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Buttermilk for Piles: Why the Old Books Call Chaas the Cure

Buttermilk for Piles: Why the Old Books Call Chaas the Cure

Dr. Anushka Gunjiyal

Dr. Anushka Gunjiyal

Oct 31, 2026

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Ask any Ayurvedic doctor about piles and the first word is chaas. Not a herb, not a cream: buttermilk. So what is the actual claim for buttermilk for piles, and where does it come from? Here is the verse, in the old book's own words, the right way to make and take it, who should not, and an honest line on modern proof.

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The verse: piles removed by takra do not grow back

Ashtanga Hridaya, Chikitsa Sthana, chapter 8 (on piles), verse 42: piles uprooted with takra do not grow back. The verse adds a picture: takra poured on the ground burns even the grass, so what it uproots stays uprooted.

Verses 43–44: takra clears the body's channels, so the nourishing fluid reaches the tissues, giving strength and good colour; it is said to cure hundreds of disorders of the dry and heavy kinds.

Charaka, Chikitsa Sthana 14 (on piles): lists buttermilk, with curd, soft cooked grains and leafy vegetables, among the foods for constipated bowels. His definition of takra elsewhere: curd churned with four parts water.

That is a strong claim, in plain words, from one of the three main books of Ayurveda. Every Ayurvedic college teaches it. It is why your grandmother put a glass of chaas next to the thali, and why this blog exists.

Why chaas, and not dahi or milk

Chaas is dahi with the fat churned out and water added. What is left is light, mostly water, with the sourness and the good bacteria of dahi but almost none of its heaviness. The old books treat the three as different foods:


Milk
Dahi
Chaas (takra)
Weight on digestion
Heavy
Heavy; Charaka says only mixed, daytime, never heated
Light; the Ashtanga Hridaya allows it daily
Water
Some
Little
Four parts water to one of dahi
Fat
In the milk
In the dahi
Churned out as butter
In the piles chapters
Not named as a treatment
Curd-rice for bleeding piles (Charaka)
Named as the thing that uproots piles (Ashtanga Hridaya 8/42)

And one thing from the first blog: Charaka's root cause of piles is weak digestion and constipation. Chaas is the one dairy food the old books call light enough to take every day without loading digestion, and it adds water to the stool at the same time.

How to make chaas for piles

  1. Start with fresh dahi, set the same morning from toned milk. Not sour, two-day-old dahi. Charaka names "immature curds", the half-set kind, among the causes of piles, so let it set fully.
  2. One part dahi, four parts water. That is Charaka's definition of takra. If you want it a little richer, two or three parts water; never thick like lassi.
  3. Churn well, with a mathani or a hand blender. If butter rises, take it off. The Ashtanga Hridaya (8/41) says takra can be fat-free, half-fat or full-fat, chosen for the person. For piles, go thin and fat-free.
  4. Add a pinch of rock salt and roasted cumin. The college review of takra lists "takra with salt" as the piles prescription, and cumin with salt as the usual addition.
  5. Serve at room temperature. Not ice cold, not heated.

Not with banana. The Bhojanakutuhala lists banana with takra as a bad pair. And no mango or sour fruit in the same meal as any dairy.

Buttermilk for piles: how much, how long

Ashtanga Hridaya 8/37: takra may be drunk daily, as much as is wanted, sometimes without food; for very weak digestion, takra alone is preferred. 8/38: the length of the course is the doctor's call: seven days, ten days, half a month, or a month. 8/40: rice taken with takra and ghee, with takra as the drink after.

A safe home version of that:

  • One glass with lunch, every day, for a month. Then keep it as a habit.
  • With the meal or just after, not an hour before on an empty stomach, not at night.
  • Dahi-chawal at lunch on some days, which Charaka names for bleeding piles, with chaas after.
  • Watch your body. The old books say season and strength decide the course. If you feel burning, very thirsty or giddy, stop and ask an Ayurvedic doctor.

Who should not drink buttermilk

From the college review of the old books, takra is not advised for people with: burning in the body, great thirst, giddiness or fainting, weakness and exhaustion, bleeding disorders, and low reproductive tissue. It is said to be unsuitable in the hot seasons (peak summer and the hot weeks after the rains), and in hot, acidic conditions.

Two more from us: if your piles are bleeding and you feel weak or short of breath, see a doctor before any home course; that can be low blood. And people told to limit salt should use very little in the chaas.

The honest note on proof

We looked for a modern clinical trial of buttermilk in people with piles. We did not find one. So the case for chaas rests on three things: the verses above, which are clear and old; the fact that chaas fits the soft-stool diet that the UK health service and the old books both prescribe for piles; and two thousand years of Indian lunches. That is a strong tradition and a sound logic, not a trial. We say so, and we still put the glass next to the thali.

Buttermilk for piles: one part dahi, four parts water, a pinch of salt and cumin, one glass with lunch, every day.

Ayuvya's Pyl Ease is made from Ayurvedic herbs to support people with piles, and comes with a piles diet chart that has the chaas rule in it. See Pyl Ease, or read the full piles diet chart.

This article is for general information. It is not medical advice. The claims about takra are from classical Ayurvedic texts, as stated; we found no modern clinical trial on buttermilk and piles. Bleeding with weakness, dark blood, weight loss or a change in bowel habit needs a doctor.

Sources

  1. Ashtanga Hridaya, Chikitsa Sthana, chapter 8 (Arshasam Chikitsitam): verses 37, 38, 40, 41, 42, 43–44 on takra. English rendering at Easy Ayurveda. easyayurveda.com
  2. Charaka Samhita, Chikitsa Sthana, chapter 14 (Arsha Chikitsa): buttermilk among foods for constipated bowels; curd-rice for bleeding piles; immature curd among causes. carakasamhitaonline.com
  3. JSS Ayurveda College. "Better Living through Buttermilk": classical definition of takra (curd with four parts water, after Charaka), takra with salt for arsha, course lengths, seasonal advice, and who should not take takra. jssayurvedacollege.org
  4. Charaka Samhita, Sutra Sthana 7 (dahi rules). carakasamhitaonline.com
  5. Bhojanakutuhala (banana with takra as an incompatible pair).
Dr. Anushka Gunjiyal

Dr. Anushka Gunjiyal

AYURVEDIC PHYSICIAN , B.A.M.S

Frequently asked questions

By the old books: people with burning in the body, great thirst, giddiness or fainting, weakness, bleeding disorders, and in the hot seasons, when it is said to be unsuitable. Takra is also not advised in hot, acidic conditions. And by the general dahi rules: never at night, never heated, never with banana. If you have bleeding piles with weakness, see a doctor before starting anything.

The Ashtanga Hridaya (8/38) says the doctor decides: seven days, ten days, half a month or a month. Verse 37 allows takra daily, and for very weak digestion, takra alone. A safe home version: one glass with lunch every day for a month, then as a habit. Not at night. The old books say the season and your strength decide, so stop if you feel burning, giddy or very thirsty.

Charaka's definition of takra is curd churned with four parts water. So: one part dahi, four parts water, churn well, and take the butter off the top if any rises. Add a pinch of rock salt and roasted cumin; the old books name salt for piles. The Ashtanga Hridaya says takra can be thin, half-fat or full-fat, chosen for the person. For piles, go thin. Make it from toned-milk dahi set the same morning, not sour old dahi.

The old Ayurveda books say yes, very clearly. The Ashtanga Hridaya (Chikitsa Sthana, chapter 8, verse 42) says piles uprooted with takra, which is chaas, do not grow back. Charaka's chapter on piles lists buttermilk among the foods for constipated bowels. There is no modern clinical trial on chaas and piles that we could find, so the proof is the old books and the simple logic: chaas is light, mostly water, and goes with the soft-stool diet that piles need.

The products offered on this website are not intended to diagnose, treat, cure, or prevent any disease. Results shared are not typical and reflect a small sample of user testimonials. Consult your physician before using our products, especially if you have health conditions or allergies, and review the ingredient list carefully. The information provided on this website is not a substitute for advice from your doctor or healthcare professional. The opinions in our educational videos are those of the authors and meant for educational purposes only. Always consult your healthcare provider before making any changes to your diet or lifestyle.

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