plans including diet, lifestyle guidance, herbal medications, and
    Panchakarma support
Healing Through the Ancient Wisdom of Surgery
At Healing Earth, our Shalya Tantra Department is not just about treating disease — it’s about restoring balance, function, and quality of life through time-tested Ayurvedic surgical sciences. Whether you’re seeking relief from chronic anorectal conditions, musculoskeletal issues, or looking for safe alternatives to conventional surgery, our team is here to guide you every step of the way.
Key Achievements
  • Research Excellence: Successfully presented a thesis on "Anal Fistula" to Rajiv Gandhi University of
    Health Sciences, achieving a remarkable 94% success rate across 40 treated cases.
  • Academic Contributions: Authored three research articles on anorectal disorders published in esteemed national
    and international journals. Presented papers at the prestigious International Ayurveda
    Congress 

    Clinical Milestones:
  • Treated over 1,500 patients through both surgical and conservative methods.
  • Performed more than 500 surgical and para-surgical procedures with
    consistently high success rates.

Specialists

Meet the specialist

Transforming Surgical Healing through Ayurveda

Dr. Shrenik Jain

Dr. Shrenik Jain is a dedicated and accomplished Ayurveda surgeon specializing in the comprehensive management of a wide range of surgical conditions. With 4.5 years of clinical experience, he currently serves as a Consulting Ayurveda Surgeon in the Department of Shalyatantra.

Dr. Jain completed his BAMS from the esteemed SDM College of Ayurveda, Udupi—recognized nationally for its excellence in Ayurveda education and clinical training. He pursued his postgraduate degree (MS in Ayurveda) from the Government Ayurveda Medical College, Bengaluru, a leading institution for advanced Ayurvedic studies.

During his postgraduate training, Dr. Jain gained extensive hands-on experience in surgical management through his work at K.C. General Hospital, Bengaluru, a reputed multidisciplinary health center.

Dr. Shrenik Jain - Consultant
(Ayurveda Surgery)

For Consultation

Dr. Shrenik Jain believes in seamlessly integrating the timeless wisdom of Ayurveda with the precision of modern surgical techniques, ensuring the best possible outcomes for his patients. His approach emphasizes patient-centric care, evidence-based practice, and the continual evolution of his clinical skills.

Core Philosophy

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Pilonidal Sinus

An Ayurvedic Perspective and Healing Earth’s Expertise

A pilonidal sinus is a small cyst or tunnel in the skin that usually forms near the tailbone, often affecting young males. This condition is commonly caused by ingrown hair and is aggravated by prolonged sitting, obesity, excessive hair growth in the lower back, and sedentary lifestyles. It is sometimes referred to as "jeep bottom" due to its frequent occurrence among long-distance drivers.

Common Symptoms Include:

  • Pain and swelling near the tailbone
  • Redness or tenderness
  • Pus or blood discharge
  • Itching or irritation
  • A feeling of a foreign body in the area

Ayurvedic Understanding: Nadivrana and Ksharasutra Therapy

In Ayurveda, Pilonidal Sinus is closely correlated with Nadivrana, a type of chronic sinus or tract. The traditional and highly effective Ayurvedic para surgical procedure known as Ksharasutra Therapy is widely used to manage this condition.

Ksharasutra involves the use of a specially prepared medicated thread that is inserted into the sinus tract. It works by gradually cutting, draining, and healing the sinus, while promoting tissue regeneration. The therapy is minimally invasive, causes minimal tissue damage, leaves negligible scarring, and offers significantly lower recurrence rates compared to conventional surgical methods.

Healing Earth’s Approach to Pilonidal Sinus

At Healing Earth Multi-Specialty Ayurveda Hospital, we combine classical Ayurvedic wisdom with modern diagnostic approaches to provide a comprehensive and personalized treatment for pilonidal sinus.

Our team of experienced Ayurvedic surgeons and physicians are trained in Ksharasutra therapy, ensuring precision, safety, and long-term relief. Each patient is also guided with dietary, lifestyle, and hygiene recommendations to support healing and prevent recurrence.

Why Choose Healing Earth?

  • Expertise in Ayurvedic para-surgical treatments
  • Holistic care under experienced doctors
  • Minimal risk of recurrence
  • Personalized post-treatment follow-up and lifestyle counseling

Fistula-in-Ano

An Ayurvedic Breakthrough in Treatment

Fistula-in-ano is a distressing condition marked by an abnormal tunnel between the anal canal and the surrounding skin. Often originating from an untreated abscess or infection near the anus, it results in chronic discharge, pain, and irritation. Patients commonly experience persistent discomfort, pus or blood-stained discharge, and soiling of undergarments—symptoms that can significantly impair quality of life.

Ayurvedic Perspective: Recognized Among the Ashta Mahagadas

In Ayurveda, fistula-in-ano is identified as Bhagandara, one of the Ashta Mahagadas (eight major diseases), due to its complexity and resistance to standard treatments. It is often linked to improper digestion, unhealthy dietary habits, and a sedentary lifestyle, which aggravate the doshas and lead to the formation of the fistulous tract.

Conventional surgical treatments frequently carry a high risk of recurrence and complications such as incontinence. In contrast, Ayurveda offers a safer, minimally invasive, and highly effective solution through Ksharasutra Therapy.

Ksharasutra: A Trusted Ayurvedic Para-surgical Technique

Ksharasutra is a medicated thread therapy that has demonstrated a success rate of over 93% in managing fistula-in-ano. The specially prepared herbal thread is inserted into the fistulous tract, where it gradually cuts through the unhealthy tissue, drains infection, and facilitates natural healing from within—without harming the sphincter muscles or causing major scarring.

Healing Earth’s Expertise in Fistula Care

At Healing Earth Multi-Specialty Ayurveda Hospital, our specialized team of Ayurvedic surgeons provides evidence-based Ksharasutra therapy tailored to each patient’s condition. The hospital follows strict protocols for diagnosis, procedure, hygiene, and post-treatment care to ensure long-term results with minimal recurrence.

Why Choose Healing Earth?

  • Expertise in Ayurvedic ano-rectal care
  • Certified Ksharasutra specialists
  • Minimal recurrence and no risk of incontinence
  • Holistic lifestyle and diet guidance to prevent future complications

Anal Fissure

A Painful Condition with Effective Ayurvedic Relief

An anal fissure is a small tear or wound in the lining of the anal canal, often resulting in intense pain, burning, and bleeding during or after bowel movements. Due to the dense concentration of nerve endings in this region, the discomfort can be severe—often more than that caused by other anorectal disorders.

Anal fissures are common across all age groups, especially in young adults, children, and postnatal women. It is estimated to affect 10–15% of the population, with equal prevalence among men and women.

Common Causes:

  • Chronic constipation or diarrhea
  • Excessive straining during defecation
  • Childbirth-related trauma
  • Anal intercourse

Types of Anal Fissures:

  1. Acute Fissure – Appears suddenly with pain, bleeding, and tenderness; may heal with
    conservative care.
  2. Chronic Fissure – Persists over time, often accompanied by a sentinel skin tag; can
    lead to complications like abscess or fistula if left untreated.

Ayurvedic Management at Healing Earth

At Healing Earth Multi-Specialty Ayurveda Hospital, we offer time-tested Ayurvedic therapies that provide safe, gentle, and effective relief from both acute and chronic anal fissures:
  • Tailapoorana (Medicated Oil Infiltration): Helps soothe the mucosa, reduce
    inflammation, and promote rapid healing in acute cases.
  • Ksharakarma (Herbal Cauterization): Recommended for chronic fissures; this
    minimally invasive procedure aids in tissue regeneration and prevents recurrence.
  • Supportive Care: Personalized guidance on diet, hydration, bowel regulation, and
    lifestyle practices to ease symptoms and prevent reoccurrence.

Why Choose Healing Earth?

  • Expertise in Ayurvedic ano-rectal care
  • Non-surgical, holistic healing approach
  • Experienced Ayurvedic physicians and para-surgical specialists
  • Focus on long-term recovery with minimal discomfort and downtime

Haemorrhoids (Piles)

Safe and Effective Ayurvedic Treatment

Hemorrhoids, commonly known as piles, are swollen or inflamed veins in the anal and
rectal region that can cause discomfort, pain, itching, and bleeding—especially during bowel
movements. By the age of 50, nearly 50% of individuals are likely to experience this
condition. Factors such as sedentary lifestyle, poor dietary habits, chronic constipation, and
pregnancy significantly contribute to its occurrence.

Types of Hemorrhoids:

  • External Hemorrhoids: Painful, often with swelling and irritation around the anus.
  • Internal Hemorrhoids: Usually painless but may lead to bleeding or prolapse.

Common Causes:

  • Chronic constipation or diarrhea
  • Excessive straining during defecation
  • Prolonged sitting and poor posture
  • Pregnancy and obesity
  • Low-fiber diet

Ayurvedic Approach at Healing Earth

At Healing Earth Multi-Specialty Ayurveda Hospital, we offer comprehensive, root-cause- oriented treatment for haemorrhoids using time-tested Ayurvedic therapies. Our approach is holistic, minimally invasive, and tailored to each individual’s condition.

Treatment Modalities Include:

  • Conservative Management :-  Herbal formulations, diet correction, and bowel regulation
  • Ksharakarma (Chemical Cauterization) :-  A minimally invasive and highly effective technique that reduces recurrence and promotes healing
  • Agnikarma (Thermal Cauterization) :-  Used in specific cases for immediate relief and tissue cauterization
  • Ayurvedic Surgical Procedures :-  When required, performed with precision and post- operative care

Why Healing Earth?

  • Experienced Ayurvedic proctology team
  • Minimally invasive, outpatient procedures
  • Low recurrence rate
  • Personalized care with diet and lifestyle counseling

Varicose Veins

Ayurvedic Management for Lasting Relief

Varicose veins are enlarged, twisted, and swollen veins—commonly appearing in the legs—caused by poor blood circulation and weakened vein walls or valves. They often present with aching, heaviness, cramping, swelling, and visible bluish or purplish veins. In advanced cases, they may lead to skin changes, ulcers, or bleeding.

This condition is increasingly common, especially among individuals who stand for prolonged periods, lead sedentary lifestyles, or are overweight. Women, older adults, and pregnant individuals are particularly at risk.

Common Symptoms :

  • Aching or heaviness in the legs
  • Visible, bulging veins
  • Leg cramps or itching around veins
  • Swelling, especially after prolonged standing
  • Skin discoloration or ulceration in severe cases

Causes and Risk Factors:

  • Prolonged standing or sitting
  • Obesity and physical inactivity
  • Pregnancy and hormonal changes
  • Age-related vein weakness
  • Hereditary predisposition

Ayurvedic Approach at Healing Earth

In Ayurveda, varicose veins are associated with Siragata Vata, a condition where vitiated Vata dosha affects the veins, leading to improper blood flow and vein distension. At Healing Earth Multi-Specialty Ayurveda Hospital, our expert team offers holistic and non-surgical solutions to manage and reverse the symptoms of varicose veins.

Treatment Modalities Include:

  • Abhyanga & Nadi Swedana :-  Therapeutic oil massage and steam therapy to enhance circulation and reduce inflammation
  • Leech Therapy (Jalaukavacharana) :-  Effective in relieving venous congestion, pain, and skin discoloration
  • Herbal Internal Medications :-  To strengthen vein walls, reduce inflammation, and balance doshas
  • Diet & Lifestyle Modifications :-  To reduce pressure on veins and prevent recurrence
  • Yoga and Postural Training :-  To improve venous return and strengthen calf muscles

Why Healing Earth?

  • Expertise in classical and integrative Ayurvedic therapies
  • Safe, non-surgical, and personalized treatment plans
  • Focus on long-term relief and recurrence prevention
  • Compassionate care under experienced Ayurvedic physicians

Varicose Ulcers

Ayurvedic Healing for Chronic Wounds

Varicose ulcers, also known as venous leg ulcers, are chronic, non-healing wounds that typically develop around the lower leg or ankle due to long-standing varicose veins and poor venous circulation. These ulcers are often painful, prone to infection, and may persist for weeks or even months if not treated properly.

They are more common in older adults, especially those with a history of untreated varicose veins, prolonged standing, obesity, or vascular disorders.

Common Symptoms :

  • Open sore near the lower leg or ankle
  • Persistent pain, itching, or burning sensation
  • Discoloration or thickening of the surrounding skin
  • Oozing or foul-smelling discharge (in case of infection)
  • Swelling and heaviness in the affected leg

Underlying Causes:

  • Long-term varicose veins and venous insufficiency
  • Poor circulation due to valve dysfunction in veins
  • Inadequate wound healing due to diabetes or obesity
  • Neglected skin injuries in varicose vein-prone areas

Ayurvedic Perspective and Healing at Healing Earth

In Ayurveda, varicose ulcers are linked to Dushta Vrana (chronic wound) and Siragata Vata (vitiated Vata affecting veins). The approach focuses on detoxification, wound cleansing, tissue regeneration, and circulation improvement, offering sustainable and holistic healing.

At Healing Earth Multi-Specialty Ayurveda Hospital, we provide individualized treatment plans using time-tested Ayurvedic therapies for effective management of varicose ulcers.

Treatment Modalities Include:

  • Wound Cleansing (Vrana Shodhana) :-  With herbal decoctions and medicated oils to prevent infection and promote healing
  • Jalaukavacharana (Leech Therapy) :-  To improve microcirculation, reduce pain, and remove stagnated blood
  • Vrana Ropana (Wound Healing Therapies) :-  Application of herbal pastes and medicated dressings for faster tissue regeneration
  • Internal Medications :-  To purify blood, balance doshas, and strengthen venous walls
  • Diet & Lifestyle Counseling :- To support healing and prevent recurrence

Why Healing Earth?

  • Expertise in managing chronic, non-healing wounds
  • Integrated para-surgical and herbal wound care
  • Personalized approach with proven Ayurvedic protocols
  • Emphasis on root-cause healing and long-term prevention

Diabetic Wounds

Holistic Ayurvedic Care for Difficult-to-Heal Ulcers

Diabetic wounds, especially foot ulcers, are a common and serious complication of uncontrolled diabetes. Due to poor blood circulation, nerve damage (neuropathy), and delayed immune response, even minor cuts or blisters can turn into chronic, non-healing ulcers. If left untreated, diabetic wounds can lead to severe infections and, in extreme cases, amputation.

These wounds are often painless, which makes early detection difficult, and are more prevalent in individuals with long-standing or poorly managed diabetes.

Common Symptoms :

  • Non-healing wound, especially on the foot
  • Swelling, redness, or warmth around the ulcer
  • Foul-smelling discharge or pus
  • Darkened skin or tissue death (gangrene) in severe cases
  • Loss of sensation around the wound

Underlying Causes:

  • Poor blood circulation (Peripheral Arterial Disease)
  • Nerve damage (Diabetic Neuropathy)
  • Repeated pressure or injury to the foot
  • High blood sugar levels impairing wound healing
  • Infections due to compromised immunity

Ayurvedic Management at Healing Earth

At Healing Earth Multi-Specialty Ayurveda Hospital, we offer specialized Ayurvedic wound care that addresses both the local wound and the underlying diabetic condition.

Key Therapies Include:

  • Herbal Wound Cleansing :-  Using decoctions with antimicrobial and anti-inflammatory properties
  • Medicated Dressings & Pastes :-  To promote granulation and tissue regeneration
  • Leech Therapy (Jalaukavacharana) :-  To improve microcirculation and reduce local inflammation
  • Blood Sugar Management :-  Through Ayurvedic formulations and diet
  • Diabetic Foot Care Guidance :-  Including foot hygiene, footwear advice, and lifestyle tips to prevent recurrence

Why Healing Earth?

  • Expertise in managing chronic and non-healing diabetic wounds
  • Integrated Ayurvedic and para-surgical treatment protocols
  • Focus on root-cause healing and recurrence prevention
  • Holistic care combining wound healing, metabolic correction, and lifestyle support
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