Piles are usually associated with complaints like indigestion and constipation. Pain and bleeding are the major symptoms and the scope of conventional treatments and surgeries is limited. PILIEF tablet with herbs like Chitrak(Plumbago zeylanica) and haritaki(Terminalia chebula) which are traditionally known as remedy for hemorrhoids and khadir( Acacia catechu) checks bleeding. Neem ( Azadirachta indica) is anti microbial and promotes healing. Aloe and haritaki are known for mild laxative action. PILIEF is a twin support for herbal management of haemorrhoids.