Piles or Haemorroids are dilated veins within anal canal spicy & oily food, fast food, exciting causes like straining at stool constiopation repeated abortions these are common causes of Haemorroids. Bright red bleeding along with defeacation, pain if associated with fissure in-ano mucous discharge & rarely anaemia. These are common symptoms of Haemorroids. Arshankush stops bleeding in piles with the help of Suran & Nagkeshar. While Dhamasa & Harda relieves pain. Trikatu & jire improves appetite & Harda helps to clean bowel which is most important in piles. Thus Arshankush controls piles problem absolutely & arrests recurrent attacks.