Haemorrhoids (Arsha)

Background

Haemorrhoids or Piles (Arsha) are common anorectal diseases which arises from the congestion of the internal and/or external venous plexuses around the anal canal. Haemorrhoids are of two types, external and internal. The external Haemorrhoids occur outside the anal verge and are often painful when accompanied by swelling and irritation. The internal Haemorrhoids occur inside the rectum and are usually not painful but may bleed when irritated. Sushruta has described fourfold method for the treatment of Arsha, which are Bheshaja, Kshara, Agni and Shastra. Bheshaja i.e. medical or conservative treatment includes various Ayurvedic medicines which are mild laxative, styptic, anti-inflammatory in action. The topical application or enema of oil and ghee preparations is also recommended

Intervention/ Approaches

The following are some interventions/ approaches based on CCRAS research from published sources.

For the piles associated with constipation, loss of appetite and inflammation but without bleeding:

Kravyadi Rasa - 500 mg thrice a day for 21 days.

Kasisadi Taila Vasti -10 ml V2 an hour before defecation for 21 days.

Triphala Chuma - 5 gm at bed time for 21 days.

When the Haemorrhoid is associated with constipation and bleeding:

Kankayana Vati- 500 mg thrice a day for 21 days.

Kasisadi Taila Vasti-10 ml Vi an hour before defecation for 21 days.

Triphala Chuma- 5gm at bed time for 21 days.

For the chronic Piles associated with bleeding and inflammation but without constipation. The combination is also useful in anemic and weak patients.

Kankayana Vati - 500 mg thrice a day for 21 days.

Kravyadi Rasa - 500 mg thrice a day along with Abhayarishta 15 ml for 21 days.

Kasisadi Taila - 2ml before defecation (local application) for 21 days. 

For chronic, 2nd and 3rd degree Piles which are not responding to conservative medicines:

Ksharasutra ligation as per the requirement, assessed by the qualified doctor.

Kankayan Vati - 500mg thrice a day for 21 days.

Triphala Chuma- 5mg at bed time for 21 days.

Medicinal Plants Useful in Haemorrhoids (Arsha)

Source : Central Council for Research in Ayurvedic Sciences