Promising Herbs

for

Haemorrhoids

(PILES)

Presented by

Dr. Sudhakar Kokate

Director PPRC, India

Haemorrhoids

PPRC/INDIA 01

Dilation & protuberances of blood

vessels in the anal region

No bar for gender, age or culture

Known to humanities from time

immortal

World > 40% suffer

PPRC/INDIA 02

India 80% of age group 21 – 50 years

affected

One of the commonest disease

Patients keep mysterious secrecy

Physiological abnormality

Term derived from Greek word

PPRC/INDIA 03

Haemorrhoidal tissue associated with

constipation, pre-rectal bleeding

Mention in Vedas, Arabia, Ayurveda

and Bible

Development starts through several

stages

PPRC/INDIA 04

Hypertrophy of the normal cushion

lying in the upper part of the anal canal

which causes symptoms

Known to mankind since 4000 years

Theories like vascular, chronic straining

explain development of haemorrhoids

PPRC/INDIA 05

Causative factors

PPRC/INDIA 06

Heredity

Anatomical features

Rectal congestion

Constipation

Occupation

PPRC/INDIA 07

Lack of exterior sphincter muscle

Exercises or straining

Pregnancy

Parturition

Anal infection

PPRC/INDIA 08

Symptoms

PPRC/INDIA 09

Bright red blood in toilet

Itching, pain in anus

Variable degree of pain

Discharge – bleeding yellow white

watery

PPRC/INDIA 10

Bleed in the anal canal

Change in bowel habits

Change from normal stool – black

stony, narrowing

Uncontrollable leakage of faeces

PPRC/INDIA 11

Severe haemorrhage

PPRC/INDIA 12

Profuse haemorrhage

Strangulation

Thrombosis

Ulceration

PPRC/INDIA 13

Fibrosis

Suppuration

Pyle phlebitis

Gangrene

PPRC/INDIA 14

Types

PPRC/INDIA 15

BASED ON LOCATION

Internal

External

Mixed

PPRC/INDIA 16

BASED ON STAGES

1st degree

2nd degree

3rd degree

4th degree

PPRC/INDIA 17

BASED ON APPEARANCE

Dry

Bleeding

PPRC/INDIA 18

Treatment

PPRC/INDIA 19

Surgical – last resort

Sclero therapy

Rubber band ligation

Cryo – therapy

Infrared coagulation / photo

coagulation

PPRC/INDIA 20

Laser therapy

Procto therapy

Zeroid

Reduction process of anal sphincters

Use of medicines

PPRC/INDIA 21

Herbal remedy

PPRC/INDIA 22

168 B.C. herb – Qing hao in China

Herbs –

direct action

absorption assimilation better way

improve bowel function

PPRC/INDIA 23

Reduce constipation

Check bleeding

Inflammation

Fasten up bleeding process

PPRC/INDIA 24

Mode of action

PPRC/INDIA 25

Haemostasis

Anti-inflammatory

Hastening wound healing

Anti-microbial

PPRC/INDIA 26

Regularizing bowel movement

Hepato-protection

Stress mitigation

Anti-oxidant

PPRC/INDIA 27

Promising Herbs

Abelmoschus moschatus

Medikus

PPRC/INDIA 29

Family: Malvaceae

Parts: Seed

Therapeutic values: Emollient,

diuretic, aphrodisiac

PPRC/INDIA 30

Abuliton indicum L. Sweet

PPRC/INDIA 32

Family: Malvaceae

Parts: Seeds, Leaves

Therapeutic values: Emollient,

laxative, aphrodisiac, diuretic, sedative

PPRC/INDIA 33

Acacia catechu L. f. Willd.

PPRC/INDIA 35

Family: Momosaceae

Parts: Wood extract, leaf / bark

Therapeutic values: Astringent

PPRC/INDIA 36

Achillea millefoliun L.

PPRC/INDIA 38

Family: Asteraceae

Parts: Entire plant, leaves & flower

Therapeutic values: Anti-bacterial

PPRC/INDIA 39

Achyranthes aspera L.

PPRC/INDIA 41

Family: Amaranthaceae

Parts: Root, seed, whole plant, leaves

Therapeutic values: Astringent,

diuretic, purgative, anti-febrile /

diaphoretic

PPRC/INDIA 42

Acorus calamus L.

PPRC/INDIA 44

Family: Araceae

Parts: Whole plant

Therapeutic values: Stimulant, emetic,

sedative, anti-spasmodic

PPRC/INDIA 45

Aegle marmelos L. Correa

PPRC/INDIA 47

Family: Rutaceae

Parts: Fruit pulp

Therapeutic values: Laxative,

astringent, digestive, anti-febrile /

diaphoretic

PPRC/INDIA 48

Ageratum conyzoides L.

PPRC/INDIA 50

Family: Asteraceae

Parts: Leaves

Therapeutic values: Wound healing,

anti-microbial, anti-anthelmintic

PPRC/INDIA 51

Alangium salvifolium L. f.

Wang.

PPRC/INDIA 53

Family: Alangiaceae

Parts: Leaf

Therapeutic values: Astringent, emetic

PPRC/INDIA 54

Albizzia amara Roxb. Boivin.

PPRC/INDIA 56

Family: Mimosaceae

Parts: Seed

Therapeutic values: Astringent

PPRC/INDIA 57

Albizzia lebbeck L. Benth.

PPRC/INDIA 59

Family: Mimosaceae

Parts: Leaf, seed

Therapeutic values: Astringent, tonic

PPRC/INDIA 60

Alhagi maurorum Medik.

PPRC/INDIA 62

Family: Papilionaceae

Parts: Entire plant

Therapeutic values: Laxative, diuretic

PPRC/INDIA 63

Allium cepa L.

PPRC/INDIA 65

Family: Alliaceae

Parts: Bulb

Therapeutic values: Stimulant,

diuretic, aphrodisiac

PPRC/INDIA 66

Aloe vera

PPRC/INDIA 68

Family: Liliaceae

Parts: Leaf, whole plant

Therapeutic values: Laxative, tonic,

cooling skin problem, stomach pain

PPRC/INDIA 69

Amorphophallus

paeoniifolius

PPRC/INDIA 71

Family: Araceae

Parts: Corm

Therapeutic values: Stomachic,

restorative, carminative

PPRC/INDIA 72

Anthemis nobilis L.

PPRC/INDIA 74

Family: Asteraceae

Parts: Root

Therapeutic values: Anti- microbial

PPRC/INDIA 75

Argemone mexicana L.

PPRC/INDIA 77

Family: Papaveraceae

Parts: Latex, roots, seed

Therapeutic values: Diuretic, emetic,

emollient / demulcent, sedative

PPRC/INDIA 78

Asclepias curassavica L.

PPRC/INDIA 80

Family: Asclepiadaceae

Parts: Root bark

Therapeutic values: Emetic, purgative

PPRC/INDIA 81

Asparagus racemosus Willd.

PPRC/INDIA 83

Family: Liliaceae

Parts: Root tuber

Therapeutic values: Diuretic, anti-

dysenteric, tonic, emollient /

demulcent, anti-spasmodic,

aphrodisiac

PPRC/INDIA 84

Azadirachta indica A. Juss

PPRC/INDIA 86

Family: Meliaceae

Parts: Leaves, Oil, Bark

Therapeutic values: Astringent, anti-

anthelmintic, anti-microbial, anti-

febrile, tonic, hastens wound healing,

purgative, emollient

PPRC/INDIA 87

Barleria prionitis L.

PPRC/INDIA 89

Family: Acanthaceae

Parts: Leaves

Therapeutic values: Diuretic, hastens

wound-healing

PPRC/INDIA 90

Bauhinia variegata L.

PPRC/INDIA 92

Family: Caesalpiniaceae

Parts: Buds, bark

Therapeutic values: Tonic, anti-

spasmodic, laxative

PPRC/INDIA 93

Berberis aristata DC.

PPRC/INDIA 95

Family: Berberidaceae

Parts: Whole plant

Therapeutic values: Tonic, astringent,

anti-febrile, purgative, anti-microbial,

anti-inflammatory

PPRC/INDIA 96

Berberis lycium Royle.

PPRC/INDIA 98

Family: Berberidaceae

Parts: Roots, stem

Therapeutic values: Anti-bacterial,

promotes leukocytosis, choleretic

PPRC/INDIA 99

Beta vulgaris L.

PPRC/INDIA 101

Family: Chenopodiaceae

Parts: Root

Therapeutic values: Laxative, sedative,

anti-inflammatory

PPRC/INDIA 102

Blumea densiflora L.

PPRC/INDIA 104

Family: Asteraceae

Parts: Leaves

Therapeutic values: Astringent,

stimulant, diuretic

PPRC/INDIA 105

Blumea eriantha DC.

PPRC/INDIA 107

Family: Asteraceae

Parts: Roots

Therapeutic values: Carminative,

sudorific

PPRC/INDIA 108

Blumea lacera DC.

PPRC/INDIA 110

Family: Asteraceae

Parts: Leaves, whole plant

Therapeutic values: Astringent,

stimulant, diuretic

PPRC/INDIA 111

Blumea oxyodonta DC.

PPRC/INDIA 113

Family: Asteraceae

Parts: Leaves

Therapeutic values: Astringent

PPRC/INDIA 114

Bombax ceiba L.

PPRC/INDIA 116

Family: Bombacaceae

Parts: Flower

Therapeutic values: Astringent,

diuretic

PPRC/INDIA 117

Bosewellia serrata Roxb.

PPRC/INDIA 119

Family: Burseraceae

Parts: Gum resin

Therapeutic values: Diuretic,

diaphoretic, emmenagogue

PPRC/INDIA 120

Brassica nigra Koch

PPRC/INDIA 122

Family: Brassicaceae

Parts: Seed oil

Therapeutic values: Stimulant, emetic,

laxative

PPRC/INDIA 123

Brunella vulgaris L.

PPRC/INDIA 125

Family: Lamiaceae

Parts: Leaves

Therapeutic values: Expectorant, anti-

microbial

PPRC/INDIA 126

Butea monosperma Lamk.

Taub.

PPRC/INDIA 128

Family: Papilionaceae

Parts: Leaves, bark, flower

Therapeutic values: Astringent, tonic,

aphrodisiac, diuretic, anti-dysenteric,

anti-anthelmintic, anti-microbial

PPRC/INDIA 129

Butea superba Roxb.

PPRC/INDIA 131

Family: Papilionaceae

Parts: Stem, leaves

Therapeutic values: Astringent, tonic,

aphrodisiac, diuretic, anti-dysenteric,

anti-anthelmintic, anti-microbial

PPRC/INDIA 132

Thank you!!

“BE WITH US”