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*Dr. Chhagan Lal, Prof. Mahesh Dixit and Prof. Harimohan Meena


Now a day‟s in the society the Anorectal diseases have been emerged as a quite common occurrence with progressive nature. Arsha is a most and commonly prevalent in all the anorectal disorders. And it has been reported since thousands of years. Arsha is clinically a dilated plexus of superior, middle and inferior haemorrhoidal vein, in relation to anal canal and it is characterized by inflamed or prolapsed pile mass with bleeding per rectum. The aetiology of arsha According to Ayurveda is interconnected with the mandagni of the patients. The other few important causes of arsha are the sedentary life style, straining during defecation, chronic constipation or diarrhoea, pregnancy, diet contain low fibers diet which is the consequence of busy lifestyle, straining for a long period etc. The possible factors which lead to mandagani According to Ayurveda, are virudhdha-adhyashana, Utkatashana, Samudirna vega vinigrahata etc. It is rarely occures in the children but more common in young and old persons. In these days many people want to know natural and easy going management of piles without disturbing their day to day activities. According to sushruta the management of arsha involves bheshaj chikitsa, ksharkarma, Agnikarma and shastrakarma.

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

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