Tansukh amrita guggulu has been identified as an ayurvedic treatment that treats Piles as well as Arthritis. Key Ingredients: Pippali, Chitrak, Bibhitika, Tvak, Vaividang, Amalaki, giloy etc Directions for Uses 2 Pills 2 or 3 times with water or as prescribed by Ayurvedacharya or a physician It is available (sizes): 40 Tab, 500g, 1kg Security Information Be sure to read the label before making use Keep it in a cool and dry location, away from direct sunlight Keep it out of reach of children. Don't exceed dose that is recommended.