Publication

Abstract :

Non-alcoholic fatty liver disease (NAFLD) is a broad term for a range of liver conditions affecting people who drink little to no alcohol. The main characteristic feature of NAFLD is too much fat being stored in liver cells. Considering the report showing elevated liver enzymes and bilirubin, the case was diagnosed as inflammatory stage of NAFLD that is NonAlcoholic Steato Hepatitis (NASH). So, kapha vriddhi in pitta sthana can be considered as fatty liver. Virechana is good for both pitta and kapha thus, it was chosen. A remarkable change in levels of liver enzymes and bilirubin was observed with pachanadeepana, nitya virechanam, shamanoushadhi and diet restriction of 30 days. According to Ayurveda, the yakrit is a pitta sthana. Due to the improper metabolism of consumed lipids and carbohydrates, there will be agnimandya leading to sama kapha. The sama rasa dhatu entering yakrit transforms into sama rakta dhatu with ranjaka pitta. Yakrit is considered as the raktavaha srotomula and due to the asrayasrayi bhava of rakta and pitta, pitta is also gets vitiated. As it is a santarpanotha vyadhi, apatarpanam is the line of management. Thus for rukshana, virechana is an ideal intervention in this case. As the patient showed good response in short period of time, the scope of Ayurveda approach to treat liver diseases quickly, successfully and cost effectively is discussed in the paper