A Review of a selected Ayurvedic herbal formula in the management of Thrombosed External Hemorrhoids (Bāhya Arshas): A critical analysis

Samaranayaka Liyanage Gayani Sewwandi 1, *, Rajendran Vladimir Vidhyajini 2 and Samarawickrama Bandaralage Chathurika Jeewanthi Jayasena 3

1 Temporary Demonstrator, Department of Cikitsa, Faculty of Indigenous Medicine, Gampaha Wickramarachchi University of Indigenous Medicine, Yakkala, Sri Lanka.
2 Senior Demonstrator, Department of Kaumarabrutya and Stree Roga, Faculty of Indigenous Medicine, Gampaha Wickramarachchi University of Indigenous Medicine, Yakkala, Sri Lanka.
3 Senior Demonstrator, Department of Ayurveda Basic Principle, Faculty of Indigenous Medicine, Gampaha Wickramarachchi University of Indigenous Medicine, Yakkala, Sri Lanka.
 
Review Article
GSC Biological and Pharmaceutical Sciences, 2023, 24(03), 187–192.
Article DOI: 10.30574/gscbps.2023.24.3.0334
Publication history: 
Received on 08 July 2023; revised on 20 August 2023; accepted on 23 August 2023
 
Abstract: 
Thrombosed external hemorrhoids (Bāhya Arshas) present a painful and debilitating condition affecting individuals across various socio-economic strata. The affliction's distressing symptoms, including severe bleeding, inflammation, and thrombosis, can disrupt daily activities. Mimosa pudica and Curcuma longa have been traditionally combined into a paste, offering potential relief. This review critically examines the effectiveness of this Ayurvedic herbal paste formula in treating thrombosed piles. Informed by Ayurvedic scriptures, contemporary texts and prior research, comprehensive insights into thrombosed piles were gathered. The two herbs featured in the paste were thoroughly investigated through a survey of literature, assessing their Pancha Padārtha (five elements of the herb) and pharmacological attributes relevant to management of Bāhya Arshas. Analysis of Ayurvedic Pancha Padārtha showed positive impact on derangement of Dōsha involved in Bāhya Arshas and the herbal formula's anti-pile properties, stemming from their alignment with anti-inflammatory, anti-coagulant, and analgesic effects. Numerous studies underscore the anti-pile potential of this herbal formulation, while supplementary attributes that alleviate thrombosed piles' symptoms were also highlighted. Considering both the literature review and Pancha Padārtha analysis, it is evident that the selected herbal formula holds promise for managing thrombosed piles. This investigation sheds light on the therapeutic potential of an Ayurvedic approach in addressing the challenges posed by thrombosed external hemorrhoids.
 
Keywords: 
Arshas; Curcuma longa; Mimosa pudica; Thrombosed piles
 
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