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At times the veins in the anal region , both external and internal, get
varicosed and this gives rise to the piles. In Ayurveda this is called
arshas. Chronic constipation, sitting on hard seat , sitting constantly
for long time , lack of exercise and morbidity of the liver are
responsible for piles.

Nagkesara is the drug of the choice for this condition ,
specially when associated with bleeding. The powder of this flower is
given to the patient suffering from both dry and bleeding piles, haritaki
is exceedingly useful. It is given t the patient in powder for in a dose
of one teaspoonful two to three times a day followed by milk.
Abhayarishta in which haritaki is added predominately is useful for
this condition. It is given to the patient in a dose of 30ml. twice daily
after food with an equal amount of water. Kasisadi taila, of which
kasisa or iron sulphate is the important ingredient, is used externally. It
shrinks the piles and cures itching in the anal region. It relives pain
and checks bleeding.

barley, wheat, old rice, papaya, amalaki, patola, and goat’s milk
are very useful in this condition. The rhizome of surana is also
exceedingly useful. vegetable like potato, yellow variety of pumpkin and
coloasia are not advised.

Other regimens:
the patient should not suppress natural urges and
should not indulge in sex in excess. Riding on the back of animals, and
sitting on hard seats are very harmful for the patient.

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