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MULTIMODAL TREATMENT APPROACHES FOR ARSHA: A CRITICAL REVIEW

2023; Volume: p7; Issue: 6 Linguagem: Inglês

10.46607/iamj09p7062023

2320-5091

Bhinya Ram, Manmahendra Singh, Neha Chauhan, Prashant Kumar,

Anorectal Disease Treatments and Outcomes

Arsha (piles) is one of the commonest diseases of ano-rectal region which is included under the Ashtamahagada (eight great diseases). Arsha (Hemorrhoids) is clinically an engorged condition of hemorrhoidal venous plexus along with abnormally displaced enlarged anal cushion, characterized by inflamed or prolapsed pile mass, bleeding per rectum and some abnormal discharge from anus. Modern medical science has treatment alternatives such as diet- lifestyle modification, sclerotherapy, banding, LASER ablation etc. in early stage and various surgical procedures such as Haemorrhoidectomy, and other minimal invasive procedures. in advanced stage with varied prognosis. Haemorrhoid can be co-related with Gud-Arsha in Ayurveda. Ayurvedic texts suggest fourfold treatment for Arsha such as Bheshaja (Medicinal treatment), Kshara karma (Herbal caustic paste), Agnikarma (thermal heat burn) and Shastra karma (Surgery). In this review article, information from modern surgery texts in view of available treatment options as per stage of disease and a gist of contemporary texts of Ayurveda related to Arsha (Haemorrhoid), have been documented to understand integrated and holistic treatment approach towards haemorrhoid management. The article attempts to simplify haemorrhoid management and touches maximum aspects of this disease with an integrated approach. Hence, this article will certainly prove useful to proctologist and researchers belonging to field of Modern and Ayurveda, to know about holistic haemorrhoid management.