Abstract

Dr. Kajree Pardeshi*, Dr Vinay Kadibagil

ABSTRACT

Arshas (haemorrhoids) is one among the ano rectal disease which occurs in Gudapradesha (anus) a Sadhyopranahara Marma. Acharya Sushruta and Vagbhata describe it under Ashta Mahagada. It is progressively increasing in the society due to sedentary lifestyle, irregular and inappropriate diet, low fiber diet, prolonged sitting or standing, diarrhea, constipation, psychological disturbances etc. A conservative management, surgery, cauterization etc is followed by contemporary science to treat it. In Ayurveda prime cause is disturbances in the jatharagni and involvement of tridoshas. Four measures explained in the line of treatment are, Bheshaja (medicinal),Kshara (chemical cautery), Agni(thermal cauterization) and Shastra(surgery) by Acharya Shusruta, Chakradatta etc to combat this condition. Bheshaja chikitsa is mentioned mainly for Arsha in the earlier stages, where the Doshas involved, symptoms and complications are not very severe.[1] For this various Rasa yogas like Arsha Kuthara Rasa, Bol Baddha Rasa, Nityodita Rasa, Arshoghna Vati, kasisadya taila etc. Bhaishajya yogas like Kankayana Vati, Triphala Guggulu, Abhayarishta, Drakshasava, Chandanasava, Surana Vataka, Kshara Sutra, Takra proyoga etc are commonly practiced in the treatment of arshas depending upon the doshas involved. Based on the yukti (intelligence) of the physician these yogas are used in various types of Arsha.This article deals with the first measure of treatment, the Bheshaja chikitsa the treatment done with the usage of medicines. This measure is necessary along with the other measures of treatment. Commonly practiced classical yogas and few of proprietary medicines for the treatment of Arshas, along with their ingredients, dosage and anupana (vehicle) have been emphasised.