Asuri Chikitsa, an esoteric branch of Ayurveda, involves mystical and ritualistic therapies used primarily for diseases of divine or supernatural origin. This review examines the application of Asuri Chikitsa in the management of Arshas (haemorrhoids), an ailment described in Ayurvedic texts as a condition arising from imbalances in the body's Doshas, particularly Vata. The article explores the historical and cultural significance of AsuriChikitsa, with a focus on its use in Arshas when conventional treatments failed. It details the therapeutic methods, including the use of Mantras, Yantras, herbal combinations, and rituals, all aimed at restoring balance in the body and mind. Additionally, the review draws parallels between traditional Ayurvedic surgical procedures (ChedanaKarma, Kṣārakarma, and Agnikarma) and their modern counterparts in proctology, such as haemorrhoidectomy, sclerotherapy, and infrared coagulation. The article also highlights how modern technological advancements, such as laser therapy and Doppler-guided haemorrhoidal artery ligation, are aligning with Ayurvedic principles. The integration of modern techniques with Ayurvedic wisdom underscores the relevance of Asuri Chikitsa in contemporary healthcare, offering a holistic approach to treating Arshas. Further research is essential to validate the efficacy of Ayurvedic treatments in modern medical practice.