The management of hemorrhoids requires an integrated approach combining systemic oral therapy and topical ointment for effective symptom control. 1,2 Modern treatments focus on reducing inflammation, pain, and vascular engorgement through local anesthetics and systemic agents like laxatives, while Ayurveda provides polyherbal formulations with anti-inflammatory, styptic, analgesic, and laxative properties. 1 A combination of both approaches ensures dual-action efficacy—systemic therapy aids in reducing venous congestion and inflammation, while topical applications provide localized symptom relief and promote healing.

1 Comparative studies indicate that both allopathic and Ayurvedic treatments offer significant symptom alleviation, improved patient satisfaction, and enhanced quality of life, with no statistically significant differences in safety and tolerability. 3 The choice of…