A Case Study on the Ayurvedic Management of Bahupitta Kamala WSR Jaundice

Modern medical science has only symptomatic specific treatment for many diseases, kamala is one of them. In all Ayurvedic texts nidan panchak with treatment of kamala is given very well. “Kamalatuvirechana” is chikitsa sutra of the kamala [2]. The Treatment of Kamala (Jaundice) must start with virechna (purgation). The basic theory is that raktadushti responsible for kamala and Yakrutta (liver) is Mulstana of Rakta. Rakta and pitta has Ashrya-Ashrayisambhanda so that a daily virechna (purgation) is recommended. The combination of some herbs is also useful in kamala chikitsa. In few conditions medication is not required, just rest and few supplement will be sufficient. In some conditions medical treatment does not work, in such case surgical help may required.


Introduction
Today's advanced technology and Modern culture has brought many mundane advantages, but on other hand has taken human being far away from the nature.Pittakar-aharlike spicy food Vada-Pav, missal etc, and alcohol consumption tendency is also increasing day by day.
In this era of industrialization and life threatening competition brings many changes in our life style.Most of times patients just come with "sick and tired".Later it gets diagnosed as kamala (jaundice).The incidence of such disease is increasing day by day.
Hepatocellular jaundice is a particular form of jaundice, in which skin, eyes, urine become yellowish, indicating excess bilirubin which is a bile pigment in blood.Patients also complains of Fatigue, Anorexia and Nausea [1].
Modern medical science has only symptomatic specific treatment for many diseases, kamala is one of them.In all Ayurvedic texts nidan panchak with treatment of kamala is given very well."Kamalatuvirechana" is chikitsa sutra of the kamala [2].The Treatment of Kamala (Jaundice) must start with virechna (purgation).The basic theory is that raktadushti responsible for kamala and Yakrutta (liver) is Mulstana of Rakta.Rakta and pitta has Ashrya-Ashrayisambhanda so that a daily virechna (purgation) is recommended.The combination of some herbs is also useful in kamala chikitsa.In few conditions medication is not required, just rest and few supplement will be sufficient.In some conditions medical treatment does not work, in such case surgical help may required.
It's one attempt to management of bahupitta kamala with some Ayurvedic herbs and panchakarma, which give effective result.

History of Personal Illness
The patient was normal before 7 days ago.Since then patient had been suffering from Pita varniya twaka (Yellowish discoloration of skin), Pitta varniya mutra (Yellowish discoloration of urine), Agnimandya (Anorexia), Hrullhas (Nausea).For Ayurvedic Treatment he came to our hospital -Seth Sakharam Nemchand Jain Ayurvedic Rugnalaya in Kaychikitsa department opd.We admitted patient in Ipd section for better management.

Material and Method
a.

Conclusion
On the basis of above description it can be concluded that Ayurved still test to time and it's have details description with chikitsa of kamala (Jaundice).Ayurved is much more about concerned towards the health of patient due to which there is description of a lot of medicines of jaundice according to the nature and nurture of patient.In bahupitta Kamala mainly pitta dosha is mainly vitiated.Acharya charaka has described Mrudu Virechanchikitsafor Bahupitta Kamala [13].Virechan chikitsa has the quality to eliminate the vitiated dosha.Nishottar is the best sukhvirechak [14] (Figure 1).

Table 1 :
Center of study: S.S.N.J. Ayurvedic hospital, Solapur.Showing Material of Case Study.

Table 1 :
Showing Material of Case Study.

Table 4 :
Showing Changes in Blood Investigation after Chikitsa.The patient had started improving during hospital stay & at end of 14 days, all symptoms nearly get disappear.

Table 4 :
Showing Changes in Blood Investigation after Chikitsa.