Understanding the etiology of Arshas - An Observational Study

Lifestyle disorders are becoming the major cause of ill health and disability worldwide. Hemorrhoid is one such disease which makes human life miserable. Hemorrhoids is nothing but the varicosity of blood vessels found inside or around the bottom the rectum and anus. Age group of 45-65yrs, it is estimated that 50-85% of people around the world have hemorrhoids.[1] In India 75% of the population is estimated. Clinical features of hemorrhoid resembles with Arshas. In Ayurveda classics, there are detail information about the Aharaja (Anashana, Adhyashana), Viharaja (Ativyayama, Divaswapna), Manasika (Shoka, Krodha) and Agantujanidanas (Gudakharshana, Vastivibhrama) which are responsible for the manifestation of Arsha. Common symptoms are itching, burning sensation and pain in the region of Guda and finally bleeds.[2] Maintaining the health and providing the health is the main motto of Ayurveda. This ground incorporates usage of different remedies with focusing on Nidana Parivarjana. Thus understanding the Nidana Parivarjana is the prime importance. In this study an effort is done to identify the prime causative factors in deal to Arshas.