Ayurveda management of Koshthashrita Kamala (Hepato-cellular Jaundice): A case report
Kamala is a condition characterised by yellowish discoloration of skin, eye, and mucous membrane. Kamala is mainly cause due to excessive intake of ushna (hot), tikshna i.e. pitta prakopaka (aggravating) diet and regimen. Due to this the increased pitta dosha with vitiation of rakta (blood), mansa (muscles) dhatu results in kamala roga. Here in, we report a case of young 26-year-old female who had complains of chhardi (vomiting) ,ajirna (indigestion), dourbalya (weakness) with increased liver function test value i.e. S.G.P.T-2490U/L. On physical examination and as per the liver functional test this case was diagnosed as Koshthaashrita Kamala which is very similar to Hepatocellular jaundice due to its resemblance. In Ayurveda, virechana is the first line of treatment of Kamala followed by virechaka (purgative), Rasayana (Rejuvenator) and Dhatuvardhaka (nourishes body tissues) treatment for treating Kamala roga. The treatment protocol included internal administration of herbomineral formulations i.e. Arogyavardhini rasa, Tapyadi lauha and Phalatrikadi kwath with Pathya palana for twenty days. Further subsiding of symptoms was observed after sixteen days of treatment. Liver function test was improved by 27 U/L as compared to before (2490 U/L).