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Kamala (Jaundice)

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The ayurvedic classics describe a number of acute and chronic

diseases affecting liver manifesting with varying degrees of

jaundice. Kamala is one of the foremost conditions described in this

context which essentially represent acute obstructive and non-

obsructive jaundice.The texts also describe different forms of

chronic hepatopathies with jaundice and certain other major symptoms

like oedema, fever and diarrhoea, such syndromes have been termed as

kumbha kamala, halimaka and panaki. The ayurvedic texts also describe

certain other clinical conditions of the liver where jaundice is not

the main manifestation, rather the liver is found enlarged or

inflamed such as yakritodar, yakrit vidradhi and yakrit dalyudar.

 

The ayurvedic texts approach the treatment of kamala in a very

fundamental way giving emphasis to removal of the cause (Nidan

parivarjan), removal of the obsructive pathologyof biliary tract

besides detailed palliative care (samshamana).

The samshamana chikitsa of kamala involves the use of various hepato-

protective remedies including suitable dietary management.

Various medicinal herbs such as bhumyamalaki, kutaki, punarnava,

kalmegh, guduchi, bhringraj and some herbomineral preparations like

arogyavardhini rasa are very effective in the management of kamala.

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