Ayurvedic solution for Fissure and piles during pregnancy and after delivery

 Why #Fissure and #piles  occur during pregnancy and after delivery ?

1)During pregnancy, the  common cause of anal fissure and piles is constipation. 

2)After delivery, mostly the cause is prolonged pushing during labour

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During #pregnancy, :-

****गर्भ वृद्धि प्रपिडनात् l

Ref Ashtanga Hridaya Nidana Sthana 7/14

During pregnancy  the uterus  increases pressure on the intestines , leading to piles 

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Some changes occur in the gastrointestinal tract  during pregnancy *

1)progesterone levels increase

 2)Increased progesterone relaxes the muscles of the gastrointestinal tract, 

3)Relaxation of these muscles, slow

down bowel movements  

4)Slow bowel movement makes it harder for stool  to pass. 

6) During pregnancy  the uterus  increases pressure on the intestines , leading to constipation,piles 

7) And after delivery fissure and piles occurs mostly due to prolonged pushing during labor

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Ayurvedic Solution 

1)To Avoid constipation :-

2) To give safe medicines if piles/ fissure occurs 

 

1)To Avoid constipation :- 

*Include Ghrita  and milk daily in diet 

Increase water intake 

*Milk+Rice gruel+ Ghrita should be given 

Increase Butter (नवनीत) made in an ayurvedic way.

*Sound Sleep 

 avoid seating in a hard place for a prolonged period 

*In the eighth  month of pregnancy AcharyaCharaka,Sushruta,Vagbhata has indicated the #Basti (enema with Ayurvedic medicines )

1)First enema with decoction of ayurvedic medicines ,milk,curd sour butter,oil,salt, honey, Ghrita. together 

(#Asthapan Basti)

2)After evacuation of stool after enema,it should be followed by enema of oil medicated with milk and Madhur group medicines (#Anuvasana Basti)

*In Nine month continue same Anuvasan basti to remove the retained stool and regulation of gases in the digestive system.

--------- It  helps the delivery without difficulty and complications -----------

Ref:- 

charak sharir sthana 8/32

Sushruta Sharir Sthana 10/4

Ashtanga Sangraha Sharir Sthana 3/11

Ashtanga Hrudaya Sharira Sthana 1/64-65

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2) To give safe medicines if piles/ fissure occurs :-

* Decoction of Triphala mixed with Hirda ,sunthi and jaggery 

Ref:- Harit Samhita Tritiya Sthana 51/10

*In pregnancy if she is suffering from painful bleeding per rectum or pain at anal region -

lukewarm milk mixed with powder of #glycyrrhizaglabra should be given and followed by enema of the scum of melted Ghrita (Ghrita Manda)

 *Soup prepared with  #Solanum indicum,Aegle marmelos ripe fruit ,Hemidesmus indicus together should be given 

*Finely powdered #Coriander sativum seeds,glycyrrhiza glabra,#Adiantum lunulatum mixed with honey adding with rice water should be prescribed 

*#Solanum virginianum,#Tribulus terrestris, bark of #Ficus religiosa equal quantity mixed with salt should be used in diet,  in solid or liquid form 

Ref :- Kashyap Samhita Khilsthana 10

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Vd. Pratibha Bhave 

Ayurvedic Gynaecologist 

BAMS,MD Ayu obstetrics and gynaecology 

8766740253