Article: A REVIEW ON ROLE OF PATHYA-APATHYA IN ANO-RECTAL DISEASES: AN AYURVEDIC PERSPECTIVE ON ARSHA, PARIKARTIKA, AND BHAGANDARA

Article Category: Review articles

DOI: 10.7897/2277-4343.17121

Pages: 123-127

Author: Prashant Ramachandra Madane *, Dipsinh B. Chavda, Snehal R. Sonani, Twinkle V. Sharma, Dilip M. Parmar

Abstract: Anorectal disorders, including Arsha (hemorrhoids), Parikartika (anal fissure), and Bhagandara (fistula-in-ano), are among the most frequently encountered conditions affecting the recto-anal region. Ayurveda attributes their origin primarily to improper dietary practices and lifestyle habits that disturb the equilibrium of Doshas and weaken Agni (digestive power). This paper explores the concept of Pathya and Apathya - the wholesome and unwholesome regimens - outlined in the classical texts Charaka Samhita, Sushruta Samhita, and Ashtanga Hridaya, and correlates them with present-day nutritional science. The review emphasizes that a balanced diet comprising light, easily digestible, and fibre-rich foods such as Mudga, Takra, Yava, Gh?ta, and Rakta Shali improves digestion, prevents constipation, and accelerates healing of anorectal lesions. In contrast, the intake of heavy, oily, spicy, or fermented food items and sedentary routines aggravate pathological changes and delay recovery. Appropriate Pathya-Ahara (diet) combined with Vihara (healthy lifestyle practices) and yoga helps regulate bowel movements and supports the healing process. Integrating Ayurvedic dietary principles with modern health perspectives offers a preventive and restorative framework for managing anorectal diseases and enhancing overall digestive health.

Keyword: Pathya-Apathya, Arsha, Parikartika, Bhagandara, Ayurveda, Diet, Lifestyle