World Journal of
Pharmaceutical and Life Sciences

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical and Life Sciences
An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)
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Dr. Bhagyashree Kamate* and Dr. C. V. Rajashekhar


Arsha (Haemorrhoids) is one among ano-rectal disease, which tortures the patient like an enemy. Acharya Sushruta and Vagbhata describes it under Asthamahagada. It is engorgement of the Haemorrhoidal venous plexus, characterized by bleeding per rectum, constipation, pain, prolapse and discharge. It is manifested due to improper diet, prolonged standing and faulty habits of defecation causing derangement of Tridosha, mainly Vatadosha. Vitiated dosha localizes in Gudavali, Pradhana dhamani and Mamsdhara kala and vitiates Twak, Mamsa, Meda and Rakta, resulting into Arshas. This disease is generally compared to Hemorrhoids explained in contemporary science, but it is not Haemorrhoid alone. Arshas not only occurs in Ano rectal canal but also develops in other parts of the body eg. Shishna, Apathyapatah, Nasa, Gala, Talu, Mukha, Karna, Akshi Vartma, Twak. In Ayurveda, Acharya Sushruta has given a unique order in the management of Arshas Bheshaja Chikitsa, Kshara Chikitsa, Agni Chikitsa & Shastra Chikitsa. Among these, Bheshaja chikitsa is mentioned mainly for Arshas in the earlier stages, where the Doshas involved, symptoms and complications are not very severe. Charaka being Father of Medicine explained the importance of Bheshaja and explained the complications of Shastra Karma associated with it. For this, various Rasa Yogas, Bhaishajya Yogas, Takra Proyoga etc are commonly practiced in the treatment of Arshas depending upon the doshas involved. Based on the Yukti of the physician these Yogas are used in various types of Arshas. Bheshaja chikitsa is the first measure of treatment done with the usage of medicines. This measure is necessary along with the other measures of treatment.

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