In Ayurveda, there is a description of many diseases and their management as well as lifestyle for healthy living, there are many Ano-rectal diseases described in Ayurvedic literature, Arsha is one of the anorectal diseases which is a severe painful condition. It can be correlated with hemorrhoids in modern science. In India, according to a recent survey, the prevalence of hemorrhoids is about forty million. Chronic constipation, diarrhea, low-fiber diet, spicy foods, obesity, Aging, pregnancy, depression, alcohol intake, etc are the main etiological risk factors that can be responsible for the development of hemorrhoids. Studies have shown a history of rectal disorders occurrences in long-sitting occupations. The hemorrhoid treatment depends on the degree and severity of piles and ranges from dietary changes and lifestyle modification and even the radical surgery should be done depending on the condition of the patient. The primary objective of most topical treatments is to control symptoms like pain, inflammation, itching, etc. rather than to cure the disease. The number of topical preparations contains various constituents like local anesthesia, anti-inflammatories, antibiotics, and corticosteroid drugs. So, this paper aims to present the topic of Ayurvedic and Modern management of Arsha (Hemorrhoids) for clinical knowledge.