What is Piles (अर्श)

Piles (अर्श) are enlarged blood veins located in the smooth muscles of the walls of the rectum and anus. The enlarged veins become inflamed due to various reasons and give rise to various signs and symptoms ranging from simple itching to bleeding during defecation.

Ayurvedic Perspective

When the doshas (Vata, Pitta and Kapha) get vitiated (imbalanced), they destroy the Skin, Muscle and fat in the walls of rectum and anus.

Piles can be classified in two categories based on their occurrence.

  1. Occurrence of Pies at a very early stage of life.
    Usually within 2 to 4 days of life.
    If the parents have followed an incompatible diet and lifestyle at the time of conception, which causes aggravation of all three doshas, leads to the appearance of piles at a very early stage of life of a child.
  2. Occurence of pies at a later stage of life.
    Piles can occur at a later stage of life due to disturbance of any single dosha or combination of two dosha or all three dosha.

Further, piles can be classified in the other two categories. Non bleeding and Bleeding.

Dry Piles:

Aggravation (Vitiation) of Vata and Kapha is responsible for dry piles 

Bleeding Piles:

Aggravation (vitiation) of Pitta and Rakta (Blood) is responsible for bleeding piles.

Few common reasons for imbalance of Doshs (Vata, Pitta, Kapha) are

    • Decreasing of Agni (Digestive power) – मंदाग्नि (Mandágni)
    • Accumulation of feaces in anal mucosa for longer duration of time
    • Frequently traveling on rough terrain (Bumpy rides)
    • Sitting for long time on hard surface
    • Injury at anus
    • Being in contact with cold water for long time, frequently
    • Suppressing natural urges like Stool, urine, flatulence etc.
    • Forcefully making an attempt to clear bowel without the urge to defecate.
    • Excessive pressure on anus during pregnancy

Because of the above reasons aggravated अपान वायु (Apan Vayu) holds feces in anus and is responsible for piles.


    • Decrease appetite and disturbed digestion
    • Looseness in lower limbs
    • Pain in calf muscles
    • Feeling of looseness in whole body
    • Swelling on eyes
    • Hard and decrease quantity of stool
    • Bloating in abdomen
    • Pain in head and chest
    • Lethargy and sleepiness
    • Weight loss
    • Becoming irritated easily
    • Change of mouth taste
    • Excessive production of saliva
    • Feeling of nausea

Symptoms according to Doshas:

Piles occured due to aggravated of Vata:

  • Dry and burning pain on touch
  • Emaciated and pointed piles
  • With dry stool and rough surface

Piles occured due to aggravation of Pitta:

  • Bluish in color at tip of piles
  • Red of yellow color of piles
  • Bleeding piles with offensive smell
  • With loose stool and stool contains undigested food particles.

Piles occured due to aggravation of Kapha:

  • Piles with larger in size at root
  • White of pale coloured piles
  • Piles are swollen and look heavy.
  • Itching at and around anus
  • Stool contains mucus.

Piles occured due to aggravation of Blood dhatu:

  • The symptoms are same as piles occured due to aggravation of Pitta
  • Feeling warm in and around anus.
  • Severe pain at anus. Especially after defecation.

Piles Treatment

Piles occurred on external surface of mucosa are curable, piles originated from middle lining of anal mucosa are difficult to cure, while piles originated from internal part of anal musosa is said to be incurable.

Ayurvedic Herbs

We have prepared specific herbs for the treatment of piles.

Ayurvedic Dietary treatment

  • Hydrating properly. One should take enough water.
  • Eating food which has more fibers in it.
  • One should eat few pieces of ginger with salt and lemon, 20 minutes before having main meals.
  • Drinking buttermilk will benifit in curing piles.
  • Include fruit juice and vegetable juice in diet.
  • One should take Barley (जव) instead of Wheat (गेहू).
  • One should take Barley Rab – Sattu – Roti.
  • Taking Ghee in meals is beneficial.
  • Eating Elephant foot yam (सुरण) is beneficial.
  • One can roast Elephant foot yam and then apply oil and rock salt on it. Eating this will benefit in piles.
  • One can take Chebulic Myrobalan (हरड़े), dry ginger powder (सुंठ), Piper (पीपर/पिप्पली), Embelia Ribes (बायबिरंग – વાવડીંગ), Plumbago Zeylanica (चित्र्क) and sugar in equal quantity two times in a day, before meal is beneficial in treatment of piles.
  • One should sit in a bucket of hot water for a few minutes.
  • One should apply ointment prepared from Shorea Robusta gum (साल वृक्ष – રાડ નો મલમ) at anus before and after defecation.

Surgical Treatment

Piles which are not curable, require removal of piles by surgical intervention. Various surgical procedures can be performed according to the type of piles.

At MAHC we do not perform surgical treatment of piles.