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Hemorrhoids, or arsha, are a long-standing issue affecting the lower abdomen. It is well known for its frequent acute exacerbations and chronocity recurrences. Almost from the beginning of medical history, it has been described. The father of traditional Indian surgery, Sushruta, gave a detailed description of Arsha, or hemorrhoids. In addition to describing the disease's causes, symptoms, and signs, he also discussed its many forms of treatment, from which one might deduce the significance and historical occurrence of the illness. In the contemporary world, individuals are increasingly susceptible to anorectal disorders including hemorrhoids and fissures due to shift work, stressful lifestyles, and unhealthy food consumption. The condition of the mucous membrane-covered internal hemorrhoids is the dilatation of the veins of the internal rectal plexus.

An estimated 1 million new instances of hemorrhoids are recorded annually in India, 48 cases per 1000 individuals, and the number increases with age. In the 46–66 age bracket, 61–96% of persons worldwide are believed to have hemorrhoids. In addition, men are more likely than women to get hemorrhoids. In addition, because of the location of the illness, a lot of people are reluctant to see a doctor and postpone getting checked out and receiving treatment, which eventually makes the illness worse. Haemorrhoids are defined by Modern Surgery as varicosity and dilatation of the anal-canal hemorrhoidal veins. Human hemorrhoids are frequently observed because of the valve-less haemorrhoidal vein anatomy. The ailment known as hemorrhoids is unique to the human race and can only be caused by an upright posture.

The most common treatment for hemorrhoids in modern medicine is a hemorrhoidectomy; however, there is occasionally a risk of the disease returning from the excision site. In Ayurveda, Arsha is treated using four different methods, including Kshar Karma and Shastra Karma, depending on how the illness manifests clinically. An attempt is made to review the various ayurvedic therapy approaches for Arsha (haemorrhoids) in this review article.

KEYWORDS: Arsha, Bhesaja chikitsa, Hemorrhoids, Piles, Shalya chikitsa.