18/08/2025

Identifying Piles (Arsha) and Ayurvedic Treatment Solutions

Identifying Piles (Arsha) and Ayurvedic Treatment Solutions Insights from the Best Ayurvedic Hospital in Coimbatore for Piles Treatment

As the Senior Medical Officer at Saigram Ayurveda Hospital & Research Institute, and with over 15 years of clinical expertise, I have dedicated my practice to helping patients overcome the persistent discomfort of piles—also known as Arsha in Ayurveda. At our facility, widely regarded as the best ayurvedic hospital in Coimbatore for piles treatment, we combine classical wisdom with modern precision to deliver safe, long-term relief. What is Folliculitis?

Understanding Piles (Arsha) Through Ayurvedic Lens

Piles manifest as swollen vascular masses in the anal region—internal (often painless bleeding) or external (painful, itchy, thrombosed). Ayurvedic texts classify Arsha into three dosha-dominant types:

  • Vata-type: hard, dry, painful piles with constipation (dark, stiff masses)
  • Pitta-type: soft, reddish, bleeding, inflamed masses accompanied by burning sensations and thirst
  • Kapha-type: large, pale, unctuous swellings with sluggish digestion.

Additionally, Ayurveda describes Pittaja (bleeding), Kaphaja (mucus-discharging, prolapsed), and Vataja (dry, painful) subtypes—which align with various clinical grades of piles. For example, Pittaja corresponds to Grade II–III, while Kaphaja aligns with more complex prolapsed cases

Clinically, patients often report:

1. Gudagaurava: heaviness or pressure in the anal region

2. Gudashula: sharp anal pain during defecation

3. Raktasrava: bleeding per rectum

4. Kandu: persistent itching

5. Srava: mucous discharge

6. Gudapaka: burning sensation

7. Bhinna varna: discolouration of skin (bluish red)

Ayurvedic Treatment Modalities at Saigram Ayurveda

Drawing from classical texts (Charaka, Sushruta, Ashtanga Hridaya) and evidence-based practice, we offer a multifaceted therapeutic strategy:

1. Bheshaja Chikitsa (Herbal/Medicinal Therapy) Applicable in early stages to improve digestion, relieve constipation, and reduce inflammation. Drugs with Vataanulomana, Deepana Pachana gunas are opted.

Formulations include Chiravilwadi Kashayam, Dusparshakadi Kashayam, Kankayana Vati, Triphala, Avipattikar Churna, Triphala Guggulu, Abhayarishtam tailored to each patient's dosha imbalance.

2. Para-surgical Procedures • Kshara Karma: Application of alkaline herbal paste to shrink or remove internal piles with minimal recurrence . • Agnikarma: Thermal cauterization for chronic, resistant cases. • Kshar Sutra Therapy: A medicated thread ligates prolapsed piles; known for low recurrence in both internal and external hemorrhoids .

3. Adjunctive Therapies • Sitz Baths (Avagahana): Warm water mixed with Triphala or herbal decoctions to soothe, reduce swelling, and ease discomfort • Basti (Enema Therapy): Herbal oil-based enemas to relieve bleeding, swelling, and pain. • Swedana, Dhoopana, Lepa: Local fomentation, medicinal fumigation, and paste applications support healing and tissue regeneration .

4. Detoxification (Shodhana) & Lifestyle • Virechana (Purgation) for Pitta-dominant piles

• Vaman (therapeutic emesis) for Kapha types; tailored detoxification brings dosha balance and better Agni.

Effectiveness: Evidence Speaks

A clinical case study of Mr. Venkat Narayana ( name changed for confidentiality) a 38-year-old man with Grade II internal bleeding piles showed remarkable improvement: within two weeks, pain and bleeding ceased and normal bowel habits restored. After six weeks, symptom scores dropped by over 90% with no recurrence

Such outcomes reflect why Ayurveda remains a compelling, non-invasive long-term solution.

Practical Lifestyle & Home Guidance •Fiber-Rich Diet:

Whole grains, fruits, vegetables—with 8–10 glasses of water—help prevent straining . •Herbal Remedial Support:

Turmeric-ghee paste, aloe vera gel, Triphala at bedtime, warm herbal sitz baths offer immediate relief at home . •Gentle Yoga:

Postures like Malasana, Pawanmuktasana, and Ashwini Mudra enhance circulation, reduce pressure on rectal veins, and aid digestion •Healthy Toilet Habits:

Avoid prolonged sitting or straining, establish routine bowel timing.

Why Choose Saigram Ayurveda? Our integrated protocols—spanning personalized internal medicines, precise Ayurvedic surgeries, rejuvenating therapies, and lifestyle coaching—reflect both tradition and clinical insight. As the best ayurvedic hospital in Coimbatore for piles treatment, we focus on healing the root, preventing recurrence, and enhancing your well-being with compassion and depth.

If you experience any symptoms—bleeding, discomfort, heaviness, itching, or swelling—I warmly invite you to Saigram Ayurveda Hospital & Research Institute. Let our experienced and dedicated doctors guide you toward lasting relief through holistic, effective, and compassionate Ayurvedic care.

Take your first step toward a healthy, comfortable life at the best ayurvedic hospital in Coimbatore for piles treatment. Schedule your consultation today.

Book an Appointment Blog By Dr. Vimal Mitharn BAMS, Medical Officer

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