Ayurveda management of jaundice: A case study

Jaundice is a yellow discoloration of the body’s tissues from excess bilirubin (hyperbilirubinemia). According to the Ayurveda perspective, the clinical presentation of jaundice can be correlated with that of the disease Kamala. We present a case of a 10-year-old female patient who attained the outpatient department with complaints of anorexia, poor appetite, general weakness, abdominal pain, and hard stools since 10 days. The examination revealed yellow discoloration of the sclera, oral mucosa, skin, urine, and hard yellowish stool, and the blood investigation revealed elevated level of serum bilirubin, serum glutamic-oxaloacetic transaminase, serum glutamic-pyruvic transaminase, and alkaline phosphatase. The case was managed with Tab Liv 52 DS, 1 tab twice a day and Tab Nirocil, 1 tab twice daily before food with lukewarm water. Mridu Virechana (mild purgation) was done using a combination of Avipatikar Churna 2 gm twice a day and Kutki Churna (powder of Picrorhiza kurrooa) 1 gm twice a day with lukewarm water for 4 weeks. These medications effectively improved the clinical symptoms, and the appetite increased, the patient became more active, and the icterus decreased. The patient also started passing normal stool and urine. complete blood count, liver function test , and urine examination revealed that the values were within the reference range. This combination can be utilized for symptoms of Koshthashrita Kamala.