The diseases that is troubling the human being since the time immemorial is the Arsha because of its manifestation at the Guda Pradesh which is the “ Moola of Sharira”. Haemorrhoids, also called piles, are vascular structures in the anal canal. They become a disease when swollen or inflamed. The signs and symptoms of haemorrhoids depend on the type present. Internal haemorrhoids are usually present with painless, bright red rectal bleeding when defecating. External haemorrhoids often results in pain and swelling in area of the anus. It is manifested due to disturbed life style or daily routines, improper or irregular diet intake, prolonged standing or sitting, faulty habits of defecation etc. These vitiated doshas get localized in guda vali and pradhan dhamani which further vitiates twak, mans, and meda dhatus due to Annavha stroto dushti lead to development of Arsha.

Krishna Tila choorna with Ghrita , indicated for abhyantar prayog in the management of Raktarshas by Acharya Sharanghar in Sharangdhar samihita . 

It is clearly mentioned that abhyantar prayog in it cures the Raktarsha. As Krishna Tila Choorna with Ghrita contains Krishna Tila and Ghrita which have Arshoghna property, hence this clinical trial on efficacy of Krishna Tila Choorna with Ghrita in the management of Raktarsha is taken for the study.  

Plenty of Ayurvedic drug available for the treatment of Raktarsha most of them have been proven. Krishna Tila Choorna with Ghrita orally has potential to give relief in symptoms of Raktarsha without any side effects. Krishna Tila Choorna with Ghrita is easily available and cheap as compared to other drugs. Hence, this is an attempt to provide a safe, effective and easily available remedy for Raktarsha.

Life style modification is used as treatment but effective in very few patients. Other drugs are available but they only provide temporary & symptomatic relief. Ayurvedic preparations are being preferred as a treatment, but only few drugs have been proven in the specified disease. Krishna Tila with Ghrita a has been proven in Shool prashanam, Agnimandya,swas, Hikka, gharhi , Stambhak, aampachak, etc. But not proven yet in Raktarsha Krishna Tila has may no side effects and gives may relief Raktarsha.