Nagaradi Modaka in the management of hemorrhoids: rationality from Ayurvedic perspective

Abstract

Hemorrhoid is a disease, which torments people both physically and mentally, even disturbing their day-to-day activities. According to the WHO, 60 – 65% of the world population suffers from hemorrhoids, regardless of age and sex. Nagaradi Modaka is an oral medicine that can be used in hemorrhoid which has been mentioned in Chakradatta. It is an herbal preparation which contains Shunti (Zingiber officinale), puried Ballathaka (Semecarpus anacardium), Vrudhadaru (Argyreia speciosa) and jaggery (Saccharum officinale). The present study aimed at nding out the rationality of this drug in the management of hemorrhoid by analyzing its properties from Ayurveda perspective. In-depth literature study was carried out in respect of its ingredients and analyzed its relevance in the management of hemorrhoid. Shunti has Katu Rasa, Madura Vipaka, Ushna Veerya and Agni Deepana properties. Puried Bhallataka contains Katu, Thikta, Kasaya and Madura Rasa, Madura Vipaka, Ushna Veerya and Deepana-Pachana properties. Puried Bhallataka and Shunti has also been mentioned as Arshoghna Dravyas in Ayurveda texts. Vruddhadaru has Katu, Tikta and Kasaya Rasa, Sheta Veerya and Vata, Pitta Shamaka properties and jaggery has Madura Rasa, Madura Vipaka and Vata Kapha Nashaka properties. Shunti produces carminative, anti-oxidant and anti-inammatory actions while antioxidant, anti-inammatory, aphrodisiac, anabolic action of puried Ballathaka can be found. Analgesic and anti-inammatory actions of Vruddhadaru have also been scientically proven. Therefore, it can be concluded that the Nagaradi Modaka is effective according to Ayurveda.