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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.

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

 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​

Dr. Shrenik Jain - Consultant
(Ayurveda Surgery)

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.

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Pilonidal Sinus

An Ayurvedic Perspective and Healing Earth’s Expertise

Pilonidal sinus is a small, often painful cyst or tunnel near the tailbone, commonly seen in young men. It typically arises due to ingrown hair, friction, or prolonged sitting, and is often aggravated by a sedentary lifestyle, obesity, and poor hygiene. This condition is sometimes nicknamed “jeep bottom” due to its frequent occurrence in long-distance drivers.

Common Symptoms Include:

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 offer a personalized and integrative approach. Our expert Ayurvedic surgeons are trained in Ksharasutra therapy and supported by modern diagnostic tools to ensure safe, effective outcomes.

Why Choose Healing Earth?

Fistula-in-Ano

An Ayurvedic Breakthrough in Treatment

Fistula‑in‑ano is a challenging condition characterized by an abnormal tunnel between the anal canal and the skin. It often develops from untreated abscesses and leads to persistent pain, discharge, and social discomfort. In Ayurveda, this condition is categorized as Bhagandara, one of the Ashta Mahagadas (eight major ailments)—noted for its complexity and resistance.

When doshas like Vata and Kapha are aggravated—due to poor digestion, sedentary habits, or dietary imbalances—they disrupt tissue integrity, leading to chronic tracts and weakened energy flow in local channels

The Ayurvedic Advantage: Ksharasutra Therapy

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.

The Ayurvedic Advantage: Ksharasutra Therapy

Ksharasutra is a time-tested para‑surgical Ayurvedic technique that has been validated as safe and effective for treating fistula‑in‑ano:

A multi‑center RCT showed complete healing in both surgery and Ksharasutra groups, but Ksharasutra had a much lower recurrence rate—4% vs. 11%—without compromising continence.


A case study demonstrated 96.67% success with almost no complications, even after failed surgeries previously.

Observational reports consistently cite success rates above 94%, with negligible incontinence.

Healing Earth’s Expertise

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?

Anal Fissure

A Painful Condition with Effective Ayurvedic Relief

Anal fissure is a painful tear in the lining of the anal canal, causing intense burning, sharp pain, and often bleeding during or after bowel movements. Given the high density of nerve endings in this region, discomfort can be exceptionally severe.

Common across demographics—especially young adults, children, and postpartum women—it affects approximately 10–15% of people, with equal prevalence across genders.

Common Causes:

Types of Anal Fissures:

  1. Acute Fissure: Sudden onset, sometimes resolving with conservative self-care if managed promptly.

  2. Chronic Fissure: Persistent, often accompanied by a sentinel skin tag; can evolve into complications like abscess or fistula if untreated.

Ayurvedic Care at Healing Earth

Healing Earth Multi-Specialty Ayurveda Hospital offers a gentle, effective, and holistic treatment pathway for both acute and chronic fissures.

1. Tailapoorana (Medicated Oil Infiltration)
Warm medicated oil is gently applied into the fissure to soothe mucosal irritation, reduce inflammation, and accelerate healing. This is particularly beneficial for acute cases.

2. Kshara Karma (Herbal Cauterization)
Ideal for chronic fissures, this minimally invasive procedure involves applying an alkaline herbal paste—known as Kshara—to the fissure bed. The paste cleanses and renews the tissue, allowing healthy repair and reducing recurrence risk.

3. Supportive Healing
Treatment is bolstered by tailored lifestyle guidance: fiber-rich nutrition, hydration, bowel-regulating habits, and sitz baths, ensuring durable healing and preventing future flare-ups.

Why Choose Healing Earth?

Haemorrhoids (Piles)

Safe and Effective Ayurvedic Treatment

Hemorrhoids—commonly known as piles—are swollen veins in the anal and rectal area that often lead to pain, itching, and occasional bleeding during bowel movements. It’s estimated that nearly 50% of people over the age of 50 experience this condition. Contributing factors include sedentary lifestyles, low-fiber diets, chronic constipation, obesity, and pregnancy.

Types of Hemorrhoids:

  • External Hemorrhoids: Located under the skin around the anus, often painful and prone to irritation.
  • Internal Hemorrhoids: Found inside the rectum, typically painless but capable of causing bleeding or prolapse.

Common Causes:

Ayurvedic Approach at Healing Earth

1. Conservative Care
We start with palliative Ayurvedic remedies—herbal formulations, dietary guidance, and bowel regulation strategies—to reduce inflammation, improve digestion, and support natural healing.

2. Kṣāra Karma (Chemical Cauterization)
Derived from ancient Ayurvedic techniques, Kṣāra Karma uses an alkaline herbal paste to gently cauterize the hemorrhoid tissue. A clinical case saw full resolution of internal hemorrhoid symptoms—including prolapse and bleeding—within 21 days, with no recurrence reported after long-term follow-up.

3. Kṣāra Sūtra (Medicated Ligation)
A minimally invasive alternative to surgery, the Kṣāra Sūtra method involves tying the hemorrhoid mass with a medicated thread. The thread gradually cuts off blood supply, causing the pile to shrink and fall away over 6–7 days, with complete healing by 10–15 days and minimal discomfort.

4. Agnikarma (Thermal Cauterization)
In select cases, Agnikarma provides immediate relief by cauterizing the affected tissue with precise heat application, offering quick symptom resolution.

5. Supportive Lifestyle Adjustments
Post-treatment guidance focuses on maintaining digestive health, hydration, fiber-rich nutrition, and regular low-stress movement to prevent recurrence and promote long-term wellness.

Treatment Modalities Include:

Why Healing Earth?

Varicose Veins

Ayurvedic Management for Lasting Relief

Varicose veins are enlarged, twisted veins—commonly seen on the legs—resulting from poor blood circulation and weak vein walls or valves. Symptoms often include aching, leg heaviness, cramps, swelling, visible bluish veins, and in advanced stages, skin changes or ulcers. This condition is increasingly prevalent among those with sedentary lifestyles, prolonged standing, obesity, and in women, the elderly, or pregnant individuals.

Common Symptoms :

Causes and Risk Factors:

Healing Earth’s Holistic Ayurvedic Treatment Protocol

1. Leech Therapy (Jalaukavacharana / Raktamokshana)
Leech therapy remains a cornerstone in Ayurvedic varicose care: A randomized clinical trial revealed that leech-treated individuals had significantly greater reductions in pain, leg swelling, and pigmentation compared to those using compression stockings alone.


2. Supportive Therapies: Oils, Herbs & Lifestyle
Treatment is complemented with Ayurvedic external and internal support: Abhyanga and Nadi Swedana (steam therapy) enhance local circulation and soothe the vascular tissue. Physician-prescribed herbal medications help strengthen vein walls and maintain dosha balance.

Treatment Modalities Include:

Why Healing Earth?

Varicose Ulcers

Ayurvedic Healing for Chronic Wounds

Varicose ulcers—or venous leg ulcers—are persistent, often painful wounds that develop near the lower legs or ankles as a result of poor venous circulation and weakened vein structures. Typically seen in older adults with underlying varicose veins, obesity, prolonged standing, or vascular disorders, these ulcers are prone to infection and may endure for weeks or months without proper care.

Common Symptoms :

Root Causes:

Healing Earth’s Ayurvedic Approach

Ayurvedic Understanding
These chronic wounds align with the concept of Dushta Vrana (chronic ulcer) and Siragata Vata (vitiated Vata affecting veins), rooted in disrupted circulation and tissue imbalance.

Treatment Modalities Include:

Why Healing Earth?

Diabetic Wounds

Holistic Ayurvedic Care for Difficult-to-Heal Ulcers

Diabetic foot ulcers are serious, chronic wounds—often arising from poor circulation, neuropathy, and impaired immunity. These ulcers can persist without proper care, sometimes leading to severe infections or even limb amputation. Often painless due to nerve damage, they may go unnoticed, delaying essential treatment.

Common Symptoms :

Underlying Causes:

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:

Why Healing Earth?

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