Jatharagnimandya is the main cause of Arsha. Hence Hard stools are formed which cause pressure on Internal & External Sphincter causing ballooning of blood vessels (Piles).

Treatment includes Deepan, Pachan medicines like Pachan Vati, Pyloin Capsules or Gas 8 & Koshta Shodhan medicines like Amari Oil / Anulax / AVPC / PSR. Linoliv is also effective to maintain health of Liver.

For Internal lubrication of GIT & maintaining health of Jatharagni – Pyloin Ghrut can be used in Niramavastha & Locally Triphala Avagaha & Pyloin Ointment are effective.

Fissure also called as Parikartika is a result of excessive straining while passing stools. Here Vrana Ropan chikitsa is useful like Pyloin Ointment or Jetheel Oil Pichu.