Pittashmari ( Chronic Cholecystitis )

Pittashmari ( Chronic Cholecystitis )

Cholecystitis is inflammation of the gall bladder that causes severe abdominal pain .

Causes

Gallstones occurs more often in women than men .
Obesity
Above 40 age.

Symptoms

The main symptoms is Pain in the upper right side or upper middle of the abdomen . Pain may be sharp. Cramping or dull . Spread to the back or below the right shoulder.

1 Clay - colored stools

2 Fever

3 Nusea and Vomiting

4 Yellowing of skin and whites of the eyes. ( Jaundice )

Lab Investigation

1 CBC

2 Lipids profile

3 USG - Abdomen

4 CT - Abdomen

Diagnosis Clinical - Murphy s triad

Principal of Treatment

Shodhana Chikitsa

1 Pittarechaka

2 Vatanulomana.

3 khaphahara

4 Rakta Prasadaka .

Snehana with Patoladi Ghirtha ( if Jaundice is absent )

Virechana with Avipattikara Churna 40 gm with 50 ml katuki Kashaya and 10 ml honey .

Shamana Chikitsa

1 Arogyavardhini Vati 250 - 500 mg BD with kultha Kashaya and Honey
After meals.

2 Patolakaturohinyadi Kashaya
20 ml BD with warm water after meals.

3 Sootashekhara rasa 250 - 500 mg TID with warm water after meals.

4 Nityanand Rasa 250 - 500 mg BD with warm water after meals.

5 Tamra Parpati 250 - 500 mg BD with warm water before meals.

6 Shuddha Shilajatu 250 mg BD with honey after meals.

Diet and lifestyle

Pathya ( indications )

1 Light food . Fruits , Vegetables

Apthya ( Contraindications )

1 Avoid all meat . grease . processed fat and oil ,( including margarine and butter )

Avoid Obesity.