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Next topic for
discussion: Management of Piles (अर्श) with #Ayurveda
Vd. Dhruti Kagrana: ARSHA (Piles) is defined as "arivat pranan shrinoti iti
arshah"
A disease which tortures
one's vital Force ( prana) as enemy is called as Arsha.
Dr. Rachana Mumbai: Here I would like to mention one differential diagnosis called amoebic
proctitis which is mentioned by patient as initial stage of piles
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But even though u give
treatment of piles patient has no relief
Dr. Shahil H Bhavsar: Piles are raktaj and mansaj dushti caused by vayu and
pitta.
Vd. Dhruti Kagrana: Improper diet & lifestyle habits disturbed Agni. Inability to
digest food material with proper pace and time leading to accumulation or
stagnation of half digested food material
(Ama) in the form of stool inside, or expelling it before time in watery
or semisolid form, which disturbs doshas at anorectal region.
2168: Should
be simple to treat. Modern diet indeed. Classical treatment would in include
yava as the main grain. Anyone that doesn't start with that i think will have little
success
Vd. Dhruti Kagrana:
Causes of Piles(Arsha):
Incompatible food
Eating before previous
food is digested
Exessive Sexual
intercourse
Exessive Squatting position
Exessive Riding
Suppression of natural
urges
AS per Shushruta aacharya
Hemorrhoids situated in external and middle fold should be treated while those
situated in internal fold should be taken up after declaring them incurable
Vd. Dhruti Kagrana: According to Shushruta Aacharya
Four types of Treatment in
Arsha:
1. Bhaishja (Medicine)
2. Kshara Karma
3. Agnikarma
4. Shastrakarma (Surgery)
Those newly arisen, with
little dosa, symptoms and complication are treatable with drugs.
- Soft, extensive, deep
and raised piles are to be treated with caustic alkali.
- Those which are rough,
fixed, large & hard are treated by cauterization.
- Those with thin roots,
elevated and sodden are treated with sharp instrument.
(su.chi.6/3)
According to Dosha
Vata & kapha –
cauterization&application of caustic alkali.
Pitta & rakta – mild
caustic alkali (su.chi.6/5)
Ayulink Ayurveda: This is very common symptoms / problem in sedentary life style or
people have habit of sitting on a single place for long time ...or riding a
vehicle daily for long distance.
Late night work, sitting
on one place for long, riding on horse or vehicle, are life style oriented
causes for piles
Dr. Aksht Sapare: Also people working in standing position for a long time. suffer from
piles along with varicose veins.
Vd. Vipul Patil: In my practice In raktaarsha Rx
tab arshodhani 2-0-2, In non bleeding arsh Rx tab arshkuthar 2-0-2 And along
with this Tab Triphala guggul, Tab kankayan vati, Tab suranvatak, Takraristam (
arsh adhikar), In daah( burning anal region), Tab laghusutsekhar, Tab
Chandrakala ras Along with laxative Erandbhrustharitaki bed time, Panchasakar For
pain relief Patha + dhamasa churan
In non bleeding pile Use kshartail for local application ,it's gradually
decrease size of arsh Many time in history
Most common hetu:- Simbidhanya
(pules), Daal, Matha,matar ,udad daal sevan
Patra sak : Palak ,methi,
very common So advice to avoid this Along with Backery food,guru ahar, spicy
should avoid
Dr Jayesh Patel: During consulting some key points is important
Like
1) bleeding per anus
before or after or along with stool
2) type of bleeding -
dropwise or bloody diarrhea, or
squeeting etc
3) defecation with pain or
without
4) during defecation
burning or not
5) during defecation
protrusion is there or not....if yes then reduce manually or spontaneous
6) Family history is also
important in piles......(sahaj arsha)
7) itching
Some times pt have fissure
in ano & told to us "I have piles"
So differential diagnosis
is very important....
After that u can go for
P/R or proctoscopy.....
If there is 1& 2
degree piles there is only c/o bleeding without pain. During anal haematoma
(Raktaj Arsh) pain is sever.....
During treatment so many
doctors uses laxative......but main thing is that if stool is bulk form then sphincter mechanism is going on good
side....so please give pt bulk agent like isabgul..
Dr. Savad Kerala: My prescription for bleeding piles 1.Dusparshakadi kashayam 2.Shigari
gulam (contains apamarga)
Non bleeding piles 1.Chiravilwadi kashayam 2.
Kankayana vati
Dr. Arvind Shahane: I have got good results in bleeding Pilex with Tab v pil (Vaibhavi
pharmacy) Contain as below
Ayucafe 032019 05: Sir wt abt fissures? Wt we should advice for fissures?
Ayulink Ayurveda: Normally I would go for hot water tub bath in the beginning for piles
and fissure both conditions. Application of ghee, or any lubricant or cream
base is good in fissure
Ayucafe 032019 05: No need to give any medicine orally? Some of my pt I advice tab HiLo
twice day. Vata is main cause for fissure and sneha dravya can pacify vata locally very comfortably. Okay...internally
no need to give medication
Ayulink Ayurveda: For fissure : I generally don't advise for oral medicine. But
sometimes for patient satisfaction you need to suggest medicine. May be abhayarishta
can be one option
Hot water tub bath + local
Sneha applications (3-4 times a day) mostly gives response in 3-4 days
Ayucafe 032019 05: Okay sir...wt abt tab hilo?
Ayulink Ayurveda: Constipation must not be there. This is primary condition. You can
suggest any medication for constipation if needed
Vd. Vipul Patil: Reference from jawar chikitsa. We can use here also
Ayucafe 032019 05: OK sir ...ys constipation is main reason. We can give erand tail for
only. Local application also
Dr. Jayesh Patel: Give 30-40ml jatyadi ghreet.......as matra basti.....good results. Sitz
bath with panchvalkal decoction gives excellent results
Vd. Pritam Bharat Veer: In Arsh i. Do deepaan pachan with hingwasthak. Anuloman
- i preferr castor oil mostly Suran vatak Arshoghni Also Patha mishrn . Takra
paan Application Arshohita ointment Sitz bath. I use one formula named Arsh gola
which gave me ultimate results these days. I also give Abhayaristha 4 tsp at
bed time.
Zarana Doshi:
We have results in bleeding piles with this treatment ...Naturopathy and Diet. Stop
eating green n red chilies. Stop eating Dry and Stale food. Avoid Nonveg . Avoid
pulses at night. Soak Niranjan fal daily at night and it will blossam fully in
the morning in water....this fruit gives miraculous results in bleeding piles
and constipation both. (Ayurvedic Herb , Easy to follow.) Maximise usage of
Lauki , Parval , Galka , Fresh Anjeer .Increase water intake with proper
timings and art of drinking water...Slowly with chewing and adding saliva
before gulping water. Other common laws
of Nature to follow ....early to rise and early to bed , do not stay hungry for
more then 4 to 5 hours , let drop all work which gives stress and struggle.
Vd. Pritam Bharat Veer: What you all do for Apunarbhav chikitsa?
Ayulink Ayurveda: Very good question. My opinion: changes in life style and diet to
avoid constipation - avoid dryness of stool and avoid dryness of intestine
Dr. Yogin Patel: This is prolapse piles so in this condition without operation we can
get results
Vd. Sachin Kadlag: After treatment if complete cure is achieved one can go for
Apunarbhava chiktsa by means of Rasayana chiktsa only. In case of arsha , being
mansa pradoshaja vyadhi in area of Purishavaha srotasa , Rutu Haritaki Rasayan
should be advised for one year or
throughout the life for Apunarbhava as
Haritaki acts on both mansa dhatu and Purishavaha srotasa . Hariatki is
paachaan , anulomana and at the same time one of the great Rasayan. In all
cases for cure as well as Apunarbhava nidaana parivarjana and pathya sevan is always important.
2168: And
what is your approach? As many patients are used to the foods they grew up
with, so are vaidyas. Who uses yava as a main grain? Who stops eating dosa,
roti, paratha etc. and follows classical food preparation like peya and
vilepika? Maybe treatment is possible without such but it is faster and easier
following the true best methods. Too as we all should know, such conditions are
not isolated and other conditions do or will manifest. One is not just treating
one condition but trying to restore equalibrium to the whole mind and body.
Without such, other disease will later follow.
-------------------------------.
Compiled by - Dr. Dhruti Kagrana
Compiled by - Dr. Dhruti Kagrana
