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Arshkalp is a unique combination of herbs which act in synergism for treatment of piles.The combination of herbs acts by reducing portal pressure, promoting emptying of haemorrhoidal veins into portal veins. Thereby reducing swelling of hemorrhoids, reduce bleeding by some procoagulant herbs. It controls signs and symptoms of piles (hemorrhoids) like bleeding and swelling more effectively when compared to the commonly prevalent treatment in tertiary government hospitals. And overall patients satisfaction is better with ARSHKALP.