Abstract
the eight Maharoga described in classical Ayurvedic literature, recognized for its chronicity, recurrence, and distressing symptoms. Shushka Arsha, the dry and non-bleeding variant, is predominantly a Vata-Kaphaja disorder characterized by hard, painful swellings in the anal region, often accompanied by constipation and difficulty during defecation. The pathogenesis involves Agnimandya (impaired digestive fire), accumulation of Ama (metabolic toxins), and obstruction of Apana Vata, leading to localized tissue hypertrophy. Among the herbs recommended for this condition, Chitrak (Plumbago zeylanica Linn.) and Shunthi (Zingiber officinale Rosc.) are particularly noteworthy for their synergistic therapeutic potential. Chitrak, with its Tikshna, Laghu, and Ushna properties, serves as a potent Arshoghna, while Shunthi, possessing Snigdha and Ushna qualities, alleviates pain, reduces inflammation, and promotes smooth bowel movements. This review integrates classical Ayurvedic principles and contemporary scientific evidence to elucidate the therapeutic mechanisms of Chitrak and Shunthi in Shushka Arsha, highlighting their clinical relevance and potential as safe, effective, and holistic alternatives for hemorrhoidal management. The combined insights underscore the value of integrating traditional knowledge with modern research to optimize patient outcomes in chronic anorectal disorders.
