Kamala

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ISSN: 2322 - 0902 (P)

ISSN: 2322 - 0910 (O)


International Journal of Ayurveda
and Pharma Research

Case Study

AYURVEDIC APPROACH FOR THE MANAGEMENT OF KAMALA W.S.R. TO HEPATOCELLULAR


JAUNDICE – A CASE STUDY
Astha Shukla1*, Shiv Shankar Shukla2, Bhavana Sharma3
*1Assistant Professor, Dept. of Swasthavritta, Shubdeep Ayurvedic Medical College, Indore.
2Assistant Professor, Dept. of Sharirkriya, Govt. Ayurvedic College and Hospital, Burhanpur.
3PG Scholar, Dept. of Roga Nidana, All India Institute of Ayurveda, New Delhi.

ABSTRACT
Most of the people have become used to spicy fast food day by day. This has taken human being far away
from the nature. Nowadays alcohol consumption is also increasing day by day. Ayurvedic texts has
mentioned hepatocellular jaundice as Kamala. Ancient Acharyas has also mentioned “kamali tu
virechanama” as Chikitsa Sutra for Kamala. Patient was treated with an integrated approach of Ayurvedic
treatment including Virechana Karma (purgation) and Shaman Chikitsa. Due to frequently intake of
Pittakara Aahara (spicy and hot food), it leads to vitiation of Pitta Dosha and Virechana (purgation) is the
first line of treatment for Pittadushti. Due to Ushna, Laghu, Rruksha Guna, and having Tikta -Katu Rasa of
Patola, Amrita, Kutaki (ingredients of internal medication) enhances digestive capacity by hepato-
protective action and Pittasaraka guna. Ayurvedic line of management i.e., Virechana therapy and
Shamana Chikitsa are successful in Kamala by removing toxic waste from the body, and by correction of
Agni (digestive fire). In our ancient classics, single drug along with compound drug have been mentioned
in Kamala. These drugs have Kamalahara properties. These Ayurvedic formulations relieve the symptom
of Daurbalya (weakness), Kshudha mandya (Appetite loss), Pitamutrata (yellow discolouration of urine),
Hrullasa (nausea) and Udarshoola. Also these drugs reduce bile in blood circulation and normalize the
other blood parameter. Here a case report of a 50 years male was having Kamala (hepatocellular
jaundice) who was treated with some Ayurvedic herbs and Virechana like Panchakarma and get
effectively result with Ayurvedic management.
KEYWORDS: Agni, Hepatocellular jaundice, Kamala, Pitta dushti, Shaman chikitsa, Virechana.
INTRODUCTION
In today’s era, industrialization brings a lot of Raktavaha srotas and Virechana is the first line of
changes in our lifestyle and especially in our food treatment for Raktavaha srotas vyadhi.[3]
eating habits. Most of the people have become used Its one attempt to the management of Kamala
to spicy fast food day by day. This has taken human with some Ayurvedic herbs and Panchakarma
being far away from the nature. Nowadays alcohol procedures, which give effective result.
consumption is also increasing day by day. Hetu of Kamala
Most of the times, people complain of weak (1) Aahara
and tired, later it gets diagnosed as Kamala  Kshara-amla-lavana-ushna aahara
(jaundice). Hepatocellular jaundice is a particular  Masha, Tila tail
form of jaundice in which skin, eyes, urine become  Virudhha Aahara
yellowish, indicating excess of bilirubin, which is a (2) Vihara
bile pigment in blood.[1] Patient also complain of  Diwaswapna (sleep in day time)
fatigue, anorexia and nausea.  Chhardi Vegadharana
Modern science has only symptomatic (3) Manasika nidana
treatment for hepatocellular jaundice. An Ayurvedic Chinta, Bhaya, Kama, Krodha
text has mentioned hepatocellular jaundice as Samprapti Ghatak
Kamala. Ancient Acharyas has also mentioned Dosha- Pitta
“kamali tu virechanama” as Chikitsa Sutra.[2] Kamala Dushya- Rasa, Rakta, Mamsa
is considered as Raktapradoshaja vyadhi in Ayurvedic Adhishtana - Rakta, Mamsa
classics. It is a disease of Raktavaha srotas. Yakrut Srotas - Rasavaha, Raktavaha, Amavaha [4]
(liver) and Pleeha (spleen) are the Moola of
IJAPR | November 2018 | Vol 6 | Issue 11 67
Int. J. Ayur. Pharma Research, 2018;6(11):67-69
Case Presentation Akruti - Madhyam
A 51 year male came with following chief complaints: Bala – Madhyam
1. Udarshoola (abdominal pain) Raktadab (B.P.)- 110/70mmHg
2. Khudha mandya (appetite loss)
Treatment Plan
3. Hrullas (nausea)
4. Chhardi (frequent vomiting)  Patient was managed on OPD basis.
5. Mutra pitata (yellow discolouration of urine)  Virechana karma
6. Vitasanga (severe constipation) [4]
 Internal Ayurvedic medication
History of Present illness  Observation of investigation report.
Patient was asymptomatic before 10 days. 1) Virechana Karma
Gradually he developed abdominal pain, nausea, Due to frequently intake of Pittakara aahara
vomiting, severe constipation, loss of appetite and (spicy and hot food), it leads to vitiation of Pitta
yellow discolouration of urine. Patient has not taken dosha and Virechana (purgation) is the first line of
any medication yet. He came to our hospital (Govt. treatment for Pittadushti.[5] Patient has given Abhyadi
Ayurvedic College and Hospital, Burhanpur) for Modak 3tablets 1HS 250 mg each followed by 1 tablet
better management. 250 mg for 4 days. But patient complain of abdominal
Past History pain even after Virechana. As Virechana was given
No H/O DM, Asthama, HTN. without Snehapana, it results in vitiation of Vata
Personal history dosha which causes pain. Then Eranda tail 15 ml with
No H/O alcoholism milk for 3 days was given to the patient. As a result,
On Examination abdominal pain along with other symptoms was
Nadi /Pulse - 68/min relieved.
Mala (stool)- Malavshtambha (constipation) 2) Internal medication
Mutra (urine)- Peetavarniya a) Patolakaturohinyadi Kashaya 10ml thrice a day
Jihva (tongue) - Samata b) Tapyadi lauha 2BD
Kshudh (appetite)- Mandya c) Punarnava ashtaka kwatha 20ml BD
Shabda (speech) - Prakrut (normal) d) Syp.Amylcure DS 2tsf TDS
Sparsha (skin) - Prakrut (normal) e) Amapachanadi vati 2 BD
Druk (eyes) - Pitta varniya f) Aarogyavardhini Vati 2BD
Mode of Action of Drugs
S.No. Name of drug Properties Mode of Action
1 Aarogyavardhini vati Yakrut Shodhana Malashudhhikara (purgative),
Kshudhavardhaka (appetizer)
2 Patolakaturohinyadi Kashya Pittahara, Kaphahara Malabhedi, Rechaka, Deepana
3 Punarnava ashtaka kwath Tridoshahara Pittasaraka, Deepana
4 Tapyadi lauh Tridoshahara Deepana, Raktavardhaka
5 Amapachanadi vati Vata anulomaka, Pachana, Deepana
Kaphashamaka
Result: Showing investigations of before and after DISCUSSION
treatment. In Ayurveda, ancient Acharyas have
Before After mentioned Agnimandya and Pitta dosha as the main
treatment treatment etiological factors for Kamala. The etiological factors
Haemoglobin 12.6gm/dl 13.8gm/dl which have been mentioned above like Katu, Amla,
Lavana Aahara vitiates the Jatharagni, this hypo
Total Bilirubin 11.9 mg/dl 1.54mg/dl
functioning of Jatharagni leads to Kamala. The hypo
Direct Bilirubin 8.62 mg/dl 1.12 mg/dl functioning of Agni produces Ama/ Amavisha which
Indirect Bilirubin 3.32mg/dl 0.42mg/dl corresponds with Rakta and may produce Kamala.
SGPT 202units/l 54units/l Kamala is a Pitta and Rakta pradoshaj vyadhi in
which Pitta dosha is vitiated and it can be normalized
by the Madhura, Tikta and Kashaya Rasa.

IJAPR | November 2018 | Vol 6 | Issue 11 68


Astha Shukla et al. Ayurvedic Approach for the Management of Kamala w.s.r. to Hepatocellular Jaundice
In our ancient classics, single drug along with REFERENCES
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there is a vitiation of Pitta dosha. Acharya Charak has Govt. of India Ministry of Health & Family Welfare
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Cite this article as: *Address for correspondence


Astha Shukla, Shiv Shankar Shukla, Bhavana Sharma. Ayurvedic Approach for the Dr Astha Shukla
Management of Kamala w.s.r. to Hepatocellular Jaundice – A Case Study. Assistant Professor,
International Journal of Ayurveda and Pharma Research. 2018;6(11):67-69. Dept. of Swasthavritta,
Source of support: Nil, Conflict of interest: None Declared Shubdeep Ayurvedic Medical
College, Indore.
Email: ayurastha6989@gmail.com
Mob: 8527043214

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