Pathogenesis of Hemorrhoids

Pile or Hemorrhoid is an abnormal fleshy growth in anorectal region. In Ayurveda this disease understood as Arsha. According to modern medicine it refers to a condition in which the veins around the anus or lower rectum are swollen and inflamed.

According to Modern Medicine piles develop due a number of factor i.e.

Heredity : There is familial tendency to develop pile i.e. familial polypoisys coli

Anatomical and physiological factors : abnormal anatomical and physiological condition i.e. atrophy of ganglion

Constipation, diarrhea and straining : this helps in descent of pelvic floor

Alteration of sphincter tone : produces ischemia and relaxation in anal canal

Increased resting pressure : high blood pressure in anal vessel and engorgement of vessel

Cirrhosis of liver : increase Back pressure in anal vessel

Thrombosis of portal vein : increase Back pressure in anal vessel

Abdominal tumors : increase pressure in anal vessel

Pregnancy : increase blood pressure in anal vessel

Ca rectum : increase blood pressure in anal vessel

The Ayurveda has vast view on pathogenesis of hemorrhoids.Ayurveda deals with basic cause of disease that is known as Nidanas. According to ayurvedic text, Arsha or hemorroid are six type i.e. vataj, kaphaj, Pittaj, raktaj, sannipataj, sahaj and a number of factors are responsible for development of piles or arsha. thease are as follow: