A clinical study on the management of Arshas (Prolapsed Piles) by Jaloukavacharana

Background: Arshas is one among the Mahagadas (major diseases) which causes pain and obstruction in anal passage. It a rakta mamsa doshaja vyadhi (disease related to blood muscle). can be correlated hemorrhoids. caused due varicosity of hemorrhoidal plexus makes it surgically curable disease. In Ayurveda, various treatments have been mentioned for management arshas (hemorrhoid) such as chedhana (excision), sweda (sudation), etc Visravana or raktamokshana (blood-letting therapy) plays an important role. Jalaukavacharana (leech therapy), type Asashtra krita (non-invasive blood-letting) has alternate, non-surgical measure (hemorrhoid). The (hemorrhoids) are swollen, prolapsed containing more quantum stagnated inside managed by leech therapy. saliva contains anti-coagulant factor – Hirudin spreading Hyaluronidase, act anesthetic anti-inflammatory, thereby helping treatment present study, (blood letting) was performed with jalauka patients pile mass. Materials method: 30 fulfilling assessment criteria were selected study. Result conclusion: study 26 completely cured, 3 cured presence mild symptoms 1 patient had improvement from severe moderate symptoms. Therefore, give promising results piles.