Pile Mass Research Articles

Systematic review on efficacy of various Pratisarneeya Kshar application in Ayurveda for the management of hemorrhoids w.s.r. size reduction of pile mass

Background: "Mandagni, the prime etiopathogeni factor of Arshas, leads to constipation, initiating the development of Arshas through prolonged contact of accumulated Mala or excretory material with Gudavali. Among the available treatment modalities, Kshara karma stands out for its convenience, easy adaptability, cost-effectiveness, and curative results. Within this para-surgical approach, various forms of external Kshara application, such as Ksharasutra Ligation (KSL) and Pratisarneeya kshar, are employed to treat Arsha. While Ksharasutra ligation is a surgical procedure, Pratisarneeya kshar involves local application and exhibits effectiveness with a straightforward procedure. Numerous studies on Pratisarneeya kshar have been conducted."Objectives: This study aims to investigate the impact of various types of Pratisarniya kshara on Haemorrhoids. Methods and Materials: The materials were gathered from classical Ayurvedic literature, various magazines, and research journals. Results: Pratisaraneeya Kshara application demonstrates high efficacy in reducing the size of pile mass. Conclusion: Despite recent advancements, these invented techniques exhibit certain limitations and have not been proven entirely free from post-operative complications. This underscores the need for a new and improved treatment that is devoid of complications, ensures a faster cure, and proves economically superior.

Raktamokshana by Jalauka in the management of Shophayukta Charmakeela Arsha w.s.r. to inflamed sentinel tag: A case study

Chronic fissure in a no is characterized by a sentinel tag externally between which lies the slightly indurated anal ulcer overlying the fibers of the internal sphincter. Chronic fissure is an inflamed & indurated margin and a sentinel tag at its inferior margin, which is edematous & acts like a guard. It causes repeated infections, discomfort, burning sensation. Charmakeela arshas is an immovable growth in exterior skin, correlated with sentinel pile. Here the shophayukta charmakeela arshas (inflamed sentinel piles) are treated with jalauka. Jalauka has sheetha and madhuraguna because it helps to remove excess doshas from inflamed sentinel piles and helps to reduce pain and swelling. Jalaukavacharana done on inflamed pile mass for 3 days of interval of 1 day, other oral medications, avagaha sweda (sitzbath) and local application. This paper elaborates upon the effect of jalaukavacharana in the management of inflamed sentinel pile.

A Case Study on Effective Management of Arsha (II Degree Haemorrhoids) by Teekshna Kshar Pratisarana

Arsha, commonly known as haemorrhoids, is a prevalent medical condition characterized by dilated blood vessels in ano rectal region and they can cause bleeding, pain, mucous discharge, discomfort etc. The primary causes of Arsha include increased pressure on the rectal veins, commonly attributed to chronic constipation, prolonged sitting, and straining during bowel movements. Genetic predisposition and certain lifestyle factors, such as a sedentary lifestyle and low fiber diet, can also contribute to the development of haemorrhoids. Arsha requires a surgical technique in modern treatment, such as haemorrhoidectomy, rubber band ligation, and so on, but after sometime of excision there is great possibility of reappearance of the disease. But in Ayurveda, fourfold management of Arsha has been indicated viz., Bheshaja, Kshar karma, Agni karma and Shastra karma according to chronicity and presentation of the disease. In this case study, a 40 years old female patient presented with complaints of some mass coming out during defecation, bleeding, pain and mucous discharge while passing stool to the Shalya OPD, Rishikul Campus, Uttarakhand Ayurved University Haridwar. The patient was treated successfully with Kshar karma application. The pile mass, per rectal haemorrhage and mucous discharge was gone in 7 days and the patient was free of all symptoms within 15 days. The findings revealed that there are maximum advantages which are shared in this case study.

Management of a Bleeding Hemorrhoid by FGHAL and RAR - A Case Report

A 52 year old male patient came to our SSRAMC hospital OPD with complaints of bleeding per rectum and mass during defecation. The case was diagnosed as ‘Raktarsha’ (bleeding piles) at 3 o’ clock caused due to Pitta and Rakta vitiation. Due to bleeding per rectum his hemoglobin was reduced to just 4.5grams. Blood transfusion was done at our hospital to increase his hemoglobin. FGHAL was performed with RAR in this case under LA. The pile mass and per rectal bleeding reduced in 6 days. The patient was relieved from all the symptoms in 14 days. No major complains were received after the procedure. Proctoscopic examination was done every week for 4 weeks which did not reveal any complications.

The Management of Second-Degree Internal Haemorrhoids with Apamarga Pratisaraneeya Tikshna Kshara

Haemorrhoids, commonly known as piles, are a prevalent anorectal disorder affecting a significant portion of the population. This case report presents the successful management of second-degree internal haemorrhoids using Ayurvedic treatment, specifically Kshara karma with Apamarga pratisaraneeya Tikshna kshara. A 32 year male patient with prolapsed pile mass and bleeding during defecation was treated at the National Institute of Ayurveda, Jaipur. After a few days of initial post-operative pain and swelling, the patient's symptoms significantly improved, with the haemorrhoids reducing in size and eventually disappearing. The post-operative complications were managed by the internal administration of Triphala guggulu, Yashtimadhu taila matravasti, and sitz bath. This case highlights the efficacy of Ayurvedic treatment, particularly Kshara karma, as an office procedure for managing haemorrhoids. The approach demonstrated reduced hospitalization, minimal bleeding, and post-operative complications, making it a promising alternative to conventional surgical procedures.

ROLE OF KSHARA KARMA IN MANAGEMENT OF INTERNAL HEMORRHOIDS: A CASE REPORT

Nowadays prevalence of Anorectal disorders is progressively increasing in society, Arsha (Haemorrhoids) is one of them. There are many responsible factors for disease like sedentary lifestyle, irregular and inappropriate diet, prolonged sitting or standing and certain psychological disturbances. It generates symptoms dominated by rectal bleeding, mass per anum, anal discomfort and pruritus. Many conservative, surgical and non-surgical methods are available to cure the disease, but demand for Ayurvedic and herbal remedies has increased in society nowadays. Material and Methods: In this study 36-year-old male patient having complain of bleeding per rectum and mas coming out during defecation was selected. The case was diagnosed as a case of “Raktarsha” Grade II internal hemorrhoids having mass at 7 and 11 ‘O’ clock position. The final diagnosis was made on the basis of DRE findings, symptoms of patient and proctoscopic examination. Classically prepared Apamarga Pratisarniya kshara was applied on hemorrhoidal masses following SOPs. The findings were noted on Day 7, Day 14, Day 21 and Day 30. Result: Obtained results were analyzed and there was Significant relief in symptoms. Improvement in complain of Bleeding and prolapse of pile mass during defecation was noticed. Conclusion: Ayurvedic parasurgical procedure (Pratisarniya Kshara patan vidhi) has proven to be an effective non-surgical management alternative for the diagnosed patients of Grade II internal Haemorrhoids.

Design optimization of offshore wind jacket piles by assessing support structure orientation relative to metocean conditions

Abstract. The orientation of a three-legged offshore wind jacket structure in 60 m water depth, supporting the IEA 15 MW reference turbine, has been assessed for optimizing the jacket pile design. A reference site off the coast of Massachusetts was considered, including site-specific metocean conditions and realistically plausible geotechnical conditions. Soil–structure interaction was modeled using three-dimensional finite-element (FE) ground–structure simulations to obtain equivalent mudline springs, which were subsequently used in nonlinear elastic simulations, considering aerodynamic and hydrodynamic loading of extreme sea states in the time domain. Jacket pile loads were found to be sensitive to the maximum 50-year wave direction, as opposed to the wind direction, indicating that the jacket orientation should be considered relative to the dominant wave direction. The results further demonstrated that the jacket orientation has a substantial impact on the overall jacket pile mass and maximum pile embedment depth and therefore represents an important opportunity for project cost and risk reductions. Finally, this research highlights the importance of detailed knowledge of the full global model behavior (both turbine and foundation) for capturing this optimization potential, particularly due to the influence of wind–wave misalignment on pile loads. Close collaboration between the turbine supplier and foundation designer, at the appropriate design stages, is essential.

Role of Jaloukavacharana in Management of Raktharshas (Thrombosed Hemorrhoids)

Arsha's is one among the Astamahagada, and a commonest ano-rectal disease with a wide range of symptoms. It affects all economic groups of the population. In Ayurveda, Arsha's is a growth of Mamsa with obstructs the anal opening. Anatomically anal canal is 51/2 Angula's length. A faulty lifestyle and dietary habits along with occupational and physical stress triggers the pathology of Arsha's. Doshic involvement includes Rakta along with Mamsa dhatu at Rakthavaha Dahmanis of Guda, which forms as Mamsa Ankura. Acharya Susrutha mentioned 4 curative measures for the treatment, they are Bhesaja, Kshara karma, Agni karma, Shastra karma. Hemorrhoids are dilated rectal veins. Thrombosed piles occur where there is high venous pressure, which is associated with severe pain, which hampers their daily routine, thereby they avoid defecation which leads to hardening of stool, constipation and rectal bleeding. The treatment includes the surgical excision of the thrombosed pile mass. A case study of thrombosed pile treated with Jaloukavacharana (leech therapy) has been recorded which has reduced the mass, pain, bleeding per rectum.

Model testing study on engineering performances of circular helicoid piles during the whole process of installation and bearing in sandy soil

The circular helicoid pile (CH pile) is a new type of special-shaped pile that has been developed in Japan and South Korea in the past decade and has been widely used in the fields of construction, transportation, natural energy and agriculture due to its excellent compressive and pullout bearing performances. Consequently, this new type of pile has good engineering application prospects. However, as an innovative engineering structure, the CH pile is not widely known by geotechnical engineers worldwide. The geometric structure of the CH pile is similar to a circular helicoid in differential geometry. Therefore, the pile-soil interaction problem cannot be reduced to a plane strain problem or an axisymmetric problem in theoretical research. In view of this, dry silica sand was used as the model foundation in this study, and a model test device and method that can effectively reflect the installation process and loading-bearing service state of CH piles were developed. Under different installation methods, pile structures and foundation soil conditions, 90 model tests were carried out to evaluate the engineering performances of CH piles during the whole process of installation and bearing, including the installation performances during the installation process, the compressive bearing performances under axial compressive loading and the pullout bearing performances under axial pullout loading. Compared with steel sheet piles and steel pipe piles, CH piles have better engineering performance and more economic benefits from the aspects of installation, construction, recycling, timeliness of engineering application, and the relative relationship between bearing capacity and pile mass.

A Review Article on the Role of Arshoghna Mahakashaya in the Sushka Arsha Treatment

Several treatises compiled throughout ancient times provide distinct modalities and drugs in the Ayurvedic traditional text. Drugs are crucial therapeutically because they are responsible for the overall balance of the body. The first division of the Charak Samhitha, known as Sutrasthan or shloksthan, is divided into eight parts. The medications are discussed in four chapters known as Bheshajachatushka or Aushadhachatushka in the sutrasthan. The medications are categorized here based on their pharmacological and pharmacotherapeutic properties. Mahakashaya is a classification system for medications based on Karmas, which is divided into fifty divisions. Arshoghan Mahakashaya is the twelfth category of medicines thought to be useful in the treatment of piles. Sushka arsha is a condition in which a person's life is made unbearable by pain and swelling of the pile mass, with bheshaj chikitsa being the first of all therapies. This is a rudimentary attempt to understand how rasa, guna virya, and prabhav of these 10 medications may work to dissolve the disease of sushka arsha.

Effect Of Leech Therapy On TEP (Thrombosed External Pile): A Case Study

The Thrombosed external pile is the one which is located distal to the dentate line and develop as a result of tortuosity and distension of External Hemorrhoidal venous system. The engorgement of a hemorrhoidal vessel with acute swelling may allow blood to pool and subsequently clot; this leads to the Acute Thrombosed External Pile mass, a bluish purplish discolored swelling with severe pain and tenderness. The present case is of TEP (Thrombosed external pile) and the effect of Leech application is evaluated on this. The main objective is to assess the effective role of Leech on essential parameters of the patient,that are troublesome sign and symptoms - Pain, edema, tenderness and discoloration. The case is successfully managed with Leech therapy. Hirudin, calin, Factor Xa present in the saliva of Leech helps in oppressing the process of blood clot in an External pile mass and provides a symptomatic relief to the patient.

Comparative Evaluation of the Efficacy of Hydrocortisone Suppository and Durvadi gudavarti in Raktarsha: A Management Protocol

The most common diagnosis for any anorectal complaint particularly of rectal bleeding in adults is haemorrhoidal disease. Regardless of grading conservative treatment is used primarily in symptomatic haemorrhoids. In Ayurveda, Sthanik Chikitsa (Local application) in the management of Arsha (Hemorrhoids) includes pralepa/pratisaran (Paste application). Instead of applying the lepa in the clinics by the clinician/proctologist, those formulations could be developed into Gudavarti (traditional suppository) & used in the management of Raktarsha (bleeding piles) for better compliance. Hence, development of ‘Durvadi Gudavarti’ using the indigenous medicinal herbs mentioned in Charaka Sanhita (Classical Ayurveda text) for pratisaran/pralepa in Raktarsha & its efficacy will be evaluated.
 Objectives: To study & compare the efficacy in patient treated with standard- Hydrocortisone suppository group & interventional- Durvadi Gudavarti group in the management of Raktarsha (Bleeding piles).
 Methodology: 130 patients of 2nd grade hemorrhoids will be selected and will be allocated into two equal groups by computer randomization. Experimental group will be treated with Durvadi Gudavarti & control group with Hydrocortisone based suppository for 2 weeks. Following Symptoms- PR Bleeding, Anal Pain, Prolapse of Pile mass/Lump, Anal pruritus, Mucous discharge & Constipation will be assessed subjectively and Size/ (Volume in cubic millimeter) of pile mass will be the objective parameter for study. Clinical evaluation will be done at Baseline and 3rd, 5th, 10th, 15th day after treatment onset. Proportion of patients that would respond clinically on 10th day will be the main end point, determined via disappearance of the clinical symptoms & more than or equal to 50 % reduction in the initial size of pile mass/lump. Time to response & need for any oral/ parenteral medication for pain, bleeding and constipation would be the secondary variables. Side effects (type, duration & severity) will be registered carefully.
 Expected Results: Durvadi Gudavarti contains indigenous herbs having anti-inflammatory, analgesic, haemostatic, wound healing, astringent, & laxative properties. Hence, it is expected to be as efficacious as Hydrocortisone suppository with lesser side effect in the management of Raktarsha. Results will be assessed on the basis of clinical assessment criteria using proper statistical values and tools. Changes will be observed in objective outcomes.
 Conclusion: Durvadi Gudavarti will be efficacious in the management of Raktarsha.

A Case Study on Effective Management of Abhayantra Arsha by Kshara Karma

Arshas being the most common grievous ailment and one of the eight most intractable disorders (Ashta Mahagada) explicited by Acharya Susruta & Vagbhata. Haemorrhoids are the dilatation of the anal and perianal venous plexus. The disturbance of Jatharagni is the most accepted cause of ano rectal problems, which further contributes to constipation. Constipation increases the back pressure into the haemorrhoidal veins to produce piles. Arsha requires a surgical technique in modern treatment, such as haemorrhoidectomy, rubber band ligation, and so on. Kshara is a caustic chemical, alkaline in nature, derived from medicinal plant ashes. The effect of Kshara karma is highly commended, it can replace the Shastra karma as it does the functions of Chedana, Bhedana, Lekhana karmas without using Shastras. Kshara karma can be utilised efficiently in individuals who are afraid of surgery as a complement for surgical operations. A 48years-old male patient presented with complaints of some mass coming out during defecation and bleeding while passing stool to the anorectal unit, OPD, National Institute of Ayurveda, deemed to be university Jaipur Rajasthan. The patient was treated successfully with Kshara karma application. The pile mass and per rectal haemorrhage was gone in 8 days and the patient was free of all symptoms within 18-20 days. The findings revealed that there are maximum advantages which are shared in this case study.

Single sitting multimodality management of hemorrhoid

Background: It is usual to face clinical complexity in piles patients. They usually present with variable number of pile masses and in different grades of progression. This led to the idea of offering concomitant single stage management in our hemorrhoid patients matching to our criteria. We conducted hospital based descriptive study among the patients coming to my clinical practice falling in grade-1-3.Methods: All the patients falling in grade-1-3 and matching to our criteria were included. The study was conducted from January 2012 to December 2020. Place of study was basically at two centres: Karamdeep medical centre, Kanpur and Mayo health care, Mohali. Total number of patients were 581. Patients having grade-4 piles and with local co-morbidities were excluded from the study. Modalities of treatment used were sclerotherapy, band ligation and hemorrhoidectomy.Results: Patients managed were divided into four groups – group 1 included patients with piles in grade-1; group-2 included patients having piles in grade-1 and 2; group-3 included patients having piles in grade-1 and 3; and group-4 included patients having piles in grade-1, 2 and 3. Total 952 pile masses were treated in 581 patients. Sclerotherapy was required in 732 (77%) masses, banding in 99 (10.3%) masses and surgery in 122 (12.7%) masses.Conclusions: Concomitant treatment policy proved to be comprehensive way to tackle pile patients of grade-1-3. Mixed and matched method using surgical and non-surgical modalities in a single sitting proved to be beneficial. 86.4% cases were cured this way. Cost of the treatment was economical with lesser complications including local mutilation and better quality of life.

Effect Hibiscus sabdariffa L. (Ambulpala), Rathkaralheba Kashaya and Roghan-e-Khas Guda Varti in Raktarshas (Bleeding Haemorrhoids) - A Case study

According to Ayurveda, Arshas is a disease which tortures patient’s vital force (Prana) as an enemy. Raktarshas is a type of Arsha with pile masses like Nyagrodha Praroha (aerial prop roots of banyan tree), Kakanantika (seeds of Abrus precatorius), Vidruma (corals) and presents Pitta Lakshana (the clinical features of Pittaja Arshas). Raktarshas can be corelated with bleeding haemorrhoids. The commonest symptoms of bleeding haemorrhoids are painless bleeding from the anal area, anal itching, pain in the anal area, swelling and feeling of rectal fullness or a lump at the anus. Sri Lankan traditional physician family Weerasinghe uses Hibiscus sabdariffa L (Ambulpala) as an Anulomana Dravya in treatment of Raktarshas. Sri Lankan traditional medical practitioners recommend Rathkaralheba Kashaya to treat patients suffering from Raktarshas. In Ayurveda hospitals Roghan-e-Khas is frequently used in treating haemorrhoids. So far, no known scientific study has been conducted to evaluate the effects of these treatments. Therefore, the present study was undertaken. A 55 years old female with a 12-year history of Raktarshas (bleeding heamorrhoids) was treated with this treatment regimen for 15 days. On Day 1 Anulomana (medicaments which restores and facilitates the physiological direction of various flows within the body like flatus and stool) was conducted with Hibiscus sabdariffa L. and from Day 2 to 15 the patient was treated with oral administration of Rathkaralheba Kashaya with rectal administration of Roghan-e-Khas Guda Varti. The response to the treatment was recorded and therapeutic effects were evaluated through symptomatic relief. On day 15, it was observed that Kandu, Ruja, Daha, Rectal fullness, Raktasrava were completely relieved and number of pile masses were partially relieved. It is concluded that selected treatment regimen is effective in Raktarshas (bleeding haemorrhoids).

ADD ON EFFECT OF GR̥ ÑJANAKA PĒYA ALONG WITH A THERAPEUTIC DIETARY PROTOCOL IN RAKTĀRŚAḤ (BLEEDING PILE) – A NON-RANDOMIZED CONTROLLED TRIAL

A non-randomized controlled trial was carried out in 40 participants with intervention for 15 days and a follow up of 7 days. Clinical signs and symptoms of raktārśaḥ were assessed before and after the intervention and after fol- lowing up, by using the subjective parameters scale including, Frequency of bleeding, Nature of bleeding, Change in colour of the mucosa of pile mass, Character of defecation and Period of straining. Grñjanaka pēya along with a therapeutic protocol in raktārśaḥ has shown significant positive changes in subjective parameters like frequency of bleeding (p<0.01 level), nature of bleeding (p<0.01 level), changes in the mucosa, period of straining and char- acter of defecation after the 15 days of intervention in the study group. Keywords: Raktārśaḥ, Gr̥ ñjanaka pēya, Therapeutic dietary protocol, Subjective parameters

Statistical Assessment of Parameters Affecting Firebrand Pile Heat Transfer to Surfaces

Firebrands are known to cause ignition of structures far from the primary fire front, resulting in significant damage to structures before firefighting can be attempted. To make structures more resilient to firebrand ignition, a better understanding of the heat transfer from firebrands to surfaces is needed. This paper provides a statistical assessment of different factors expected to have an impact on the heat flux from firebrand piles to a flat surface. The factors included in the study were wood moisture content, wood type (hardwood or softwood), wood density, wood state (live, dead, or artificial), wind speed, pile mass, firebrand diameter, and firebrand length. Using design of experiments, test matrices were developed that permitted a statistical analysis to be performed on the data. This statistical analysis was used to quantify which factors had a statistically significant impact on the heat flux from the pile as well as ranking the importance of the different factors. Artificial firebrands were found to have statistically higher heat fluxes compared with natural firebrands. Other factors that had a statistically significant impact on the heat flux were wind speed, firebrand length, and firebrand length-diameter interaction. Firebrand aspect ratio (related to the firebrand length-diameter interaction) is directly related to the pile porosity, which is a measure of the volume of air in the pile. Increasing the aspect ratio (which increases the pile porosity) results in higher heat fluxes across a larger region of the pile and was found to be an important factor. Firebrand diameter and pile mass were found to affect the burning duration but not as significantly as other parameters. The number of firebrands in the pile was also observed to potentially affect the heat flux, with a critical number required to reach the highest heat flux for a given firebrand geometry.

Clinical Efficacy of Medicinal Leech Therapy in Treating Third- and Fourth-Degree Hemorrhoids

Abstract Objectives Hemorrhoids are characterized by bleeding, mucous discharge, itching, pain, and prolapse. This condition is known as bawaseer in Unani medicine, and Hirudinaria granulosa has been used for its treatment in Irsal-e Alaq, or medicinal leech therapy (MLT), for centuries. Hirudinaria granulosa with antithrombotic and antiinflammatory action is used in the treatment of chronic venous disease and hemorrhoids. The present study was aimed to investigate the efficacy of MLT in third and fourth-degree hemorrhoids. Methods A single-centre prospective, clinical trial with a pre and postanalysis design was conducted at the hospital of the National Institute of Unani Medicine. Twenty male and female patients, with a mean age of 38 years, presenting moderate symptoms assessed with the colorectal evaluation of clinical therapeutics scale (CORECTS) questionnaire were included in the study. Hirudinaria granulosa were applied around the pile mass for 15 minutes weekly, for 4 weeks. The efficacy of the treatment was measured by an objective and subjective assessment using the CORECTS. Results When analyzed by the clinician, MLT reduced the symptoms' severity score in the following domains: pain (55% improvement; p < 0.001); anorectal itching (30% improvement; p < 0.10); and bleeding (10% improvement; p < 0.7963). Significant improvement (p < 0.001) was reported in the CORECTS score in relation to pain (44.09% improvement; p < 0.001), itching (38.55% improvement; p < 0.001), swelling (44% improvement; p < 0.001), bleeding (17.28% improvement; p < 0.007), discomfort (34.01% improvement; p < 0.001), and wellbeing (32.35 %improvement; p < 0.001), giving an average overall opinion on the therapy of 4/10. Conclusion The results of the study albeit smaller in sample size show that MLT is an effective and safe therapeutic option in reducing the symptoms of 3rd and 4th degree haemorrhoids.

A Clinical Study to Assess the Efficacy of Agastimodakain the Management of Abhyantara Arshaw.s.r. to 1st and 2nd Degree Internal Haemorrhoids.

ARSHA, one of the Ashta-Mahagadasappears at the Gudaregion, which is a kind of Sadhyapranahar Marma. In Humans, the erect posture results in very high pressure on the valve less rectal venous plexus which makes them prone to this disease. It is a problem related to old age, sedentary lifestyle & dietary factors.Vega Vidharan, ati ushna-tikshana and mamsaaharaleads to Vitiation of Apana vayu, that primarily causes Agni Mandata & Mala avashtamba in the affected individulas. The fourfold treatment protocol given in Ayurvedic context gives more emphasis to start with a Conservative Management -BHESHAJAYA KARMAin Arsha.The present case study includes 45 patients diagnosed with Abhyantra Arshawith chief complaints as Per Rectal Bleeding (Raktasrava), Constipation (Mala bandhta) and Pile Mass (Arsha ankura). An attempt is made to prepare an easily accessible,standard & cost effective palliative mode in terms of AGASTIMODAKA to treat the cases of 1st& 2ndDegree Internal Haemorrhoid. All the ingredients of Agastimodakaare Katu, Tikta, Kashaya Rasatmaka, Madhura Vipaki. It presents as a good Aam Pachaka, shool prashamaka, mala shodhakaand rakta stambhaka. Owing to its Deepana-Pachana property, it regulates Agniwhich improves the digestion and relieves constipation by lowering the pressure on anal varices. A significant relief was observed in all the three study included parameters.Bheshajya Karmahas no fear of complications like infection, gangrene and bleeding in comparison to the Allopathic Surgical procedures.

Effectiveness of pile relief device with special reference to hemorrhoids and fissure in ano among general population - A clinical study

Background: Hemorrhoids and fissure are one of the most common anorectal problems. It is reported that 1 in 5 patients suffers hemorrhoids and fissure during their lifetime. Aim and Objectives: To study the effectiveness of “pile relief device” in the management of hemorrhoids and fissures among patients attending outpatient department. Methodology: Hence, a clinical study has been carried out among 1000 patients at Rana Piles Hospital, Sirhind (Punjab), to treat the fissures and hemorrhoids by a cryotherapy device called Pile Relief Device. Results: The result shown that there is significant regression of haemorrhoidal pile mass, healing of fissure mucosa, and no anal stenosis. Conclusion: The results were shown that the Pile Relief Device is effective over today's conventional line of treatment.