Single Centric Non-Randomized Open Clinical Trial Phase II in “Mulai Moolam”(Internal Haemorrhoids) with Siddha Medicine “Adathodai Girutham” among patients attending OPD at Government Siddha Medical College Hospital, Chennai.

The word ‘Haemorrhoids’ derived from Greek word ‘Haima’(bleed) and

‘Rhoos’(flowing) means bleeding. The word ‘Pile’ derived from Latin word ‘Pila’ means Ball.

Haemorrhoids arise from the congestion of the internal and / or external venous plexus around the anal canal. They are extremely common in adults.

Varicosities of the veins of the anal canal are known as haemorrhoids. It may be internal or external depending on the position of the varicosity. If it is above the Hilton’s Line it is called ’ Internal haemorrhoid’ and if it is below the Hilton’s Line it is called ’External haemorrhoid’. So internal haemorrhoid is covered by mucous membrane whereas the external haemorrhoid is covered with skin.

In India approximately 40,723,288 people are reported to have haemorrhoids. 1million new cases are reported annually, it is estimated that 50-85% 0f people around the world have haemorrhoids and in India 75% of the population is estimated. Current statistics suggest that almost half of people in their fifties have piles.

In classical siddha literature KANNUSAMI PARAMBARAI VAITHIYAM, the siddha medicine formulation ADATHODAI GIRUTHAM is indicated for the MOOLAM. It will be therapeutically effective and it also cost effective and reliable for a long duration treatment. So, the author decides to evaluate its efficacy in an open clinical trial.