E-ISSN:2456-3110

Review Article

Management of Viral Hepatitis

Journal of Ayurveda and Integrated Medical Sciences

2024 Volume 9 Number 5 May
Publisherwww.maharshicharaka.in

Role of Ayurveda medicines in the management of Viral Hepatitis w.s.r. to Koshtha Shakhashrita Kamala

Acharya G S1*, Niranjan S2, Swayamprabha S3, S Acharya R4
DOI:10.21760/jaims.9.5.28

1* Shripathi Acharya G, Director, Academic and Development, Muniyal Institute of Ayurveda Medical Sciences, Manipal, Karnataka, India.

2 Niranjan S, Professor, Department of Kayachikitsa, Major SD Singh Ayurveda Medical College, Farukhabad, Uttar Pradesh, India.

3 Swapna Swayamprabha, Associate Professor, Department of Agadatantra, KATS Ayurvedic Medical College, Ankushpur, Odisha, India.

4 Rajeshwari S Acharya, Post Graduate Scholar, PG Department of Panchakarma, Government Ayurveda Medical College, Bangalore, Karnataka, India.

Infectious disorders are seen abundantly in India population. Viral hepatitis is occurring commonly in areas where there is poor hygiene. Viral hepatitis is one such disorder where inflammation of liver is seen due to viral infection. Due to food or water contamination, this disease spreads in the population. In Ayurveda, Koshtha Shakhashrita or Bahupitta Kamala is explained in the classics which has similarity with signs and symptoms of viral hepatitis. Yellowish discolouration of urine, skin and conjunctiva, Agnimandya, Aruchi, Dourbalya, Daha (Burning sensation in the body), Avipaka (Indigestion), Angasada (Body ache) and Hatendriya are the clinical features of Kosha Shakhashrita Kamala. Viral hepatitis presents with subtypes – A, B, C and non A, non B, etc. Ayurveda medicines have better role in the management of Kamala Roga. Use of Virechana, Rasayana, Mootrala, hepatoprotection, hepatitic stimulants, choalagauges, antivirals, anti-infective drugs and nutritive drugs play important role in the management of viral hepatitis. Use of Pathapathya is crucial in this disease. The present paper highlights about the role of Ayurveda medicines in the management of Viral hepatitis vis a vis Koshtha Shakhashrita Kamala, Roga.

Keywords: Viral hepatitis, Koshtha Shakhashrita Kamala, Anti-viral, hepato protectives

Corresponding Author How to Cite this Article To Browse
Shripathi Acharya G, Director, Academic and Development, Muniyal Institute of Ayurveda Medical Sciences, Manipal, Karnataka, India.
Email: 		Acharya G S, Niranjan S, Swayamprabha S, S Acharya R, Role of Ayurveda medicines in the management of Viral Hepatitis w.s.r. to Koshtha Shakhashrita Kamala. J Ayu Int Med Sci. 2024;9(5):172-174.
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https://jaims.in/jaims/article/view/3397

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2024-03-17 2024-03-27 2024-04-08 2024-04-18 2024-04-25
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
None Nil Yes 21.85

© 2024by Acharya G S, Niranjan S, Swayamprabha S, S Acharya Rand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

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Shripathi Acharya et al. Role of Ayurveda medicines in the management of Viral Hepatitis

Introduction

Kamala Roga is classified as two types – 1) Kashthashakshashrita Kamala 2) Shakhashrita Kamala or Ruddha Pathakamala Roga (Obstructive jaundice). Viral hepatitis is usually caused by mistake of contaminated food and water. According to Ayurveda, Kamala Roga is caused due to excessive intake of Pitta Karaka Ahara and Visharas. The aggravated Pitta vitiates Rakta and results in jaundice. Viral hepatitis usually presents with clinical features like loss of appetite, lethargy, weakness, itching, body ache, yellowish discolouration of urine, skin and conjunctiva, abdominal pain and in severe cases, altered consciousness like stuper, delerium, precoma, coma and even death. Strict Pathyapathya is necessary while treatment viral hepatitis patients.

Single drugs useful in viral hepatitis.[1,2]

1. Katuki – Picrurrhiza kurroa

2. Guduchi – Tinospora cordifolia

3. Narikela jala – Cocos nucifera

4. Dronapushpi – Leucas aspera

5. Kakamachi

6. Bhunimba – Andrographis paniculate

7. Kiratatikta – Swertia chirayita

8. Moolaka – Radish

9. Alabu – Water gaurd

10. Haritaki – Terminalia chebula

11. Vishitaki – Terminalia bellerica

12. Amalaki – Emblica officinalis

13. Punarnava – Boerhavia diffusa

14. Patola – Trichosanthus dioca

15. Ikshu – Sachurum indicum

Formulation used in Viral hepatitis[3,4]

1. Phalatrikadi Kashaya

2. Katuki Kashaya

3. Triphala Kashaya

4. Guduchi Kashaya

5. Punarnava Kashaya

6. Arogyardhini Vati

7. Godanti Bhasma

8. Yakridari Loha

9. Yakrit Plihari Loha

10. Lohasava

11. Kumari Asava

12. Rohitakarishta

13. Pravala Panchamrita Rasa

14. Mukta Panchamrita Rasa

15. Pravala Pishti

16. Mukta Pishti

17. Pravala Moola Bhasma

18. Mukta Bhasma

19. Kamadugha Rasa with Mouktika

20. Drona Pushpi Swarasa

21. Ikshu Swarasa

Actions of the drugs used in Viral hepatitis

1. Hepatoprotectives

2. Hepatic stimulants

3. Dipana[5]

4. Pachana

5. Virechana

6. Malavatanulomana

7. Mootrala

8. Rasayana

9. Tikta and Madhura Rasayukta drugs[6]

10. Sheeta Virya Yukta

11. Anti viral

12. Anti infective

13. Anti bacterial

14. Bactericidal[7,8]

15. Anti inflammatory

16. Shothahara

17. Sramsana


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Pathyas[9,10]

1. Shashika Shali Anna

2. Laghu Supachya Achara

3. Yavagu

4. Laja Manda

5. Tikta Mandhura Ahara

6. Poshaka Ahara

7. Gokshira

8. Adequate rest

Apathyas[11,12]

1. Excessive exercise

2. Snigdha (Fatty) Achara like oil, ghee etc

3. Fried and curried food items

4. Excessive Katu, Amla and Lavana Rasayukta Ahara

Discussion

Ayurveda medicines have a positive role in the management of viral hepatitis, Ayurveda management includes Nindana Parivarjana (Avoidance of causative factors), Vyadhi Pratyanika Aushadha Prayoga, practice of Pathapathya, sometimes Pachakarma. In Ayurveda, medicines having Virechana, hepatoprotective, hepatic stimulant, choalagaunge, Rasayana, Pitta Saraka, antiviral, anti-infective, antibacterial, bactericidal, immunomodulator, Pittahara, Malavatanulomana, Tikta Madhura Rasayukta drugs are used in this disease.[13,14] Usually within one month, these cases get cured completely. But, hepatitis B usually becomes chronic and persists for longer time. Sometimes it leads to chronic active hepatitis or fulminant stage. Some cases of hepatitis B turn into cirrhosis of the liver or hepatic failure. Diet plays important role in the management of Viral hepatitis. Pittahara Ahara and Vihara is usually advised. Tender coconut water, barley water and sugar cane juice are Pathyas in this disease. Moolaka (Radish) and Alabu (water gaurd) are also proved to be wholesome in the disease.[15,16] Usually viral hepatitis have a better prognosis.

Conclusion

Viral hepatitis can be better treated by Ayurveda treatment. Usually one month, there will be complete alleviation of signs and symptoms. However, for treatment, 3 months Pathyas has to be followed. Sometimes due to strict Pathapathya Palana, there will be significant weight loss in some patients. Hepatitis B patients often develop chronic active hepatitis, fulminant hepatitis and cirrhosis of the liver and hepatorenal failure and even death.

References

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14. P V Sharma, Dravya guna Vijnanam, Vol I I, Chaukhambha Bharati Academy 16th edition Varanasi 1995, PP 893.

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16. Siddhinandan Mishra, Bhaishajya Ratnavali, Siddhiprada commentary, Choukhambha Sur Bharathi Prakashana, Varanasi 2005, PP 1116.


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