Shalya [Vyadhi] Sankara- Clinical Images

  • Sathish HS 1 Professor, Dept of Shalya Tantra, TMAE’s Ayurvedic Medical College, Shimoga, Karnataka
  • Rashmi TM Associate Professor, Dept of Kayachikitsa, TMAE’s Ayurvedic Medical College, Shimoga, Karnataka
  • Mithun B Professor, Dept of Shalya Tantra, ALN Rao Memorial Ayurvedic Medical College, Koppa, Karnataka
Keywords: Shalya, Sankara, Vyadhi


Vyadhi sankara is a term designated to a cluster of diseases which are either developed due to the complication of a single ailment or due to mutual influence of already existed or acquired disorder. There is a usual trend of diseases to occur simultaneously and are being reported to the scientific world. Here we would like to share a case which has multiple surgical ailments or Shalya vyadhi, wherein a Arshas (haemorrhoid), Bhagandara (Fistula in Ano)1,2 and a Nadi Vrana (Pilonidal sinus) presented concurrently in an individual. Vagbhata, Ayurvedic sage discusses a combined presentation of Arshas with Bhagadara in his treatise – Arsho Bhagandara, this combination is quite often noticed in Ayurvedic surgical practice. In this case, Nadi vrana (Pilonidal sinus) co-existed along with the above said two conditions assembling it as Shalya (Vyadhi) Sankara. A 55 year old male patient visited our Outpatient department with the complaints of recurrent boils near perianal region along with hard, painful incomplete bowel evacuation, with bleeding per anum during and after defecation on and off since 2 years for which patient was taking self medication. After a detailed screening of the patient, local examination revealed third degree interno external haemorrhoids at 7 and 11 clock position with Vata kapha pradhana lakshanas and fistulous opening at 7 clock position.

How to Cite
HS, S., TM, R., & B, M. (2022, March 20). Shalya [Vyadhi] Sankara- Clinical Images. International Journal of AYUSH Case Reports, 6(1), 168-170. Retrieved from
Clinical Images