A Case Study on the Ayurvedic Management of Koshta Shakashrita Kamala WSR Alcoholic Hepatitis

Kamala is pitta pradhana and raktapradoshaja vyadhi. Koshtashakhashrita kamala can occur as a sequel of pandu roga or it can also manifest as an independent disease. It is characterised by haridra netra, mootra, twak, rakta peeta varchas and bheka varna, daha, avipaka, dourbalya and aruchi.3 Koshtashakhashrita kamala can be taken as hepatocellular jaundice. Hepatocellular jaundice caused by infection (viral infection being most common), chronic alcohol intake, acute or chronic hepatotoxicity caused by drugs. Abnormal liver function test value i.e. SGPT and SGOT RATIO 1:2. 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, afte dipana pachana and doshavasechana in terms of virechana, is the first line of treatment of Kamala. The treatment protocol included internal administration of herbomineral formulations i.e. DPACK VATI, and Drakshadi kashaya, for virechana Drakshadi ghrita and Trivrut leha showed effective in the management of koshtashakashrita kamala. With Pathya palana protocol of 30 days. Further subsiding of symptoms was observed after sixteen days of treatment. Liver function test was improved by as compared to before after intervention significantly.