“AN APPRAISAL ON PREVENTIVE ASPECT OF ARSHA WRT TO EXTERNAL HEMORRHOIDS.”

The Shalya tantra prime branch of Astanga Ayurveda is rich in much aspect of modern surgical concepts. Sushruta elaborately described the advances of Tantra in various Ano-rectal diseases, as Arsha is one among them. Arsha is a common problem related to sedentary life style, age occupation and dietary factors where anal pain, anal lump and rectal bleeding are very common complain. Arsharogain his treatise and considered as one among the Mahagada and indefinitely curable. Arsha as the dreadful disease can affect anyone, anytime, anywhere. Nidanas (causes) mentioned are mandagni (irregularities of digestive process), adyashana (improper diet) and mithya vihara (lifestyle) leads to six types of Arshas (hemorrhoidal diseases), classified as per symptoms. Arsha is a Tridoshaj disease that arises from Mandagni and Ama formation. In respect with the Bheshaj Chikitsa of Arsha, the Vatanuloman effect is desired, the principle of treatment of Arsha includes three chief clinical effects Agni Deepan, Vatanuloman and Raktasthambhan. Normal diet, appropriate digestion and to avoid seating on hard place helpful in preventing the condition of Arsha. Ayurveda has ultimate management modalities to get rid of that kind of crippling conditions, which are already described in various classical texts.