Piles, also known as hemorrhoids, are swollen and inflamed veins in the rectum and anus that cause discomfort and pain, especially during bowel movements. In Siddha medicine, an ancient healing system from India, piles are believed to occur due to imbalances in the body’s doshas, particularly the Pitta and Vata doshas, which govern digestive functions and circulation. Siddha practitioners employ a holistic approach to treating piles, aiming to restore the balance of these doshas. Herbal remedies are fundamental in Siddha treatment, with formulations containing ingredients like triphala, neem, and turmeric, known for their anti-inflammatory, astringent, and wound-healing properties. These herbs help reduce inflammation, promote healing of the swollen veins, and provide relief from pain and discomfort. Siddha medicine also emphasizes dietary modifications, encouraging patients to consume a high-fiber diet to prevent constipation, a common trigger for piles. Additionally, practitioners may recommend specific lifestyle changes, such as regular exercise and proper hygiene practices, to alleviate symptoms and prevent recurrence. By addressing the root cause through herbal remedies, dietary adjustments, and lifestyle modifications, Siddha medicine offers a natural and comprehensive approach to managing piles, aiming to provide relief, improve circulation, and enhance the overall quality of life for individuals affected by this condition.