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Dr. Kapil Sharma, Dr. Preeti Sharma, *Dr. Vikas Chandra Gupta,
Dr. Rajni Bala


Hemorrhoids are one of the most common ailments to afflict mankind, but it is impossible to give an accurate figure for their prevalence. About 500,000 people are medically treated for hemorrhoids annually, with 10 to 20% of them requiring surgeries. Hemorrhoids have plagued humans since they attained the erect posture, it is also proved by the fact that VEDA has also described “Arsha” In Ayurveda, word “Arsha” is stand for “Mamsakeelaka” which threatens “PRANA” because of it‟s origin in “Gudai Marma”. There has been a long search for the best method of treatment for hemorrhoids. A wide variety of techniques, are currently available for the surgical treatment of hemorrhoids. Enthusiastic reports of success with injection sclerotherapy, rubber band ligation (Barron 1963), anal dilatation (Lord 1969), cryosurgery (Lewis et al 1969, Lloyd Williams et al 1973), photocoagulation (Neiger 1979 and Leicester et al 1981) and formal hemorrhoidectomy have been made. However, the increasing number of techniques suggested for dealing with hemorrhoids attests to the lack of universal satisfaction with those currently available. Under these circumstances, other factors like associated morbidity, longterm complications, hospital bed stay requirements and cost effectiveness should be taken into consideration in choosing a form of therapy. In Ayurveda, for the treatment of Arsha, there are four ways explained. First one is by BHESAJ use, which one is very much restricted to uncomplicated new cases with very few symptoms, second one is KSHAR for soft, extended root, deep seated and protruded piles. AGNI KARMA is third one and is for rough, immovable, hard, broad and large piles. The fourth but most effective way is SHASTRA and indicated for almost all protruded and thin rooted piles. Concomitant use of KSHARA and SHASTRA is very effective method to cure all type of third and fourth degree hemorrhoids. KSHARSURTRA ligation is a good example of this combination of Kshar and Shastra Karma. Use of this method is superior to modern surgical procedures because of being less invasive; provide healthy healing without use of heavy dosage of prophylactic antibiotics, escape the patient from complications of modern surgical hemorrhoidectomy, much economic and no need of long term hospitalization. Besides having all this significant superiority, patient has to face post ligation burning pain, which is again a big query for Ayurvedic surgeons. So the concern work is an effort to come over from this complaint during and after the procedure.

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