Abstract

LITERATURE REVIEW ARTICLE ON ARSHA W.S.R. HAEMORRHOIDS

Dr. Rimpy Sharma* and Dr. Sahil Basotra

ABSTRACT

Hemorrhoids (arsha) are one of the commonest diseases of the rectum and it has been reported since thousands of years and its prevalence rate is highest among all anorectal diseases. Arsha is clinically an engorged condition of haemorrhoidal venous plexus characterized by inflamed or prolapsed pile mass, bleeding per rectum. The term haemorrhoids usually resulted by straining during defecation, chronic constipation or diarrhoea, pregnancy etc. While we correlate Arsha with Piles maximum concepts are similar to each other. Anatomy and physiology of Valitrayee mentioned in Ayurdedic texts may be co-related with anal sphincters. According to Ayurveda, Arsa hampers the normal physiological functions of body. It gives trouble like enemy. In modern medical science many techniques like sclerotherapy, cryosurgery, Rubber band ligation, Infrared photo coagulation, Laser therapy, stapled haemorrhoidectomy, Open haemorrhoidectomy etc. are in practice where in the result was found to be in less satisfactory. But in Ayurveda Acharya Sushruta mention fourfold management of Arsha has been indicated viz. Bheshaj karma, Kshar Karma, Agnikarma and Shastra Karma according to chronicity and presentation of the disease.

Keywords: Arsha, Haemorrhoids, Bheshaj karma, Kshar Karma.