It is necessary to understand the causative factors of piles. These all factors causes inflammation of rectal mucosa, it's folding.
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Causative factors are:-
1) Accumulation of faces due to weak digestion power (agni)
2) Too much copulation
3) Too much Riding on vehicles
4) Seating for long time on uneven surfaces, hard seat,
5) Seating on own heals (उत्कटासन)
6) Injury caused by instruments, stones, bricks, cloths, etc.
7) Contact with very cold water
8) Excessive straining during defecation
9) Habit to suppress natural urges of flatus, urine and feces or premature initiation of it.
10) Retention of Ama (undigested material) in the digestive system
11) Fever, tumours, diarrheas', diseased duodenum, dropsy ,anemia
12) In the woman due to exertion, emaciation ,#abortion, pressure caused by developing #fetus
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*Due to these and other similar causes,
initiate vitiation of Apan vayu.
*Apan vayu gets aggravated and withhold accumulated feces in the folds of the rectum(पायोर्वली)
*Due to these, folds of rectum gets inflamed (तास्वभिष्यण्ण)and piles occurs
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Ref ashtanga hrudaya Arshonidan (अर्शोनिदान) 7/10-14
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Vd Pratibha Bhave
8766740253
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