Tuesday 18 June 2019

Cirrhosis of Liver

Cirrhosis of Liver

Cirrhosis is a consequence of chronic liver diseases characterized by replacement of liver tissue by fibrosis leading to liver dysfunction.
It is Vataja Yakrit Roga

Causes .

1 Alcohol

2 Fatty liver diseases

3 Heavy meals

4 Hepatitis B and C.

5 Toxic drug

6 Chronic pesticides poisoning

Symptoms

1 Loss of appetites

2 Flatulence

3 Impaired digestion worsen by fat intake.

4 Abdominal discomfort after meals

5 edema legs

6 Enlargement of the abdomen due to fluids collection.

7 Easy bleeding or nosebleed .

Lab Investigation

1CBC

2 LFT

3 Lipid profile

4 PT ( Prothrombin time )

5 USG - Abdomen

6 CT - Abdomen

7 MRI

Principal of Treatment

1 Srotoshodhana

2 Mridushodhana

3 Yakrit Uttejaka

4 Pittarechaka

5 Madhura, Tikta , Rasa Dravya .

At Frist when liver parameters are high . Give Virechana  drugs and Shamana medicine till they come to near to normal and then Treat like a hepatitis B.

Line of Treatment

Panchakarma

Shodhana Chikitsa

1 Snehana - Guduchi Ghirtha

2 Svedana - Mridu

3 Virechana - Mridu

4 Punarnavadi or brihatyadi yapana basti.

Shamana Chikitsa

1 Tapyadi Loha 250 - 500 mg With Ghirtha After meals.

2 Yakritplihari 250 mg BD With Dadima Ghirtha after meals

3 Shiva Gutika 250 - 500mg BD with Warm water before meals.

4 Kumaryasava 20 ml TID with warm water after meals.

5 Darshadi Kashaya 20 ml BD with warm water before meals.

6 Rohitakarishta 10 - 20 ml TID with warm water after meals.

Diet and lifestyle

Pathya ( Indications )

1 Light , Less oily , easily digest , Fruits , Green leafy vegetables.

Apthya ( Contraindications )

1 Avoid foods which tend to Constipation . When there is stagnation of toxins in colon ,
They are reabsorption into the system . and the liver tries to eliminate them.

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