Abstract

PHYSIO-PATHOLOGICAL REVIEW OF ARSHA W.S.R. TO IT’S ANATOMY

Ujjawal Shivhare*, Mrigank Shekhar, Arun Kumar Singh and Tina Singhal

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Abstract

Arsha (Piles) is an extremely common disease and it has been reported since many years and its prevalence rate is highest among all anorectal disorders. Arsha (Piles) are unique to human race. Nearly half of the population generally experience one haemorrhoidal episode at some point during their life span. Arsha (Haemorrhoids) is a clinically an engorgement of haemorrhoidal venous plexus with abnormally displaced enlarged anal cushion. It is characterized by inflammed or prolapsed pile mass, bleeding per rectum and some discharge from anus. The term haemorrhoids is used to refer for pathological varicosity of the haemorrhoidal veins due to increased pressure in plexuses, which is usually resulted by straining during defecation, chronic constipation or diarrhoea, pregnancy etc. In modern medical science, many surgical and non-surgical procedures are described for management of haemorrhoids. Among them haemorrhoidectomy is commonly preferred by surgeons, but after sometime of excision there is great possibility of reappearance of the disease. But in Ayurveda fourfold management of Arsha has been indicated by Acharya Sushruta as Bheshaj, Kshar Karma, Agnikarma and Shastra Karma according to chronicity and presentation of the disease. Among these, Bheshaj Chikitsa and Kshar Karma as show wonderful results in management of Arsha.[1]

Keywords: Arsha, bheshaj karma, kshar karma, haemorrhoids.