Ayurvedic Treatment

Ayurvedic Medicine for Piles (Hemorrhoids)

Ayurveda has promising ayurvedic medicine for piles. These medicines include Arshohar Vati, Abhayarishta, Arshhar Gutika, Arshoghni Vati, Kankayan Vati, etc. Arshoghni Vati is commonly available ayurvedic medicine for bleeding piles and Kankayan Vati is used for non-bleeding piles. These are two main ayurvedic medicines for hemorrhoid treatment in Ayurveda. In this article, will discuss ayurvedic treatment of piles in detail.

What is hemorrhoid (Piles)

Piles (also called hemorrhoids) are of two main types according to symptoms including bleeding and non-bleeding piles. According to location of piles, they can be Internal and external hemorrhoids. External piles develop closer to the outer skin of the excretory opening and they may be more painful than internal piles.

In medical science, pile can have four degrees according to protrusion from the walls of the excretory opening at the end of the alimentary canal.

First degree piles Pile protrusion inside lining of anal canal and bleeding can be the first sign
Second degree piles Larger than first degree piles, but they can come out while bowel movement and go inside afterwards
Third degree piles Piles can hang down from the excretory opening and you have to push them in
Fourth degree piles Piles hang down permanently and you cannot push them inside even with hands. They may swollen and become painful

Common symptoms of Piles include bleeding via the excretory opening , discharge of mucus, and feeling of a lump in or around the the excretory opening , anal itching, anal pain and discomfort.

Ayurvedic medicines work in first and second degree of piles. People can get relief in third degree as well, but very rarely. Third and fourth degree piles are only treatable with surgery or KSHAR SUTRA THERAPY used in ayurveda.

Ayurvedic Medicines for Piles

Ayurvedic medicines can help stopping bleeding, itching, pain and anal discomfort due to piles. Ayurvedic remedies work on the principle of correcting digestive fire, improving liver function, reducing swelling and terminating constipation. These medicines include:

Ayurvedic Medicines effective in All types of Piles

The following ayurvedic medicine for piles is highly effective.

  1. Amritadi Guggulu
  2. Aragwadharishtam
  3. Panchatikta Ghrita Guggulu
  4. Kushmandasava
  5. Lodhrasava
  6. Arshohar Vati
  7. Abhayarishta
  8. Jatyadi Oil (for external application).

Tamarind (IMLI) flowers

Ingredients Quantity
Tamarind (IMLI) flowers 20 to 30 grams
Pomegranate (ANAR) juice 100 ml
Yogurt 100 grams
Coriander leaves A handful
Ginger paste 1 inch slice paste
Black salt According to taste
  • Take tamarind flowers and cook them with pomegranate (ANAR) juice and yogurt.
  • When it becomes thick, then put coriander leaves and ginger paste.
  • Now, you can add small quantity of black salt for taste.
  • You can eat once a day during mealtime.

This remedy helps reducing bleeding, burning sensation, itching and eliminating constipation.

Arshohar Vati

Arshohar Vati is an excellent solution for piles and hemorrhoids. It is effective in all types of piles. It also stops bleeding and reduces swelling.

However, it is helpful in all types of hemorrhoids, but we found it more effective and beneficial for people with bleeding piles. In bleeding piles, other remedies that pacify PITTA humor should also be used. These remedies include amla, licorice, praval pishti, mukta pishti etc.

In non-bleeding piles, Arshohar Vati can be used with Kankayan Vati for increasing its effects reducing the swelling and discomfort.

Arshohar Vati contains following ingredients.

Neem fruits 125 mg
Bakayan tree fruits 125 mg
Munakka (raisins) 125 mg
Haritaki 125 mg

All ingredients are taken in equal parts in powder form expect raisins. Raisins are added during preparing tablets.


Abhayarishta is also a mild laxative. However, it does not stop the bleeding, but it reduces constipation and helps preventing recurrence of piles. It is effective in all types of piles.

Yam (Suran or jimikand)

Dried yam powder also helps in non-bleeding piles. It is used in preparing ayurvedic medicines, which are used for piles.

We can further divide the ayurvedic treatment based on bleeding and non-bleeding piles. Here are some effective ayurvedic medicines for hemorrhoids.

Ayurvedic Medicine for Bleeding Piles

The following ayurvedic medicines for piles are effective when patient has bleeding.

  1. Arshoghni Vati
  2. Swarna Makshik Bhasma
  3. Chandi Bhasma
  4. Praval Pishti
  5. Kaharva Pishti (Trinkant Mani Pishti)
  6. Gandhak Rasayana
  7. Drakshasava
  8. Ushirasava
  9. Bol Parpati
  10. Jatiphaladi Vati (Arsha)
  11. Bolbaddha Ras
  12. Naga Bhasma
  13. Sarivadi Lauh
  14. Ratan Garbha Pottali Ras
  15. Shonitargal Ras
  16. Arshohar Gutika
  17. Arshohar Bhasma
  18. Sphatika Bhasma (Shubhra Bhasma)

SAFED SURMA (SWETANJANA) – Calcite (carbonate mineral)

Purified calcite is most stable form of calcium carbonate (CaCO3). In ayurveda, it is called as SWETANJANA and in Hindi, it is known as SAFED SURMA.

In ayurvedic medicines, it is used as calcium supplement and it is beneficial in bleeding disorders. According to ayurveda, it has cool potency, which means it fights off heat in the body and brings coolness and stops bleeding.

It alone can help in bleeding piles, but for increasing its potency, Praval Pisthi and mulethi, amalaki are also mixed with pure calcite powder. It is an excellent ayurvedic medicine for piles.

Purified Calcite (SAFED SURMA) 500 mg
Praval Pisthi 500 mg
Mulethi 1.5 grams
Amla (Indian Gooseberry) 1.5 grams

Above combination helps reducing and stopping bleeding. Effects start appearing after two three dosages. The complete therapy with above combination may take 5 to 10 days.


Some people in India only use Calcite (SAFED SURMA) for bleeding piles in dosage of 2 grams a day and it is given with buttermilk on empty stomach in the morning. It is famous ayurvedic remedy for pile used by many folks claiming benefits in bleeding piles with a single dosage. According to our experience, it may work for some people with a single dosage, but many require a course of 5 to 10 days for a complete remission of bleeding piles and preventing recurrence.


Gulkand is mild laxative and pacifies PITTA DOSHA (humour). According to ayurveda, PITTA DOSHA is aggravated in bleeding piles. Gulkand helps reducing bleeding by its two medicinal actions. First, it treats mild constipation associated with bleeding piles and secondly it calms the aggravated PITTA DOSHA. Generally, in bleeding piles, it is given with praval pishti (coral calcium) and trinkantmani (Kharva) pishti.

Gandhak Rasyan

Gandhak Rasyan reduces anal itching, helps in anal fissure and alleviates anal pain associated with bleeding piles.


Drakshasava is also effective laxative and stops bleeding due to its cooling potency.

Arshhar Gutika

Arsh-har Gutika contains following ingredients.

Rasont (Berberis Aristata) – Daruhaldi extract 250 mg
Reetha fruid rind powder 250 mg

With above formulation, Arsh-har Gutika is prepared. It helps in bleeding piles. Both ingredient of Arsh-har Gutika are astringent and helps in stopping bleeding.

Arshoghni Vati

Arshoghni Vati is easily available in the market on ayurvedic stores. It is a common remedy used for bleeding piles. It contains herbs and minerals, which help reducing bleeding and eliminating constipation.

Ayurvedic Medicine for Non-bleeding Piles

Abhayarishta is also helpful in non-bleeding piles. Other remedies effective in non-bleeding piles are discussed here.

  1. Kankayan Vati
  2. Kravyad Ras
  3. Navayasa Churna
  4. Navagraha Ras
  5. Pippalyasavam (Pippalyasava)
  6. Devadarvarishta (Devadarvarishtam)
  7. Chitrakadi Kashayam
  8. Chiruvilwadi Kashayam

Kankayan Vati

Kankayan vati contains some herbs, which reduces the size of hemorrhoids. You should not take it if you have bleeding. It contains some herbs, which can increase the chances of bleeding. It helps only in non-bleeding piles.


Dantyarishtam is also helpful in reducing the swelling and shrinking anal protrusion. It should not be taken in bleeding piles.

Ayurvedic Treatment for Piles Using KSHAR SUTRA THERAPY

KSHAR SUTRA THERAPY is helpful when above or other ayurvedic remedies are not helpful. Generally, all home remedies and ayurvedic medicines are effective in second-degree piles. In third and fourth degree piles, patient need surgical intervention. The best method is KSHAR SUTRA THERAPY.

KSHAR SUTRA is an ayurvedic technique of binding alkaline thread on hemorrhoids or used in fistula tract. It prevents recurrence and provides complete relief from non-bleeding piles and fistula. This technique is often used in fistula cases. Various research studies and clinical trials are supporting its beneficial effects in fistula.

Read More: Kshara Sutra Therapy

Ayurvedic Proprietary Medicine for Piles

  1. Pilex
  2. Arsol Capsule
  3. Vaidrishi Arshkalp
  4. Divya Arshkalp Vati

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Dr. Jagdev Singh

Dr. Jagdev Singh (B.A.M.S., M. Sc. in Medicinal Plants) is an Ayurvedic Practitioner and Herbalist. He has successfully treated thousands of patients with Ayurveda (including Herbal Ayurvedic Medicine and Ayurvedic Diet). Ayur Times is an initiative of his efforts to bring quality information on Indian Medicine with the highest level of relevancy and scientific evidence.

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  1. Is CALCITE (Safed Surma) need to be purified before using? If so, what is the purification procedure?

    1. Yes, purification of Safed Surma before use is necessary.

      Purification Procedure of Safed Surma

      1. Take Crystals of Safed Surma and grind it to make fine powder.
      2. Take Lemon juice, put the Safed Surma powder in the lemon juice, and triturate/grind it for 3 hours in stone mortar (KHARAL). After that, dry it in the sun. Repeat this process 7 times.
      3. Banana leaf juice, Bhringraj Juice or Triphala decoction can also be used for purification process.
      4. For maximum benefits, Safed Surma should also be processed in these juices (7 times in each) in addition to lemon juice.

  2. I’m suffering from non-bleeding piles symptoms are burning sensation constipation plz suggest me sir.

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