Kamala ( Jaundice )

Kamala ( Jaundice )

Kamala is a condition where the skin, eye and mucous membrane take yellow discoloration. In modern science jaundice is considered as symptom of liver disorder whereas in Ayurveda Kamala is taken as disease. In Ayurveda, increased intake of oily, spicy, hot and alkaline food, are depicted for aggravation of pitta dosha.

Nidana

1 Ati - Ushna Ahara

2 Katu Amla lavana

3 Ati maithuna

4 Teekshana Ahara

5 Excessive exposure to fire . Sunlight.

Causes

1 Blood diseases - Hemolysis

2 infection - malaria

3 medicines

4 Genetic syndrome

5 live diseases

6 obstruction of bile ducts

According to Ayurveda two types of Kamala.

1 Koshtha - shakahashrita Kamala lakhshna

2 Shakahashrita Kamala lakhshna

* Koshtha Shakahashrita Kamala lakhshna

1 Haridra netra - mutra - tvak

2 Bhekavarna

3 Daha

4 Daurbalya

5 Aruchi

6 Raktapitta shakrit mutra

7 Hetendriya

8 Avipaka

9 Sadana

10 Karshita

* Shakahashrita Kamala lakhshna

1 Atopa

2 Hridaya gaurava

3 Alpagni

4 Hikka

5 Aruchi

6 Jvara

7 Shvasa

8 Shvetavarcha

9 Daurbalya.

Different Diagnosis

Koshtha ashrita Kamala - Shakahashrita Kamala ( Ruddhapatha )

Featured

1 Dosha

2 Pitta Dosha status

3 Pitta prakopaka

4 Pureesha

5 Mutra

6 Modern comparison

7 Increased bilirubin

8 Stercobilinogen in stool

*Koshtha ashrita Kamala

1 Vriddhatama pitta

2 pitta vriddhi at Koshtha and shakha

3 Svatantra

4 yellow

5 yellow

6 Hepatic jaundice

7 Both direct and indirect

8 present

*Shakahashrita Kamala

1Vriddha vata . Sama pitta moorchita kapha

2 pitta vriddhi at shakha only there will be no pitta in kostha due to obstruction by kapha

3 Tilapishtha samana . Containing fat.

4 yellow

5 obstructive jaundice

6 indirect

7 absent.

Lab Investigation

CBC . LFT

Principal of Treatment

For Koshtha Shakahashrita Kamala

Alpa Snehna . Mridu Shodhana . With Tiktaka Rasa darvya and then Pittahara Chikitsa.

For Shakahashrita Kamala

Kaphavataghna Chikitsa till malaranjana . After malaranjana the same treatment as told for Koshtha Shakahashrita Kamala should be given.

Shoshana Chikitsa

- Virechana - Virechana Darvya

Patolamuladi Kashaya 30 ml BD before food for 6 days.

Avipattikara Churna 20 gm with milk at morning.

Nasya - karkota Mula or jaliniphala Churna.

Anjana - Dronapushpi Svarasa.

Shamana Chikitsa

Main Drug's

Guduchi , Bhumyamalaki , katuki , kalamegha , patola , dhatri.

Simple Remedies

1 Juice of phyllanthus niruri - 20 ml empty stomach BD

2 Juice of Tinsopora Cardiofolia - 20 ml with milk empty stomach BD

Recommended Classical Formulation

1 Kamadugha Rasa 2 Vati TID with warm water after meals.

2 Tapyadi Loha 250 mg TID with warm water after meals.

3 Arogyavardhini vati 2 BD before meals with warm water.

5 patoladi kwath 20 ml BD with warm water after meals.

6 Vasaguduchyadi Kashaya 20 ml with water TID before meals.

7 Sudharshana Churna 2 gm BD with warm water before meals.

Diet and lifestyle

Pathya ( indications )

1 Jeerna godhuma , shali , Yush of Mudga , Aadhaki , Madura.

2 Patola , vriddha kushmanda , taruna kadaliphala , jevanti , ikshurasa.

Take a complete bed rest until the acute stage in past.

Start initially liquids fasting . followed by a light diet.

Apthya ( Contraindications )

1 Ushna . Katu. Amla . Lavana . Teekshana.

2 Avoid nicotinic . Alcohol . Caffeine . Fish. Fowl. Meat. Salt. Soft drinks. Tea . Fried food . Sugar . Fat.