Abstract
Background-Haemorrhoid is a condition characterized by the prolapsed of an anal cushion that may result in bleeding and pain from rectum or anal canal. It is said to be the fourth leading outpatient gastrointestinal diagnosis. Modern medical science has treatment alternatives such as diet- lifestyle modification, sclerotherapy, banding, LASER ablation etc. in early stage and various surgical procedures such as Haemorrhoidectomy, MIPH etc. in advanced stage with varied prognosis. Haemorrhoid can be co-related with Gud-Arsha in Ayurveda. Ayurvedic texts suggest fourfold treatment for Arsha such as Bheshaj (Medicinal treatment), Kshar karma (Herbal caustic paste), Agnikarma (thermal heat burn) and Shastra karma (Surgery).
 Method- In this review article, information from modern surgery texts in view of definition, aetiology, patho-physiology, sign and symptoms and available treatment options as per stage of disease and a gist of contemporary texts of Ayurveda related to Arsha (Haemorrhoid) have been documented to understand integrated and holistic treatment approach towards haemorrhoid management.
 Result & Conclusion- The article attempts to simplify haemorrhoid management and touches maximum aspects of this disease with an integrated approach. Hence, this article will certainly prove useful to proctologist and researchers belonging to field of Modern and Ayurveda, to know about holistic haemorrhoid management.
Highlights
In today’s modernized world, shift duties, stressful life, eating of unhealthy foods makes people more prone to the ano-rectal diseases such as fissure and haemorrhoid
Males are more prone to develop haemorrhoids compare to females
Traditional science of Ayurveda, explains haemorrhoids as Gud-Arsha and based on stage, four different treatment modalities have been advocated for Arsha
Summary
In today’s modernized world, shift duties, stressful life, eating of unhealthy foods makes people more prone to the ano-rectal diseases such as fissure and haemorrhoid. Due to site of disease, many of the patients hesitate to go to doctor and they delay the examination and treatment which leads to worsen condition of the disease. Traditional science of Ayurveda, explains haemorrhoids as Gud-Arsha and based on stage, four different treatment modalities have been advocated for Arsha. In early stage with less signs symptoms Arsha can be treated with Bheshaja (internal medicine), Ksharkarma (herbal caustic paste locally) or Agnikarma (thermal heat burn) and if not cured with all above treatment, it should be treated by Shastrakarma (Surgery). Pathogenesis, clinical manifestation of haemorrhoid and various treatment alternatives from modern surgery and Ayurveda have been dealt in detail. The article will prove beneficial for surgeons and researchers working in the field of proctology
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