Role of Ayurveda medicines in the management of Viral Hepatitis w.s.r. to...

[Full title: Role of Ayurveda medicines in the management of Viral Hepatitis w.s.r. to Koshtha Shakhashrita Kamala]

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REVIEW ARTICLE May 2024 Journal of Ayurveda and Integrated Medical Sciences | May 2024 | Vol. 9 | Issue 5 172 Role of Ayurveda medicines in the management of Viral Hepatitis w.s.r. to Koshtha Shakhashrita Kamala Shripathi Acharya 1 , Niranjan S 2 , Swapna Swayamprabha 3 , Rajeshwari S Acharya 4 1 Director Academic and Development, Muniyal Institute of Ayurveda Medical Sciences, Manipal, Karnataka, India. 2 Professor, Department of Kayachikitsa, Major S.D. Singh Ayurveda Medical College, Farukhabad, Uttar Pradesh, India. 3 Associate Professor, Department of Agadatantra, K.A.T.S. Ayurvedic Medical College, Ankushpur, Odisha, India. 4 Post Graduate Scholar, PG Department of Panchakarma, Government Ayurveda Medical College, Bangalore, Karnataka, India. I NTRODUCTION Kamala Roga is classified as two types – 1) Kashthashakshashrita Kamala 2) Shakhashrita Kamala or Ruddha Pathakamala Roga (Obstructive jaundice). Viral hepatitis is usually caused by mistake of contaminated food and water. According to Ayurveda , Kamala Roga is caused due to excessive intake of Pitta Karaka Ahara and Visharas . The aggravated Pitta Address for correspondence: Dr. Shripathi Acharya Director Academic and Development, Muniyal Institute of Ayurveda Medical Sciences, Manipal, Karnataka, India. E-mail: shripathi_acharya@yahoo.co.in Submission Date: 17/03/2024 Accepted Date: 25/04/2024 Access this article online Quick Response Code Website: www.jaims.in DOI: 10.21760/jaims.9.5.28 vitiates Rakta and results in jaundice. Viral hepatitis usually presents with clinical features like loss of appetite, lethargy, weakness, itching, body ache, yellowish discolouration of urine, skin and conjunctiva, abdominal pain and in severe cases, altered consciousness like stuper, delerium, precoma, coma and even death. Strict Pathyapathya is necessary while treatment viral hepatitis patients. Single drugs useful in viral hepatitis. [1,2] 1. Katuki – Picrurrhiza kurroa 2. Guduchi – Tinospora cordifolia 3. Narikela jala – Cocos nucifera 4. Dronapushpi – Leucas aspera 5. Kakamachi 6. Bhunimba – Andrographis paniculate 7. Kiratatikta – Swertia chirayita 8 Moolaka – Radish A B S T R A C T Infectious disorders are seen abundantly in India population. Viral hepatitis is occurring commonly in areas where there is poor hygiene. Viral hepatitis is one such disorder where inflammation of liver is seen due to viral infection. Due to food or water contamination, this disease spreads in the population. In Ayurveda , Koshtha Shakhashrita or Bahupitta Kamala is explained in the classics which has similarity with signs and symptoms of viral hepatitis. Yellowish discolouration of urine, skin and conjunctiva, Agnimandya , Aruchi , Dourbalya , Daha (Burning sensation in the body), Avipaka (Indigestion), Angasada (Body ache) and Hatendriya are the clinical features of Kosha Shakhashrita Kamala . Viral hepatitis presents with subtypes – A, B, C and non A, non B, etc. Ayurveda medicines have better role in the management of Kamala Roga . Use of Virechana , Rasayana , Mootrala , hepatoprotection, hepatitic stimulants, choalagauges, antivirals, anti-infective drugs and nutritive drugs play important role in the management of viral hepatitis. Use of Pathapathya is crucial in this disease. The present paper highlights about the role of Ayurveda medicines in the management of Viral hepatitis vis a vis Koshtha Shakhashrita Kamala , Roga . Key words: Viral hepatitis, Koshtha Shakhashrita Kamala, Anti-viral, hepato protectives.

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Shripathi Acharya et al. Role of Ayurveda medicines in the management of Viral Hepatitis ISSN: 2456-3110 REVIEW ARTICLE May 2024 Journal of Ayurveda and Integrated Medical Sciences | May 2024 | Vol. 9 | Issue 5 173 9 Alabu – Water gaurd 10. Haritaki – Terminalia chebula 11. Vishitaki – Terminalia bellerica 12. Amalaki – Emblica officinalis 13. Punarnava – Boerhavia diffusa 14. Patola – Trichosanthus dioca 15. Ikshu – Sachurum indicum Formulation used in Viral hepatitis [3,4] 1 Phalatrikadi Kashaya 2 Katuki Kashaya 3 Triphala Kashaya 4 Guduchi Kashaya 5 Punarnava Kashaya 6 Arogyardhini Vati 7 Godanti Bhasma 8 Yakridari Loha 9 Yakrit Plihari Loha 10. Lohasava 11 Kumari Asava 12. Rohitakarishta 13 Pravala Panchamrita Rasa 14 Mukta Panchamrita Rasa 15 Pravala Pishti 16 Mukta Pishti 17 Pravala Moola Bhasma 18 Mukta Bhasma 19 Kamadugha Rasa with Mouktika 20 Drona Pushpi Swarasa 21 Ikshu Swarasa Actions of the drugs used in Viral hepatitis 1 Hepatoprotectives 2 Hepatic stimulants 3 Dipana [5] 4. Pachana 5. Virechana 6. Malavatanulomana 7. Mootrala 8. Rasayana 9 Tikta and Madhura Rasayukta drugs [6] 10 Sheeta Virya Yukta 11 Anti viral 12 Anti infective 13 Anti bacterial 14 Bactericidal [7,8] 15 Anti inflammatory 16. Shothahara 17. Sramsana Pathyas [9,10] 1 Shashika Shali Anna 2 Laghu Supachya Achara 3. Yavagu 4 Laja Manda 5 Tikta Mandhura Ahara 6 Poshaka Ahara 7. Gokshira 8 Adequate rest Apathyas [11,12] 1 Excessive exercise 2 Snigdha (Fatty) Achara like oil, ghee etc 3 Fried and curried food items 4 Excessive Katu , Amla and Lavana Rasayukta Ahara DISCUSSION Ayurveda medicines have a positive role in the management of viral hepatitis, Ayurveda management includes Nindana Parivarjana (Avoidance of causative

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Shripathi Acharya et al. Role of Ayurveda medicines in the management of Viral Hepatitis ISSN: 2456-3110 REVIEW ARTICLE May 2024 Journal of Ayurveda and Integrated Medical Sciences | May 2024 | Vol. 9 | Issue 5 174 factors), Vyadhi Pratyanika Aushadha Prayoga , practice of Pathapathya , sometimes Pachakarma . In Ayurveda , medicines having Virechana , hepatoprotective, hepatic stimulant, choalagaunge, Rasayana , Pitta Saraka , antiviral, anti-infective, antibacterial, bactericidal, immunomodulator, Pittahara , Malavatanulomana , Tikta Madhura Rasayukta drugs are used in this disease [13,14] Usually within one month, these cases get cured completely. But, hepatitis B usually becomes chronic and persists for longer time. Sometimes it leads to chronic active hepatitis or fulminant stage. Some cases of hepatitis B turn into cirrhosis of the liver or hepatic failure. Diet plays important role in the management of Viral hepatitis. Pittahara Ahara and Vihara is usually advised. Tender coconut water, barley water and sugar cane juice are Pathyas in this disease. Moolaka (Radish) and Alabu (water gaurd) are also proved to be wholesome in the disease [15,16] Usually viral hepatitis have a better prognosis. CONCLUSION Viral hepatitis can be better treated by Ayurveda treatment. Usually one month, there will be complete alleviation of signs and symptoms. However, for treatment, 3 months Pathyas has to be followed. Sometimes due to strict Pathapathya Palana , there will be significant weight loss in some patients. Hepatitis B patients often develop chronic active hepatitis, fulminant hepatitis and cirrhosis of the liver and hepatorenal failure and even death. REFERENCES 1 Shastry J L N, Dravyaguna vijnana, Choukhambha press, New delhi, Vol 2 2005 PP 650. 2 Acharya S, Researches in Ayurveda, Shripathi Acharya, Manipal 2010, PP 127. 3 Acharya S, Ayurveda Vijnana, Shripathi Acharya, Manipal, 2012, PP 140. 4 Acharya S, Updated Ayurveda, Shripathi Acharya,2011, Manipal, PP 140. 5 Mishra Siddhinandan Bhaishajya Ratnavali by Kaviraj Govind Das Sen – Kushtharogadhikara 54/ 64 65 Edition Chaukhambha Subharati Prakashana Publication, Varanasi, 2016; 866. 6 Nair C K N, Mohanan, Medicinal Plants of India, I edition, Nag Publishers, Delhi, 1998, pp 500. 7 Raghunathan K, Roma Mitra, Pharmacognosy of Indigenous drugs, CCRAS, New Delhi, 2 nd edition, 2005, pp 1130. 8 Warrier P S, Indian Medicinal Plants, Vol I, Arya Vaidya Sala, Kottakal, Orient longman ltd, 1996, pp 420. 9 K M Nadakarni, Indian Meteria Medica, Vol II, Bombay Popular prakashan Mumbai, PP 968. 10 Shastry J L N, Dravyaguna vijnana, Choukhambha press ,New Delhi, Vol 32005, PP 170. 11 Acharya K G, Agraushadhigalu, Shripathi Acharya, Manipal, 2012, PP 160. 12 Shastry J L N, Dravyaguna vijnana, Choukhambha press, New delhi , Vol 3, 2005, PP. 170. 13 Haridas Vaidya, Chikitsa Chandrodaya, Haridas and Company Ltd, 11 th edition, Madhura, 1992, PP 906. 14 P V Sharma, Dravya guna Vijnanam, Vol I I, Chaukhambha Bharati Academy 16 th edition Varanasi 1995, PP 893. 15 Ram P Rastogi, Mehrotra B N, Compendium of Indian Medicinal plants, Vol I, CDRI, Lucknow PP 515. 16 Siddhinandan Mishra, Bhaishajya Ratnavali, Siddhiprada commentary, Choukhambha Sur Bharathi Prakashana, Varanasi 2005, PP 1116. ******************************* How to cite this article: Shripathi Acharya, Niranjan S, Swapna Swayamprabha, Rajeshwari S Acharya. Role of Ayurveda medicines in the management of Viral Hepatitis w.s.r. to Koshtha Shakhashrita Kamala. J Ayurveda Integr Med Sci 2024;5:172-174. http://dx.doi.org/10.21760/jaims.9.5.28 Source of Support: Nil, Conflict of Interest: None declared. Copyright © 2024 The Author(s); Published by Maharshi Charaka Ayurveda Organization, Vijayapur (Regd). This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc-sa/4.0), which permits unrestricted use, distribution, and perform the work and make derivative works based on it only for non-commercial purposes, provided the original work is properly cited

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