REVIEW ARTICLE ON ROLE OF YOGA IN MANAGEMENT OF ARSHA

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Yadav et al. World Journal of Pharmaceutical Research

225

REVIEW ARTICLE ON ROLE OF YOGA IN MANAGEMENT OF

ARSHA

1*Dr. Poonam Yadav,

2Dr. Suchetta Verma and

3Dr. Durgawati Devi

1M.D. Scholar, P.G. Department of Swasthavritta and Yoga, National Institute of Ayurveda,

Jaipur.

2Assistant Professor, Department of Basic Principles, MJF Ayurveda Mahavidhalya, Chomu,

Rajasthan.

3Assosiate Professor P.G. Department of Swasthavritta and Yoga, National Institute of

Ayurveda, Jaipur.

ABSTRACT

Ayurveda, the age old science of life. This ancient science of medicine

and positive health is still relevant and beneficial to modern life.

Hemorrhoid is a disease, which is very specific to human race only,

due to its erect posture. It has been dealt rationally under concept of

Arsha, however it includes some other fleshy masses like polyp, warts,

etc. The prime etiopathogensis factor of Arsha is Mandagni i.e. hypos

functioning of metabolism which leads to constipation that causes

development of Arsha. Apana Vayu and Mandagni are mainly

responsible for the disease manifestation. Yoga is specialty of Indian

culture. This great science has been evaluated for liberation and body

is the medium for this purpose. So, body should be healthy and person should be happy to

achieve that supreme goal. Certain sets of Yoga practices has been selected for management

of Arsha like Sukshama-Vyayama, Surya-Namaskara, standing postures, siting postures,

prone postures and supine postures.

KEYWORDS: Arsha, Mandagni, Apan vayu, Yoga.

INTRODUCTION

Ayurveda is the science of life. Since immemorial time, Ayurveda has been showing the ideal

way of living, which promises a disease free, happy and long life. The disease Arsha is

World Journal of Pharmaceutical Research SJIF Impact Factor 8.084

Volume 9, Issue 2, 225-242. Review Article ISSN 2277– 7105

Article Received on

11 Dec. 2019,

Revised on 01 Jan. 2020,

Accepted on 22 Jan. 2020,

DOI: 10.20959/wjpr20202-16334

*Corresponding Author

Dr. Poonam Yadav

M.D. Scholar, P.G.

Department of Swasthavritta

and Yoga, National Institute

of Ayurveda, Jaipur.



226

considered as one of the ‛ASHTAMAHAGADA‟ by various Acharyas of Ayurveda, so they

have given more importance to the disease. Arsha is a disease occurring in Guda and it is

torturing to the patients. It may create obstruction of the anorectal passage. Abnormal fleshy

growths or sprouts in anorectal region like haemorrhoids, polyp, warts, sentinel tags and

neoplasia either benign or malignant or other fleshy growth of different regions are under

nomenclature of Arsha. It signifies that all the haemorrhoids are Arsha, while all Arsha are

not haemorrhoids.

Adhisthana

According to Acharya charak meda, mansa and twak are the adhisthan of all type of Arsha.[1]

Acharya Sushruta has also described about the Arsha that it can be occurred in various site

and organ like Medhra, Karna, Akshi, Ghrana, Vadana, Charma etc.[2]

According to Madhukosh Arsha is defined as a disease which torture the life like enemy and

kill. So Arsha is a disease just like an enemy to mean as it produces pile mass in the anal

canal, which obstructs the passage of anal canal and makes the patient suffer a lot.

Nidana (Aetiology)

Acharya Charaka has described the detailed list of dietic factors, therapeutic abuses, habits

and mechanical factors in two groups. First group comprising of mainly of dietic ingredients,

leads to accumulation of Mala and second group leads to vitiation of Dosha specially Apana

vayu which is normally responsible for physiological functions of guda and plays major role

in the formation of Arshas.[3]

Acharya Sushruta has enumerated the causes leading to vitiation of Dosha including

excessive and incorrect dietic indulgence, such posture create pressure on Guda region. Eg.

Sitting in hard objects, vehicle riding, sexual indulgence, suppression of normal urge of

micturition and defecation. Which suppress the normal digestive fire i.e. Mandagni, leads to

development of Arshas.[4]

Acharya Vegbhata has also follows the same views of the Charaka

and sushruta.[5]

Vataja Arshas Nidana[6]

Vatika type of Arshas is caused by the following: (i) intake of astringent, pungent, unctuous,

cold and light food; (ii) habitual intake of food in extremely small quantities, intake of less

food, intake of alcoholic drinks having sharp quality and indulgence in sexual acts; (iii)



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fasting, residing in cold country and cold season and physical exercise; and (iv) grief and

exposure to sun and wind.

Pittaja Arshas Nidana[7]

Paittika type of Arshais caused by the following: (i) Intake of pungent, hot, saline and

alkaline food; (ii) exercise and exposure to the heat of fire and the sun ray; (iii) residing in a

place and season which are not cold; (iv) intake of alcohol and envy; and (v) intake of all

types of drinks, food and which are Vidahi (causing burning sensation); sharp and hot.

Kaphaja Arshas Nidana[8]

Kaphaja type of Arsha is caused by the following: (i) sweet, unctuous, cold, saline, sour and

heavy food; (ii) lack of exercise; sleeping during day time and indulgence in the pleasure of

beds and seats; (iii) exposure to easterly wind; (iv) residing in cold place and during a cold

season and (v) mental inactivity.

Dwandwaja sannipataja Arshas Nidana[9]

Dvandvolbana type of Arsha (in which two doshas are predominantly aggravated) is caused

by the combination of two types of etiological factors. In this condition, signs and symptoms

of both these Doshas are combined together, then tridoshaja types of piles (in which all three

Doshas are simultaneously aggravated) is manifested. The sign and symptoms of piles are

similar to those described for hereditary type of piles.

AIMS AND OBJECTIVES

Rational analysis of the concept of arsha and role of yoga in management.

MATERIALS AND METHODS

Review of classical and modern texts of Ᾱyurveda followed by analysis of the concept.

Review on role and significance of yoga in arsha management

The word "Yoga" means union. The word means 'unity' or 'oneness' and is derived from the

Sanskrit word yuj, which means 'to join'. This unity or joining is described in spiritual terms

as the union of the individual consciousness with the universal consciousness. The concept of

yoga is estimated to be thousands (8000 to 10,000) years old. The divine body is a necessity

to attain or fulfill the purpose of Yoga. Yoga works on all aspects of a person i.e. Physical,

Vital, Emotional, Mental & Spiritual. The practice of yoga brings perfect balance in body and



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mind. It helps the body to cooperate with the mind, so that steadiness, composure, and

firmness are developed.

According to Hatha Yoga

In Hatha Yoga there is a will to master the body in order to transform it into divine body. The

term Hatha can be explained by Ha = sun and Tha =moon, the union of sun and moon

forming the Yoga.

Charak Samhita

In Ayurvedic literature Yogic practices are not mentioned, but Yoga is described as a path for

liberation (Moksha) in Charaka Samhita, given as follows[10]

-"All the sensations are lost in

the state of Yoga and Moksha, Yoga is a way for liberation, There is an absolute eradication

of all sensations. Happiness and miseries, as a result of union of soul (Atma), mind (Manas),

senses (Indriyas) and subjects (Arthas), are lost, when the mind gets concentrated in soul.

This state of disappearance of happiness and miseries is Yoga.

Bhagwada Geeta

Yoga is a balance between external environment variations such as Sheeta or Ushna and

internal environment variations such as Sukhaor Dukha. Balance of mind in both favorable

and unfavorable situation/condition is Yoga. When intellect of a person remains in the state of

Yoga, he becomes free from the result of all good or bad works, thus Yoga is an art of doing

work without worldly bondage.

Definitions of yoga

Acharya Patanjali has defined yoga as:

“Yogashchittavrittinirodhaha”

Patanjali Yogasutra

‛Yoga is the ability to focus the mind on a single point without distraction‟. Patanjali codified

the first definitive, unified, comprehensive system of Yoga. He gave the Ashtanga Yoga as

apath for Rajyoga.[4]

1. Yama(self-restraints).

2. Niyama (self-observation).

3. Asana (exercise).

4. Pranayama (breathing exercise).



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5. Pratyahara (disassociation of consciousness from outer environment).

6. Dharana (concentration).

7. Dhayan (meditation).

8. Samadhi (identification of pure consciousness).

Branches of Yoga:

Ashtanga Yoga, Hatha Yoga, Karma Yoga, Bhakti Yoga, Gyana Yoga, Raja Yoga,

Kundalini Yoga, Tantra Yoga, Mantra Yoga and Laya Yoga.

Concept of Asana

Among the eight limbs of yoga, the yogic technique properly begins at the third limb that is

the „Asana’. Patanjali defines Asana as „Sthirasukhatvam’ which can be translated as stable

and pleasant. Yogasutra only defines asana, neither named them nor elaborated them.

Specific Asanas are explained in the later texts of Hatha Yoga. The main purpose of asana is

to give the body stability and minimize the physical efforts.

In present review following Yogic practices have been studied:-

Sukshamvyayaam

Surya Namaskar

In Standing Posture.

Tadasan

Hastapadasan

Katichakrasan

In Sitting Posture

Paschimouttanasan

Mulabandh

In Prone Position

Bhujangasan

Adhomukhswanasan

In supine position

Sarvangasan

Setubandhasan



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Pawanmuktanasan

Savasan.

Suksham vyayaam[5]

Greeva Sanchalana (neck movements)

Stage I: Sit in a cross-legged pose with the hands resting on the knees. Slowly move the head

forward and try to touch the chin to the chest. Move the head as far back as it‟s comfortable.

Do not strain. Feel the stretch in the muscles in the front and back of the neck, and the

loosening of the vertebrae in the neck. Practice for 10 times.

Breathing: Inhale on the backward movement. Exhale on the forward movement.

Stage 2: Remain in the same position, Face directly forward. Relax the shoulders. Slowly

move the head to the right, bringing the right ear close to the right shoulder without raising

the shoulders. Move the head to the left side and bring the left ear close to the left shoulder.

Do not strain, to touch the shoulder is not necessary. This is one round. Practice for 10

rounds.

Breathing: Inhale on the upward movement. Exhale on the downward movement.

Stage 3: Remain in the same sitting position. Gently turn the head to the right so that the chin

is in line with the right shoulder. Feel the release of tension in the neck muscles and the

loosening of the neck joints. Slowly turn the head to the left as far as is comfortable. Do not

strain. Practice for 10 times on each side.

Breathing: Inhale while turning to the front. Exhale while turning to the side.

Stage 4: Remain in the same position with the eyes closed. Slowly rotate the head downward,

to the right, backward and then to the left side in a relaxed, smooth, rhythmic, circular

movement. Feel the shifting stretch around the neck and the loosening up of the joints and

muscles of the neck. Practice 10 times clockwise and then 10 times anti-clockwise. Do not

strain.

Breathing: Inhale as the head moves up. Exhale as the head moves down.



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Benefits: All the nerves connecting the different organs and limbs of the body pass through

the neck. Therefore, the muscles of the neck and shoulders accumulate tension, especially

after prolonged work at a desk. These asanas release tension, heaviness and stiffness in the

head, neck and shoulder region.

Surya Namaskar

Surya Namaskar is also known as sun salutation, is a sequential combination of yogic

postures performed dynamically in synchrony with the breath. It is accompanied by a specific

breathing pattern and chanting mantras.

There are 12 basic steps of surya namaskar, according to Bihar School of Yoga, Munger.

These steps vary with different types of surya namaskars.

Step1: Pranamasan (Salutation Pose)- Stand erect with both feet together or slightly apart.

Place both palms folded in front of the chest and exhale fully.

Step2: Hasta Uttanasana (raised arms pose) Raise and stretch both arms above the head, with

palms facing upwards.

Step3: Padahastasana (Hand to foot pose) In a continuous movement, bend forward from the

hips. Bring the hands to floor on either side and the head as close as possible to Knees.

Step4: Ashwa-sanchalana-asana (Equestrian Pose) - Inhale and stretch the right leg

backwards, and balance the leg on the toes with the heel raised upwards.

Step5: Adhomukhashvaanaasana- Bring the left foot back and place it besides the right.

Simultaneously raise the buttocks and lower the head between the arms, so that the body

forms a triangle with the floor.

Position 6: Ashtanganamaskara (Salutation with eight limbs) -Bend the knees to the floor and

then bring the chest and chin to the floor, keeping the buttocks elevated. The hands, chin,

chest, knees and toes touch the floor, and the spine is arched.

Step7: Bhujangasana or serpent pose- Lower the hips while pushing the chest forward and

upward with the arms, until the spine is fully arched and Exhale while moving into positioned

is facing up.

Step8: Adhomukhashvaan asana- Keep resume position 5. Exhale while moving into

position.

Step9: Ashwasanchalanasana - Keep resume position 4.Exhale while moving into position.

Step10: Padahastasana - This is the same as position 3. Exhale while moving into position.



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Position 11: Hasta Uttanasana- Raise the torso, stretching the arms above the head. Arch

backwards to resume position2. Inhale moving into position.

Position12: Pranamasana -Straighten the body and bring the hands together in front of the

chest, reassuming position 1. The breath is Exhaled.

Health benefits of Surya Namaskar

1. Promotes balance, stimulates the respiratory system, exercises shoulder, back and neck

muscles.

2. Promotes balance, promotes digestion, exercises arms and shoulder muscles, tones the

spine, promotes flexibility in back and hips.

3. Promotes blood circulation, tones abdominal tracts,stretches back andlegmuscles,

stimulates spinal nerves, stimulates lymphatic system

4. Exercises spine, strengthens hand and wrist muscle.

5. Surya Namaskar is a complete body workout as it exercises a large number of muscles. It

promotes balance, improves posture, and increases flexibility.

In Standing Posture

Tadasana

Advocated Technique in this trial:

Stand erect with the feet together, the heels and big toes touching each other. Rest the

heads of metatarsals on the floor and stretch all the toes flat on the floor.

Tighten the knees and pull the knee-caps up, contract the hips and pull up the muscles at

the back of the thighs.

Keep the stomach in, chest forward, spine stretched up and the neck straight.

Do not bear the weight of the body either on the heels or the toes, but distribute it evenly

on them both.

Ideally in Tadasana the arms are stretched out over the head, but for the sake of

convenience, one can place them by the side of the thighs.

Benefits

Improves posture

Strengthens thighs, knees, and ankles

Firms abdomen and buttocks

Relieves sciatica.



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2. Padahastasana

Advocated Technique in this trial

Stand on Tadasana Spread the legs a foot apart.

Exhale, bend forward and without bending the legs at the knees insert the hands under the

feet so that the palms touch the soles.

Keep the head up and make the back as concave as possible.

Now exhale, and move the head in between the knees by bending the elbows and pulling

the feet up from the palms. Stay in the pose for about 20 seconds with normal breathing.

Inhale, raise the head and come back to position 2, with the head well up. Take two

breaths.

Inhale, stand up and return to Tadasana.

Benefits

The abdominal organs are toned and digestive juices increase, while the liver and spleen

are activated.

It stretches the muscles and can be performed as a warm-up exercise before lifting heavy.

It revitalizes the nervous system and promotes proper blood circulation.

The Abdominal organs are toned and the spine becomes flexible after performing this

yoga.

In Sitting Posture

1. Paschimotanasana

Paschimotanasana is known as forward bend pose in western world. The term

Paschimotanasana, is derived from the Sanskrit root words “paschima” which means “back”,

“tana” which means “stretch” or “straight,” and asana which means “posture."

Hathayogapradipika[10]

and Gheranda Samhita[11]

also explain this asana.

Stretch both the legs on the ground. Hold the big toes by the respective hands and put the

forehead on the knees. This forms pascimotäna.


Sit down straight with your legs together by stretching in front of you. Keep your head

neck and spine erect.

Place the palms on your respective knees.



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Now bend your head and trunk slowly forward to catch the toes with the thumb, index

and middle fingers without bending knees.

Take a deep breath and exhale slowly, try to touch your head to your both knees.

Bend the arm and try to touch the elbow on the floor.

Exhale completely and holding out your breath stay in this posture for a few seconds.

After few seconds slowly return to your starting position and breathe normally.

Repeat this for 3-4 times.

Benefits

It stretches the muscles of the back side of the body from head to the ankles. It contracts

the muscles of the anterior part of the body.

This creates pressure on the thorax and abdomen, improving the process of respiration

and the functions of the intra-abdominal glands, especially the secretions.

Massages and tones the abdominal and pelvis region including all organs such as the

liver, pancreas, kidneys, adrenals, spleen and intestines.

Improves the blood circulation in the back region and tones the spinal nerves.

Improves alignment of the vertebral column.

Removes the fat from the hips, the abdomen and thigh region.

2. MulaBandha

Mula Bandha is a Sanskrit term. Mula denotes Root, Base, Foundation and Bandha Denotes

Bondage, Fetter, Posture, Tolock, To Hold. Thus, Mula Bandha is the root lock.

MulaBandha (Acoording to Gheranda Samhita)

The wise Yogi should first press the pelvic organ with his left heel and then with the right

ankle push the Genitals on the one side; thereafter the muscle of stomach should be

contracted to the extent till they touch the spinal column.

MulaBandha (Acoording to Hath YogaPradepika)

By Pressing Yoni (perineum) with the heel and draw the ApanaVayuup. This is MulaBandha.


Patients were advised to sit in any comfortable Asana.

Close the eyes and relax the whole body.

Focus the awareness on the perineal region.



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Slowly contract the perineal region and hold the contraction.

Contract only those muscle related to the Muladhar region.

Repeat 10-12 times with maximum contraction and total relaxation.

Benefits

MulaBandhabestows many physical, Mental and spiritualbenefits.

Ithelps in psychosomatic and degenerative illness.

It relieves depression and promote good health.

MulaBandhaalso stimulate digestive fire and relieves constipation.

In Prone Posture

Bhujangasana


Lie Down onyour Stomach and Relax.

Keep your feet joined – from your hips to your toes.

Make sure that your feet, ankle downwards, are horizontal along the floor, and not

positioned vertical to the floor. This small, very common mistake can change the amount

of load that your back will bear during the asana, and can lead to significantly sub-

optimal results.

Place your palms below your shoulders, with hands folded at the elbows.

Gently lift your head up, while breathing normally. Look forward.

Hold this position for half a minute – breathe normally as you do so.

Feel your cervical spine expanding and your upper back muscles stretching to hold your

weight.

Go back slowly to position 1.

Benefits of Bhujangasana (Cobra Pose)

It cures acidity, Indigestion, and Constipation.

Improves the function of liver, kidney, pancreas, and gallbladder.

It cures back pain, Spondylitis, Slip disc.

It strengthens the arms and shoulders.

Helps to lose weight.

Helps to improve blood circulation‟.

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https://eyogaguru.com/top-16-constipation-symptoms-causes-yoga-poses/

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In Supine Posture

Sarvangasana- (Shoulder Stand Pose)


Lie on the back on a folded blanket. Check that the head and spine are aligned and that

the legs are straight with the feet together.

Place the hands beside the body with the palms facing down. Contract the abdominal

muscles and, with the support of the arms, slowly raise the legs to the vertical position,

keeping them straight.

In the final position, the legs are vertical, together and in a straight line with the trunk. To

return to the starting position Keep the legs straight.

Slowly release the position of the hands and place the arms on the floor beside the body

with the palms down. Gradually lower each vertebra to the floor, followed by the

buttocks, so that the legs resume their initial vertical position.

The whole movement should combine balance with control so that the body contacts the

floor slowly and gently. Relax in Shavasana until the respiration and heartbeat return to

normal.

Benefits

This asana helps in cases of low blood pressure. It balances the nervous system,

strengthens the neck muscles and brings a rich supply of blood to the brain. As a

preliminary pose to Sirshasana, it accustoms the brain to the increased influx of blood

and the crown to supporting the weight of the body.

Setubandhasana (Bridge pose)


Sit with the legs stretched forward. Place the palms on the floor on either side of the

body, about 30 cm behind the buttocks.

The elbows should be straight, the fingers pointing back and the trunk slightly reclined.

This is the starting position. Raise the buttocks and lift the body upward. Let the head

hang back and down.

Try to place the soles of the feet flat on the ground. Keep the arms and legs straight. Hold

the final position for as long as is comfortable. Lower the buttocks to the floor. This is

one round. Practice up to 5 times.



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Breathing: Inhale in the starting position. Retain the breath inside while raising the body

and holding the final position. Exhale while lowering to the starting position.

Benefits

Strengthens legs, back neck, and chest.

Relaxes whole body.

Reduces stress.

Improves digestion.

Improves blood circulation.

Pawanmuktasana (leg lock pose)[17]

Stage I: Lie in the starting position and relax. Bend the right knee and bring the thigh to the

chest. Interlock the fingers and clasp the hands on the shin just below the right knee.

Keep the left leg straight and on the ground. Inhale deeply, filling the lungs as much as

possible. Exhaling, raise the head and shoulders off the ground and without straining bring

the right knee to the nose.

Remain in the final position for a few seconds. While slowly inhaling, return to the base

position. Relax the body. Repeat 3 times with the right leg and then 3 times with the left leg.

Stage 2: Remain in the starting position. Bend both knees and bring the thighs to the chest.

Interlock the fingers and clasp the hands on the shin bones just below the knees. Inhale

deeply.

Exhaling, raise the head and shoulders and try to place the nose in the space· between the two

knees. Hold the raised position for a few seconds, counting mentally. Slowly lower the head,

shoulders and legs while inhaling. Practice these 3 times.

Benefits

Pawanmuktasana strengthens the lower back muscles and loosens the spinal vertebrae.

It massages the abdomen and the digestive organs and is therefore very effective in

removing wind and constipation.

By massaging the pelvic muscles and reproductive organs, it is also useful for impotence,

sterility and menstrual problems.



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Shavaasana[18]

Spread out the hands and legs, while lying relaxed.

savasana, which is practiced in lying position, relieves fatigue causeddue to practice of (all

the) asanas.


Known as the dead man‟s pose, involves consciously willing the entire body to relax to

the point where it becomes limp as a lifeless corpse. Shavaasana the yogic pose of

relaxation.

Feet should be slightly apart, arms separate from the body, with the palms facing upwards

and eyes gently closed.

One has to adjust comfortably then relax and become perfectly still.

Bring awareness down to the feet. If there is any tension consciously relax feet.

When feet are completely relaxed, slowly awareness is drawn up to ankles and lower leg.

Benefits of Shavaasana

It relaxes your whole body.

Releases stress, fatigue, depression and tension. Calms the mind and improves mental

health and Improves concentration.

It cures insomnia and is beneficial for those suffering from neurological problem, asthma,

constipation, diabetes, indigestion.

Relaxes the muscles.

Excellent asana for stimulating blood circulation.

DISCUSSION

Discussion is one of the most important parts of any research work. Present study has been

started with aim to evaluate the role of Yoga in management of Sushka Arsha. It is the disease

described in almost all Ayurvedic texts. Its Nidanaa Panchaka has been described in detail

along with treatment principles. Its causative factors like Aharaj and Viharaj Nidana,

Poorvarupa, Rupa, Upashaya and Samprapti have been described in detail by almost all

Ayurveda seers.

Hathayoga basically concerned with purification of body and prepare the body for

advance internal yoga i.e. Samadhi. So this stream of Yoga includes various Asana, Mudra,



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Bandha, etc. which are helpful in preventing manifestation of disease and have therapeutic

benefits also.

Practices Work on Local Perinial Muscles

It includes Mool-Bandha, Paschimottan-asana, Bhujanga-asana, Adhomukhashavan-

asana, Sarvanga-asana and Tadasana. These practices works on strengthening of local

perennial muscles. Regular contraction and relaxation of anal sphincter and surrounded

muscles improves blood circulation and nutrition in this area as well as improves the tonicity

of related muscles. It decreases the pile mass and degree of piles.

Practices Works on Pelvic and Abdominal Region to Relive Constipation

It include the Hastpadaasana, Katichakrasana, Setubandhaasana, Bhujangaasana,

Pawanmuktaasana, and Pashchimottanaasana. These practices are forward and backward

bendings and basically focuses on abdominal and pelvic area. These practices may increase

the peristaltic movement of gastro-intestinal system to relieve constipation. These practices

are helpful to release the faecus and gases from gastro-intestinal tract. Constipation is one of

the important causes of piles. So, these practices are helpful to reducing size and degree of

pile mass by reducing pressure due to constipation.

Practices Works on Agni

Sukshma-vyayama, Surya-namaskar, Paschimottanaasana, Bhujangaasana,

Pawanmuktnaasana are the practices to improve the status of Agni and thus metabolism.

Arsha is the disease due to Mandagni. According to Ayurveda Agni is the responsible factor

for proper digestion, metabolism and assimilation of food. It is not done due to poor Agni,

result is formation of intermediate product, which is responsible for the vitiation of Dosha. If

Nidaan of Arsha is being taken, vitiated Dosha initiate pathogenesis in Gud-vali to cause

Arsha. So Yoga works on status of Agni by correction of endocrine, exocrine and other local

secretions involved in the digestion, metabolism and assimilation. Yoga accelerates the power

of Agni and check the formation of intermediate products as well as properly assimilate those.

It relieves the symptoms of piles and check the further aggravation and complication of the

disease.

If we go through the result Yoga therapy g much better results in certain variables like

constipation, number of pile mass and degree of pile mass. Yoga therapy gives better result in

these mentioned variables. It has been discussed earlier that Yoga postures works locally to

reduce the number and degree of pile mass by strengthening the local muscles certain Yoga



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posture works on abdominal and pelvic muscles which relives constipation by accelerating

peristaltic movement of gastro-intestinal system. Constipation is the result of vitiated Vata

Dosha and Mandagni. Yoga postures correct this pathology by accelerating power of Agni

and maintain the homeostasis of Vata Dosha. Constipation is one of the conditions

responsible for the initiation and aggravation of piles.

So, we have seen that Yoga therapy has significant result on the management of the

Arsha.

Yoga is a way of life. It is a physical, mental and spiritual discipline originated in ancient

India and predominantly concerned with maintaining a state of equanimity. The main cause

of constipation and Arsha is modern life style. The main limbs of modern life style are

unplanned Consumption of diet and sedentary works. Which is further complicated by

disturbed biological clock and various psychosocial conditions. All these risk factors causes

vitiation of jatharAgni, disturbed metabolism and various local and systemic disorders related

with G.I.T.

Endocrine system etc. when all these constitute works together in equilibrium result is

total health. In the context of Arsha selected yoga practices works at above described level.

They strengthen the musculoskeletal system, correct the biological clock, and maintain the

Agani status and relief psychosocial stress.

In this way study will be helpful for the modern society in relation with Shushka Arsha.

CONCLUSION

Various streams have been involved time to time with certain modification according to that

particular era. Hathayoga basically concerned with purification of body and prepare the body

for advance internal yoga i.e. Samadhi. So this stream of Yoga includes various Asana,

Mudra, Bandha, etc. which are helpful in preventing manifestation of disease and have

therapeutic benefits also. In this study certain Yoga practice like Sukshama-Vyayama, Asana,

Bandha etc. have been taken to evaluate their role in management of Sushkaarsha.

Hatha yoga practices has been designed to maintain the homeostasis of body in the terms of

physiology. It affects the every system of body but musculoskeletal, gastro-intestinal,

endocrine, exocrine, genito-urinary are most affected. It also affects the cognitive functions

and thus way of thinking of individual. Positive attitude towards therapy increases the

chances of success of therapy. Yoga also works at this level. Generally Yoga practices have

been done in the morning hours. It corrects the sleep-wake cycle and thus biological clock



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which is responsible for the proper functioning of different bodily humours like Dosa, Dhatu,

Mala etc. Adjustment with external environment is essential for proper physiological

functioning and it can be easily achieved by early wake-up in the morning. Yoga helps to

initiate and maintain this. It is initial step of the Yoga therapy. Rest of the things

automatically corrected like timely dinner and going to bed. These are important causative

factor in the causation of Arsha. Arsha is caused by weak digestion and improper

metabolism. Both are results of faulty life style. It has also been caused by weaker perinial

muscels due to constant straining and pressure of any origin. Over all Arsha is result of

Mandagni. Certain sets of Yoga practices has been selected for management of Arsha like

Sukshama-Vyayama, Surya-Namaskara, standing postures, siting postures, prone postures

and supine postures. Such practices have been selected which works on local muscles, pelvic

and abdominal region to relieve constipation, on Agni and metabolism.

REFERENCES

1. Edited by Vaidya Jadavji Trikamji Acharya; Agnivesa: Charaka Samhita:

Ayurvedadipika Commentary by Chakrapanidatta: Chikitsasthana; chapter 14, verse 6

Chaukhamba Surbharati Prakashan, Varanasi: Revised Edition, 2008; 501.

2. Edited by Vaidya Jadavji Trikamji Acharya: Susruta: Susruta Samhita:

Nibandhasangraha Commentary by Sri Dalhanacharya: Nidanasthana; chapter 2, verse

18: Chaukhamba Surbharati Prakashan, Varanasi: Reprint, 2008; 272.




4. Edited by Vaidya Jadavji Trikamji Acharya: Susruta: Susruta Samhita: Nibandhasangraha

Commentary by Sri Dalhanacharya: Nidanasthana; chapter 2, verse 4: Chaukhamba

Surbharati Prakashan, Varanasi: Reprint, 2008; 271.

5. Edited by Pt.Hari Sadasiva Sastri Paradakara: Vagbhatt: Astanga Hridaya:

Sarvangasundara Commentary by Arunadatta: Nidanasthana Chapter 7 verse 10-15:

Chaukhambha Surbharati Prakashan, Varanasi: Edition, 2014; 491-492.






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Ayurvedadipika Commentary by Chakrapanidatta: Chikitsasthana; chapter 19


9. dited by Vaidya Jadavji Trikamji Acharya; Agnivesa: Charaka Samhita: Ayurvedadipika

Commentary by Chakrapanidatta: Chikitsasthana; chapter 14, verse 20 Chaukhamba

Surbharati Prakashan, Varanasi: Revised Edition, 2008; 503.


Ayurvedadipika Commentary by Chakrapanidatta: Sharirasthana; chapter 1, verse 137-

139 Chaukhamba Surbharati Prakashan, Varanasi: Revised Edition, 2008; 300.

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