Susruta Samhita - Mandhata Global

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CHAPTER VI.
Now we shall discourse on the medical treatment of
Haimorrhoids (Arsas). r.
The remedial measures in haemorrhoids may be
grouped under four subheads ;
namely, the employment of
(active) medicinal remedies, the application of an alkali
(into the seat of the disease), actual cauterization (of the
polypii) and surgical operation. A case of recent origin
involving the action of theDoshas to a slight degree and
uncomplicated with any grave or dangerous symptom
and complication may prove amenable to medicine
alone. Deep-seated polypii, which are soft to the touch
and markedly elevated and extended (external—D R),
should be treated with alkaline applications, while
those which are rough, firm, thick and hard should be
cauterized with fire. Polypii which are raised, exuding
and slender at the roots should be surgically treated.
Hoemorrhoids which are held amenable to medicine and
are not visible (to the naked eye) should be treated with
the help of medicines alone. Now, listen to the
procedure to be adopted in the treatment of Ars'as
which would require alkaline applications, a cauteriza-
tion, or a surgical operation. 2.
Application of Kshara : -The body of
the patient suffering from haemorrhoids, in the event of
possessing sufficient strength, should be anointed and
duly fomented. He should be made to eat warm but
demulcent food (Anna) in a fluid state (of a gruel-like
consistency) to alleviate the excessive pain in-
cidental to the action of the deranged Vayu. In a
eeason neither too hot nor too cold, and when the