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At times the veins in the anal region, both external and internal, get varicosed and this gives rise to the piles. In Ayurveda this is called arshas. Chronic constipation, sitting on hard seats, sitting constantly for long time, lack of exercise and morbidity of the liver are responsible for piles.

Piles are classified into two groups, namely, bleeding piles and dry piles. At times there is so much bleeding that the patient becomes anaemic. Loss of appetite, itching of the anus, wind formation in stomach and lumbago are often associated with this disease.

Ayurvedic Treatment for piles: Nagakesara is the drug of choice for this condition, specially when it is associated with bleeding. The powder of this flower is given to the patient in a dose of one teaspoonful three times a day. For patient suffering from both dry and bleeding piles, haritaki is exceedingly useful. It is given to the patient in powder form in a dose of one teaspoonful two to three times a day followed by milk.

Abhayarishta in which haritaki is added predominantly is useful for this condition. It is given to the patient in a dose of 30 ml. twice daily after food with an equal quantity of water. Kasisadi taila, of which kasisa or iron sulphate is the important ingredient, is used externally. It shrinks the piles and cures itching in the anal region. It relieves pain and checks bleeding.

Diet to taken by piles patients: Kulattha, barley, wheat, old rice, papaya, amalaki, patola, and goat's milk are very useful in this condition. The rhizome of surana is also exceedingly useful. It is given to the patient in the form of both diet and medicine. Vegetables like potato, yellow variety of pumpkin and colocasia are not advised.

Other regimens: The piles patient should not suppress natural urges and should not indulge in sex in excess. Riding on the back of animals, and sitting on hard seats are very harmful for the patient.