Abstract

EFFECT OF INTEGRATED PARACENTESIS AND ORAL VARDHAMAN PIPPALI RASAYAN (VPR) THERAPY IN ASCITES DUE TO ALCOHOLIC LIVER CIRRHOSIS: A CASE REPORT

K. S. Girhepunje*, Varsha Gupta, Rajesh Jain, Amit Nakanekar and O. P. Singh

Abstract

Alcoholic Liver Cirrhosis induced Ascitis is a condition with poor prognosis. Liver transplant is only the best option available but it it is difficult and costly affair. Conservative management may not be effective in many cases. The condition correlates with Jalodara which is a complication of Yakritodar in Ayurveda. It has also mentioned as one of the Ashtamahagad (~Diseases that are difficult to treat). Case report- 38 years old Male patient presented with progressive abdominal distension with aching pain over whole abdomen with stretching, swelling mostly over lower limbs, dyspnea, jaundice, sometimes hematemesis, loss of appetite, generalized weakness. On clinical examinationShifting dullness, pitting edema over lower limbs, fluid thrills, everted umbilicus in advance stage with crepitations in chest were present. Diagnosis was done with history, clinical signs of liver disease, Ultra sonography (USG) of abdomen and supportive laboratory tests. Integrated surgeical and pharmacological intervention in the form of Paracentesis and Oral Vardhaman Pippali Rasayan (VPR) Therapy were given after initial emergency paracentesis. Schedule was followed for 3 months with only boiled cow milk was advised in diet with total restriction of normal diet and daytime sleeping. Remarkable relief in terms of reduction in abdominal girth, swelling reduced in each follow up with significant improvement in clinical features and biochemical parameters and reduction in fluid was observed. Conclusion: Integrative treatment of ALD with Vardhaman Pippali rasayan and emergency Paracentesis can improve quality of life of these patients. Clinical trials on integrative treatment are warrented.

Keywords: Liver Cirrhosis, Jalodar, Paracentesis, Vardhaman Pippali Rasayan, Integrative approach.