Ayurvedic Kshara Sutra therapy is a minimal invasive Ayurvedic Parasurgical procedure and time-tested Ayurvedic technique in the management of Anorectal disorders. It is a safe, sure and cost effective method of treatment for haemorrhoids (Piles). In this technique, a specially prepared thread is used to cure diseases. Kshar Sutra acts by "Herbal Chemical Cauterisation" and removes the disease from the body. 

Hi Piles is a condition demanding long term medication with good diet and lifestyle. On chronicity it almost always needs a parasurgical intervention through Kshara and  Agni. Chyvanprash is fine if your Agni is proper.