A treatment perspective of Jaundice with Cholecystitis in Ayurveda: A case report

Background: Kamala refers to a disease condition where there will be yellowish discoloration of eyes, skin and urine along with other specific symptoms. Kosthashrita Kamala and Shakhashrita Kamala are the two types of Kamala according to Ayurveda classics. The obstructive pathology of Jaundice resembles the samprapti of Shakhashrita kamala and non-obstructive pathology to Kosthashrita kamala. Cholecystitis, the inflammation of wall of Gall bladder, most likely occurs due to Cholelithiasis, that is presence of gall stones with partial or complete obstruction of cystic duct or common bile duct. Jaundice is the most predominant sign in this condition. Surgery is considered as the only and ultimate treatment in the condition of Acute Cholecystitis by alternate system of medicine. Clinical findings: The present case report deals with a case of Kosthashrita kamala where the patient was having acute pain abdomen, jaundice, reddish discoloration of urine along with fever, nausea and vomiting. Investigations revealed raised values of LFT and Ultrasound of abdomen revealed Cholecystitis and Cholelithiasis without any obstruction to cystic or common bile ducts. Outcome: The symptoms were assessed and graded along with the blood investigations. Patient was treated with only oral medication and diet, under appropriate monitoring. Both subjective and objective parameters showed significant difference after the treatment within a short duration of time. Conclusion: This case report sets an example to accentuate the role of Ayurvedic rational treatment protocols in treating even acute disease conditions like Cholecystitis.