INTRODUCTION –Piles are also known as Hemorrhoids and Arshas in ayurvedic terms are small, bluish swelling, comprising of enlarged blood vessels situated either just inside or outside the anus commonly called Internal piles & External piles.


  • Sitting for a long duration on a hard surface.
  • Eating dry food & poor dietary habits.
  • Putting pressure during defecation.
  • Eating non-veg. food.
  • Liver morbidity or malfunctioning of the liver.
  • Consumption of canned food and spicy food.
  • Eating stale food.
  • Mental tension.
  • Anal coitus.
  • Obesity.
  • Common during pregnancy.
  • Hereditary factors.
  • Lack of exercise.

Because of these factors, straining in needed to pass the small hard stools, which causes congestion in the network of blood vessels located inside the anal cushions. Gradually, these vessels enlarge & form piles. If the consumption further continues, they become large enough to be called second or third degree piles.


Internal & 1st degree piles – Many have these without even being aware of them. These are located just inside the anus, occasionally causing some discomfort when a motion is passed.Rare , slight bleeding may also occur during the evacuation.

Second-degree piles – They usually appear as a pea sized swelling outside the anus after a bowel motion has been passed. They are usually retained inside the anus and may bleed and cause discomfort during passing stool with some degree of itching.

Third-degree piles – The swollen blood vessels are so enlarged that they remain outside the anus permanently .These are known as external piles ,and are more troublesome , soreness and persistent irritation are common features.


  • Drink lots of water (5 lit/day).
  • Consume green leafy vegetables and fruits which add roughage.
  • Sleep well in nights.
  • Maintain oral & anal hygiene.
  • Reduce weight.
  • Prevent constipation.
  • Avoid liquor.


  • For internal piles, ½ teaspoonfuls of sesame seed (til) can be taken orally with some butter.
  • Radish (muli) is a useful home remedy for piles.T he juice of radish is very useful in piles. 60 to 100ml of radish juice well mixed with little bit of salt, should be taken twice a day daily for 40 days.
  • Buttermilk (matta/lassi) – It is the home remedy of choice in piles. 100ml well mixed with a bit of black pepper powder (Kali Mirch) and salt should be taken daily twice a day for a few months. Ayurveda stresses upon daily intake of buttermilk by the pile’s patients.
  • Hareetaki –popularly known as Harad is a good remedy for constipation. 3 gms of harad choornam should be taken with 3gms of jaggery before food daily. 3gms of hareetaki choornam should be taken with buttermilk daily.
  • Rose petals (11 in number) crushed with 50 ml water should be taken for 3 days empty stomach. This is a very good remedy for bleeding piles.
  • Banana fruit should not be taken for 1 year along with this treatment.
  • The decoction of soonth (dry ginger) is very useful in piles. It should be taken in the quantity of 30 to 50 ml daily.
  • Triphala choornam should be taken regularly to remove the constipation.2tsp of powder well mixed in a glass of lukewarm water should be taken orally before retiring to bed.
  • Abhyarishtham – as an oral liquid preparation. It is also useful in constipation.30 ml of the medicine dissolved in an equal quantity of lukewarm water should be taken before going to bed.


  • Padhastasana {पादहस्तासन} helps to prevent constipation & improves digestion.
  • Paschimatanasana also improves digestion, energize the whole body  & removes constipation.
  • Kapaalbhaati kriya- It provides a nice message to all abdominal organs.people with digestive problems are highly can start at the rate of 10 to 20 strokes per minute and repeat it 2 to 3 rounds with normal breathing intervals of few seconds.
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