Correspondence Address:
Dr. Avinash Chandrakant Khade PG Scholar, Dept. of Shalya Tantra, Yashwant Ayurveda College, Kodoli Email: avikhade111@gmail.com
Date of Acceptance: 2025-09-25
Date of Publication:2025-10-30
Article-ID:IJIM_453_10_25 https://ijim.co.in
Source of Support: Nil
Conflict of Interest: Non declared
How To Cite This Article: Khade A., Narahare L., Turalpati S. Hemorrhoids (Arsha): An Integrative Review of Ayurvedic and Modern Perspectives. Int J Ind Med 2025;6(10):36-40 DOI: http://doi.org/10.55552/IJIM.2025.61008
Hemorrhoids, described as Arsha in Ayurveda, are one of the most prevalent anorectal disorders, affecting approximately 4–5% of the global population. Ayurveda classifies Arsha under the eight Mahagada (grave diseases), attributing its pathogenesis to deranged Agni and vitiated Doshas, while modern science associates hemorrhoids with degeneration of anal cushions, venous dilation, and increased intra-abdominal pressure. Treatment modalities in Ayurveda include Bheshaja, Kshara Karma, Agnikarma, Shalya Karma, and Ksharasutra, whereas modern management ranges from conservative therapy to minimally invasive procedures such as rubber band ligation, stapled hemorrhoidopexy, and Doppler-guided hemorrhoidal artery ligation. This review integrates Ayurvedic and modern perspectives to highlight classification, pathophysiology, and evidence-based treatments for hemorrhoids.
Keywords: Hemorrhoids, Arsha, Kshara Karma, Ksharasutra, Stapled hemorrhoidopexy, Ayurveda, Anorectal disease
