Non-Invasive Siddha Therapeutic Approach in Cholelithiasis: A Case Study

AbstractBackground: Cholelithiasis, or Gallstone disease (GSD), affects millions worldwide, oftencausing debilitating right upper quadrant pain, indigestion, and complications likecholecystitis. Modern surgical management frequently involves invasive procedures such ascholecystectomy. Case Presentation: A 42-year-old female homemaker, pre-diagnosed withcholelithiasis via abdominal ultrasonography, presented with one month of sudden, intenseright upper quadrant and epigastric pain, aggravated postprandially. Associated symptomsincluded vomiting, indigestion, anorexia, and fever with chills. Clinical examination showedtenderness in the right hepatic region. Siddha Assessment: Based on Siddha clinicalevaluation and the Eṇvakaitērvu diagnostic method, the condition was diagnosed asKallīralnōykaḷ (SM4Y-ICD11). The patient underwent a 3-month Siddha treatment regimencomprising internal medicines, dietary modifications, and lifestyle advice. Result: Followingtreatment, the patient showed marked clinical improvement with significant reduction inabdominal pain, vomiting, and other gastrointestinal symptoms. Follow-up ultrasonographyindicated a reduction in gallstone size. Conclusion: The findings suggest that Siddha therapymay offer a safe and effective non-invasive approach in the management of cholelithiasis,improving symptoms and contributing to reduction in gallstone size.