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.

Alcoholic Liver Diseases

Alcoholic Liver Diseases

Alcoholic Liver diseases is damage to the liver and it's function due to alcohol abuse.

Causes

Alcoholic Liver diseases occurs after years of heavy drinking . Alcohol can cause the inflammation in the liver .over time .scarring and cirrhosis can occur . cirrhosis is the final phase of alcoholic Liver diseases.

Alcoholic Liver diseases does not occur in all heavy drinkers. The chance of getting liver diseases go up the longer you have been drinking and more alcohol you consume . You do not get drunk for the diseases to happen.

The diseases seems to be more common in some families . Women may be more likely to have this problem than men.

Symptoms

1 Pain and swelling in the abdomen.

2 Nausea and Vomiting

3 Dry mouth and increased thirst

4 Jaundice

5 Anorexia

6 Weight loss

7 Fatigue

8 Bleeding from Esophageal enlarged veins.

9 Small . Red spider like vein on the skin.

Brain and Nervous system including

1 Problem with thinking . Memory and mood.

2 Fainting and light headaches.

3 Numbness in leg and feets.

Lab Investigation

1 CBC

2 USG - Abdomen

3 Liver Biopsy

4 Liver Function test

Principal of Treatment

1 Rukshna

2 Pachana

3 Shodhana

4Pittavirechaka

5 Kaphagna

6 Lekhana.

Treatment

Panchakarma
Shodhana Chikitsa

1Snehana - Guduchi Ghirtha

2 Virechana - Mridu

3 Saveda - Mridu

Shamana Chikitsa

1 Lokanatha Rasa 250 - 500mg TID with Honey After meals

2 Arogyavardhini Vati 250 mg BD with warm water before meals.

3 Phalatrikadi Kashaya 20 ml BD with warm water after meals.

4 Chandraprabha Vati 250 - 500 mg TID with warm water after meals.

5 Vasaguduchyadi Kashaya 20 ml BD with warm water after meals.

6 Maha Sudharshana Churna 1 tsf BD with warm water after meals.

Diet and lifestyle

Pathya ( indications )

1 Light warm . energizing , kultha , yusha , Aadhaki , Dhanyapanchaka siddha Mudga yusha .

2Takra . Loki . methi

Apthya ( Contraindications )

Fried . Fatty . Kapha increasing . Abhishyandi diet.

Yakrit Roga ( Hepatitis )

Yakrit Roga ( Hepatitis )

Inflammation of the liver is called as hepatitis.

Causes

1 Viral infections

2 Excess use of alcohol.

3 Excess use of paracetamol and aspirin.

4 Copper poisoning.

Basic facts about Hepatitis A. B. C

Hepatitis is considered one of the most prevalent health problems of the 1990 s . The World Health Organisation report that 1.4 million cases of hepatitis A are treated annually world wide  . In the United States  . Close to 5 million adult have hepatitis B or C and this may be only a small percentage of the total of infected individual.

Risk factors

Major risk factors for hepatitis

The CDC lists household or sexual contact . day care attendance or employment and recent international travel to area with poor sanitation as major known risk factors fo infections with hepatitis A. Eating food prepared by infected food handlers and using contaminated needles are other risk factors.

Major risk factors for hepatitis B

In the United States the major risk factors for hepatitis B are unprotected sex with multiple partners and intravenous ( IV) drug use .

Major risk factors for hepatitis C

The major risk factors for acquiring hepatitis C are IV drug use and transfusions of blood products prior to 1992 . Other risk factors also contribute.

A complete list of risk factors for acquiring hepatitis A. B and C is provided in the following table.

Symptoms

Hepatitis A

1 Extreme tiredness

2 Muscle aches and pains

3 Low grade fever

4 Dark urine

5 Yellow Skin

6 Stomach Pain

7 Loss of appetites

8 Nausea and Vomiting

9 Itchy skin.

Hepatitis B

1 Fatigue

2 Headache

3 Skin rash

4 mild fever

5 joints pain

6 most people with chronic HBV have no symptoms.

Hepatitis C

1 Belly Pain

2 Sore muscle

3 Fatigue

4 Joints pain

5 Itchy skin

6 Dark Urine.

Principal of Treatment

1 Yakrit Uttejaka , Pittarechaka , Pittanashaka

Most cases of hepatitis are self Limiting and will heal with rest and supportive care.

Treatment

Shoshana Chikitsa

1 Snehana  - Indulekha Ghirtha or Patoladi Kashaya 20 ml

2 Svedana - Hot water bath.

3 Virechana - Avipattikara Churna 40gm with milk or trivirt Leha 20 gm with milk.

Shamana Chikitsa

Recommended Classical Formulation

1 Arogyavardhini 250 - 500 mg TID with 10 ml Patoladi Ghirtha after meals.

2 Lokanatha Rasa 250 - 500 mg BD with Honey after meals.

3 Tapyadi Loha 250 mg TID with Honey After meals.

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

5 Yakrit plihari Loha 250 - 500mg TID with Honey After meals.

6 Vasa Guduchyadi Kashaya 20 ml BD with water after meals.

Recommended Yoga Therapy

* Pranayama - Rhythmic breathing .
Nadi - Shodhana ( alternate breathing)

* Asanas - Uddiyana ( Raising of diaphragm )

Diet and lifestyle

Pathya ( Indications )

1 Drinking plenty of water.

2 Avoid Constipation

3 liver cleaning therapy drinking 20 ml bitter guard juice in the morning and apple juice evening.

4 Lemon juice

Apthya ( Contraindications )

1Avoiding Alcohol , Smoking , Tabecoo

2 Avoid Non Vegetarian food

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.

Lactose intolerance

Lactose Intolerance

Lactose intolerance means the body cannot easily digest lactose . a type of natural sugar found in milk and dairy products . This is not the same things as a food allergy to milk .

Symptoms of lactose intolerance can be mild to severe . depending on how much lactose your body makes. Symptoms usually begin 30 minutes to 2 hours you eat or drink milk products . If you have lactose intolerance . your symptoms may include.

1 Bloating

2 Pain or cramps

3 Gurgling or rumbling sounds in your belly .

4 Gas

5 Losse stools or diarrhoea

6 Throwing up.

Principal of Treatment

Kaphaja Grahani Shamana Chikitsa

Recommended Classical Formulation.

1 Changeri Khada Yush BD with Water after meals

2 Kaidaryadi Kashaya 20 ml TID with warm water before meals.

3 Bilvadi Gulika 2 Vati TID before meals with warm water.

4 Musta - Shunthi - Dhanyaka Siddha Takra .

Visoochika ( Cholera )

Visoochika ( Cholera )

Cholera is an infectious diseases that causes severe watery diarrhoea which can lead to dehydration and even death if untreated . It is caused by eating food or drinking water contaminated with a bacterium called vibrio cholerae.

Sing and Symptoms of dehydration including.

1Rapid heart rate .

2 Loss of skin elasticity ( the ability to return to original position quickly if pinched  )

3 Dry mucous membranes . Including the inside of the mouth . throat . nose and eyes lids.

4 Low blood pressure

5 Thirst .

6 Muscle cramps.

If not treated . dehydration can lead to shock and death in a matter of hours.

Cholera Prevention and Treatment

Although there is a vaccine against Cholera . the CDC and world health organisation don't normally  recommended it because it may not protect up to half of the people who received it and it lasts only a few months . However you can protect yourself and your family by using only water that has been boiled . water that has been chemically disinfected or bottles water . Be sure to use the bottle . Boiled or chemically disinfected water for the following purposes . Drinking preparing food or drink making a ice . Brushing your teeth . Washing your face and hands . Washing dishes . Washing fruits and vegetables.

Line of Treatment

1 Langhana

2 Pachana

Shamana Chikitsa

1 Sanjeevani  250 BD before meals with warm water.

2 Ramabana Rasa 250 mg TID after meals with warm water.

3 Karpoora Rasa 250 mg TID after meals with warm water.

4 Shankodara Rasa 250 mg TID before meals with warm water.

5 Vriddhagangadhara Churna 3 gm BD after meals with warm water.

Diet and lifestyle

Pathya ( Indications )

1 Fasting . Liquid diet .

2 coconut water

3 boiled cooled water

4 lemon juice.

5 ORS

6 Rest..

Apthya ( Contraindications )

1 Guru . Snigdha.  Sheeta Ahara.

Grahani ( Sprue / Malabsorption )

Grahani ( Sprue / Malabsorption )

Grahani is described as an Agni Adhishthana by most of the acharyas. Mandagni is a root cause of Ama Dosha and it is the crucial factor for manifestation of most of the diseases. Among them, Grahani is the prime disease of gastro-intestinal tract and seen often in day-to-day practice.

Causes

1 Very dry food

2 Heavy meals

3 Half cooked food

4 Cold food and cold drinks.

5 Excessive drinking of water

6 Fasting

7 Suppression of natural urges.

8 Excess oily food

9 Excess intake of Burger . Pizza

10 Excess sweet.

11 Incomplete diet

12 improper sleeping schedule

13 Worry . Anxiety . Fear / Phobia . Anger etc.

Symptoms

1 indigestion

2 Heaviness in Abdomen

3 Flatulence

4 Vomiting

5 Weakness

6 Difficulty in digestion

7 Chest burn

8 Diarrhoea

9 Disorders due to malnutrition anemia .edema.

Clinical features

1 Sudden passing of stool . Mixed with ama and food.

2 Something passing of stool when food is not digested ( undigested ) during digestion or after digestion.

3 There may be no elimination of stool at all.

4 Something passing of soils stool or something passing of loose ( liquid stool )

5 Elimination of stool occurs only after its accumulation in large intestine . This is present in chronic stage .

Vataja Grahani

1 Sashabda

2 Divaprakopa

3 Adhaman.

4 Antrakujanam.

5 Manasa sadanam .

    * These features are similar to ( IBS )

             Irritable Bowel Syndrome

This is condition in which the person get defecation with abdominal gripping immediately after meals.

Causes

1 Stree

2 Exaggerated gastrocolic reflex.

Symptoms

1 Defecation after meals

2 Abdominal spasms

3 Mucus in stool

4 Stress

These symptoms if found for more than 3 months then it is diagnosed as IBS.

Pittaja Grahani

 Loose stools having yellow , green , red colour , indigestion , bad odor Bleaching , sour belching , hrit - kantha daha . Aruchi .Trishna.

Kaphaja Grahani

Digestion with great difficulty , Hrillas , chardi , aruchi , asyopadeha , shareera madhurya , kasa , Stheevana , peenasa .

Sama and Nirama lakhshna of purisha in Grahani dosha

Sama Lakhshna

1 Durgandhit ( foul - smelling stool )

2 Picchilata ( Sticky stool )

3 Sinks in water

Nirama lakhshna

1 Opposite of above qualities.

2 laghu

3 Floats in water .

Investigation

1 Liver function test

2 Malabsorption test

Principal of Treatment

( A) Vataja Grahani

Shodhana Chikitsa

1 Ghirthapana  - after proper amapachana . Deepaniya Ghirtha should be given.

2 Niruha Basti - When agnideepti occurs and if there is retention of purisha . Mitra and apna vayu.
In this condition Frist 2- 3 Anuvasana basti and than niruha basti should be given after Abhyanga and Svedana.

3 Virechana - eranda Taila
  When the pacification of vayu occurs and when the dosha are loosened.

4 Anuvasana basti - After Virechana . When kostha become shuddha and rukha . Associated with baddhamala , Anuvasana should be given.

5 light diet

6 Deepaniya with Snigdha . Lavana and Amla dravya .

( B ) Pittaja Grahani

1 Vamana - Virechana - The pitta which is situated in its own site utklishta stage . Causes agnimandya should be expelled by vamana and Virechana.

Ahara

Avidahi , Laghu , Tikta , Madhurya , Sarpi , Deepana , Grahi .

(C ) Kaphaja Grahani

1 Vamana - Agnideepana with katu . Amala . Lavana . Kshara. Tikta Dravya.

2 In Kapha Stheevana Ruksha - tiktayukta Deepana should be given.

( D ) Tridosha Grahani

1 Panchakarma

2 Then Ghirtha , Kshara , Asava , Prayoga for agnivardhana.

Recommended Classical Formulation

1 Agnikumar rasa 125 - 250 mg TID with warm water after meals.

2 Grahani Kapata Rasa 125 - 250 mg BD with warm water after meals.

3 Rasa Parpati 125 mg TID with warm water before meals.

4 Brihat jatiphaladi 250 mg  BD before meals with warm water

5 Kalyanaka guda 1 tsf BD before meals with water.

6Lavangadi Churna 1 tsf TID with Takra BD

7 Dashamula Guda 1 tsf BD with warm water after meals.

8 Panchamrita Parpati 125 - 250 mg TID with warm water after meals.

Diet and lifestyle

Pathya ( indications )

1 Annavarga - sashti shali , jirna shali , Mansoor , Tuvari , Mudga yusha , Lajamanda , Vilepi etc

2 Pomegranate , Orange

3 Cow milk , Curd , Takra , Ghirtha.

Apthya ( Contraindications )

1 Heavy . too hot . too cool . dry . incomplete foods .

2 Worry , Anger ,  Sadness.