, ,

Arshas अर्शस् or Arsa अर्श is the Sanskrit word for piles/ haemorrhoids.

Arshas an Ayurvedic perspective

Arshas अर्शस् or Arsa अर्श is the Sanskrit word for piles/ haemorrhoids.

The word is derived from the root Ari – which means enemy.

If you had piles before you might agree that they can feel like an enemy.

Arshas are swollen veins in your anus and lower rectum, similar to varicose veins. Hemorrhoids can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external haemorrhoids). Nearly three out of four adults will have hemorrhoids from time to time.

We looked at the classical text book Sushruta Samhita, lets see what he teaches about Arsha. This is aimed for the students of Ayurveda.

According to Ayurveda they are caused by the simultaneous vitiation of all the three doshas (Vata, Pitta and Kapha).

The dushya (vitiated dhatus) are tvak (skin), Mamsa (muscle) and Meda (adipose tissue). 

According to Charaka Samhita piles are of two types. Some of them are hereditary and others are aquired later in life.

Purva Rupa/ premonitory symptoms of Arsha:

1. dislike for food

2. constipation

3. sour belching

4. fullness of the abdomen

5. Anaemia

6. cough

7. weakness in the legs

8. gurgling sound in the abdomen

9. pain around the anus

11. loss of strength

12. drowsiness

13. flatulence

14. scanty stool


Types of Arshas:

Vatika: wrinkled, hard, rough, dry, discomfort in anus, blackish coloured piles.

Paittika: soft, flabby and delicate, thin, red, yellow or blue coloured piles, moist and oozing, pain, burning and blood in stools.

Kaphaja: large sized, fixed, round, smooth, rigid, pale or white coloured, looks like seeds of jack fruit or grapes, no bleeding.

Raktaja: similar shape like Vatika, bleeding can be severe.


For the treatment point of view Arsha may be divided into two groups:

1. Suskarsha

The piles which generally do not bleed. They occur to to the predominance of Vayu and Kapha.

2. Sravi – Arsha/ Raktarsha: These are piles which occur due to the pre dominance of Pitta and Rakta. In Raktarsha the patient will often pass bright red blood with the stools.


The treatments mentioned in the classical text are:

1. Shamana chikitsa (medicines) – recent onset

2. Agnikarma (cauterization)

3. classical Virechana Karma

4. Shastrakarma (surgical treatment)



1. avoid all etiological factors – Nidana Parivarjana this is a must!

2. avoid constipation and gas in the colon

3. increase Agni, the power of digestion


Medicines for piles with a recent onset:

agni deepana, ama pachana.

avipattika churna, abhayarishtam hingvasthak churna.

Vataanulomana with trivritlehya, aragwaha kashayam.

Shata dhauta Ghritam शतधौतघुतम् application. This is ghee washed 100 times with water. It has a soothing effect if applied topically. You can read more about this in one of our previous blog posts.


External treatment:

abhyanga and svedana.

avagha, sitz bath.

dhupana – herbal smoke.

jalauka – leech therapy.

basti – herbal enema.

Lepana – herbal paste application.

Pichhu with Murivenan thailam.


Pathya/ Apathya (diet and lifestyle)



Buttermilk takra, triphala, rice with ghee, green gram, grapes, cucumber, carrots green leafy vegetables, gourd, warm water, regular exercise, walking and yoga



Heavy food, green peas, yellow gram, raw vegetables, cabbage, aubergines, peas, potatoes, sedentary lifestyle and sitting for long times.

If you are interested how Ayurveda can help in the treatment of Arsha. Email info@lakshmiayurveda.com.au.

We wish you a beautiful start to the week 

Karin and the Lakshmi team.


#arsha #piles #mass #haemorrhoids #anorectaldisease #analfissure #bhagandara #Bhallataka #ayurvedicherbs #ayurvedicmedicine #triphala #agni #constipation #preventconstipation #ahara #food #ayurvedicnutritino #Sushrutasamhita #classicalayurveda #learnayurveda #lakshmiayurvedaacademy #ayurvedaperth #lakshmi #lakshmiayurveda  𝘗𝘭𝘦𝘢𝘴𝘦 𝘯𝘰𝘵𝘦 𝘵𝘩𝘢𝘵 𝘵𝘩𝘦𝘴𝘦 𝘤𝘭𝘢𝘪𝘮𝘴 𝘩𝘢𝘷𝘦 𝘯𝘰𝘵 𝘣𝘦𝘦𝘯 𝘢𝘱𝘱𝘳𝘰𝘷𝘦𝘥 𝘣𝘺 𝘵𝘩𝘦 𝘛𝘎𝘈. 𝘛𝘩𝘦 𝘪𝘯𝘧𝘰𝘳𝘮𝘢𝘵𝘪𝘰𝘯 𝘱𝘳𝘰𝘷𝘪𝘥𝘦𝘥 𝘪𝘴 𝘯𝘰𝘵 𝘮𝘦𝘢𝘯𝘵 𝘵𝘰 𝘣𝘦 𝘶𝘴𝘦𝘥 𝘵𝘰 𝘥𝘪𝘢𝘨𝘯𝘰𝘴𝘦 𝘰𝘳 𝘵𝘳𝘦𝘢𝘵 𝘢𝘯𝘺𝘰𝘯𝘦 𝘢𝘯𝘥 𝘴𝘩𝘰𝘶𝘭𝘥 𝘯𝘰𝘵 𝘣𝘦 𝘵𝘢𝘬𝘦𝘯 𝘸𝘪𝘵𝘩𝘰𝘶𝘵 𝘤𝘰𝘯𝘴𝘶𝘭𝘵𝘢𝘵𝘪𝘰𝘯 𝘸𝘪𝘵𝘩 𝘢𝘯 𝘈𝘺𝘶𝘳𝘷𝘦𝘥𝘪𝘤 𝘱𝘩𝘺𝘴𝘪𝘤𝘪𝘢𝘯. 𝘞𝘦 𝘥𝘰 𝘯𝘰𝘵 𝘨𝘶𝘢𝘳𝘢𝘯𝘵𝘦𝘦 𝘢𝘯𝘥 𝘢𝘴𝘴𝘶𝘮𝘦 𝘯𝘰 𝘭𝘦𝘨𝘢𝘭 𝘭𝘪𝘢𝘣𝘪𝘭𝘪𝘵𝘺 𝘰𝘳 𝘳𝘦𝘴𝘱𝘰𝘯𝘴𝘪𝘣𝘭𝘺 𝘧𝘰𝘳 𝘵𝘩𝘦 𝘢𝘤𝘤𝘶𝘳𝘢𝘤𝘺, 𝘤𝘶𝘳𝘳𝘦𝘯𝘤𝘺 𝘰𝘳 𝘤𝘰𝘮𝘱𝘭𝘦𝘵𝘦𝘯𝘦𝘴𝘴 𝘰𝘧 𝘪𝘯𝘧𝘰𝘳𝘮𝘢𝘵𝘪𝘰𝘯 𝘤𝘰𝘯𝘵𝘢𝘪𝘯𝘦𝘥 𝘪𝘯 𝘵𝘩𝘦𝘴𝘦 𝘮𝘢𝘵𝘦𝘳𝘪𝘢𝘭𝘴

0 replies

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply

Your email address will not be published.