vignesh Nov 26th 4 minutes

Chiruvilwadi Kashayam Tablet – Ayurveda For Piles And Fistula

chiruvilwadi kashayam tablet

Chiruvilwadi Kashayam is a classical preparation explained in the textbook ‘Sahasrayoga’. However, the Kashaya (herbal decoction) is more concentrated and converted into tablet form for more convenience. 

Primary ingredients of Chiruvilwadi Kashayam tablet

Chirivilwam (Haloptelea integrifolia)

Studies show that the plant shows anti-inflammatory, wound healing, anti-microbial, anti-viral activities. In addition, the plant offers antioxidant, anti-diarrhoeal, anti-emetic activities too. 

Punarnava( Boerhaavia diffusa)

The plant possesses pharmacological activities like immunomodulatory, antidiabetic, anti-inflammatory, diuretic, hepatoprotective, etc.

Vahni (Plumbago zeylanica)

 The plant shows antibacterial, antifungal, anti-inflammatory, anti-diabetic properties, etc. In addition, the plant offers hepatoprotective, cytotoxic, and wound healing effects. 

Abhaya (Terminalia chebula) 

The plant possesses antioxidant, anti-carcinogenic, cardioprotective, hepatoprotective, anti-inflammatory, anti-arthritic activities.

Kana (Piper longum)

It shows antipyretic, analgesic, and anti-inflammatory properties.

Nagaram (Zingiber officinale)

The plant shows anti-arthritic, anti-inflammatory, and antidiabetic activities. In addition, the plant offers antibacterial, antifungal, anticancer activities too.


  • Rock salt

Indications of Chiruvilwadi Kashayam tablet

1. Haemorrhoids 

Hemorrhoids/piles are swollen veins in the lowest part of your rectum and anus. One of the common causes of rectal bleeding is hemorrhoids. There are two types of hemorrhoids, internal and external. 

Internal hemorrhoids develop inside the rectum, and external grow under the skin around the anus. 

Signs and symptoms of hemorrhoids

Signs and symptoms depend on the type of hemorrhoids

External hemorrhoids

  • Bleeding per rectum
  • Itching of the anal region
  • Pain or discomfort of the anal region
  • Swelling of the anal region

Internal hemorrhoids

  • Bleeding per rectum. Bleeding occurs during the bowel movements

Chiruvilwadi Kashayam tablets and hemorrhoids

Chiruvilwadi Kashayam tablet is effective in non-bleeding piles. It reduces swelling, discomfort, pain, and itching around the anus.

2. Fistula in Ano

An anal fistula is an infected tunnel that develops between the skin and muscular openings at the anus. 

Inside the anus, there are several glands. Sometimes, these glands get infected, leading to an abscess. About half of these abscesses may develop into a fistula. 

Signs and symptoms of anal fistula

  • Pain around anus
  • Swelling around anus
  • Pus from the opening round anus
  • Frequent anal abscess
  • Bleeding
  • Irritation of anus
  • Pain with bowel movements
  • Fatigue 

Chiruvilwadi Kashayam tablets and fistula in ano

The medicine is effective in the treatment of fistula in ano. It helps to reduce pain, swelling, irritation, and frequent abscess formation. 

3. Bloating of abdomen

Abdominal bloating occurs when the GI (Gastrointestinal) tract is filled with air or gas. It is always felt as tightness, swelling, or feeling the fullness of the abdomen. 

Signs and symptoms

  • Pain in the abdomen
  • The feeling of fullness in the abdomen
  • Abdominal distension
  • Burping

Chiruvilwadi Kashayam tablets and abdominal gas

The medicine regulates digestion and prevents abdominal gas formation.

4. Improves digestion

Loss of appetite

A variety of diseases and conditions can lead to loss of appetite.

Common causes of loss of appetite are

  • Digestive problems like irritable bowel syndrome, Crohn’s disease etc.
  • Asthma
  • Diabetes
  • Hormonal problems
  • Chronic liver diseases
  • Chronic kidney diseases
  • Some medications

Chiruvilwadi Kashayam tablet and digestion

Chiruvilwadi Kashayam tablet helps to improve digestion. It is a good appetizer. 

5. Indigestion 

Indigestion (upset stomach) is a discomfort in your abdomen. 

Common causes

  • Overeating
  • Eating too quickly
  • Too much spicy food
  • Smoking
  • Anxiety 
  • Certain medications
  • Intake of too much caffeine
  • Intake of excessive alcohol
  • Gastrointestinal disorders
  • Pregnancy 

Chiruvilwadi Kashayam tablet and indigestion

One can use the medicine in the treatment of indigestion. It helps to improve digestion.

6. Anal fissure

An anal fissure is a small tear within the thin tissue that lines the anal region. It is more common in infants and young adults.

Symptoms of anal fissure

  • Severe pain during bowel movements
  • Pain after passing the bowel lasting for several hours
  • Blood on the stool
  • Crack in the skin around the anus
  • A skin tag on the skin near the fissure

Chiruvilwadi Kashayam tablet and anal fissure

The medicine is effective in the treatment of anal fissures. In addition, it helps to reduce the pain and other discomforts.


  • One should take medicine under medical supervision only.

Usual dose 

  • One should take 2-4 tablets twice daily before or after food depending upon the condition or as directed by the physician.

Side effects

  • No severe side effects noted to date.
  • The excess dose may cause some gastric irritation.


  • Chiruvilwadi Kashayam tablet is not advisable in pregnancy.

To buy Chiruvilwadi Kashayam tablet from Sitaram Ayurveda:

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