A Review of a selected Ayurvedic herbal formula in the management of Thrombosed External Hemorrhoids (Bāhya Arshas): A critical analysis

Thrombosed external hemorrhoids (Bāhya Arshas) present a painful and debilitating condition affecting individuals across various socio-economic strata. The affliction's distressing symptoms, including severe bleeding, inflammation, and thrombosis, can disrupt daily activities. Mimosa pudica and Curcuma longa have been traditionally combined into a paste, offering potential relief. This review critically examines the effectiveness of this Ayurvedic herbal paste formula in treating thrombosed piles. Informed by Ayurvedic scriptures, contemporary texts and prior research, comprehensive insights into thrombosed piles were gathered. The two herbs featured in the paste were thoroughly investigated through a survey of literature, assessing their Pancha Padārtha (five elements of the herb) and pharmacological attributes relevant to management of Bāhya Arshas. Analysis of Ayurvedic Pancha Padārtha showed positive impact on derangement of Dōsha involved in Bāhya Arshas and the herbal formula's anti-pile properties, stemming from their alignment with anti-inflammatory, anti-coagulant, and analgesic effects. Numerous studies underscore the anti-pile potential of this herbal formulation, while supplementary attributes that alleviate thrombosed piles' symptoms were also highlighted. Considering both the literature review and Pancha Padārtha analysis, it is evident that the selected herbal formula holds promise for managing thrombosed piles. This investigation sheds light on the therapeutic potential of an Ayurvedic approach in addressing the challenges posed by thrombosed external hemorrhoids.