All treatments in Ayurveda are prescribed only after a careful diagnosis of the patient’s body constitution, family history, sex, age, stage of the disease etc. This will enable the patient to receive treatments that are specifically suited to his very needs. Ayurveda treatments will therefore vary from patient to patient.

The first consultation with an Ayurveda doctor, including the diagnosis will last for more than an hour. The basic step in the diagnosis will be to find the person’s body humor (Dosha) – Vata, Pita or Kapha, because it is the imbalance of these body humors that causes hemorrhoids.

The dominance of dosha in a person is found by asking several questions on his behavior, food habits, sleeping patterns, personal details like age, height & weight, place of life, profession, health problems and medical reports etc. Ayurveda diagnosis comprises of clinical and laboratory tests also. The doctor can decide if an ayurveda treatment is helpful on providing these details.

Pulse, tongue, nail, and eye examinations are important diagnosis methods used to reveal a person’s body humor and its imbalance. This will help the doctor in treating the disease.

Pulse diagnosis in Ayurveda is not just counting the beats. It also reveals the health status of the entire body constitution, including the dosha imbalance and the health of the various body organs.

In tongue diagnosis, the doctor checks the general appearance, colour and the coating of the tongue. In Ayurveda, as different areas of the tongue correspond to different organs of the body, the Ayurvedic practitioner can determine which organs of the body are out of balance by having a detailed tongue examination.

Nail examination is done to check the type, colour and shape of the person’s nail. Imbalances of doshas are easily detected on close examination.

In the eye diagnosis, the colour, size and even the shape of the eyes are important in determining the dosha dominance of a person. His mental status, nervousness, anxiety, confidence level etc can also be learned through eye diagnosis.

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After the diagnosis, the doctor sets out to treat the patient in a very systematic manner. This would include a set of appropriate Panchakarma treatments and Rasayana therapies .

The Panchakarma Treatments are meant to flush out the toxins, They are classified as pre-purification, main purification and post purification phases and include various types of therapies like oil massages, fermented liquid massages, medicinal enemas, herbal purification methods.

The Rasayana Therapies are meant to nourish the body, to bring the doshas back to balance and to regenerate the body.These comprise diet regulations, daily regimens, intake of oral medicines and ayurveda tonics, yoga and a stress free life. After the treatment the ayurveda doctors will advise you how to lead a healthy life. The beneifts and results of the treatment are shown only after the Rasyana Treatment is over and docotrs advise is strictly followed. The results will manifest itself normally after 3 to 4 weeks as the body takes time to regenerate itself.

Pre-purification Therapies
Pre-purification therapies are the first ones applied to loosen the toxins, open up the circulation channels and get the body ready for discarding these wastes. These methods are highly relaxing for the body and mind.

The following pre-purification methods are usually adopted in the treatment of Hemorrhoids

Snehapanam is oleation therapy and consists of oral intake of medicated ghee in empty stomach. Common ingredients such as malabar nut, wild snake gourd, sweet flag,sandal wood, neem, amaltas, asparagus, ginger, mustard, gooseberry etc. are used.

Lepam is the application of a specially prepared paste made of rich medicinal herbs, on the body or on specific parts of the body. Dry ginger, sweet flag, vitex, sesame etc are some of the herbs commonly used in the paste.

Main Purification Therapies for Hemorrhoids

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This is the phase of elimination of toxins that were loosened at the pre purification treatment stage. These therapies are highly potential methods and are usually overseen by doctors. The commonly adopted Panchakarma treatment for Hemorrhoids are Vasthi and Virechanam.
Vasthi is enema therapy; the ace colon cleaning Panchakarma treatment. Special medicines are introduced through the anal route for the evacuation of accumulated toxins and metabolic wastes. Commonly used ingredients are dill seeds, honey, rock salt, herbal pastes, oils and decoctions.

Virechanam is the purgation using oral intake of safe herbal medicines. This eliminates poisonous wastes through the anal route. This cleansing of the mid zone benefits the entire body system. Generally, the herbs used are turpith, embellia fruits, dry ginger, cardamom , long pepper, cinnamon etc.

These are body nourishing therapies to rejuvenate the body and mind after the Panchakarma treatments. They keep the enzymes in the tissue cells in their normal functioning condition, restore and balance the body functions and maintain the overall health and well being of an individual for much longer periods after the Panchakarma course. Rasayana treatments for Hemorrhoids consist of oral medicines and diet regulation.

Oral medicines for Hemorrhoids

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Herbal medicines form an important part of any ayurvedic treatment. Oral medicines for Hemorrhoids will be extracts of pure medicinal herbs, leaves, spices etc. These are prepared specifically to restore the lost balance and to provide the needed inputs to cure Hemorrhoids. Kashayam and Arishtam - herbal decoctions and fermentations Lehyams – semi solid formulation are commonly prescribed.

Neem, ginger, amaltas, nutmeg, liquorices, gooseberry, bael etc are some of the medicinal herbs used in the preparation of kashayams, lehyams and arishtams.

Panchamrita Parpati should be given orally in an increasing dosage schedule along with madhu (honey) and jeera (cumin seeds). The initial dosage is 125 mg of parpati for three days. Though this dosage will be increased initially, the dosage will ultimately be stopped with the decrease in the disease.

Triphala choornam, a mixture made from fruits such as amalakhi and belleric myrobalan are consumed. In addition, agastya rasayana and pancha sarkara choorna are also recommended in the treatment of hemorrhoids.

Applying a paste of turmeric, Indian hemp leaves and onion in hot sesame oil all over the piles has been found to be effective. Application of sandal wood paste or sesame oil on the piles is also found to be very soothing and help relieve pain.
The type and quantity of the medicines to be taken are decided by the doctor after a detailed consultation and examination. The patient’s body type, age etc are also important factors to be considered.

Yoga and Meditation: are proven and effective way to develop and maintain perfect harmony and balance in our body systems. It provides us with immunity against all diseases. It alters brain wave activities reflecting in increased relaxation and a better focused mind. Bhujanga Asana (cobra Pose) is recommended as it helps to reduce piles and other problems. Cobra pose besides, increases body flexibility and rejuvenates spinal nerves.


Life style: One should avoid sitting in a fixed position for an inordinately long time; he should, however, take a short break and walk a few stretches. A morning walk is advisable. Going to bed at least by 10 pm is recommended. Putting some warm water in a tub and sitting in such a way that the piles are in contact with water provides comfort and relief. Hemorrhoids patients are advised to take at least one or two weeks of rest after the panchakarma experience. At this time the body is weak after a purification process and needs time to get back to normalcy.