Ayurvedic Management of Kamala (Jaundice) – A Case Report

Abstract

Kamala, the Ayurvedic name for Jaundice, is characterized by yellowish discoloration of the skin, sclera, and mucous membranes secondary to hyperbilirubinemia. It may arise from pre-hepatic or post-hepatic pathologies. Ayurveda attributes its pathogenesis primarily to vitiation of Pitta Dosha and impairment of hepatic function (Yakrit Dushti), and prescribes Shodhana (detoxification) treatment as the basis of management. A 19-yearold female student presented with a 5-day history of icterus, yellowish discoloration of urine, periumbilical pain, and constipation, along with 8–10 days history of fever, nausea, vomiting, and generalized weakness. Baseline liver function test (LFTs) revealed markedly elevated (serum glutamic pyruvic transaminase [SGPT]: 2930 U/L), and serum glutamic-oxaloacetic transaminase [SGOT] (2830: U/L), and total bilirubin (3.7 mg/dL), with no systemic involvement of CNS, CVS, or respiratory system. A personalized Ayurvedic regimen was administered, including internal hepatoprotective and Pitta-pacifying medicines and Ruksha Virechan (therapeutic purgation) using Icchabhedi Vati, along with Pathya-Apathya (dietary and lifestyle modifications). The patient showed gradual resolution of icterus and systemic symptoms with improved appetite, normalization of stool and urine characteristics, and relief of abdominal pain and generalized weakness. There was marked biochemical improvement in LFTs; SGPT decreased from 2930 U/L to 31.3 U/L, SGOT from 2830 U/L to 48 U/L, and total Bilirubin from 3.7 mg/dL to 1,78 mg/dL. This case report highlights the successful management of Kamala (Jaundice) using comprehensive Ayurvedic Management, combining the therapeutic purgation and adjunct internal medication with appropriate diet and lifestyle modification, which was effective in recovering Kamala.