External Therapy Protocol

Kshara Karma (Alkaline Cauterization)
in Bengaluru

Kshara Karma is a highly advanced para-surgical procedure utilizing caustic alkaline ashes (Kshara) derived from specific medicinal plants. It is applied locally to burn and destroy morbid tissues, warts, or hemorrhoids without the need for sharp surgical instruments.

Clinical Benefits

  • The absolute gold standard treatment for Internal Hemorrhoids (Piles), causing them to slough off naturally
  • Provides a bloodless, minimally invasive alternative to modern surgery for piles and fistulas
  • Destroys persistent warts, corns, and unhealthy granulation tissue in chronic wounds
  • Lower recurrence rate compared to conventional excision surgery

Clinical Procedure

1. Preparation (Purvakarma)

  • A specialized alkaline paste (Kshara) is prepared from herbs like Apamarga (Achyranthes aspera).

2. Main Action (Pradhana Karma)

The Kshara paste is applied precisely onto the pile mass, wart, or unhealthy tissue using a specialized probe. It is left for exactly 100 seconds (or until the tissue turns black).

3. Post-Therapy (Paschatkarma)

  • The area is immediately washed with a sour liquid (like lemon juice or buttermilk) to neutralize the alkaline action.
  • Ghee or honey is applied to soothe the chemical burn.

Patient FAQs

Does Kshara Karma require anesthesia?

Usually, local anesthesia is used to make the procedure completely painless. The chemical cautery itself provides a sealing effect, resulting in minimal post-procedural pain compared to surgical cutting.

Medically Reviewed by Dr Abhiram SSBAMS (Reg No: 36991)
Chief Consultant, Ayurvedic Rheumatology & Dermatology • Updated: 2026-07-24

Protocol Details

Duration
The application itself takes only a few minutes.
Frequency
Usually a single session for piles/warts, though it may be repeated if necessary.

Primary Indications

condition-hemorrhoidscondition-fistula-in-anocondition-pilonidal-sinuscondition-cervical-erosion

Contraindications

  • Extremely weak, young, or elderly patients
  • Pregnancy and menstruation
  • High Pitta (heat) conditions with severe burning or active, profuse bleeding
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