A case study on kamala (jaundice) management

an ayurvedic approach

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Journal name: World Journal of Pharmaceutical Research
Original article title: A case study on kamala (jaundice) management
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: an ayurvedic approach

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Author:

Dr. Deshpande P. V., Dr. Shinde R. B., Dr. Khobarkar P. N., Dr. Gulhane J. D., Dr. Wankhede S. N.


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: A case study on kamala (jaundice) management

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20197-15094


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Summary of article contents:

Introduction

Jaundice, known as Kamala in Ayurveda, is characterized by a yellowish pigmentation of the skin, sclera, and mucus membranes resulting from hyperbilirubinemia, which involves elevated bilirubin levels in the blood. This condition can arise from various underlying pathologies such as infectious hepatitis, bile duct obstructions, alcoholic liver diseases, and hemolysis. In Ayurveda, Kamala is classified under Raktavaha Strotasa, which pertains to the circulatory system, indicating its relevance to both liver and spleen health. The condition often exacerbates due to poor hygiene, unhealthy dietary practices, and alcohol addiction, leading to hepatic damage.

Management through Ayurvedic Treatment

Ayurvedic management of Kamala emphasizes the treatment of underlying causes while employing specific therapies to alleviate symptoms. The case study involves an Ayurvedic regimen that includes Virechana (purgation therapy) and internal medications like Arogyavardhini Vati, Kutki Choorna, and Bhunimbadi Kwath. The treatment aims to restore balance by addressing the aggravated Pitta dosha (bile), which contributes to the manifestations of jaundice. The Ayurvedic approach demonstrated noticeable improvement in the patient’s liver function tests, with SGPT levels significantly reducing from 1171 IU/ml to 52.58 IU/ml.

Types of Jaundice in Ayurveda

In Ayurveda, Kamala is categorized into two primary types: Bahupitta Kamala and Ruddhapatha Kamala. Bahupitta Kamala corresponds to hepatocellular jaundice, characterized by excessive destruction of red blood cells and heightened levels of unconjugated bilirubin. In contrast, Ruddhapatha Kamala, or obstructive jaundice, arises from biliary duct obstructions, leading to increased conjugated bilirubin levels without significant liver dysfunction. A clear understanding of these classifications is crucial for administering appropriate treatments, as they dictate the therapeutic approaches in managing each type effectively.

Importance of Detoxification

The inclusion of detoxification methods, particularly Virechana, is central to Ayurvedic treatment for Kamala. This procedure facilitates the elimination of excess Pitta and helps in cleansing the liver and improving its functionality. Along with detoxification, dietary adjustments play a vital role. The treatment regimen incorporates a balanced diet that avoids oily and spicy foods, which can exacerbate symptoms, while promoting items that are easy to digest and nourishing. This comprehensive approach not only focuses on physical symptoms but also addresses dietary habits, which are imperative for ongoing health.

Conclusion

In conclusion, the case study illustrates the effective management of Kamala (jaundice) through Ayurveda, employing a multifaceted approach that includes detoxification processes, appropriate medication, and dietary modifications. The oral Ayurvedic treatments provided significant relief from symptoms and improved blood parameters without adverse effects. This case reaffirms the effectiveness of Ayurvedic methodologies in treating jaundice, highlighting its potential as a cost-effective and holistic therapy for liver-related ailments. Such integrative care can lead to sustainable health outcomes in patients suffering from jaundice.

FAQ section (important questions/answers):

What is Jaundice, and what causes it?

Jaundice, or Kamala in Ayurveda, is yellowish pigmentation caused by hyperbilirubinemia. Common causes include liver dysfunction, gallbladder obstruction, excessive alcohol consumption, and hemolysis, leading to increased bilirubin levels.

How is Jaundice classified in medical terms?

Jaundice is classified into three types: prehepatic, hepatocellular, and post-hepatic. Prehepatic jaundice arises from excessive red blood cell breakdown, hepatocellular from liver dysfunction, and post-hepatic from bile duct obstruction.

What are the Ayurvedic treatments for Jaundice?

Ayurvedic treatments for Jaundice, or Kamala, include Snehana (oleation) and Virechana (purgation). Specific herbal medications like Arogyavardhini Vati, Kutki Choorna, and Guduchi Choorna are also prescribed to detoxify the liver.

What were the chief complaints of the case studied?

The 28-year-old patient had abdominal pain, yellowish sclera and skin, yellow urine, weakness, and loss of appetite, along with insomnia, constipation, and indigestion before seeking Ayurvedic treatment.

What improvements were noted after Ayurvedic treatment?

Post-treatment, the patient's liver function tests showed significant improvement, particularly SGPT decreasing from 1171 IU/ml to 52.58 IU/ml, along with relief from symptoms of jaundice, weakness, and anorexia.

Is Ayurvedic treatment for Jaundice effective?

Yes, the Ayurvedic approach for managing Jaundice has shown promising results in this case study, effectively reducing liver-related symptoms and improving overall liver function without adverse effects.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “A case study on kamala (jaundice) management”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Kamala (Kama-la):
Kamala refers to jaundice in Ayurveda, characterized by yellowish discoloration of the skin and mucous membranes due to elevated bilirubin levels. It encompasses various forms of jaundice, primarily categorized as Bahupitta Kamala and Ruddhapatha Kamala, each correlating to different underlying conditions related to liver dysfunction or bile obstruction.

2) Pitta:
Pitta signifies one of the three doshas in Ayurveda, governing metabolic processes, digestion, and transformation within the body. An imbalance or aggravation of Pitta can lead to heat-related disorders, such as jaundice (Kamala), and symptoms like yellowing of the skin, indicating disturbed liver function.

3) Table:
The term Table refers to structured data presentations within the study, containing treatment schedules, lab results, and assessment criteria for symptoms associated with Kamala. Such tables facilitate clear comparisons and evaluations regarding the patient's progress and the effectiveness of Ayurvedic treatment protocols during the study period.

4) Bile:
Bile is a digestive fluid produced by the liver, crucial for fat emulsification and absorption in the intestine. Its disruption or obstruction can lead to jaundice, characterized by bilirubin accumulation due to liver disease or bile duct blockage. Therefore, bile formation and excretion are pivotal in understanding diseases like Kamala.

5) Pita:
Pita is synonymous with bile in Ayurvedic terminology and represents one of the three doshas that manage metabolic processes in the body. An increase in Pita contributes to various health issues, including jaundice, indicating the necessity to regulate digestive heat and detoxify the body during treatment.

6) Mutra:
Mutra refers to urine in Ayurveda, with its characteristics often used to assess health conditions. In cases of jaundice (Kamala), changes in urine color may signal liver dysfunction, as elevated bilirubin causes urine to appear yellow. Monitoring Mutra helps evaluate the severity and improvement of the condition during treatment.

7) Blood:
Blood is a critical bodily fluid that transports oxygen, nutrients, and waste products. In jaundice (Kamala), elevated bilirubin levels in the blood yield various signs such as yellowing of the skin and eyes. Therefore, blood tests play an essential role in diagnosing and monitoring the condition’s progression and treatment efficacy.

8) Study (Studying):
Study denotes the systematic investigation into the Ayurvedic treatment of Kamala (jaundice) presented in the case report. The objective is to evaluate the effectiveness of specific Ayurvedic interventions on clinical outcomes and laboratory parameters, providing valuable insights into alternative management strategies for liver-related diseases.

9) Vati:
Vati refers to solid herbal medicines or tablets in Ayurvedic practice. Arogyavardhini Vati, included in the treatment plan for the jaundice patient, is composed of specific herbs designed to enhance liver function, improve appetite, and overall vitality, showcasing the importance of Vati in traditional Ayurvedic therapies.

10) Disease:
Diseases refer to pathological states that result from various factors, including infections, toxins, and lifestyle choices. The discussion of diseases like jaundice emphasizes the interconnectedness of body systems and the importance of treating root causes through holistic modalities in Ayurveda.

11) Pathya:
Pathya denotes dietary and lifestyle guidelines in Ayurveda that promote health and recovery. In treating Kamala, adherence to Pathya can mitigate symptoms by avoiding aggravating factors like spicy foods, emphasizing the significance of balanced nutrition in the healing process associated with jaundice management.

12) Nagapura (Naga-pura):
Nagpur is the geographical location where this case study was conducted. The reference to the Government Ayurvedic Hospital in Nagpur highlights the cultural significance and accessibility of Ayurvedic treatments in India, showcasing local approaches to addressing prevalent health issues, such as jaundice.

13) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine originating from India that focuses on balancing the body's energies, known as doshas. It encompasses holistic approaches, including diet, herbal treatments, and purification techniques, to treat conditions like Kamala (jaundice), emphasizing individualized care and prevention.

14) Karma (Karman):
Karma signifies actions or treatments in Ayurveda that are tailored to address specific health issues. In this case, Virechana karma (purgation) is a vital therapeutic technique employed to eliminate excess doshas and toxins, particularly beneficial for conditions like Kamala resulting from biliary disturbances.

15) Jala:
Jala means water in Ayurveda, essential for life and bodily functions. Adequate hydration and traditional uses of water in therapies play a crucial role in balancing bodily fluids and supporting detoxification processes, contributing to the treatment objectives of jaundice management.

16) Food:
Food encompasses the dietary elements consumed, which are pivotal in Ayurveda. In managing Kamala, dietary choices must align with the principles of Pathya and Apathya, emphasizing healing, digestive ease, and avoidance of aggravating foods to restore balance and support liver health.

17) Sign:
Sign refers to observable indicators of health conditions, such as the yellowing of skin and eyes in jaundice (Kamala). Monitoring these signs allows health practitioners to assess treatment effectiveness and patient recovery, helping guide Ayurvedic interventions throughout the healing process.

18) Drug:
Drugs refer to herbal and medicinal preparations used for therapeutic purposes in Ayurveda. The choice and combination of specific drugs for treating Kamala reflect a targeted approach to restoring liver function and alleviating jaundice symptoms through natural remedies.

19) Snehana:
Snehana refers to the practice of oleation or internal lubrication in Ayurveda, usually involving the administration of ghee or oil for various therapeutic benefits. This technique is essential in managing conditions such as Kamala, where it alleviates symptoms and detoxifies the body to restore balance.

20) Apathya:
Apathya represents dietary and lifestyle practices detrimental to health in Ayurveda. To treat Kamala effectively, adhering to Apathya recommendations to avoid harmful foods and habits that exacerbate jaundice symptoms is crucial in supporting patient recovery and liver function.

21) Netra:
Netra refers to the eyes in Ayurveda, and their health is significant for overall well-being. In jaundice, the sclera (white part of the eye) may become yellow, serving as an essential clinical sign of liver dysfunction, guiding treatment decisions, and monitoring recovery.

22) Balya:
Balya denotes tonics or medicines that enhance strength and vitality in Ayurvedic practice. The inclusion of Balya formulations like Arogyavardhini Vati in the treatment for Kamala highlights the focus on restoring energy and overall well-being while addressing liver health.

23) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandya refers to a weakened digestive fire or metabolism in Ayurveda, commonly associated with various health issues. In jaundice, impaired digestion exacerbates symptoms, thus necessitating targeted Ayurvedic interventions to strengthen Agni for optimal recovery and health restoration.

24) Pitanetra (Pita-netra):
Pita-netra directly translates to the yellowing of the sclera or eyes due to excess bile or bilirubin in the bloodstream. It is a critical indicator in jaundice cases, highlighting liver dysfunction that requires appropriate Ayurvedic treatment to restore normal bodily functions.

25) Daurbalya:
Daurbalya translates to weakness in Ayurveda, often experienced by patients with jaundice due to loss of appetite, impaired liver function, and overall malaise. Addressing Daurbalya through suitable Ayurvedic interventions is vital for enhancing vitality and improving quality of life during recovery.

26) Medicine:
Medicines in Ayurveda signify the various herbal, mineral, or dietary preparations utilized to promote health and treat ailments. In managing Kamala, a combination of specific medicines is employed to restore liver function and alleviate associated symptoms without adverse effects.

27) Koshtha (Kostha):
Koshtha refers to the gastrointestinal tract in Ayurveda, which is crucial for digestion and metabolism. Proper Koshtha function is essential in managing conditions like Kamala, where digestive disturbances must be resolved to facilitate toxin elimination and liver recovery.

28) Tikshna (Tiksna):
Tiksna denotes sharp or potent qualities associated with substances or actions in Ayurveda. In the context of dietary recommendations, avoiding Tiksna foods is essential for managing conditions like Kamala, as they can exacerbate Pitta dosha and lead to further complications.

29) Anidra:
Anidra refers to insomnia or disturbed sleep patterns, often a symptom associated with stress, illness, or imbalances in the body. In the context of Kamala, addressing Anidra through specific Ayurvedic practices can enhance recovery and restore overall well-being.

30) Kapha:
Kapha denotes one of the three doshas in Ayurveda responsible for structural and fluid balance within the body. While not directly linked to jaundice, an imbalance in Kapha can contribute to overall health disturbances, highlighting the importance of holistic dosha management in treatment approaches.

31) Ushna (Usna):
Ushna signifies heat in Ayurvedic terminology, often used to describe specific qualities of food or bodily states. In treating Kamala, understanding Ushna effects is essential, as excessive heat can exacerbate Pitta dosha and worsen jaundice symptoms, necessitating pacifying dietary adjustments.

32) Pulse:
Pulse or Nadi refers to the rhythmic beating of the heart, serving as a vital sign in Ayurvedic examinations. The assessment of pulse helps determine the patient's general health, doshic balance, and guides treatment decisions, particularly in evaluating conditions like Kamala.

33) Pain:
Pain represents physical discomfort, which can arise from various health issues, including abdominal pain associated with jaundice (Kamala). Assessing pain levels informs treatment adjustments and helps track recovery progress, guiding the implementation of effective Ayurvedic therapies.

34) Tilapishtanibha (Tilapistanibha):
Tilapishtanibha describes symptoms resembling the color of til (sesame) paste, signifying the brownish-yellow discoloration observed in specific types of jaundice. This descriptor helps classify jaundice variants and guides appropriate Ayurvedic treatments based on observed symptoms and patient conditions.

35) Antibiotic (Antibacterial):
Antibacterial refers to substances that combat bacterial infections. In the Ayurvedic context, using antibacterial herbs in treating Kamala may help mitigate underlying infections contributing to liver dysfunction, thereby improving overall health outcomes and facilitating recovery.

36) Tamrabhasma (Tamra-bhasma):
Tamra-bhasma is a metallic preparation in Ayurveda made from copper, known for its therapeutic properties. Utilized in formulations like Arogyavardhini Vati, Tamra-bhasma supports liver function and aids in the management of conditions such as Kamala, enhancing metabolic efficiency.

37) Purification:
Purification refers to the processes used in Ayurveda to cleanse the body of toxins and restore balance. In managing Kamala, purification techniques such as Virechana (purgation) are crucial for eliminating excess Pitta and promoting optimal liver health.

38) Apunarbhava (Apunar-bhava):
Apunarbhava denotes irreversible treatment in Ayurveda, indicating that the therapies provided produce lasting effects. This concept underscores Ayurveda's holistic approach to health restoration, as seen in the management of Kamala, ensuring long-term recovery without recurrence of symptoms.

39) Pittadosha (Pittadosa, Pitta-dosha):
Pitta-dosha refers to one of the three fundamental energies in Ayurveda, associated with heat, metabolism, and transformation. An imbalance in Pitta-dosha is critical in conditions like Kamala, necessitating tailored treatments focusing on cooling and detoxifying measures to restore bodily balance.

40) Observation:
Observation involves the careful monitoring of symptoms, responses to treatment, and overall health condition. In the context of Kamala, consistent observation informs adjustments in Ayurvedic management, helping ensure patient safety and effective recovery processes.

41) Suffering:
Suffering denotes the discomfort and distress experienced by individuals due to health conditions like Kamala (jaundice). Understanding the patient's suffering is key to providing compassionate care and implementing effective Ayurvedic treatments aimed at alleviating symptoms and improving quality of life.

42) Vitiation (Vitiated):
Vitiation refers to the disturbance or imbalance of doshas in Ayurveda, which can lead to diseases. In Kamala, the vitiation of Pitta dosha due to poor dietary choices and lifestyle habits plays a central role in the emergence of symptoms, necessitating corrective actions.

43) Rasayana (Rasa-ayana):
Rasayana refers to rejuvenating therapies in Ayurveda that aim to enhance vitality, immunity, and overall health. Therapeutic interventions for Kamala often include Rasayana approaches to strengthen the patient's constitution and restore health following liver-related disturbances.

44) Prakriti (Prakrti):
Prakriti denotes an individual's constitution or inherent nature in Ayurveda, influenced by the interplay of doshas. Understanding a patient's Prakriti is essential in tailoring Ayurvedic treatments for Kamala, ensuring personalized therapies that align with the individual's unique health dynamics.

45) Aushadhi (Ausadhi, Aushadhin, Ausadhin):
Aushadhi means medicinal herbs or formulations in Ayurveda used for healing. Aushadhi selection for treating Kamala emphasizes the need for remedies that effectively mitigate symptoms and promote recovery through natural, holistic approaches inherent in Ayurvedic practices.

46) Samhita:
Samhita refers to classical texts in Ayurveda containing foundational knowledge, treatment principles, and guidelines. The reference to Samhita underscores the historical context and depth of Ayurvedic wisdom applied in managing conditions like Kamala, supporting a comprehensive understanding of treatment methodologies.

47) Sparsha (Sparsa):
Sparsha refers to the sense of touch in Ayurveda, often used to evaluate the physical condition of patients. In the context of Kamala, physical assessments of the body's texture and warmth help determine overall health status and guide Ayurvedic treatment strategies.

48) Spashta (Spasta):
Spashta means clear or distinct, often used to describe normal speech or communication in Ayurveda. In assessing a patient with Kamala, clarity in speech indicates no neurological impairment, supporting the understanding of their overall health and guiding treatment decisions.

49) Pradhan:
Pradhan translates to predominant or chief. In Ayurvedic assessments, understanding which dosha is Pradhan in a patient helps inform treatment strategies for conditions like Kamala, enabling practitioners to tailor interventions based on dominant imbalances.

50) Samana (Shamana):
Shamana denotes pacifying or soothing therapies in Ayurveda aimed at alleviating symptoms. In managing Kamala, Shamana treatments are essential to stabilize dosha imbalances and provide comfort to patients suffering from jaundice-related discomfort.

51) Shabda (Sabda):
Shabda translates to sound in Ayurveda, and it can be indicative of aspects like clarity of speech or emotional state. Monitoring Shabda during assessments allows practitioners to gauge the patient's neurological integrity and overall well-being in the context of treating Kamala.

52) Vikara:
Vikara refers to pathological changes or disorders in Ayurveda. Understanding Vikara is crucial for identifying the nature of the disease and tailoring Ayurvedic interventions specifically aimed at restoring balance and health, as observed in jaundice cases like Kamala.

53) Bhasma (Bhasman):
Bhasma refers to calcined mineral preparations utilized in Ayurveda for medicinal purposes. The inclusion of Bhasma, such as Tamra-bhasma, in treatment formulations for Kamala enhances the therapeutic efficacy of formulations and provides additional health benefits through ancient alchemical processes.

54) Satmya:
Satmya indicates the suitability or compatibility of various foods and medicines with an individual's constitution. In treating Kamala, understanding Satmya helps optimize dietary protocols, ensuring the chosen foods support recovery and prevent adverse reactions.

55) Hridya (Hrdya):
Hridya means heart or beneficial, often used to refer to substances that nourish the heart and overall health. In Ayurvedic treatments for Kamala, Hridya properties of certain medicines help rejuvenate and maintain vital functions, fostering holistic healing.

56) Shakha (Sakha):
Shakha refers to limbs or extremities in Ayurveda. Evaluating Shakha condition provides important insights into the effects of diseases like Kamala throughout the body, impacting functionalities and indicating areas requiring therapeutic attention.

57) Kutaki:
Kutaki (Picrorhiza kurroa) is an Ayurvedic herb known for its liver-protective and detoxifying properties. It is often utilized in treatment protocols for conditions like Kamala, as it enhances liver function and mitigates symptoms associated with jaundice.

58) Manasa (Manasha):
Manasa means mental or related to the mind in Ayurveda. Addressing Manasa aspects is essential in healing processes, especially for patients suffering from jaundice, as mental well-being is interlinked with physical health, influencing treatment outcomes significantly.

59) Vyadhin (Vyadhi):
Vyadhi refers to disease or illness in Ayurveda, encompassing various ailments requiring precise diagnostic approaches and tailored treatment modalities. In managing Kamala, understanding Vyadhi helps delineate specific symptoms and address underlying causes to facilitate holistic healing.

60) Dosha (Dosa):
Dosha represents the three fundamental energies (Vata, Pitta, Kapha) in Ayurveda that govern physiological processes. Recognizing dosha imbalances is paramount for diagnosis and treatment in conditions like Kamala, facilitating targeted interventions aimed at restoring balance.

61) Satva (Shatva):
Satva denotes purity, clarity, or mental state in Ayurveda, contributing to an individual's overall health and resilience. In treatments for Kamala, fostering Satva through mindful lifestyle practices improves the patient's ability to heal and cope with health challenges.

62) Nakha:
Nakha refers to nails in Ayurveda, whose color and health can indicate underlying systemic issues. Changes in Nakha appearance, such as yellowing, often accompany jaundice (Kamala) and serve as diagnostic clues to liver dysfunction, influencing treatment strategies.

63) Tamra:
Tamra translates to copper in Ayurveda, which is utilized in various formulations for its medicinal properties. Copper-based preparations, like Tamra-Bhasma, may enhance health outcomes for conditions like Kamala by supporting liver function and facilitating detoxification processes.

64) Ahara:
Ahara means food or diet in Ayurveda, considered fundamental to health and healing. Dietary habits significantly influence the management of conditions like Kamala, where emphasis on balanced meals tailored to the individual's dosha can accelerate recovery and restore liver function.

65) Water:
Water is a vital resource for hydration and metabolic processes in the body. In Ayurvedic treatments for Kamala, adequate water intake supports detoxification and liver function, emphasizing the role of hydration in health and recovery.

66) Sugar:
Sugar represents a type of carbohydrate that, when consumed in excess, can lead to various health issues, including metabolic disturbances. In Ayurvedic treatments for Kamala, regulating sugar intake is crucial to avoid exacerbating symptoms or generating toxic imbalances.

67) Roga:
Roga signifies disease or disorder in Ayurveda, a central concept in diagnosing and managing health conditions. In the case of Kamala, understanding Roga aids practitioners in devising effective treatment plans that target both symptoms and root causes of the ailment.

68) Agni:
Agni refers to the digestive fire in Ayurveda, crucial for health and vitality. A well-functioning Agni is vital for metabolizing foods, and its impairment is closely linked to conditions like Kamala, necessitating treatments that strengthen digestive capabilities.

69) Nadi (Nadin):
Nadi means pulse in Ayurveda, an essential diagnostic tool used to assess health and balance of functions. The examination of Nadi offers insights into a patient's doshic constitution and helps guide treatment choices in managing conditions like Kamala.

70) Mala:
Mala denotes waste or excreta in Ayurveda, indicative of the body's elimination processes. Evaluating Mala assists in understanding digestive health and potential imbalances that may contribute to or exacerbate conditions like Kamala, helping tailor appropriate treatments.

71) Vata:
Vata refers to one of the three doshas in Ayurveda, associated with movement and physiological functions. While primarily linked to different health issues, considering Vata's role helps maintain balance in health and informs treatment decisions for a holistic approach to conditions like Kamala.

72) Sara (Shara):
Sara denotes the essence or quality of bodily fluids, including blood and lymph. Analyzing Sara helps gauge nutritional and health statuses, contributing to the assessment of conditions like Kamala, where balance and nourishment are critical for recovery.

73) Alpa:
Alpa means low or deficient in Ayurveda, often used to describe states of weakness or compromised health. In treating Kamala, addressing Alpa qualities and restoring vitality is essential to improve the patient's overall health and enhance recovery outcomes.

74) Poha:
Poha refers to flattened rice, commonly consumed in meals. In Ayurvedic dietary recommendations, informing patients about suitable food choices, including Poha, emphasizes balanced nourishment essential for recovery and healing, particularly when managing liver-related disorders like Kamala.

75) Kala:
Kala refers to time or phase in Ayurveda, denoting the importance of timing in treatments and dietary practices. In managing Kamala (jaundice), recognizing the phase of the disease helps in applying appropriate interventions tailored to the patient's condition.

[Note: The above list is limited to 75. Total glossary definitions available: 82]

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Discover the significance of concepts within the article: ‘A case study on kamala (jaundice) management’. Further sources in the context of Science might help you critically compare this page with similair documents:

Daurbalya, Pathyapathya, Pittadosha, Jaundice treatment, Ayurvedic treatment, Lifestyle Factors, Virechana Karma, Arogyavardhini Vati, Hyperbilirubinemia, Liver function test, Haematological investigation, Anannabhilasha, Bahupitta Kamala, Clinical sign, Government Ayurvedic Hospital, Clinical finding.

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