Piles in Ayurveda are called as ARSHA. It is defined as”arivat pranan shrinoti hinasti iti arshah” A disease which tortures patient’s vital force (prana) as enemy is called as Arsha. Neglect of proper diet and lifestyle habits ends in reducing digestive fire (Agni) or making it abnormal called mandagni. It means inability to digest food material with proper pace and time leading to accumulation or stagnation of half digested food material (Aama) in the form of stool inside, or expelling it before time in watery or semisolid form, which disturbs doshas at anorectal region.