Abstract
Hemorrhoids are a very common anorectal condition characterized by symptomatic enlargement and distal dislodgment of anal cushions which mainly affects the quality of life. Siddha herbal medicine Kuppaimeni (Acalypha Indica) is indicated for haemorrhoids, was used in this pilot study to catalogue the feasibility of Kuppaimeni samoola choornam in the management of first, second, and third- degree internal Hemorrhoids, along with a dietary regimen, of including two fig fruits in the daily diet. Ten participants were selected for the study and they underwent medication with a drug administration calendar period of forty - eight days. Prognosis was assessed by using Hemorrhoids Symptoms Severity (HSS) Scoring. The study findings of KSC are: among the ten cases, eight subjects got complete relief from symptoms after 48 days of medication. HSS scoring reduced to zero for all (8) first and second degree hemorrhoid cases and these 8 cases never had repeated episodes in follow-up time (5 years of follow-up after withdrawing medication). This study suggests the feasibility of using KSC in treating first and second-degree internal hemorrhoids.