• Hemorrhoids are vascular structures in the anal canal which help with stool control. In their physiological state they act as a cushion composed of arteriole venous channels and connective tissue that aid the passage of stool. • These hemorrhoids become pathological when they are swollen will inflamed which are known as piles.

1. HAEMORRHOIDS
Hemorrhoids are vascular structures in the anal canal which help with stool
control. In their physiological state they act as a cushion composed of arteriole
venous channels and connective tissue that aid the passage of stool.
These hemorrhoids become pathological when they are swollen will inflamed
which are known as piles.
In ayurveda piles are called as rashes.
Rashes are nothing but the abnormal fleshy growth in anorectic region.
Etiotogy:
Eating food before the previous meal has been digested
In ordinate sexual enter course
Sitting on launches
Excursive riding
Voluntary suppression of natural urging of body
Combination of two or three vitiated doshas, vitiating of blood of a person
become dislodged from their natural seats in the body and are carried down
through the large intestines into the descending colon and getting lodged there in
rise to growth of polyp or bluesy condylomata which are known as arias (Piles)
These growths chiefly appear in persons suffering from impaired digestion (Agni)
and gain in size through friction with the wearing apparel, weeds, and lumps of
clay or stone.
Pre Monitory symptoms:
Difficult in digestion of food
Acid eructation
Absence of weakness in things
Emaciation of body
Frequent eructation
Cutting pain in rectum
Types:
Acc to ayurveda we can see the types and symptoms based on dosha predominance

2. Vatarshas:
Piles due to aggravated vata are non-exuding, rose colored & nearer in their
surface
Stool is excessively hard & can be evacuated only in a sitting posture with
greatest pain & difficulty
Excruciating pain co Experienced in the region of pittajarshsahs
Slender, shifting in nature, resemble the month of leaches & secrets a sort of
slimy exudation
Stool is marked with blood, painful, burning sensation at the time of defecation
Fever with burning sensation and thirst.
Kaphajarshas:
White, sunk about their roots and is hard, round, and glossy.
Patient feels an irresistible tendency to scratch the excrescences.
Stool become copious in quality and are charged with mucous.
Raktajarshas:
Resemble the spurs of vat tree in shape
Exhibit but symptoms which are peculiar to pita type
Pressed hard by the constricted faces in their passage through the anus, they
suddenly give rise to hemorrhage of vitiated blood.
Sannipatajarshas:
Symptoms characteristic of each of vata, Pitta and kapha types.
Congenital:
Usually ascribed to defects in the semen and ovum of or is a parent.
The polyps are hard visible and are rough and yellowish with their faces turned
inwards extremely painful.
Patient becomes irritable, semen quantity decreased, digestion is impaired.
Prognosis:
Piles due to concerted action of 3 deranged doshas of the body but partially
developed may be temporarily checked.
Cases with more than a year’s standing as well as those in which hemorrhoids
are due to concerted action of two doshas may be cured I greatest difficulty

3. Ayurvedic Treatment:
Ayurvedic treatment for hemorrhoids is grouped under 4 sub heads.
1.
2.
3.
4.
Medicinal remedies
Application of kshara (Alkali)
Actual cauterization
Surgical Operation.
A case of recent origin involving the action of the doshas to a slight degree &
uncomplicated may prove amenable to medicine
Deep seated piles which are soft to touch and markedly elevated and extended
should be treated with kshara application
Piles which are rough, firm, thick and hard should be cauterized with fire
Piles which are raised, exuding and slender at roots should by surgically treat.
Aleppo (Plasters) – Plasters applied to the hemorrhoids to cause their
spontaneous dropping off.
Diet:
In all types of piles diet should consists of wheat, barley, shashitika rice or Sally
rice (boiled)
Nimba soup or patella soup
Diuretic dilative and appetizing diet possessing the virtue of curing piles should
be prescribed.