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Arsh Vyadhi described in Ayurveda can be correlated to Piles in modern science. It is defined as “arivat pranan shrinoti hinasti iti arshah” which means, A disease which tortures a patient’s vital force(prana) as the enemy. In Ayurveda, the major cause of Arsh can be negligence of proper diet and lifestyle which ultimately leads to ‘Mandagni’(reduction of Digestive fire) and ‘Aama’(stagnation of semi-digested food material in the body).
Acharya Sushruta and Acharya Vagbhata have described it as ‘Mahagada” which means a disease which can not be cured easily. In modern era, this disease is really very common as people are not following a proper lifestyle and diet , which may be due to their work pressure or due to some other reasons. In Charak Samhita , there is a description about the shaman Chikitsa for Arsh in Chikitsa Sthana . Acharya Sushrut has described both the medicinal as well as surgical treatment for Arsh in detail. In Ayurveda , basically, there is a description of six types of Arsh namely, Vataj, Pittaj , kaphaj , Sannipataj , Raktaj and Sahaj Arsh . Bleeding Piles or Haemorrhoids can be considered Raktaj Arsh as described in ayurvedic texts.
Acharya Sushrut has mentioned surgical intervention for Arsh but he has mentioned that those who are treated by Shaman Chikitsa should be considered for the same. In this study, there is a description of the use of Triphala Guggul along with Durwa Swaras in treating bleeding Piles.
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