Hemorrhoids (Arshas)

A varicose condition of the hemorrhoidal veins causing painful swellings at the Anus. Hemorrhoid that are above the boundary between rectum and ano rectal junction are called Internal Hemorrhoids. Those found below the ano rectal junction are called External Hemorrhoids.

The Cause of Hemorrhoids —

  • Commonly seen after pregnancy and in constipation.
  • If there is pressure in portal vein, then haemorrhoids may occur.
  • Pushing during bowel movements.
  • Straining when you do something that’s physically hard, like lifting something heavy.
  • Extra weight like obesity
  • A diet low in fiber

Symptoms of Hemorrhoids

  • Bleeding after bowel evacuation is common. Sometimes, patient has to push back the haemorrhoid into the anus.
  • If cleaning is improper, there may be itching in the anal region (pruritus ani).
  • Pain
  • Bleeding
  • Swelling

Management —

  • Sitz bath bath is useful.
  • Clot disappears in 4 to 6 weeks.

Aardra Arshas (Bleeding piles) —

Treatment Principle —

For Aardram — Shodhanam, Shamanam, Rakta Sthambanam, Rakta arshas chikitsa and Adhogata rakta pitta chikitsa can be adopted.

Kashayam —

A. Shodhanam

  • Patola Katurohinyaadi Kashayam

B. Shamanam

  • Mahatiktakam Kashayam
  • Tiktakam Kashayam
  • Trayantyadi Kashayam
  • Chandana Ushiradi Kashayam
  • Mrdvikadi Kashayam
  • Drakshadi Kashayam

C. Sthambanam

  • Pushyanuga Sita Kashayam
  • Kutajadi Kashayam
  • Thugakshiri. kanji is highly useful in Rakta Arshas

Churna —

  • Dadimashtaka Churna
  • Kapithashtaka Churna
  • Pushyanuga Churna
  • Shaddharanam

Gulika —

  • Kaishora guggulu
  • Ashtakshari Gulika
  • Sedhubandhana Gulika
  • Laksha Gulika
  • Pushyanuga Churna gulika

Lehyam —

  • Agasthya Rasayanam
  • Vanasurana Lehyam
  • Shatavari Lehyam
  • Sukumara lehyam
  • Dashamula haritaki lehyam

Ghritam —

  • Mahatiktaka Ghrita
  • Vasa Ghrita
  • Changeryadi Ghrita

If more bleeding —

  • Naga Bhasma
  • Sarja Rasa Churnam

Tailam —

  • Kshira bala Tailam + Kacchuradi Churnam

Pichu —

  • Murivenna Taila
  • Shatadhoutha Ghrita

Shushka Arshas (Non Bleeding piles)

Treatment Principle

For Shushka — Vata Kapha hara, Ushna, Srotoshodhanam, Srshtavin mutratvam, Vatanulomana

Kashayam —

  • Chirabilvadi Kashayam
  • Dushparshakaadi Kashayam
  • Gandharvahastadi Kashayam

Churna —

  • Vaishvanara Churna
  • Trivrit Churna
  • Triphala Churna
  • Avipathi churna
  • Yogaraja Churna
  • Guggulupanchapala churnam

Gulika —

  • Kaishora Guggulu
  • Kankayana Vati
  • Shaddharanam tablet
  • Bhallataka Vati

Aasavam/ Arishtam —

  • Putikaranjasavam
  • Dantyarishtam
  • Duralabharishtam
  • Putivalkalasavam
  • Sukumara arishtam

When there is Constipation without acidity, 25ml of Abhayarishtam twice a day is effective in Non bleeding piles.

Lehyam —

Ghritam —

Rasa Oushadhas —

Reference —

  • Principles & Practice of Ayurvedic Clinical Medicine by Dr L Mahadevan

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