Ayurvedic management of Alcoholic Liver Disease : A Case Report

Shruti Arali; Sidram Guled; Mythrey RC

doi:10.21760/jaims.9.8.44

Shruti Arali Final Year Post Graduate Scholar, Department of Kayachikitsa, Government Ayurveda Medical College and Hospital, Mysuru, Karnataka, India.
Sidram Guled Assistant Professor, Department of Kayachikitsa, Government Ayurveda Medical College and Hospital, Mysuru, Karnataka, India.
Mythrey RC HOD & Professor Department of Kayachikitsa, Government Ayurveda Medical College and Hospital, Mysuru, Karnataka, India.

DOI: https://doi.org/10.21760/jaims.9.8.44

Keywords: Kostha-Shakhashrita Kamala, ALD, Shamana Chikitsa, NABB Swarasa, Phalatrikadhi-Kasahay, Katuki Churna, Arogyavardhini Vati, Tab Nirocil

Abstract

Alcoholic liver disease (ALD) is one of the most prevalent types of liver disease worldwide. According to a 2023 study, the prevalence rate of alcoholic liver disease in India is 4.8%. This case report deals with a 51-year-old male patient initially came to OPD with complaints of yellowish discoloration of eyes, skin, and urine, loss of appetite, anorexia, distention of the abdomen, bilateral pedal edema, easy fatiguability, weakness and weight loss. Liver function test shows-high bilirubin and high transaminase, USG of the abdomen shows-Moderate Hepatomegaly with signs of Hepatitis. It was diagnosed as Kostha-Shakhashrita/Bahupitta Kamala based on the etiopathology and investigations. The patient was treated with Ayurvedic interventions viz, NABB Swarasa, Arogyavardini Vati, Phalatrikadhi Kashaya with Katuki Churna, Patolakaturohinyadhi Kashaya, Laghusoothshekara Rasa and Tab Nirocil were prescribed. After 68 days of treatment protocol, there was marked relief in the symptoms and a reduction in bilirubin and transaminase levels. The above-mentioned oral medications have shown significant results in the present study.

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References

Bruha R, Dvorak K, Petrtyl J. (2012). Alcoholic liver disease, World journal of hepatology, 27;4(3):81. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3321494

Ishak KG, Zimmerman HJ, Ray MB. Alcoholic liver disease: Pathologic, pathogenetic, and clinical aspects. Alcoholism: Clinical and Experimental Research. 1991;15(1):45–66.

Stickel F, Seitz HK. Update on the management of alcoholic steatohepatitis. J Gastrointestin Liver Dis. 2013;22:189–197.

Agnivesha, Charaka Samhita, chikitsa sthana, chapter 24, verse 113, Ayurveda deepika commentary by Chakrapanidatta. Editor: Yadavaji Trikamaji Acharya. Chaukhambha Surabharati Prakashana Varanasi. Edition 2016. Page no. 58

Pandey KN, Chaturvedi GN, Charak Samhita of Agnivesh Elaborated Wit Part 1 Sutra Sthan; Mahrogadhyay: Chapter 20 Verse no. 14 ed. 19 Varanasi, Choukhambha Bharti Academy 2021 Page no. 351

Pandey KN, Chaturvedi GN, Charak Samhita of Agnivesh Elaborated Wit Part 1 Sutra Sthan; Vividhashitiyapitiyadhyay: Chapter 28 Verse no. 12 ed. 19 Varanasi, Choukhambha Bharti Academy. 2021 Page no. 502

Shukla VD, Tripathi RD, Charak Samhita of Agnivesh Elaborated Wit Part 2 Chikitsa Sthan; Pandu Rog Chikitshitam:Chaper 16 Verse no. 34 ed. 2007 Varanasi Choukhambha Sanskrit Pratishthan Page No. 399

Shukla VD, Tripathi RD, Charak Samhita of Agnivesh Elaborated Wit Part 2 Chikitsa Sthan; Pandu Rog Chikitshitam:Chaper 16 Verse no. 40 ed. 2007 Varanasi Choukhambha Sanskrit Pratishthan Page No. 401

Acharya YT, editor. (2002). Charaka Samhita of Agnivesha, Chikitsa Sthana, Udara ChIikitsa, Chapter 13, verse 17, Rastriya Sanskrit sansthana; New Delhi: reprint,495

Priyavrat Sharma, Charak samhita vol – 1, Chaukhambha orientalia, Varanasi, ninth edition 2005, sootrasthan 24/5-10, p.158

Sastri K, Chaturvedi G; Charka Samhita elaborated Vidyotini hindi commentary, Chaukhambha Bharti academy, Varanasi, reprint 2015, Viman Sthan chapter 5, slok no. 7, page no. 811.

Agnivesha, Charaka Samhita, chikitsa sthana, chapter 16, verse 35, Ayurveda deepika commentary by Chakrapanidatta. Editor: Yadavaji Trikamaji Acharya. Chaukhambha Surabharati Prakashana Varanasi. Edition 2016. Page no.528

Sameer N Naik, Management of shakashrita kamala with special reference to viral hepatitis-An observational study. Dept of Postgraduate studied in kayachikitsa Government Ayurveda Medical College Mysuru;2000.p.93-99

Acharya YT, editor. (2002). Charaka Samhita of Agnivesha, Chikitsa Sthana, Udara ChIikitsa, Chapter 16, verse 10, Rastriya Sanskrit sansthana; New Delhi: reprint;495- discussion part Shukla B, Visen PK, Patnaik GK, Dhawan BN. (1991). Choleretic effect of Picroliv, the hepatoprotective principle of Picrorhiza kurroa, Planta Med., 57 (1):29-33

Bhattacharya S.K., Satyam K.S and Ghoshal K.S. Anti-oxidant activity of glycowithanlides from withania somnifera. Indian journal exp. Biol; 1997 vol 35 pp 236-239

Billore KV, Yelne MB, Dennis TJ, Chaudhari BG. Database on Medicinal Plants Used in Ayurveda3New Delhi: Central Council for Research in Ayurveda & Siddha, Ministry of Health & Family Welfare, Government of India; 2005. 513

Naaz F, Javed S, Abdin MZ. Hepatoprotective effect of ethanolic extract of Phyllanthus amarus Schum. et Thonn. On aflatoxin B1-induced liver damage in mice. J Ethnopharmacol 2007;113:503–9

Brook MG. Effect of Phyllanthus amaruson chronic carriers of hepatitis B virus. Lancet 1988;2:1017–8

Rajeshwardatta Shastri, Charak Samhita of Agnivesh Elaborated Wit Part-2, Chikitsa Sthan; Panduchikitsaadhya: Chapter 16, Verse No. 32-34: Ed.19th Varanasi: Choukhamba Bharti Academy, 1993; Page No. 491

Pandit Hari Sadashiva Shastri Paradakara. Astangahridaya with commentaries Sarvangasundara of Arunadatta & Ayurvedasayana of Hemadri, Sutra Sthana, Adhyaya 15/15. New Delhi. Rashtriya Sanskrit Sansthan, 2002; 235.

Thakur NS. Kharaleeya Rasayana (133), Sootashekhara Rasa. In: Rasa Tantra Sara evam Siddha Prayoga Samgraha Parti- I, 27th edition. Ajmer: Krishna Gopal Ayurveda Bhawan. 2017. p. 269.