Fistula, an abnormal tunnel-like connection between two body parts, often occurs in the rectal or anal area and can cause discomfort, pain, and drainage of pus or fecal matter. In Siddha medicine, an ancient healing system from India, fistula is believed to result from imbalances in the body’s doshas, particularly the Pitta dosha, which governs metabolic processes and tissue formation. Siddha practitioners approach the treatment of fistula holistically, aiming to restore the balance of these doshas. Herbal remedies play a significant role in Siddha treatment, incorporating ingredients like turmeric, neem, and aloe vera, known for their antimicrobial, anti-inflammatory, and wound-healing properties. These herbs help to reduce inflammation, promote tissue repair, and prevent infection, aiding in the healing of the fistula tract. Siddha medicine also emphasizes dietary modifications, encouraging patients to consume a balanced diet rich in nutrients to support tissue regeneration and overall health. Additionally, practitioners may recommend specific hygiene practices and lifestyle changes to prevent recurrence and promote optimal healing. By addressing the underlying imbalances through herbal remedies, dietary adjustments, and proper care, Siddha medicine offers a natural and comprehensive approach to managing fistula, aiming to facilitate the healing process, alleviate symptoms, and improve the overall well-being of individuals affected by this condition.