Haemorrhoids (Arsha) presenting with rectal bleeding, constipation, and prolapse indicate a Pitta-Rakta dominant pathology with Vata vitiation. Dugdhikadi Ghrita, a classical Ayurvedic formulation, is indicated in Raktarsha (bleeding piles) owing to its Pitta-Rakta shamana (pacifying), Vrana Ropana (wound healing), and Mrudu Virechana (mild laxative) properties. A 37-year-old female banker with a sedentary lifestyle presented with a 5-month history of rectal bleeding, constipation, mild anal discomfort, and occasional prolapse of tissue during defecation. Dugdhikadi Ghrita was administered as Per Rectal Instillation in a dose of 5 ml once daily for 15 days. Adjunctive dietary and lifestyle modifications were advised. After 15 days of treatment, the patient reported: Complete cessation of rectal bleeding, Relief from constipation with regular, soft bowel movements, Resolution of anal discomfort and burning sensation, No recurrence of prolapse during the observation period. Dugdhikadi Ghrita administered as Per Rectal Instillation demonstrated significant clinical efficacy in managing bleeding piles. Its dual action of local Pitta-Rakta pacification and systemic Vatanulomana (regulated downward movement) contributed to rapid symptom resolution within 15 days. This case highlights the therapeutic potential of Per Rectal Instillation with Dugdhikadi Ghrita as a safe, effective, and minimally invasive approach for Raktarsha.
Aishwarya Uppal1*, Dr. Bhoomi Soni2, Dr. Jitendra Pandey3 (Sat,) studied this question.