HAND BOOK OF DOMESTIC MEDICINE AND COMMON AYURVEDIC REMEDIES

Diseases

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अर्श
ARŚA

Regional Name
Asam.	:	Kechumuri, Arśa
Beng.	:	Arśa
Dogr.	:	Babāśira, Mesiyama
Guj.	:	Harasa, Masa
Hind.	:	Bavāśira
Kan.	:	Mūlavyādhi
Maly.	:	Mūlakkuru
Mra.	:	Mūlavyādha
Tam.	:	Mūlanoy, Mūlam
Tel.	:	Mūla Vyādhi, Ariśamolalu
Eng.	:	Haemorrhoid, piles
Arśa (piles) is a condition in which a fleshy swelling of variable size, shape and colour appears (due to varicosity of veins) in the anus. From the treatment point of view Arśa may be divided into two groups viz. Śuṣkārśa and Srāvī Arśa.
Signs and Symptoms Appearance of fleshy swelling (Māṁśāṅkura) in the anus, obstruction to the passage of gases, pain particularly on defecation, diminished appetite and constipation are the general signs and symptoms of Arśa. In addition to these, following are the specific symptoms of Śuṣkarśa and Srāvī Arśa. a. Śuṣkarśa: The piles which generally do not bleed are known as Śuṣkārśa. This type of piles occur due to the dominance of Vāyu and Kapha. b. Srāvī Arśa (Raktārśa): Srāvī Arśa are the piles which occur due to the dominance of Pitta and Rakta. In this condition patient passes suddenly streaks of bright red blood with the stool. Sometimes it may bleed profusely leading to the complications like anaemia.
(A) शुष्कार्श
Śuṣkarśa
Treatment
Single Drugs 1. Powdered root of Citraka (lead-wort) – 1 g., to be taken with 100 ml. Takra (butter milk) twice a day. 2. Fruit of Yavānī (ptycotis) – 1 g. and Kṛṣṇa Lavaṇa – 1 g. to be taken with Takra (butter milk) twice a day. 3. Fruit rind of Harītakī (chebulic myrobalan) kept overnight in Gomūtra (cow’s urine) is to be taken in 6 to 12 g. dose with Guḍa (jaggery), twice a day.
Simple Preparations 1. 16 g. powder of wood of Rakta Candana (red sandal) is to be kept in 400 ml. of water to make Siddha Jala. It is to be taken twice a day. 2. Powder of equal part of fruit pulp of Bilva (bael), Śuṇṭhī (dried ginger), fruit of Yavānī (ptycotis) and root of Citraka (leadwort), to be taken in 3 g. dose with Takra (butter milk) twice a day. 3. Prepare Sūraṇa Kanda (amorophallus-elephant’s foot) by Puṭapāka method and its 12 to 25 g. is to be taken after mixing with 6 to 12 ml. of Sarṣapa Taila (mustard oil) and 1 g. of Lavaṇa (common salt), twice a day.
Compound Preparations 1. Vijayā Cūrṇa: 3 to 6 g., to be taken with 50 ml. warm water twice a day. 2. Pathyādi Kvātha: 14 to 28 ml., to be taken twice a day.
External Applications External application for allaying pain Lepa prepared from the leaves of Bhāṅga (cannabis) to be applied over the anus.
(B) स्रावी-अर्श
Srāvī-Arśa
Treatment
Single Drugs 1. Fresh juice obtained from the fruit of Dāḍima (pomegranate) – 14 ml., to be taken with 5 to 10 g. Śarkarā (raw sugar) twice a day. 2. Powdered fruit rind of Harītakī (chebulic myrobalan) – 1 to 3 g., to be taken with 50 ml. warm water twice a day. 3. Pericarp of Dāḍima (pomegranate) – 12 g., to be taken with equal part of Śarkarā (raw sugar) twice a day. 4. Kāmalā Keśara (lotus stamen) – 5 g., to be taken with 5 g. butter in the morning. 5. Cream of curd – 50 g., churned in 250 ml. water is to be taken once a day. 6. Powdered fruit pulp of Bilva (bael) – 1 to 2 g. and Śuṇṭhī (dried ginger) – 1 g., to be taken with 50 ml. water twice a day.
Simple Preparations 1. Powder of Nāgakeśara (flower stamen of iron wood tree) – 6 g., butter – 25 g. and Śarkarā (raw sugar) – 10 g., to be taken once in the morning. 2. Grind the root of Apāmārga (prickly chaff) – 25 g. in Taṇḍulodaka (rice washing) and strain. Add to it 250 ml. of goat’s milk and 1 g. powdered root of Śatāvarī (wild asparagus). It is to be taken twice a day.
Compound Preparations 1. Samaśarkarā Cūrṇa: 5 to 12 g., to be taken with 50 ml. water twice a day. 2. Vijayā Cūrṇa: 3 to 6 g., to be taken with 50 ml. water twice a day. 3. Arśakuṭhāra Rasa: 1 to 2 pills, to be taken with 50 ml. water twice a day. 4. Nityodita Rasa: 250 mg., to be taken with 5 to 10 g. ghee twice a day. 5. Candraprabhā Vaṭī (Arśadhikāra): 1 to 2 pills, to be taken with 50 ml. water twice a day. 6. Take fruit of small variety of Harītakī (chebulic myrobalan), whole plant of Dūrvā (doob grass), root of Pippalī (long pepper) and Nāgakeśara (stamen of Indian iron wood tree) in equal parts and make pills of 8 g. by adding Svarasa (fresh juice) or decoction prepared from fruit rind of Āmalakī (embelic myrobalan). Such 1 to 2 pills is to be taken with Takra (butter milk) twice a day.
External Applications 1. Kāsīsādi Taila: to be applied in the anus in the morning after defecation. 2. Give fomentation to the anus with a Poṭṭalikā (bag) prepared from the powder of equal part of leaf of Bhāṅga (cannabis) and Haridrā (turmeric) 3. Lepa prepared from the powdered rhizome of Haridrā (turmeric) and fruit of Kaṭukośātakī in Sarṣapa Taila (mustard oil) is to be applied on the anus.
Pathya Godhūma (wheat), Śāli variety of rice, seeds of Yava (barley) and Kulattha (dolichos bean); goat’s milk, butter; fruit of Kapittha (wood apple), leaf and fruit of Paṭola (a variety of small cucumber), root of Punarnavā pigweed), Sūraṇa Kanda (tuber of amorophallus-elephant’s foot), leaf of Vāstūka (a variety of chenopodium), fruit rind of Āmalakī (embelic myrobalan) are the useful articles of diet for the patient of Arśa (piles).
Apathya Māṣa (balck phaseolus bean), seed of Tila (sesame), Piṇyāka (oil cake), Piṣṭamaya Dravya (dishes prepared from Piṣṭi); fried, constipative and difficult to digest articles of food are harmful for the patient of Arśa (piles). Excessive use of water, sun bath, heat and riding; and suppression of natural urges of urination and defecation should be avoided.