According to Ayurveda apathya aahar, vihar leads to vatadi dosha dushti at the guda vali (anal region), pradhan dhamani (venous supply),mansadhara kala and vitiates twaka,mansa,rakta,meda resulting in annavaha strotas dushti,agnimandya and arsha

According to modern science, haemorrhoid is engorgement of haemorrhoidal venous plexus characterized by bleeding per rectum,constipation,pain,prolapseand discharge. A growing inclination for fast food, faulty food habbits, spicy junk foods, aerated cold drinks, low intake of fiber rich diet.Stressfulprofessions,busy lifestyle, constipation, insomnia that’s all affect the health of the body. Because of all these things constipation occurs. Long duration of constipation and prolonged straininglead to engorgement of veins in anal canal and gives birth to haemorrhoids.

In modern science, haemorrhoids have very limited options for treatment which are mostly different surgical modalities like Lord’s anal dilatation, Cryosurgery, laser haemorrhoidectomy, injection sclerotherapy, rubber band ligation etc. But arsha disease is mainly related to sedentary lifestyle and hampered digestive system.So even after the surgical treatment and modern conservative treatment there is probability of recurrenece andpostoperativepain is very troublesome. Anal stenosis and incontinence are deadful complaints. The cost of surgery is also relatively highso patients are not readily willing for surgery.

According to Sushrut Samhita and Vagbhata Samhita, there are four treatment modalities of arsha i.e. bhaishajchikitsa (internal medicine), kshara karma (chemical cauterization), Agnikarma (thermal cauterization) and shastra karma (surgicaltechnique). Agnimandya is the main etiological factor of arsha. One important effective formulation is kalingadi vati explained in Ashtangahrudaya. The ingredients of this vati are Kalinga,Langali,Pippali,Apamarga,Bhunimba etc. The properties of these dravyas leads to Agnideepana, Arshoghna, Pachan, Shothahar, Shoolghna and Sthambhan. Hence it can break down the samprapti of arsha disease. So we have decided to study the efficacy of kalingadivati in the management of arsha which is very cost effective and easily available. Ayurveda Samhita provide us the opportunity to treat arsha with cost effective medication instead of surgical procedure. Raktastrava and agnimandya is the main complaint of the patient in the arsha disease. According to ayurvedic Samhita there are two types of arsha that is Stravi and Astravi. Kalingadivati seems to be an ideal formulation which can cause Agnideepana also Raktstambhan.Tilldate no study has been conducted on kalingadivati.Therefore it was decided to take up this study.