Role of pathya in Arsas

PATHYA APATHYA IN ARSAS, VIBANDHA...

1. Dr. K. Malathi
M. D. Scholar Dept of Kaya Chikitsa
Dr.N.R.S.G.A.C Vijayawada.

2. 
Word Arshais union of two words. Ru and Asun,
means which damages and occurs in the anal
region.

Arshasis a disease characterized by
AdhimamsaVikara–morbid growth in the
muscle tissue.

अ?रवात $ाhणनो मांसक'लका jवशसि?त यतआशाMसी
त?मादु?य?ते गुदमागx ?नरोधतः (A.H)

These are fleshy projections (growths) that
obstruct anal passage, kills life like an enemy

3. Hemorrhoids –Greek word , Haima–Bleed, Rhoos–
flowering / blood to ooze
Piles–Latinword,‘pila’ –ball/mass
Hemorrhoidsareswollenbloodvesselsin
thelowerrectum.
Thecardinalfeaturesofhemorrhoidal
diseaseincludebleeding,analpruritus,
prolapse,andpainduetothrombosis.
Worldwide,theprevalenceofsymptomatic
hemorrhoidsisestimatedat4.4%inthe
generalpopulation.

4. Classification of arshain ayurveda revolves mainly around congenital
and acquired as evident Charakaand Vagbhatagiving the name
sahajaas congenital arshaand for acquired as agantuja.
Piles are of 2 types; Sahaja Arsas–congenital or hereditary
JatasyaUttara KalajaArsas–acquired which are manifested after birth
Adhishtana–
सव6षाँ चाशxसामाlध?टानम मेदो मांस ?वक च|
tissues involved in Arshamare –Medas–fat tissue Mamsa–muscle
tissue and Tvak–skin including mucous membraneषाडअशLसी भावि?त वात jप? काफ शोhणत सि?नंपातै: साहजा?न चेत|
su.ni.(3)

5. INTERNAL AND EXTERNAL
HAEMORROIDS
According to prolapse
1
ST
DEGREE
2
ND
DEGREE
3
RD
DEGREE
4
TH
DEGREES OF
HAEMORROIDS

6. Gudaconsists of sadhyapranaharamarma, Mamsavarity,
4 angula, Agneyatype
According to anatomical aspect Pravahinias to internal
sphincters and visarjiniand Samvaranias to external
sphincters.
Physiological aspect-pravahini
and visarjiniexpands gudaand
helps in expulsion of mala-
internal sphincter
Samvaranihelps for
constriction of gudaafter
defaecation,-external sphincter

7. 
guru, madhura, sheeta,
abhishyandiand vidahi,

aharalike masha,

rukshamamsa, ikshurasa,

oil cakes, germinated
corns & pulses,

freshly harvested corns &
cereals (Navannaha)
makes shithilatain mamsa
dhatu.

Pramitasana

Ajirnasana

Improper samsodana
/ panchakarma

Improper maithiuna

Diwaswapna

Lack of exercise

8. 1)Chronic constipation
2) Pregnancy
3) Abdominal tumors
4) CA of therectum
5) Straining during Micturition

9. Pathya-?हतँ lचiक?सादौ ?हताकारक|
Suitable, proper or wholesome for the treatment
Means do not adversely effect the body n mind.
Importance: No amount of medicine will be effective
if patient doesn’t follow the dietetic regimen for the
specific disease.
The prime etiopathogenicfactor of arshasis
mandagnii.e. hypofunction of digestive enzymes.

10. यद वात?यानुलो?याय यदि?नबलवृnधये
अ?नापाना औशध सवx ततःसे?यँ ?न?यामशxसो||BP
VATANULOMAYAY
AGNIBALAVRIDHIKARAAHARA
FOR NITHYA SEVAN IN ARSAS

11. YAVAGU: Shatibeeja, palasabeeja,
pippali, suntikalka, amla rasa yuktatakra,
marichachurnam(ch).
YUSA:Suskamulaka,Kulatha,Kapitha+bilwa
YOGARATNAKARA:
Yava
Godhuma
Raktasali
Punarnava
Surana kanda
Takra
amlaki
Butter
Vasthukam
Kapitha
Marica
Goat milk
Mrigamamsa
kanji

12. APATHYAINARSHAS:

Vegavarodha

Sthree

Yaana–horse or vehicle
driving

Utkatakasanam–hard chairs

Aharaviharathataggrevate
the dosas.

13. Constipationisanacuteorchroniccondition
characterizedbydryandhardinfrequentstoolsthat
arepainfulordifficulttopass.
Vibandaisvyapathofvamanaandvirechana.
AccordingtoAcharyaCharaka,Ifoneholdstheurge
fordefecationitcausescolicpain,headache,
retentionoffecesandflatus,crampsinthecalf
musclesanddistensionofabdomen.

14. Pakvasayagatavatais a kind of vatadisorder
where the excessive aggravation followed by
vitiation of vatadosha and finally it get lodged at
the Pakvashaya(Intestine) and produce various
sign and symptoms as below;
Antrakoojana(bowel sounds),
Udara (abdominal pain),
Atoop(flatulence),
Mala Mutrakrchra(difficulties in passing urine and
stool), Anaaha(abdominal distension) and
Trikvedana(pain around sacral region)

15. AnulomanaDrug: harithaki
Bhedana: katuki
Rechana: trivrit
Sramsanaand Basti: kritamala
Katuki Trivrit Kritamala
Haritaki

16. Sidhu (made of uncooked juice).
Phala varga: Matulunga(Citrus medica), jambira, Grape
is laxative.
Shaka varga: Pushpa phala(Kushmanda), alabu, kalinda.
Harita varga: Plant that is use in salad form. Ginger juice
cures vibandha(Constipation). Vataharamadira
Sauvirakaand Tushudakaand sour kanji are laxative.
Sauvarcala(black salt with smell) is light in digestion,
alleviates constipation,
Vibandha(Constipation) is instantaneously cured by the
administration of Bhallataka, Rasona(garlic) is laxative

17. Dr.K. Malathi
M.D.Scholar
Dept.of. Kaya Chikitsa.