Abstract

UNDERSTANDING OF KOSHTASHRITHA KAMALA (HEPATOCELLULAR JAUNDICE) THROUGH AYURVEDA GUNA SIDDHANTA

Dr. Rashmi P.*, Dr. Ranjitha

Abstract

In Ayurveda literature Kamala is described as Pittaja Nanatmaja.[1] and Raktapradoshaja Vyadhi.[2] Kamala is compound word – “Kama” means Desire, “Lathi” means Loss. In Kamala there is no desire to eat/drink. This individual suffers from severe Arochaka, Avipaka and Agnimandya with Deep yellow coloration of the eyes, skin, nails, urine & feces, Skin color resembling that of Bhekavarna (Greenish brown).[3] etc. It involves both the Koshta (Alimentary tract) and also the Shaka (Rakta etc.). This article delves into the principles of Guna Siddhanta, elucidating how the interplay of Gunas (qualities) of Pitta contributes to the manifestation and exacerbation of Koshtashrita Kamala with relation to Pathophysiology of Hepatocellular Jaundice. Yakrit serves as a common depot where after absorption of all kinds of food stuff, they go into the liver via Portal vein; and metabolic activities takes place. Kamala results from aggravation of Tikshna (sharp), Ushna (hot), Drava (liquid) etc Gunas of Ranjaka Pitta which is seated in Yakrit.[4] The aggravated Pitta then impairs the blood and the muscle tissue of the liver, causing blockage in the channels of the liver and thus Pitta is thrown back into the blood leading to discoloration of the eyes and skin and all other features of Koshtashrita Kamala.[5] as mentioned in classics. Here we discussed Samprapti of Koshtashrita Kamala the same way as Vikalpa Samprapti. Selection of Dravya and Chikitsa depending on this concept which have exactly opposite Guna to the aggravated Dosha and also following Pathya and Nidana Parivarjana will prevent reoccurring of the condition.

Keywords: Koshtashrita Kamala the same way as Vikalpa Samprapti. Selection of Dravya and Chikitsa depending on this concept which have exactly opposite Guna to the aggravated Dosha and also following Pathya and Nidana Parivarjana will prevent reoccurring of the con