Hemorrhoids

Arsha Roga, commonly known as piles or hemorrhoids, refers to the swollen and inflamed veins in the rectum and anus that cause discomfort, pain, and sometimes bleeding. In Ayurveda, Arsha is described as a condition caused by an imbalance of the Tridoshas (Vata, Pitta, and Kapha), leading to obstruction in the anorectal veins. The condition is categorized into two types: Shushka Arsha (dry, non-bleeding piles) and Raktaja Arsha (bleeding piles).

Causes of Arsha Roga in Ayurveda

1. Dietary Causes:
   • Excessive consumption of spicy, oily, or processed foods.
   • Low fiber intake leading to constipation.
2. Lifestyle Factors:
   • Sedentary lifestyle.
   • Suppression of natural urges, especially defecation.
3. Agni Imbalance:
   • Weak digestive fire (Mandagni) leading to improper digestion and Ama (toxins) accumulation.
4. Dosha Imbalance:
   • Vata Dosha: Leads to dryness, constipation, and hard stools.
   • Pitta Dosha: Causes inflammation and bleeding.
   • Kapha Dosha: Causes swelling and heaviness.
5. Other Factors:
   • Genetic predisposition.
   • Pregnancy and obesity, which increase abdominal pressure.

Symptoms of Arsha Roga

• Painful defecation.
• Swelling or lump near the anus.
• Bleeding during or after bowel movements (in Raktaja Arsha).
• Itching or irritation in the anal area.
• Mucus discharge.
• Constipation or incomplete evacuation.

Ayurvedic Management of Arsha Roga

The treatment approach focuses on pacifying aggravated doshas, improving digestion, reducing inflammation, and strengthening the veins.

1. Herbal Remedies

• Haritaki (Terminalia chebula):
  • A mild laxative that relieves constipation.
  • Taken as powder with warm water at bedtime.
• Triphala:
  • A combination of Haritaki, Bibhitaki, and Amalaki that promotes digestion and detoxification.
• Nagkesar (Mesua ferrea):
  • Reduces bleeding in Raktaja Arsha.
  • Taken as powder mixed with honey.
• Kanchanara (Bauhinia variegata):
  • Reduces swelling and shrinks piles.
  • Found in Kanchanara Guggulu.
• Aragwadha (Cassia fistula):
  • A natural laxative that helps with smooth bowel movements.
• Neem (Azadirachta indica):
  • Reduces itching, inflammation, and infection risk.
• Aloe Vera:
  • Soothes inflammation and promotes healing.
  • Can be consumed as juice or applied externally.
• Kutaja (Holarrhena antidysenterica):
  • Used to control bleeding and improve intestinal health.

2. Ayurvedic Formulations

• Abhayarishta:
  • Improves digestion and relieves constipation.
• Triphala Guggulu:
  • Detoxifies and balances all three doshas.
• Kankayan Vati:
  • Specific for managing hemorrhoids and related pain.
• Arshoghni Vati:
  • Reduces inflammation, pain, and bleeding.
• Prawal Pishti:
  • A cooling preparation that helps manage bleeding piles.

3. External Applications

• Til Oil (Sesame Oil):
  • Applied externally to reduce pain and swelling.
• Turmeric and Ghee Paste:
  • Heals fissures and soothes inflammation.
• Neem and Aloe Vera Gel:
  • Relieves itching and irritation.
• Kasisadi Taila:
  • A medicated oil applied topically to shrink piles.

4. Panchakarma Therapy

• Basti (Medicated Enema):
  • Helps relieve constipation and balances Vata dosha.
  • Anuvasana Basti: Oil-based enema for lubrication and softening stools.
  • Niruha Basti: Herbal decoction-based enema to cleanse the colon.
• Leech Therapy (Jalaukavacharana):
  • Effective for reducing inflammation and pain in severe cases.
• Kshar Sutra Therapy:
  • A minimally invasive procedure used to treat internal and external piles by tying medicated threads around hemorrhoidal masses.

5. Dietary Guidelines

A balanced diet is crucial in managing and preventing Arsha Roga.

• Foods to Avoid:
  • Spicy, sour, and oily foods.
  • Processed and junk foods.
  • Red meat and fermented foods.
  • Excessive tea, coffee, and alcohol.
• Foods to Include:
  • High-Fiber Foods: Whole grains, green leafy vegetables, fruits (papaya, banana), and nuts.
  • Laxative Foods: Soaked raisins, prunes, and figs.
  • Cooling Foods: Cucumber, coconut water, and buttermilk.
  • Hydration: Drink plenty of water and herbal teas with fennel or cumin.

6. Lifestyle Modifications

• Avoid Straining:
  • Do not strain during bowel movements, as it worsens the condition.
• Regular Exercise:
  • Engage in moderate physical activity like walking or yoga to improve circulation and digestion.
• Maintain Proper Hygiene:
  • Keep the anal area clean and dry to avoid infections.
• Regular Meal Timings:
  • Eat meals at consistent times to regulate digestion.
• Stress Management:
  • Practice yoga, meditation, and pranayama to manage stress, which can aggravate piles.

7. Yoga and Pranayama

• Yoga Poses:
  • Malasana (Garland Pose): Improves digestion and eases bowel movements.
  • Pavanamuktasana (Wind-Relieving Pose): Relieves bloating and gas.
  • Balasana (Child’s Pose): Promotes relaxation and eases pain.
• Pranayama Techniques:
  • Anulom Vilom (Alternate Nostril Breathing): Balances doshas.
  • Sheetali Pranayama: Reduces Pitta-related inflammation.

The Ayurvedic approach to managing Arsha Roga is holistic, addressing the root cause, symptoms, and overall health. Treatments involve a combination of herbs, dietary modifications, lifestyle changes, and therapeutic procedures like Panchakarma or Kshar Sutra. Consult a qualified Ayurvedic practitioner for a personalized treatment plan based on your Prakriti (constitution) and the severity of your condition.