Duralabharishta is a classical Ayurvedic remedy for piles from Ashtanga Hridaya which is comprised of decoction of herbs like Duralabha (Tragia involucrata). It is an aqueous solution which contains about 5 to 10% of alcohol generated naturally within a span of 3 months of fermentation.

Properties and Uses:

It is Vata-Anulomak and Deepak-Pachak.

Useful in Indigestion, Constipation, and Haemorrhoids.

Dosage and Anupan:

Adults – 15-30 ml twice a day mixed with an equal quantity of water.

Children – 5-10 ml twice a day mixed with an equal quantity of water.

Side Effects:

A single dose of more than 40 ml may cause gastrointestinal disturbances and diarrhea.

It contains sucrose hence best avoided in diabetics.

Shelf Life:

10 years. Bottle once opened is better advised to be consumed within three months.

Reference:

1. Astanga Hridaya Arshachikitsa 70-71