The Trisutri Treatment for Piles: Understanding Ayurvedic, Clinical & Preventive Care

Discover the Ayurvedic “Trisutri Treatment” for piles (Moolvyadh) as explained by Dr. Shivkumarr Gorey. Learn the importance of proper diagnosis, early treatment, advanced procedures, and post-treatment Ayurveda care to prevent recurrence.

"In today’s computer age, humanity has made extraordinary progress. Over the last 30–40 years, we have rapidly upgraded from no electricity to electricity, television, telephone, mobile phones, and now high-speed internet.This technological evolution will continue endlessly, generation after generation.
However, one thing that will never change is our digestive system — and the care it demands. The diseases it develops, and the diet-lifestyle (ahara & vihara) needed to prevent them, remain just as important today as they were thousands of years ago.The treatment of piles (Moolvyadh) can be understood through three essential principles — known as the Trisutri Treatment.
1. Accurate Diagnosis – The First and Most Important StepCommon symptoms like:Burning sensation, Bleeding, Swelling or mass coming out during passing stools. Make people assume that they have piles. The patient usually starts with home remedies, takes advice from neighbours or medical shops, and then finally visits a family doctor.
The BIG problem? In most cases, nobody checks the anal area properly. Essential diagnostic methods like:Per Rectal Examination, Proctoscopy, Digital Rectal Exam often not done. Because of this, among the 12 different anorectal diseases, the correct one is not identified. Many times, the disease is mild and can be cured with simple medicines. But due to incorrect diagnosis, the problem persists. Our 20+ years of experience show that nearly 70% of patients can avoid surgery if: Proper examination, Correct diagnosis, Right treatment are done at the right time.
2. Appropriate Treatment – Based on the Exact Disease TypeIf the disease is not treated correctly in the early stage, then advanced treatments become necessary, such as: Ksharsutra, Ksharkarma, Injections, Laser or Surgical Procedures.
As medical science progresses, new techniques continue to emerge. But the key point is: Not every patient has the same disease, so not every patient can receive the same treatment.In the anal region, there are: Piles, Fissure, Abscess, Fistula, Pilonidal sinus, Polyps, Cancer— 12 major diseases in total. Each disease has 3–4 sub-types, resulting in nearly 50 different symptoms.If even a simple mobile charger doesn’t fit every mobile, how can one treatment fit 50 different symptoms?

Ayurveda has described these diseases in detail for over 2,400 years. Depending on the exact condition, Ayurveda offers: Ksharsutra, Ksharkarma, Pratisarniya Kshar, Agnikarma. When the correct treatment is matched with the correct symptom, the disease can be completely cured, without risk of loss of control over stools.Most importantly, the disease does not recur.

3. Apunarbhav Chikitsa – Preventing the Recurrence of Disease. Ayurveda is truly great, but both the doctor and the patient must be committed for the treatment to work. Ayurveda has a special concept called Apunarbhav Chikitsa, which means post-treatment care that prevents the same disease or related diseases from returning.
Piles is directly linked to digestive function.Constipation, acidity, excess body heat, and improper bowel habits are the root causes. After the main treatment is completed, Ayurvedic medicines for 1–2 months help: Improve digestion, Strengthen the digestive tract, Regulate bowel movements, Prevent future episodes.
This ensures that the disease does not recur. This combination of: Correct Diagnosis, Correct Treatment, Preventive Post-Treatment Care (Apunarbhav Chikitsa) is known as the Trisutri Treatment for Piles — a comprehensive approach that ensures long-term relief and a disease-free future."