@article{Raj Kishor Shah_Binod Kumar Singh*_Ram Adhar Yadav_Prashant Kumar Singh_Shiva Mangal Prasad_2020, place={India.}, title={A CRITICAL REVIEW ON MANAGEMENT OF ARSHA (HEMORRHOIDS) IN AYURVEDA}, volume={6}, url={https://ayushdhara.in/index.php/ayushdhara/article/view/505}, DOI={10.47070/ayushdhara.v6i6.505}, abstractNote={<p>The <em>Shalya tantra,</em> a prime branch of <em>Astanga</em> Ayurveda is rich in much aspect of modern surgical concepts. <em>Sushruta</em> elaborately described the advances of the<em> Tantra</em> in various Ano-rectal diseases, as <em>Arsha</em> is one among them. The term ‘<em>Arsha</em>’ is derived from “<em>Ru Gatau</em>” <em>Dhatu </em>with the suffix “<em>Asun</em>”, gives the meaning of as violent as enemy. It is the commonest ano rectal disease and affects anyone at any time. In Ayurveda, the sufficient descriptions are described regarding etiology, pathology, symptomatology, types and management or treatment measures of <em>Arsha</em>. All the classics of Ayurveda enumerate that the present sedentary life style, irregularities in food intake, taking junk, spicy, non-fibrous foods, inactive occupation and mental stress etc., are causative factors for ‘<em>Arsha’</em> (Hemorrhoid) and that leads to hypo function of digestive enzymes, which in turn leads to constipation, itching, burning sensation and pain in the region of <em>Guda</em> and finally bleeds and thus <em>Arsharoga</em> originates. <em>Acharyas</em> described various<em> Chikitsa </em>modalities of <em>Arsha</em> critically for prevention and cure of <em>Arsha</em> along with avoiding causative factors<em> (Nidanaparivarjana).</em> <em>Acharya Sushruta</em> has described four dimensions of the treatment for <em>Arsha</em>, all these are applied on the basis of <em>Dosha </em>involvement and stages of <em>Arsha </em>like<em> Bheshaja</em> <em>Karma</em>, <em>Shastra</em> <em>Karma</em>, <em>Kshara</em> <em>Karma</em>, <em>Agni</em> <em>Karma</em>, similarly <em>Snehana, Swedana, Vamana, Virechana, Asthapana </em>and<em> Anuvasana Basti </em>for <em>Vataja</em> <em>Arsha</em>, <em>Virechana </em>for<em> Pittaj Arsha, Aharadravya</em> mixed with <em>Sunthi </em>and<em> kulatha </em>for<em> Kaphaj Arsha </em>and<em> Shamana Chikitsa </em>for<em> Raktaj Arsha </em>etc.</p>}, number={6}, journal={AYUSHDHARA}, author={Raj Kishor Shah and Binod Kumar Singh* and Ram Adhar Yadav and Prashant Kumar Singh and Shiva Mangal Prasad}, year={2020}, month={Feb.}, pages={2468-2472} }