Ayurvedic Management of Recurrent Arsha in an Eldery Patient: A Case Report

Arsha is a commonly observed anorectal conditions in Ayurvedic practice, mainly attributed to weakened diagestive fire and imbalance of Doshas .Recurrence after surgical treatment is frequently noted, especially among elderly patients suffering from standing constipation and unhealthy dietary patterns. this case report present an 82-year-old male with recurring hemorrhoid complaints one year past-surgery. The patient exhibited symptoms such as rectal bleeding, Pricking sensation, Constipation, Prolapse of mass, and associated lower back pain. Ayurvedic evaluation suggested a predominance of Vata Dosha along with involvement of Rakta. The management included classical Ayurvedic medications, matra basti theropy and local application.Gradual and noticeable improvement was observed in bleeding, discomfort, and bowel function. Clinical images also substantiated the theraopetic response. This case highlights the effectiveness of Ayurvedic intervention in the management of recurrent Arsha