Pruritus ani,Â

Persistent anal itching, often worse at night, is called guda kaṇḍū in Ayurveda. It arises from kapha and pitta imbalance irritating the anal region. Worms, poor hygiene, or spicy food may aggravate it. The underlying cause is often doṣic inflammation combined with local rakta (blood) and skin tissue vitiation.

Common Causes of Pruritus ani,Â

Worm infestation, especially in children or during monsoon.
Excessive intake of spicy, sour, or fermented foods.
Poor anal hygiene or sweat accumulation irritates the skin.
Chronic diarrhea or hemorrhoids increase local sensitivity.
Skin conditions like eczema or fungal infections trigger itching.

Symptoms of Pruritus ani,Â

Constant or intermittent itching around the anus.
Redness, soreness, or rashes in the perianal area.
Worse itching at night or after passing stool.
Scratching leads to skin thickening or minor wounds.
Burning or wetness from discharge or sweat buildup.

Ayurveda’s Approach to Healing Pruritus ani,Â

Cooling herbs like nimbā and sarivā soothe inflamed tissues.
Medicated oils (dārvī taila) or ghee ease itch and heal skin.
Deworming with vidanga or krimighna herbs clears parasites.
Pitta-pacifying diet and light meals prevent flare-ups.
Sitz baths with triphala or neem cleanse and calm the area.