Daruharidra reinforces digestive enzymes (deepana), corrects hepatic dysfunction (yakird-uttejaka), reduces engorgement (grahi) of veins. It is especially useful for the management of bleeding piles (rakta-arsha) and hepatic disorders. It is used for the management of hemorrhoids (arshoghna). It is used for several remedies as a tonic, alternative, demulcent, diaphoretic, and diuretic, in the treatment of diarrhea, jaundice and skin diseases, syphilis, chronic rheumatism and urinary disorders. Scientific evidence suggests its versatile biological functions that support its traditional use in the orient. Phytochemical studies shows that plant Berberis aristata contains mainly yellow colored alkaloids Berberine, oxyberberine, berbamine, aromoline, a protoberberine alkaloid karachine, palmatine, oxycanthine and taxilamine and tannins, sugar, starch. It reduces engorgement of veins. Daruharidra is also known as Berberis aristata.
Ativisha reinforces digestive enzymes (deepaniya, pachaniya), reduces engorgement (sangrahak) of veins, and corrects abnormalities in the anorectal mucosa (amavisha-hara). It is used for the management of various gastrointestinal disorders, including hemorrhoids (arshoghna).
Dugdhika stimulates peristaltic movements (anulomana) and softens the stool (bhedana). It is used for the management of constipation (vibandha). It has been seen to result in significant laxative activity in dose dependent manner. The laxative activity may be attributed to the presence of anthracene derivatives in the leaves.
The patients suffering from piles should avoid taking only low/no roughage foods, and too much of spices and chilli in food.
PILIE Tablet could be used alone in the management of piles. But, if the patients have severe constipation, they may need some laxative, such as isabgol, haritaki, triphala, pancha-sakara churna, swadishta-virechana churna, eranda-taila, etc.
The patient may benefit from Sitz bath followed by local application of
- Sarshapa-taila + karpura.
Encourage the patients to take plenty of water, leafy greens, and other high-roughage foods.
The patient should avoid straining at stools by all means as it only aggravates the situation.