| 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
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