Abstract

Dr. Debashri Maiti*, Dr. Noorat Badariya, Dr. Hemant D. Toshikhane and Dr. Harish Daga

ABSTRACT

The term Arshas is generally defined as the diseases, which tortures the person like an enemy is called as Arshas.[1] Arshas is considered as one of the Asthatmahagada roga by Acharya Susruta for which different methods of management such as Bheshjakarma, ksharkarma, Shastrakarma Agnikarma and Raktamokshana. The approach of Lepa Chikitsa has been mentioned in the context of disease as Arsha, Arbuda, Bhagandar, Sira, Snayu, Asthi, Sandhigata Vata Vikaras etc. in which pain is a predominant symptom. The term ‘Bahyaarshas’ comprises of two words Bahya and Arshas. The word ‘Bahya’ means external ‘arsha’ means haemorrhoids. External haemorrhoids are located at the anal verge, covered with skin and situated outside the anal orifice. It results from the varicosity of the external haemorrhoidal plexus. According to Ambika datta shastry, Bahya arshas are predominant with vata dosha or kapha dosha which are shuska in nature and painful. Lepa Chikitsa can be ideate as ancient pain treatment tool. Arsha is an extremely common problem reported since many years with prevalence rate that is highest among all the anorectal disorders. But in Ayurveda four fold according to chronicity Lepan Karma procedure seems to be more effective in clinical basis in the management of Arsha.