Randomised Controlled Clinical Study Of Efficacy Of Mushalyadi Yoga In the Management Of Arsha W.S.R To 1st and 2nd Degree Internal Haemorriods

The main aim of Ayurveda is the prevention as well as cure for

every diseases

. Ayurveda has mentioned the eight disciplines which

is called ‘Ashtanga Ayurveda’ in which Shalyatantra Chikitsa is

preferably first type of treatment in Sushrut samhita.

Arsha or Haemorrhoids are progressively increasing in the society. It

is manifested due to multifold factors viz. disturbed life style or daily

routines, improper or irregular diet intake, prolonged standing or

sitting, faulty habits of defecation etc. which results in derangement

of Jatharagni leading to vitiation of Tridosha, mainly Vata Dosha3

.

These all vitiated Doshas get localized in Guda Vali sthana and

Pradhana Dhamani4 which further vitiates Twaka, Mansa, and Meda

Dhatus which leads to Annavaha Strotodushti which develops Arsha5

.

Haemorrhoids is a disorder which is embarrassing to the patient. The

perianal skin is one of the most pain sensitive region present in the

body due to rich nerve endings. This develops discomfort to the

patient6

.

Arsha is being described by all the Samhita & Classics of

Ayurveda. Acharya Sushruta has mentioned Arsha disorder in the

‘AshtauMahagada’

7

. Arsha occurs in Guda region, which is also

described as Marma8

, and it is well known for its chronicity and

difficult management.

In today’s era Arsha is one of the most common and

distressing disease due to the Sedentary life style and irregular

dietary habits. Rakta Arshas is one of the bheda of Ardra Arshas. Per

rectal bleeding is the chief complaint in 1st degree internal

haemorrhoid.

Acharya Sushruta has mentioned Chikitsa of Arsha which

includes Tikta Rasatmaka Dravyas are given to the patients for

Agnisandeepan, haemostasis & Pachana of Doshas9

.

Arsha can be correlated with Haemorrhoids in Modern

science. Haemorrhoids defined as dilated plexus of superior

haemorrhoidal veins in relation to anal canal10

.

From all types of Arshas, Stravi Arsha can leads to the life threatening

complications if not treated during early stage. Bleeding through pile

mass can leads to Anaemia or any other serious complications.

Stoppage of bleeding is primary goal in the Rakta Arsha (bleeding

piles). Bheshaja Chikitsa is more effective in early stages of Rakta

Arsha and it has greatest advantage of wider acceptability by the

patient