Published Paper Details:

Background: Shushkarsha (internal hemorrhoids) is a common anorectal disorder impacting quality of life, often managed with various Ayurvedic formulations. Objective: To evaluate and compare the clinical efficacy of Gomutra Haritaki and Guda Haritaki in managing 2nd degree internal hemorrhoids. Methods: Forty-four patients meeting inclusion criteria were randomized into two groups. Group A received Gomutra Haritaki (5 gm twice daily), and Group B received Guda Haritaki (5 gm twice daily) for 28 days. Efficacy was measured by symptom reduction using standardized assessment scales for pain, constipation, pile mass, dyspepsia, and pruritus. Results: Both treatments produced highly significant improvement in cardinal symptoms, with nearly identical efficacy on pain (87.8% vs 88.4%), complete resolution of constipation in both groups, and marked reduction of pile mass, dyspepsia, and pruritus. Conclusion: Both Gomutra Haritaki and Guda Haritaki are highly effective for 2nd degree internal hemorrhoids. Differences in overall improvement were minimal, suggesting comparable efficacy.