• Dr Pankaj kumar Yadav
• DR Mruthyumjaya Rao Meda
• Dr Gurucharan Bhuyan
• Dr Banamali Das

Arsha is a disease afflicting mankind for thousands of years. In Ayurvedic Literature, this disease is mentioned as one of the ‘Ashtamahagadas’1 and difficult to cure. Nearly 45% of patients attending ano-rectal clinics suffer from the symptoms of Arsha. Ayurvedic physicians regarded this disease as a local manifestation of systemic derangement of doshas. Vitiation of doshas adversely affects the digestive fire resulting in mandagni which in trun lead to constipation. Prolonged contacts of accumulated mala or excretory material taint Gudavali resulting in Arshas.2 Acharya Charaka explains Arsha as an abnormal fleshy growth at anorectal region whereas at other sites it is called as Adhimamsa.3 In spite of progress in modern medicine, there is very little scope in terms of treatment of Hemorrhoids, Surgical techniques of performing hemorrhoidectomy are many and their complications such as pain, anal incontinence, stricture etc are well known. The Major drawback of modern management is lack of clear and unanimous indications of therapy and its limitations. All these modern surgical & Para surgical techniques are associated with post-operative complications which may be early complications such as hemorrhage, secondary infection etc., & late complications such as anal stricture. Anal incontinence, profuse watery discharge etc.,4 Hence, in the present study a special emphasis will be made by selecting noninvasive, effective and economic therapeutic modality which has been explained with great details in ancient Ayurvedic Samhitas for the management of Arsha with different type of lepa which is a painless simple procedure.

Raktarsha, Lajjalu and Darvi Lepa in Hemorrides.

"“A COMPARATIVE CLINICAL STUDY FOR HAEMOSTATIC ACTION OF LAJJALU LEPA AND DARVI LEPA IN RAKTARSHA”", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.10, Issue 10, page no.f149-f160, October-2023, Available :http://www.jetir.org/papers/JETIR2310517.pdf

"“A COMPARATIVE CLINICAL STUDY FOR HAEMOSTATIC ACTION OF LAJJALU LEPA AND DARVI LEPA IN RAKTARSHA”", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.10, Issue 10, page no. ppf149-f160, October-2023, Available at : http://www.jetir.org/papers/JETIR2310517.pdf