MANAGEMENT OF SHAKASHRITA KAMALA THROUGH AYURVEDA: A CASE REPORT

Jaundice is a condition where there is clinical manifestation of impaired bilirubin metabolism or obstruction in the bile flow. In Ayurveda, this condition is described under Kamala, which is broadly classified into koshta shakashrita and shakashrita kamala. This case study deals with shakashrita Kamala showing clinical features comparable to intrahepatic cholestasis. This case report details a 24-year-old male who presented with yellowish discoloration of skin, nails and eyes, passage of clay coloured/pale stool, dark urine, Loss of appetite since 1 week associated with generalized weakness and fatigue. The patient denied the H/O fever, abdominal pain, viral prodrome or similar episodes in the past. There was no history of chronic illness, drug intake, or biliary tract surgery. On examination, icterus was noted. Laboratory investigations showed elevated total bilirubin (6.68 mg/dl), with raised liver enzymes (SGOT 1169 U/L, SGPT 311.9 U/L). Treatment was based on the Ayurvedic principle of Shāka-Koṣṭha Gati. Initially, the patient was given Trikatu with Mātuluṅga Swarasa to facilitate the movement of pitta from shaka to the Koṣṭha followed by mrudu virechana with shamanoushadis. After three weeks, there was significant improvement with reduced jaundice, normal stool colour, increased appetite, and relief from weakness and fatigue. This case demonstrates the effectiveness of Ayurvedic principles in hepato-biliary disorders.