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Item Nagaradi Modaka in the management of hemorrhoids: rationality from Ayurvedic perspective(Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Pushpakumara, A.A.J.; Willamuna, S.M.S.K.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), puried 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. Puried Bhallataka contains Katu, Thikta, Kasaya and Madura Rasa, Madura Vipaka, Ushna Veerya and Deepana-Pachana properties. Puried 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-inammatory actions while antioxidant, anti-inammatory, aphrodisiac, anabolic action of puried Ballathaka can be found. Analgesic and anti-inammatory actions of Vruddhadaru have also been scientically proven. Therefore, it can be concluded that the Nagaradi Modaka is effective according to Ayurveda.Item Evaluation of the efficacy of Nagaradi Modaka in the management of Raktharsas; a clinical study(Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Sri Lanka, 2016) Willamuna, S.M.S.K.; Pushpakumara, A.A.J.Hemorrhoid is one of the diseases which has been spreading rapidly nowadays. Bleeding Hemorrhoid is a highly distress type among Hemorrhoid varieties. Nagaradi Modaka treatment was identified from the “Chakradatta” which recommends its efficacy in management of symptoms such as anal pain, anal itching and anal bleeding. “Chakrdatta” was written by Acharya Chakrapani, the greatest and a renowned commentator of various Ayurvedic samhitas. It is a comprehensive text on pharmacy with many important formulations. The present study was carried out to evaluate the efficacy of Nagaradi Modaka in the management of Raktharshas. Forty (40) patients were selected and divided in to two groups, each group consisting of twenty (20) patients. Test group received Nagaradi Modaka, Thripala phanta and Nugadi Awagahana and the control group recieved only Thripala phanta and Nugadi Awagahana. The Nagaradi Modaka was given 5g (one tea spoon) with ghee twice per day for one week. Details of pre and post treatment conditions of both groups were collected through a questionnaire. The results were statistically analyzed. According to the findings, Bleeding Hemorrhoid is commonly found among elderly males (65%, n=40). Constipation was a common symptom among the selected patients (85%, n=40). According to the significant values between the before and after results, the symptoms such as anal pain, anal itching and anal bleeding have significantly reduced (p<0.05) in the test group where Nagaradi Modaka was used. These symptoms have not significantly reduced (p>0.05) in the control group. The pharmacological properties of Nagaradi Modaka reduce Pitta dosha, restore vata dushi and regulate the function of Apana vayu which help it break the samprapthi. It can be concluded that Nagaradi Modaka is effective in reducing the above symptoms of Raktharshas.