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Piles and its treatment : An ayurvedic approach

Nowadays, faulty food habits of eating junk food, eating late at night, spicy food, and many more are making us unfit and unhealthy. Our lifestyle is responsible for making us diseased. Negligence of proper diet reduces our digestive fire and ultimately the food is not digested properly which is the root cause of many diseases, one of which is piles.


What is piles and what are its symptoms?


In Ayurveda Piles is called Arsha. Piles (Arsha) is a painful condition in which the lower rectum gets inflamed. In arsha, a fleshy mass of variable shape, size and colour appears in the anus.


Piles exhibit following symptoms –

  • The passage of gas is obstructed.
  • Poor appetite.
  • Constipation.
  • Pain while defecation.


Based on Dosha predominance arsh can be divided into two groups that are –


1- Sushkarsha : In this arsha, dominance of vata and kapha dosha is seen. It is called as non-bleeding piles.

2- Sraavi arsha : In this arsha, dominance of Pitta and Rakta is seen. In this, patient passes bloody stools. It is called as bleeding piles.


What causes Piles?


There are many reasons that can cause piles. These are-

  • It could be hereditary.
  • Poor Diet such as eating less fibrous and watery food.
  • Staining while defecating.


What are the treatments of Piles in Ayurveda?


Ayurveda treats piles on the basis of severity. In less severe piles following treatments can be done –

  • Abhyanga.
  • Avgahan (medicated sitz bath).
  • Lepan (application of medicated paste).
  • Local application of kasisaadi taila.
  • Panchkarma like virechan and Basti.
  • Medicines like arshakhuthar ras, triphala, Arogyavardhani vati, usheeraasav.


In more severe piles along with above medications following treatments are also done –

  • Agnikarma or cauterization.
  • Kshar sutra treatment – It is a non-surgical treatment that is done for fistula, piles, and fissures. In this procedure kshar (alkaline) medicated paste is applied over the affected area and the kshar sutra (dedicated alkaline ligation) is done.


We at Praanad Ayurved provide kshar sutra treatment for patients suffering from piles, fistula , or fissures.


Are there any precautions for piles?


Yes, you can follow the precautionary measures stated below –

  • Exercise regularly.
  • Add more fibrous rich food.
  • Keep yourself hydrated.
  • Don’t strain while defecating.
  • If you are constipated, get it treated.


The bottom line Piles is common yet a troublesome and painful disease. It can be cured with proper medical intervention. If you are suffering from it, don’t be careless. Get yourself treated as soon as possible.


With Ayurveda piles can be treated well without recurrence if you follow the instructions of your Vaidya (Ayurvedic doctor) properly.

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