Original Article ISSN (Online): 2582-7472 ShodhKosh: Journal of Visual and Performing Arts March 2024 5(3), 723–731 How to cite this article (APA): Amarprakash, D., and Ujwala, P. (2024). A Clinical Study to Evaluate the Efficacy of Daruharidra- Nimba Malhar (Locally) Along with Panchasamchurna-Vati (Internally) in the Management of Abhyantar Gudarsha W.S.R. to Grade II Internal Haemorrhoids. ShodhKosh: Journal of Visual and Performing Arts, 5(3), 723–731. doi: 10.29121/shodhkosh.v5.i3.2024.2884 723 A CLINICAL STUDY TO EVALUATE THE EFFICACY OF DARUHARIDRA-NIMBA MALHAR (LOCALLY) ALONG WITH PANCHASAMCHURNA-VATI (INTERNALLY) IN THE MANAGEMENT OF ABHYANTAR GUDARSHA W.S.R. TO GRADE II INTERNAL HAEMORRHOIDS Dwivedi Amarprakash 1 , Patil Ujwala 2 1 Professor, School of Ayurveda, D Y Patil Deemed to be University, Navi Mumbai, India 2 MS (Scholar), School of Ayurveda, D Y Patil Deemed to be University, Navi Mumbai, India ABSTRACT Haemorrhoid is one of the prime important diseases of ano rectal disorder. In Ayurveda, it can be co- related with Gudarsha. In modern science, haemorrhoids are managed by lifestyle-diet modification, topical preparations, internal medicines and surgical procedures like Sclerotherapy, rubber band ligation, Laser therapy, Haemorrhoidectomy etc. with varied prognosis and complications. Acharya Sushruta has mentioned four different treatment modalities for management of Arsha (Haemorrhoids). Further, Bheshaja Chikitsa (Palliative medicine) is used for conservative management of Grade II Internal Haemorrhoids effectively. Hence, to establish a palliative treatment for Abhyantar Gudarsha, the open single arm clinical study had been carried on 50 patients. These patients were treated with specific regimen- Daruharidra-Nimba Malhar (Locally) at anal region twice daily for 15 days along with Panchasamchurna-Vati (Internally)) for 28 days. Therapeutic efficacy of the regimen was evaluated by assessing the parameters such as Pain, Bleeding per rectum, Constipation, Colour and Size of pile pedicle before, during and after the treatment. The present clinical study revealed that, the prescribed combination therapy proved effective in reducing symptoms of Abhyantar Gudarsha such as pain, per rectal bleeding, constipation, colour and size of pile pedicle in desired 28 days. Corresponding Author Patil Ujwala, ujvalapatil27@gmail.com DOI 10.29121/shodhkosh.v5.i3.2024.288 4 Funding: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. Copyright: © 2024 The Author(s). This work is licensed under a Creative Commons Attribution 4.0 International License. With the license CC-BY, authors retain the copyright, allowing anyone to download, reuse, re-print, modify, distribute, and/or copy their contribution. The work must be properly attributed to its author. Keywords: Haemorrhoids, Gudarsha, Panchasam churna, Daruharidra, Nimba 1. INTRODUCTION Haemorrhoids are the common ano-rectal disease found in the proctology. In Ayurveda, it can be co-related with Gudarsha. Acharya Sushruta has included Gudarsha under Ashtamahagada vyadhi [1]. Haemorrhoids are masses or clumps of tissues which consists of muscles and elastic fibre with enlarged, bulging, blood vessel and surrounding supporting tissues present in the anal canal of an individual [2]. The symptoms includes prolapsed of an anal cusion with bleeding and pain at anal region. The causative factors are congenital,anatomical, pregnancy,sedentary lifestyle, constipation,enlarge prostate,asthma, irregular diet ,prolonged standing or sitting,certain psychological disturbance P3#y1 P3#y2