Hemorrhoids are swollen and inflamed veins in the rectum or anus. In ayurveda it is called arsha. According to Acharya Charaka only the mass at gudavali is termed as Arsha and those at other places than Gudavali are called 3 Adhimamsa. So, Arsha is disease just like an enemy to men as it produce pile mass in the anal canal, which obstruct the passage of anal canal and makes the patient suffer a lot. A short description of Ayurveda treatment for hemorrhoids is discussed in this article.
Anatomy of Guda :
While describing the anatomy of Guda, it is very well described by Acharya Sushruta as follows. Guda is the distal portion of the large intestine having a total length of four and a half fingers. It contains total three folds (Valies) namely Pravahini, Visarjini, and Samvarani, placed one above the other just like the interior structure of the conch shell at the distance of the one and half finger from proximal end to distal end respectively. The diameter of the valies is four fingers and one finger in width.
Guda has the color similar to the palate of the elephant. Gudaoshtha is situated at base and one finger away from the last Vali i.e. Samvarni. The hair is at distance of half Yava of Gudashotha. Here the commentator of Sushruta Samhita, Dalhana comments that the names of Valis are given on the basis of their functions in which Pravahini is ‘Pravahayati iti Pravahini’ means which bears the fecal matter. ‘Visrajayati iti Visarjini’ it means that the fold which relaxes the colon and facilitates to evacuate the faeces. And last one is Samvarni, ‘Samvarinoti iti Samvarni’ means the fold which covers the anus and opens during the time of defecation.
- Chronic constipation
- Sitting on hard seats
- Sitting constantly for a long time
- Lack of exercise
- Morbidity of liver
- Intake of fibreless diet.
- Intake of junk and streets foods.etc.
Signs and symptoms
According to Ayurveda (Charak) , there are two types of piles-bleeding piles and dry(non-bleeding) piles. At times there is so much bleeding that the patient becomes anemic. Sometimes the piles mass may protrude from the anus which may to go spontaneously or may require manual interpretation. The piles mass may get inflamed and infected. Loss of appetite, itching of the anus, wind formation in stomach and lumbago are often associated with this disease.
Ayurveda Treatment for Hemorrhoids:
Ayurveda focuses on medicinal use as well as on lifestyle management for the Ayurveda treatment for Hemorrhoids. The use of medicines along with lifestyle management helps for good recovery.
Nagkesara (Mesua ferrea) is the drug of choice especially when it is associated with bleeding. The powder of this flower is given to the patient in a dose of one teaspoonful three times a day. For the patients suffering from both dry and bleeding piles, harataki (Terminalia chebula) is exceedingly useful. It is given to the patients in powder form in a dose of one tea-spoonful two to three times a day followed by milk.
Abhayarista in which haritaki is added predominantly is very useful for this conditions. Its given to the patient in a dose of 20ml twice daily after food with an equal amount of water. Kasisadi tail of which kasisa or iron sulphate is the important ingredient is used externally. It shrinks the piles and cures itching in the anal region. It relieves pain and checks bleeding.
Triphala Churna one of the most common laxative is beneficial as it softens the stool and reduces the pressure during defaecation.
Diet during Ayurveda Treatment for Hemorrhoids:
Kulattha(Dolichos biflorus), barley,wheat, old rice, papaya, amalaki, goats milk are very useful in this condition. The rhizome of surana(Amorphophallus campanulatus) is also exceedingly useful. It is given to the patient in form of both diet and medicine. Vegetables like potato, yellow variety of pumpkins, colocasia are not advised.
The patient should not suppress natural urges and should not indulge in sex in excess. Riding on the back of animals/Bikes and sitting on hard seats are very harmful for the patients. Similarly, the meat of animals of Anup desha, fishes, oilcake, the foodstuffs made of rice, Bilva, heavy food, fibrous root of Lotus, Vistambhi, bathing in the sun, excessive intake of water, improper management of Vamana and Basti, Viruddhahara, eastern wind, retention of natural urges, etc. are harmful.