ARSHA, one of the Ashta-Mahagadasappears at the Gudaregion, which is a kind of Sadhyapranahar Marma. In Humans, the erect posture results in very high pressure on the valve less rectal venous plexus which makes them prone to this disease. It is a problem related to old age, sedentary lifestyle & dietary factors.Vega Vidharan, ati ushna-tikshana and mamsaaharaleads to Vitiation of Apana vayu, that primarily causes Agni Mandata & Mala avashtamba in the affected individulas. The fourfold treatment protocol given in Ayurvedic context gives more emphasis to start with a Conservative Management -BHESHAJAYA KARMAin Arsha.The present case study includes 45 patients diagnosed with Abhyantra Arshawith chief complaints as Per Rectal Bleeding (Raktasrava), Constipation (Mala bandhta) and Pile Mass (Arsha ankura). An attempt is made to prepare an easily accessible,standard & cost effective palliative mode in terms of AGASTIMODAKA to treat the cases of 1st& 2ndDegree Internal Haemorrhoid. All the ingredients of Agastimodakaare Katu, Tikta, Kashaya Rasatmaka, Madhura Vipaki. It presents as a good Aam Pachaka, shool prashamaka, mala shodhakaand rakta stambhaka. Owing to its Deepana-Pachana property, it regulates Agniwhich improves the digestion and relieves constipation by lowering the pressure on anal varices. A significant relief was observed in all the three study included parameters.Bheshajya Karmahas no fear of complications like infection, gangrene and bleeding in comparison to the Allopathic Surgical procedures.