Abstract

Dr. Satish Chaurasiya*, Dr. Deepak Kulshrestha, Dr. Nagendra Thakre, Dr. Pinky Chaurasiya

ABSTRACT

Arsha (piles) is one of the commonest diseases of ano-rectal region which is included under the Asthamahagada (eight great diseases). Arsha (Piles) is an extremely common problem and it has been reported since thousands of years and its prevalence rate is highest among all anorectal disorders. The faulty dietary pattern and lifestyle, anatomical deformities and hereditary factors are the important etiological factors of this disease. Nearly half of the population generally experience one hemorrhoidal episode at some point during their lives. Arsha (Hemorrhoids) is clinically an engorged condition of hemorrhoidal venous plexus along with abnormally displaced enlarged anal cushion, characterized by inflamed or prolapsed pile mass, bleeding per rectum and some discharge from anus. In modern medical science, many procedures are described for management of hemorrhoids, of which hemorrhoidectomy is commonly preferred by surgeons, but after sometime of excision there is great possibility of reappearance of the disease. But in Ayurveda management of Arsha has been indicated viz. Bheshaj, Kshar Karma, Agnikarma, Shastra Karma(Chedana) & Kshar sutra according to chronicity and presentation of the disease.