🔺CASE STUDY : NO 51 🔺 PART NO : 02 🔺YAKRIT ROGA (LIVER DISORDERS IN AYURVEDA) 🔺 DIFFERENTIAL DIAGNOSIS OF YAKRIT ROGA *Viral Hepatitis (A, B, C, D, E) *Liver abscess (Amoebic or Pyogenic) *Leptospirosis, Malaria, Dengue (with hepatic involvement) *Non-Alcoholic Fatty Liver Disease (NAFLD) / MAFLD *Alcoholic Liver Disease (ALD) *Drug-Induced Liver Injury (DILI). *Wilson’s Disease *Hemochromatosis *Autoimmune Hepatitis *Primary Biliary Cholangitis (PBC) *Primary Sclerosing Cholangitis (PSC) *Budd-Chiari Syndrome *Congestive Hepatopathy *Portal Vein Thrombosis *Alpha-1 Antitrypsin Deficiency *Glycogen Storage Diseases (in children) *Tyrosinemia (in infants) *Hepatocellular Carcinoma (HCC) *Often in cirrhotic liver; AFP elevated. *Metastatic Liver Disease *Hepatic Hemangioma or Adenoma 🔺 SAMPRAPTI (PATHOGENESIS) *Yakrit Roga results from: *Dosha: Primarily Pitta, associated with Rakta, sometimes Kapha *Dushya: Rasa, Rakta, Mamsa, Meda, Agni *Srotas: Raktavaha Srotas *Srotodushti: Sanga (obstruction), Vimargagamana (diversion), Atipravritti (excess flow) *Udbhava Sthana: Amasaya *Sanchara & Adhisthana: Yakrit (liver) *Vyadhi Swabhava: Bahu Dosha, Krichchha Sadhya or Asadhya depending on the stage 🔺 UPASHAYA (PALLIATIVE / RELIEVING FACTORS) -Tikta, Kashaya rasa dravyas (bitter and astringent herbs) -Light diet (Laghu ahara) -Use of Triphala, Guduchi, -Bhumyamalaki, Kalmegha -Mild purgation (Mridu Virechana) -Shodhana in early stages -Pittahara ahara-vihara 🔺 Anupashaya (Aggravating Factors) -Guru, Snigdha, Amla, Lavana, Vidahi foods -Alcohol consumption -Day sleep, sedentary lifestyle -Emotional stress, anger 🔺 SAMANYA CHIKITSA (GENERAL TREATMENT PRINCIPLES) -Pitta Shamana: Coolant, bitter herbs -Agni Deepana: Use of Trikatu, Chitrak, Musta -Raktaprasadana: Blood purification -Mridu Virechana: Using Trivrit, Haritaki -Srotoshodhana: Cleansing the blocked liver channels -Rasayana: Rejuvenating therapy (Guduchi, Amalaki) 📌Formulations: -Aarogya Vardhini Vati -Kalmeghasava -Bhumyamalaki Churna -Kumari Asava -Patolakaturohinyadi Kashayam 🔺 VISHESHA CHIKITSA (SPECIFIC LINE OF TREATMENT) 📌For Kamala: -Mridu Virechana: with Trivrit Lehya or castor oil -Pitta Shamana: Use of Guduchi, Bhumyamalaki, Patola, Nimba 📌Formulations: -Arogyavardhini Vati -Punarnavadi Mandura -Bhringrajasava 📌For Kumbha Kamala / Yakritodara (Cirrhosis): *Shodhana with care (when strength allows) 📌Nasya and Basti for associated symptoms *Pleeha-Yakrit Uddhara Yoga (formulations like Punarnavadi Mandura) *Mandura preparations to correct anemia *Diet: Yavagu, Mudga yusha, Takra (Charaka SamhitaChikitsa Sthana 16,Kamala Chikitsa Madhava Nidana,Chapter 5) 📌Arogyavardhini Vati *1–2 tablets (250–500 mg) twice daily with warm water or honey 📌Bhumyamalaki Churna -3–5 grams twice daily with warm water or honey 📌Kalmegh (Andrographis paniculata) -250–500 mg of extract twice daily or -3–5 g of powder with water after meals 📌 Punarnava Mandura -1–2 tablets twice daily after meals with warm water 📌Triphala -3–5 g powder at bedtime with warm water 📌 Katuki (Picrorhiza kurroa) -250–500 mg twice daily as churna or capsule 🛑https://chat.whatsapp.com/KLufxKFrXwbIIAXLxXDqOB