Ayurvedic paradigm of arsha: an analytical review of etiology, diagnosis, and treatment

  • Manmahendra Singh PhD Scholar, PG Department of Shalya Tantra, National Institute of Ayurveda, deemed to be University Jaipur 302002, Rajasthan.
  • P. Hemantha Kumar Professor, PG Department of Shalya Tantra, National Institute of Ayurveda, deemed to be University Jaipur 302002, Rajasthan.
  • Ashok Kumar Professor, PG Department of Shalya Tantra, National Institute of Ayurveda, deemed to be University Jaipur 302002, Rajasthan.
  • Narinder Singh Associate Professor, PG Department of Shalya Tantra, National Institute of Ayurveda, deemed to be University Jaipur 302002, Rajasthan.

Abstract

Haemorrhoids, known as Arsha in Ayurveda, are a prevalent condition with multifactorial aetiology and diverse clinical manifestations. This literature review aims to provide a comprehensive analysis of the Ayurvedic paradigm of Arsha, focusing on its aetiology, diagnosis, and treatment modalities. Drawing from classical Ayurvedic texts and contemporary research, this review synthesizes existing knowledge to elucidate the pathogenesis of Arsha and its impact on patient health. Through a systematic examination of historical and contemporary sources, key findings emerge regarding the dietary, lifestyle, and Dosha factors contributing to Arsha. Diagnostic methods in Ayurveda, such as Sadhvidha Pariksha, are explored in conjunction with modern medical approaches, highlighting the importance of comprehensive clinical assessment for accurate diagnosis. Treatment options, including preventive measures and therapeutic interventions, are discussed in detail, emphasizing the holistic nature of Ayurvedic management. Implications for clinical practice and areas for future research are outlined, underscoring the need for further exploration into the efficacy of Ayurvedic interventions and their integration into modern healthcare systems. This review provides valuable insights for healthcare practitioners and researchers seeking to enhance the management of haemorrhoids through an integrative approach.

Keywords: Ayurveda, Arsha, haemorrhoids, literature review

Downloads

Download data is not yet available.

References

1. Madhav Nidan, MadhukoshaCommentary, Arshonidan, 5/1, Available From:https://niimh.nic.in/ebooks/madhavanidana/?mod=read(Accessed on 01/06/2024)
2. Charak Samhita, Chikitsa Sthan,Arsha Chikitsa, 14/9, Available From:https://niimh.nic.in/ebooks/ecaraka/?mod=read(Accessed on 01/06/2024)
3. Sushruta Samhita, Nidan Sthan, Arshonidan, 2/4, Available From:https://niimh.nic.in/ebooks/esushruta(Accessed on 01/06/2024)
4. Sushruta Samhita, Nidan Sthan, Arshonidan, 2/12-13, Available From: https://niimh.nic.in/ebooks/esushruta(Accessed on 01/06/2024)
5. Sushruta Samhita, Nidan Sthan, Arshonidan, 2/15-16, Available From: https://niimh.nic.in/ebooks/esushruta (Accessed on 01/06/2024)
6. Sushruta Samhita, Nidan Sthan, Arshonidan, 2/18-19, Available From: https://niimh.nic.in/ebooks/esushruta (Accessed on 01/06/2024)
7. Charak Samhita, Chikitsa Sthan,Arsha Chikitsa, 14/24-25, Available From: https://niimh.nic.in/ebooks/ecaraka/?mod=read (Accessed on 01/06/2024)
8. Sushruta Samhita, Nidan Sthan, Arshonidan, 2/4, Available From: https://niimh.nic.in/ebooks/esushruta (Accessed on 01/06/2024)
9. Sushruta Samhita, Nidan Sthan, Arshonidan, 2/8-, Available From: https://niimh.nic.in/ebooks/esushruta (Accessed on 01/06/2024)
10. Charak Samhita, Chikitsa Sthan,Arsha Chikitsa, 14/21-22, Available From:https://niimh.nic.in/ebooks/ecaraka/?mod=read (Accessed on 01/06/2024)
11. Sushruta Samhita, Sutra Sthan, Vranaprashan, 21/34, Available From: https://niimh.nic.in/ebooks/esushruta (Accessed on 01/06/2024)
12. Astanga Hardiya, Nidan Sthan, Arshonidan, 7/53, Available From: https://niimh.nic.in/ebooks/esushruta (Accessed on 01/06/2024)
13. Charak Samhita, Chikitsa Sthan,Arsha Chikitsa, 14/11, Available From: https://niimh.nic.in/ebooks/ecaraka/?mod=read (Accessed on 01/06/2024)
14. Charak Samhita, Chikitsa Sthan,Arsha Chikitsa, 14/14, Available From: https://niimh.nic.in/ebooks/ecaraka/?mod=read (Accessed on 01/06/2024)
15. Charak Samhita, Chikitsa Sthan,Arsha Chikitsa, 14/17, Available From: https://niimh.nic.in/ebooks/ecaraka/?mod=read (Accessed on 01/06/2024)
16. Charak Samhita, Chikitsa Sthan, Arsha Chikitsa, 14/38, Available From: https://niimh.nic.in/ebooks/ecaraka/?mod=read (Accessed on 01/06/2024)
17. Astanga Hardiya, Nidan Sthan, Arshonidan, 7/42, Available From: https://niimh.nic.in/ebooks/esushruta (Accessed on 01/06/2024)
18. Charak Samhita, Chikitsa Sthan, Udarroga Chikitsa, 12/39, Available From: https://niimh.nic.in/ebooks/ecaraka/?mod=read (Accessed on 01/06/2024)
19. Sushruta Samhita, Sutra Sthan, Vishikhaanupraveshiya, 10/5, Available From: https://niimh.nic.in/ebooks/esushruta Accessed on 01/06/2024)
20. Idrees JJ, Clapp M, Brady JT, Stein SL, Reynolds HL, Steinhagen E. Evaluating the accuracy of hemorrhoids: comparison among specialties and symptoms. Diseases of the Colon & Rectum. 2019 Jul 1;62(7):867-71.
21. McFarlane MJ. The rectal examination. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. 1990.
22. Abu Aeshah WY, Afifi SA, Mohammed AF, Sadek AM. Screening and Prevalence of Internal Hemorrhoids in Patients Undergoing Flexible Colonoscopy. The Egyptian Journal of Hospital Medicine. 2021 Oct 1;85(1):3474-7.
23. Khalid AB, Majid S, Salih M, Hashmat F, Jafri W. Is full colonoscopic examination necessary in young patients with fresh bleeding per rectum? Endoscopy. 2011 Mar 29:692-6.
24. Sushruta Samhita, Chikitsa Sthan, Arshachikitsa,6/4, Available From: https://niimh.nic.in/ebooks/esushruta(Accessed on 01/06/2024)
25. Sushruta Samhita, Chikitsa Sthan, Arshachikitsa, 6/3, Available From: https://niimh.nic.in/ebooks/esushruta(Accessed on Date)
26. Charak Samhita, Chikitsa Sthan, Arshachikitsa, 14/247, Available From: https://niimh.nic.in/ebooks/ecarak(Accessed on 01/06/2024)
27. Charak Samhita, Chikitsa Sthan, Arshachikitsa, 14/39, Available From: https://niimh.nic.in/ebooks/ecarak (Accessed on 01/06/2024)
28. Charak Samhita, Chikitsa Sthan, Arshachikitsa, 14/47, Available From: https://niimh.nic.in/ebooks/ecarak (Accessed on 01/06/2024)
29. Karve A, Shirode P, Toshikhane H. CLINICAL APPLICABILITY OF AVAGAH SWEDA IN LIFESTYLE DISORDERS WITH SPECIAL REFERENCE TO HAEMORRHOIDS.
30. Charak Samhita, Chikitsa Sthan, Arshachikitsa, 14/53, Available From: https://niimh.nic.in/ebooks/ecarak (Accessed on 01/06/2024)
31. Fan YH. A Hemorrhoids Topical Formula. Tradit Med Res. 2016;1(4):219–221. doi:10.53388/TMR201604030
32. Charak Samhita, Chikitsa Sthan, Arshachikitsa, 14/49, Available From: https://niimh.nic.in/ebooks/ecarak (Accessed on 01/06/2024)
33. Sushruta Samhita, Sutra Sthan, Ksharapakavidhi, 10/8, Available From: https://niimh.nic.in/ebooks/esushruta (Accessed on 01/06/2024)
34. Badwe Y, Maindale KV. COMPARATIVE STUDY OF ARKA KSHARA AND APAMARGA KSHARA PRATISARAN IN THE TREATMENT OF ARSHA–A RANDOMIZED CONTROLLED TRIAL.
35. Singh R, Arya RC, Minhas SS, Dutt A. A comparative study of Barron's rubber band ligation with Kshar Sutra ligation in hemorrhoids. International journal of Ayurveda research. 2010 Apr;1(2):73.
36. Sushruta Samhita, Chikitsa Sthan, Arshachikitsa, 6/3, Available From: https://niimh.nic.in/ebooks/esushruta Accessed on 01/06/2024)
37. Anandkumar C, Thyagaraja C. A comparative clinical study to evaluate the efficacy of Agnikarma by Panchaloha Shalaka and electric cautery in the management of Bahya Arshas with special reference to sentinel pile. Journal of Ayurveda and Integrated Medical Sciences. 2022;7(11):08-13.
38. Charak Samhita, Chikitsa Sthan,Arsha Chikitsa, 14/59, Available From: https://niimh.nic.in/ebooks/ecaraka/?mod=read (Accessed on 01/06/2024)
39. Patel M, Vyas EM. A REVIEW ON THE ROLE OF JALAUKAVCHARAN KARMA IN THROMBOSED HAEMORRHOIDS.
40. Sushruta Samhita, Chikitsa Sthan, Arshachikitsa, 6/3, Available From: https://niimh.nic.in/ebooks/esushruta (Accessed on Date)
41. Rahaman A, Ansari MT, Talapatra T. Role of Bhesaja and Shalya Chikitsa in Arsha Roga WSR to Haemorrhoids. World Journal of Advanced Research and Reviews. 2022;14(2):068-75.
42. Sushruta Samhita, Nidan Sthan, Arshonidan, 2/23-24, Available From: https://niimh.nic.in/ebooks/esushruta (Accessed on 01/06/2024)
43. Rizos S, Filippou DK, Condilis N, Filippou G, Trigka A, Skandalakis P, Vezakis A. Fournier’s gangrene. Ann. Ital. Chir. 2005;76(6):563-7.
44. Prabhu R, Natarajan A, Krishna S, Thangavelu S. Portal pyaemia secondary to open haemorrhoidectomy: need for prophylactic broad spectrum antibiotics. Case Reports. 2013 Jun 25;2013:bcr2013200222.
Published
25-06-2024
Statistics
46 Views | 13 Downloads
Citatons
How to Cite
1.
Singh M, P HK, Kumar A, Singh N. Ayurvedic paradigm of arsha: an analytical review of etiology, diagnosis, and treatment. World Journal of Current Med and Pharm Research [Internet]. 2024Jun.25 [cited 2024Jul.17];6(2):24-9. Available from: https://wjcmpr.com/index.php/journal/article/view/329
Section
Review Articles