Sunday, August 8, 2010

Arsha [Hemorrhoids]

Word "Arsha" defines; "Arshamsi tasmat ucchante guda marga nirodata" - Something which obstruct Anal canal called 'Arsha'. However modern Ayurvedic scholars co-relate 'Arsha' with 'Hemorrhoids'. According to Ayurvedic medicine, "Arsha" is a Major disease [Maha Roga] which is difficult to treat.
"Arivat pranan shrunati hinasti iti arsha: " - Which Destroys the body like an enemy to life.

Causes of Arsha :
  • Chronic constipation
  • Common in Pregnancy
  • Prolonged sitting and standing
  • Obesity
  • Heriditary factors
  • Anal cancer
  • Ovarian cyst
These causative factors cause low digestive fire & then vitiation of  all doshas- especially that of Apana vayu results accumulation of waste products and varicosity of veins in the rectum.
Types of Arsha:
    Diagram to show a variety of HemorrhoidsImage via Wikipedia
  • External- Occur outside the anal verge, covered by squamous epithelium. Sometimes painful, [innervated by cutaneous nerves that supply the perianal area, include the pudendal nerve and the sacral plexus] and often accompanied by swelling and irritation. External hemorrhoids are prone to thrombosis.
  • Internal - Occur inside the rectum, lined with columnar epithelium. Internal hemorrhoids are not supplied by somatic sensory nerves and therefore cannot cause pain, however, may bleed when irritated.
Internal hemorrhoids can be further graded by the degree of prolapse.
Grade I: No prolapse.
Grade II: Prolapse upon defecation but spontaneously reduce.
Grade III: Prolapse upon defecation, but must be manually reduced.
Grade IV: Prolapsed and cannot be manually reduced.

  • Vataja -  Caused mainly by vitiated Vata dosha, & shows features of Vata, i.e. 
  1. Dry
  2. Darker in color, almost blackish
  3. Rough, Hard
  4. Constipation is present - Hard, exiguous stool
  5. Acute pain is present in back, flanks, umbilical & anal region
  • Pittaja -
  1. Reddish and yellowish in color
  2. Smooth, Wet
  3. Usually gets inflammed 
  4. Bleeding can be present
  5. Burning sensation
  6. Diarrhoea
  • Kaphaja -
  1. Large and whitish in colour
  2. Itching occurs frequently
  3. Smooth
  4. Dyspepsia
  5. Heavy, bulky stool
  • Raktaja -
  1. Similar to Pittaj arsha
  2. Profuse bleeding
  3. Reddish
  4. Small
  • Sannipataja -Features of all doshas
  • Sahaja - [Congenital]
  1. Dark brown in colour
  2. Mostly internal
  3. Bleeding
  4. Dyspepsia, Emaciated
Complcations of Hemorroids:
  • Ruptured hemorrhoid
  • Gastrointestinal bleeding
  • Anemia - if bleeding is severe
  • Thrombosis - clotting in the veins
  • Strangulation - blockage of the vein

Prevention of Arsha:

  • Do not control your natural urge to defecate. As soon as you feel the motion, you must pass it out; or else you will have to exert the rectal area more. This could lead to complications.
  • Obese people must work at losing their weight. This can be achieved with regular exercise.
  • Horseback riding must be avoided by people with piles. This can adversely affect the anal area.
  • Excessive sex must be avoided, especially that which involves the anus.
  • Anal hygiene is of the utmost importance. Water must be ideally used to keep the anal area clean as toilet paper may not clean the area completely.
  • It is not advisable to sit on hard surfaces for long periods of time. This could unduly exert the anal area. 

Diet for People with Arsha:

  • Have lots of water. This facilitates easy expulsion of the wastes from the rectal canal, without subjecting the anus to much pressure.
  • Green vegetables must be a major component of the diet. These vegetables can provide roughage, which facilitates faster movement of bowels.
  • Vegetables with astringent and bitter tastes are of much benefit which prevent constipations.
  • Hemorrhoids relief can be obtained from the itching pain if ghee with warm milk is taken every night.
  • Barley, wheat and old rice are the carbohydrates that are beneficial for people with piles problems.
  • The papaya fruit is also very beneficial as it helps in easy digestion of foods.
  • Pungent, spicy, oily and salty foods must be avoided as they could make the digestion more difficult.
Treatment in Ayurveda:
  1. Bheshaja - Medical
  2. Shastra -  Surgical
  3. Kshar- Chemical cauterization
  4. Agni - Thermal cauterization
The Surgery unit of Ayurvedic Teaching Hospital, Borella, SriLanka has a special clinic for piles.
[every weekday 9.00- 12.00 noon at Room no 16]
 

Dr. Indunil Weerarathne

19 comments:

  1. This disease can lead to complications and lead to the arrival of other diseases such as renal failure, retinal damage and impotence. Now it has come Obat Herbal Diabetes Melitus

    ReplyDelete
  2. Diabetes is a health problem that caused blood sugar levels to rise and exceed the normal limits. Diabetes is often experienced by someone who has aged. However, children, adults, and older people can also be productive teekena this disorder. Obat Diabetes Kering

    ReplyDelete
  3. Obat Diabetes Insipidus,.- For those of you who currently have a complaint diabetes insipidus you do not worry because it was present the latest herbal medicine herbal medicine Ace Maxs very powerful cure of diabetes insipidus effectively tanap side effects made from herbal ingredients

    ReplyDelete
  4. Soursop leaves is believed to maintain or lower blood sugar levels in the normal range, more complete read on Manfaat Daun Sirsak Untuk Penyakit Diabetes

    ReplyDelete
  5. Nutrisi Kanker Paru – Paru Lung cancer has the dual function of spreading oxygen into the blood when breathed in and disposing of carbon dioxide exhaled.

    ReplyDelete
  6. Cara Menurunkan Berat Badan Secara Alami Dan Sehat With a little sacrifice, you can lose weight in the can of course depends sebarapa much work is done.

    ReplyDelete
  7. Looking for Obat Herbal Ejakulasi Dini to overcome your sexual problems during sexual intercourse

    ReplyDelete
  8. Tanaman Obat Untuk Pelangsing Tubuh currently in great demand by men or women. Has the ideal body shape is the desire of everyone

    ReplyDelete
  9. Obat Alami Ejakulasi Dini Dan Lemah Syahwat,.- impotence is a condition where you experience an erection during sexual intercourse mushy and did not even get an erection at all

    ReplyDelete
  10. You're looking for Nutrisi Penambah Berat Badan Pada Anak Dan Dewasa ? make sure you've located the right place. With pride, Nutrition Important merekomedasikan herbal products Zinc Tablets (Children) & Zink Tablet (Adult) as Nutrition Booster Weight Gain In Children And Adults.

    ReplyDelete
  11. rice, two of these foods contain high levels of sugar, a derivative of these foods are donuts, white bread, cake, sugary cereals, white rice and french fries. The purpose of this article is to Menu Makanan Untuk Penderita Diabetes Melitus

    ReplyDelete
  12. Now has come the drug / skin care supplements alias nutrition whitening skin made of natural herbal ingredients that Nutrisi Untuk Kulit 100% Herbal Tradisional Alami Dan Aman consumed

    ReplyDelete
  13. Benefits of Basil turned out to be one Manfaat Daun Kemangi Untuk Mengatasi Ejakulasi Dini man or can be called with an aphrodisiac.

    ReplyDelete
  14. Nutrisi Untuk Penderita Penyakit Radang Paru – Paru Inflammatory disease of the lungs (pneumonia) is a lung infection and extremely dangerous, if not immediately treated properly, pneumonia can cause lung complications. Inflammatory diseases of the lung generally most suffered by children

    ReplyDelete
  15. Manfaat Sayur Bayam Untuk Menurunkan Berat Badan Spinach is one vegetable that is very rich in vitamins and minerals. Who does not know this one green vegetables, vegetables with a heart shape as it has the nutrients such as vitamins and minerals is also very high

    ReplyDelete
  16. Nutrisi Untuk Gatal – Gatal Di Selangkangan Pria & Wanita most in demand is the QNC Jelly Gamat, By working effectively relieve itching in the groin quickly in just a few days without leaving a trace of black.

    ReplyDelete
  17. Titanium Fitness
    Tipping into your own home 2019 ford ecosport titanium room with an extra $500 and titanium dive watch I've titanium dioxide sunscreen tried a lot of micro touch hair trimmer different ways to titanium cost exercise on the treadmill. I was in my element as a trainer,

    ReplyDelete