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Piles and Ayurveda Piles is called as Arsha in Ayurveda. The symptoms of piles include burning sensation, pain and itching at the anal opening.The causative factors for piles include Indigation, Constipation, Taking Food which is contains more heat, eating spicy and oily food, low fibre content in food etc. Ayurvedic piles treatment includes medicinal therapy (Arshoghna medicine) And Ksharsutra. Both the therapies give best results for piles treatment.