📄 Abstract
Arsha is a common anorectal disorder described extensively in the classical Ayurvedic literature and is considered one of the Ashta Mahagada due to its chronicity, recurrence, and considerable impact on quality of life. The clinical manifestations of Arsha include bleeding per rectum, pain, itching, prolapse, discomfort, and difficulty during defecation. In contemporary medicine, haemorrhoids are defined as symptomatic enlargement and distal displacement of the normal anal cushions. Several etiological factors, including constipation, straining during defecation, prolonged sitting, dietary abnormalities, pregnancy, obesity, and altered bowel habits, contribute to its development. Ayurveda describes Arsha on the basis of Dosha, Dushya, anatomical location, clinical manifestations, and prognosis. The major classifications include Vataja, Pittaja, Kaphaja, Tridoshaja, and Raktaja Arsha. Based on their location, Arsha may be Bahya or Abhyantara. The classical management includes Aushadha Chikitsa, Kshara Karma, Agnikarma, and Shastra Karma, selected according to the type, stage, site, and severity of the disease. Contemporary management ranges from dietary and lifestyle modification to pharmacological treatment, office-based procedures, and surgical intervention. This review attempts to correlate the Ayurvedic understanding of Arsha with the contemporary concept of haemorrhoidal disease and highlights the importance of an integrated approach for diagnosis, prevention, and management.
🏷️ Keywords
📚 How to Cite:
Dr. Vishakha Suresh Yeole, Dr. Smita Kanawade , Arsha (HAEMORRHOIDS): AN AYURVEDIC AND CONTEMPORARY REVIEW , Volume 11 , Issue 8, August 2026, EPRA International Journal of Research & Development (IJRD) , Pages: 63 - 69 ,