EFFECT OF TILVAKA TEEKSHNA PRATISARANEEYA KSHARA IN THE MANAGEMENT OF ARDRA ARSHAS

The present sedentary lifestyle, irregular food intake, prolonged sitting or standing and psychological problems have affected the quality of life. Hemorrhoids are a once such disease which is co-related to Arshas the change in life style has caused increase in the prevalence of this disease. It may occur at any age but is primarily seen between the ages of 30 and 65. Incidence is equal in both sexes. A healthy diet and lifestyle modification does prevent this. Arshas is an abnormal fleshy overgrowth in Guda which is caused by Virudha Ahara Sevana, Adhyashana, Utkatasana, Vegadharana, Sahajaani, etc., leading to derangement of Tridosha. The treatment of Arshas is of 4 types, and Kshara Karma is one among them. Kshara Karma is indicated where Arshas Ankura is Mridu, Prasruta, Avagada and Uchritha. Kshara is considered superior to Shastra and Anushastra due to its property in Chedana, Bhedana, Lekhana, and Tridoshaghna. Tilvaka is mentioned in the preparation for Kshara and has Arshohara, Lekhana, and Krimighna properties. Considering all these factors, an effort is made to substantiate the role of Tilvaka Kshara and its probable mode of action in Arshas.