Chirivilwadi Kashayam for Hemorrhoids, Constipation - Chirivilwadi Kashayam effectively treats hemorrhoids, constipation, fistula, and piles. It also reduces bloating and improves digestion. Kashayam refers to a decoction or extract of a herb or a group of herbs. Kashayam contains mostly water soluble herbs which are easily absorbed by the intestines. In Ayurveda, a Kashayam is named after the herbs used in it. Chirivilwadi is mainly used in the treatment of piles and fistula.