Arsha is one of the common problems among ano-rectal disorders and it has been reported since thousands of years. This disease causes pain or discomfort, bleeding associated if piles are prolapsed, constipation, mucus discharge, peri-anal itching and other symptoms, which affects daily routine of patients. Because of its severity, Duschikitsya in nature,  Acharya Sushruta has considered it as one among Ashtamahagada. Etiopathogenesis and clinical presentation  of the disease Arshha is very similar to Haemorrhoids. It is varicosities of venous plexus in the wall of anal canal and lower most half inch of rectum. Haemorrhoidal venous plexus along with abnormally displaced enlarged anal cushion characterized by inflamed or prolapsed pile mass, bleeding per rectum and some discharge from anus.In modern science, curative techniques for Haemorrhoids like Rubber band ligation, Cryosurgery, Infrared photo coagulation are in practice. Unfortunately these invented techniques have their own limitations as well as have not been proven free from post operative complications. For these reasons there is a continuous search for newer methods.Need of the hour is finding out an Ayurvedic treatment methodology which is free from severe post operative complications.

AIMS AND OBJECTIVE

· To find out an effective para-surgical mode of management for second degree of Arsha .

· To find out efficacy of Apamarga Kshar in the form of Kshar Patan in the management of second degree of Arsha.

· To find out efficacy of Chitrak Kshar in the form of Kshar Patan in the management of second degree of Arsha.

· To compare the efficacy of Apamarga Kshar and Chitrak Kshar in the management of second degree Arsha.

· To note the adverse effect of the trial drug, if any.

· To decrease the intensity of Pain, Itching and constipation so that the patient can do his routine works comfortably.