Ayurvedic management of Non-Alcoholic Fatty Liver Disease (NAFLD) with biochemical and symptomatic outcomes: A case study

Non-Alcoholic Fatty Liver Disease (NAFLD) is increasingly recognized as a metabolic liver disorder linked to a sedentary lifestyle and poor dietary habits. This case study explores an integrative approach to managing Grade 2 NAFLD in a 48-year-old male patient, diagnosed using both modern and Ayurvedic frameworks. The treatment regimen incorporated Phalatrikadi Kwatha, Shankha Vati, and Eranda Haritaki Churna over 60 days, focusing on restoring Agni, reducing Kapha-Meda Dushti, and clearing Srotorodha. Notable improvements were observed in gastrointestinal symptoms, lipid profile, liver enzymes, and ultrasound findings. The Ayurvedic perspective interpreted NAFLD as a Santarpanajanya Vyadhi involving Yakrit Dushti, with participation of three Doshas, primarily Kapha. This case highlights the relevance of Ayurvedic principles of individualized diagnosis, stage-wise treatment, and metabolic correction in effectively managing early stage NAFLD alongside modern diagnostics. It underscores the potential of classical interventions in chronic liver conditions when applied with clinical precision.