A Review Study on Gudagat Arsha (Piles in Ano) and its Management

Abstract

Gudagat Arsha is a commonly encountered anorectal disorder described in Ayurveda under Arsha Roga, characterized by abnormal fleshy growths in the anal region leading to pain, bleeding, itching, and difficulty during defecation. It correlates with Piles (Hemorrhoids) in modern medical science. Due to changes in dietary habits, sedentary lifestyle, prolonged sitting, constipation, and suppression of natural urges, the incidence of Gudagat Arsha has increased significantly in recent times. Acharya Sushruta has described Arsha as one of the Ashta Mahagada due to its chronicity and complications. This review study aims to elaborate the etiopathogenesis, classification, clinical features, and comprehensive management of Gudagat Arsha through Ayurvedic principles including Nidana Parivarjana, Shodhana, Shamana, Kshara Karma, Agnikarma, and surgical measures, along with correlation to modern management.