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*The foods that lead to downward movement of vayu and promote digestive power should be daily consumed by patients of hemorrhoids.  Those foods having opposite properties and those described in the etiology of hemorrhoids should never be used by the patients.
 
*The foods that lead to downward movement of vayu and promote digestive power should be daily consumed by patients of hemorrhoids.  Those foods having opposite properties and those described in the etiology of hemorrhoids should never be used by the patients.
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=== Vidhi Vimarsha ===
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=== ''Vidhi Vimarsha'' ===
    
In modern surgery, the primary hemorrhoids are located at 3, 7, and 11 0 clock position while secondary hemorrhoids are located in other positions as well. The sizes of the hemorrhoids differ from patient to patient as well as duration of disease.
 
In modern surgery, the primary hemorrhoids are located at 3, 7, and 11 0 clock position while secondary hemorrhoids are located in other positions as well. The sizes of the hemorrhoids differ from patient to patient as well as duration of disease.
 
The symptoms described for the incurable hemorrhoids develop due to severe bleeding in third and fourth grade of hemorrhoids and secondary complications may develop due to severe anemia and became incurable. But in the present era this type of condition rarely develops and can be managed with the help of blood transfusion. So, any kind of hemorrhoid is curable in present era except one associated with ano-rectal carcinoma.
 
The symptoms described for the incurable hemorrhoids develop due to severe bleeding in third and fourth grade of hemorrhoids and secondary complications may develop due to severe anemia and became incurable. But in the present era this type of condition rarely develops and can be managed with the help of blood transfusion. So, any kind of hemorrhoid is curable in present era except one associated with ano-rectal carcinoma.
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Bhallataka (Semecarpus anacardium) is strong medicine and if given as single drug in oil form it leads to ulceration in mouth so refreshing drink should be added to dilute and to avoid the complication.  
 
Bhallataka (Semecarpus anacardium) is strong medicine and if given as single drug in oil form it leads to ulceration in mouth so refreshing drink should be added to dilute and to avoid the complication.  
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Charaka mentioned in most of the verses the effect of the formulation like dantyarishta helps in the downward movement of flatus and feces and stimulates the digestive power. It shows that the main cause of the disease is agnimandya and constipation.  
 
Charaka mentioned in most of the verses the effect of the formulation like dantyarishta helps in the downward movement of flatus and feces and stimulates the digestive power. It shows that the main cause of the disease is agnimandya and constipation.  
In recent studies the sitz bath is advised with warm water in all kind of hemorrhoids or ano-rectal disorders. Charaka mentioned sitz bath with warm and cold water. The warm water should be used in cases of vataj and kaphaj type of hemorrhoids while cold water sitz bath should be given in cases of pittaja or rakatj predominant hemorrhoids.   
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In recent studies the sitz bath is advised with warm water in all kind of hemorrhoids or ano-rectal disorders. Charaka mentioned sitz bath with warm and cold water. The warm water should be used in cases of vataj and kaphaj type of hemorrhoids while cold water sitz bath should be given in cases of pittaja or rakatj predominant hemorrhoids.  
Colour atlas of various conditions of arsha:
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Color atlas of various conditions of arsha:
 
    
 
    
 
Fig 1: Rectal polyp (sahaja arsha)          Fig.2: Vataja arsha
 
Fig 1: Rectal polyp (sahaja arsha)          Fig.2: Vataja arsha
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Fig.10 and 11 Internal piles
 
Fig.10 and 11 Internal piles
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Current clinical management:  
 
Current clinical management:  
 
Type Medicine Dose Time Anupana
 
Type Medicine Dose Time Anupana