Introduction: The anal canal and the lower rectum have a lumen line by three fibro vascular cushions in each cushion .in each cushion is a venous plexus fed by arteo-venous communications.the internal haemorrhoidal plexus receives its blood supply exclusively from the terminal branches of the superior rectal artery. there are many factors that contribute to develop pathlogical haemorrhoidal cushions.the alteration may be due to familiarity, Environmetal factors. Constipation straining during defection low fiber diet obesity ,sedentary life style. It may be due to deterioration of connective supportive tissue symptoms vary with conditions e.g pregnancy,repeated straining constipation ,diarrheachange in diet or working pattern , these situation may under goperiod of remission and relapse .the most common symptoms is bleeding after going to the toilet.this is either bright red and usally notices in wipping or in the toilet bow! Most common cause of Anal bleeding in 54% of the cases is due to hemorrahoids as confirm by Nicholls 1985.internal hemorrhoiads are usually painless ,how ever, in grade # & 4hemorrhoids(it is not so common) causes intense pain if it occurs. more over intense Pain if it occure . More over intense pian i9s usually associate in cases of anal fissure anorectal abscess etc .Prolepses occure with bowel movement and are associated with an uncomfortable sensation of fullness and incomplete evacuation .large hemorrhoids may cause mucus discharge ,pain irritation and itching. the discgarge may irrate the skin around thwe anus ,this result in to fullness in the anus or fully emptying bowel feeling is not felt by patient Pykure ointment is a safe effective and well documented Herbal remedy which ensure sighificant result in patients suffering from 1&3 degree of hemorrhoids fissure and rectal bleeding Prolepses of rectum and fistula.