Effectiveness of an Ayurveda Treatment Regimen in the Management of Thrombosed Pile Mass: A Case Study
Bandara MRLM
Wickramanayake WAAP
ABSTRACT
Arsha, extensively described in Ayurveda classics, is a chronic anorectal disorder caused by the vitiation of Tridosha, particularly Vata and Pitta, along with impaired Agni, chronic constipation, and venous congestion. It closely resembles hemorrhoids in contemporary medicine. A 42-year-old male presented with painful prolapsed masses at the anal verge, associated with a five-year history of constipation and intermittent rectal bleeding. Clinical examination revealed irreducible thrombosed external hemorrhoidal masses at the 3 and 7 o’clock positions. The patient was treated with Dhanya Panchaka Kashaya 60 ml twice daily, Avipatthikara Choorna 1 teaspoon twice daily, Navarathna Kalkaya ¼ teaspoon twice daily, and Dhatri Choorna 1 teaspoon at bedtime to promote Agni Deepana, pacify Vata, and regulate bowel habits. External application of Lunuwila (Bacopa monnieri) paste prepared with sesame oil, Panchavalkala decoction sitz baths, and 10 ml of Narayana Taila Vasti were administered to reduce inflammation and facilitate tissue healing. Significant clinical improvement was observed from the second day of treatment. Pain, swelling, and discomfort gradually subsided, and complete resolution of symptoms was achieved by the twelfth day. This case demonstrates the effectiveness of Lunuwila as a topical anti-inflammatory and wound-healing agent and highlights the importance of a multimodal Ayurveda treatment approach in the management of advanced internal and external hemorrhoids. Further clinical studies are warranted to evaluate the efficacy and safety of this treatment regimen in a larger patient population.
Keywords: Arsha, Ayurveda Management, Hemorrhoids, Lunuwila, Thrombosed Pile Mass