Author: Dr. Vikram Chauhan

Effective Ayurvedic Treatment for Fatty Liver Disease

ABSTRACT

In today’s world liver infections and fatty liver disease are major problems and fat accumulation in the liver due to excessive fat and excessive alcohol intake. Fatty liver has two aspects: alcoholic and non alcoholic aspects. NAFD is a type of fatty liver which does not occur due to heavy alcohol intake.NASH is a type of fatty liver which is not alcohol induced but damages liver cells and leads to cirrhosis of liver.Although it’s a curable disease, it may deteriorate over time because of negligence and lack of proper treatment.

Fatty Liver, Fatty Liver Disease, Types of Fatty Liver Disease, Cause of Fatty Liver, Symptoms of Fatty Liver Disease, Treatment for Fatty Liver Disease, Ayurvedic Treatment for Fatty Liver Disease, Ayurvedic Overview, Herbal Remedies for Fatty Liver, Fatty Liver Ayurvedic Treatment, Fatty Liver Care Pack

INTRODUCTION

Fatty liver is a condition where excess fat builds up in the liver. Fatty liver disease is also known as hepatic steatosis and steatotic liver disease. It is normal for the liver to store some amount of fat but when fat build up is more than 10% of liver’s weight then it causes some serious complications like scarring of liver, liver cancer, and esophageal varices. There are different stages of fat accumulation. Grade1 is mild, grade 2 is moderate, grade 3 is severe, potentially leading to liver damage, scarring (fibrosis), and cirrhosis. Early detection and lifestyle changes are crucial for preventing progression.

FATTY LIVER DISEASE TYPES

There are mainly two types of fatty liver disease (FDL)

  1. Metabolic dysfunction-associated steatotic liver disease (MASLD)
  2. This type used to be called Nonalcoholic fatty liver disease (NAFLD). Obesity or metabolic disorders such as insulin resistance, dyslipidemia, central obesity, and hypertension will increase risk of getting it. Unlike the other main type, it is not caused by drinking alcohol. There are two forms of MASLD:

    • Simple Fatty Liver: This means there is fat accumulation in the liver. But there is no inflammation or liver cell damage found. Usually it does not get worse or cause any problem.
    • Metabolic dysfunction-associated steatohepatitis (MASH): This used to be known as nonalcoholic steatohepatitis (NASH). It’s the advanced stage of FLD and means you have inflammation in the liver. inflammation and the liver cell damage that happens with MASH can cause hepatic fibrosis and later on leads to liver cirrhosis. Hepatic fibrosis and liver cirrhosis are types of liver scarring and liver cancer.

  3. Alcoholic-related fatty liver disease (ALD)
  4. This type is caused by excess drinking of alcohol. It is less common and can be prevented by reduction in alcohol consumption. If a person keeps consuming alcohol then it can cause serious conditions like enlarged liver, alcoholic cirrhosis, alcoholic hepatitis.

CAUSES OF FATTY LIVER DISEASE

Fatty liver is commonly due to metabolic disorders (diabetes, hypertension, obesity, dyslipidemia). Some other reasons are:

  • Alcohol
  • Drugs like corticosteroids and some cancer drugs
  • Malnutrition and weight loss
  • HIV, Hepatitis C

SYMPTOMS

Fatty liver disease usually does not cause symptoms. Some people may have symptoms like:

  • Tiredness
  • Pain in right upper part of abdomen
  • Weight loss

More commonly patients notice symptoms when FLD is processed into cirrhosis in the liver. Once cirrhosis is developed, patients have symptoms like:

  • Nausea
  • Excessive weight loss
  • Jaundice
  • Swelling in abdomen
  • Swelling in legs, feet, or hands
  • Bleeding (rectum, stomach)

COMPLICATIONS

Fatty liver can develop into hepatic fibrosis, cirrhosis and liver cancer. For people affected by NAFLD, the survival rate is 10 years for 80% of patients. Less than 10% people with cirrhotic alcoholic FLD will develop hepatocellular carcinoma. the most common type of primary liver cancer in adults, but up to 45% people with NASH without cirrhosis can develop hepatocellular carcinoma.

DIAGNOSIS

Most individuals are asymptomatic and it is not easily diagnosed. Medical history, physical examination, and tests are performed for the proper diagnosis.

Medical history and physical exam

  • As part of the medical history, the doctor will ask about alcohol use, to find out whether fat in the liver is a sign of alcoholic fatty liver disease or nonalcoholic fatty liver (NAFLD). He or she will also ask which medicines you take, to try to determine whether a medicine is causing NAFLD.
  • During physical examination, body weight and height are checked, and signs of fatty liver such as enlarged liver, jaundice-like symptoms, and signs of cirrhosis are checked.

Blood tests

  • Liver function and liver tests to detect liver disease and damage. The cells in the liver have proteins called enzymes. When these cells are damaged, the enzymes leak into the bloodstream, where they can be measured. If the liver is damaged, the level of these enzymes will be higher than normal. The serum alanine transaminase (ALT) level is greater than the aspartate transaminase (AST) level in the nonalcoholic variant and the opposite in alcoholic FLD (AST:ALT more than 2:1).
  • Fibrosis assessment tests, also known as FIB-4, to estimate the level of liver scarring (fibrosis). These blood tests result in an indirect score that estimates the level of liver scarring (fibrosis). Other blood tests show more direct markers of fibrosis.
  • Lipid profile to measure blood fats, such as cholesterol and triglycerides. Other blood tests to rule out other causes of FLD like tests for hepatitis C and Wilson disease (a rare genetic condition).

Imaging tests

  • USG, CT scan, MRI are suggested. These imaging tests show fat accumulation in the liver but do not tell if it is a simple type of fatty liver disease or MASH. There are some tests that can show whether it is fibrosis by measuring the stiffness of the liver. When liver cells die, they’re replaced by scar tissue, which is stiff. The stiffer the liver is, the more scarring it has.
  • Transient elastography measures liver stiffness using a special ultrasound machine.
  • Magnetic resonance elastography (MRE) combines ultrasound vibration frequency and MRI to create a visual map of stiffness throughout the liver.

Liver biopsy

It is considered the gold standard for diagnosing and assessing liver fibrosis. A liver biopsy can reveal a number of findings in fatty liver disease, including:

  • Steatosis: A buildup of fat in the liver
  • Inflammation: The presence of inflammation in the liver
  • Fibrosis: The presence of fibrosis in the liver
  • Hepatocyte Ballooning Degeneration: A key feature that distinguishes NASH from simple steatosis
  • Megamitochondria: Round or needle-shaped mitochondria that are more common in hepatocytes with microvesicular steatosis
  • Hepatic Siderosis: Mild iron deposition in periportal hepatocytes and/or pan-acinar reticulo-endothelial cells.

TREATMENT

Lifestyle changes can help in managing fatty liver at early stages and this includes:

  • Avoid alcohol
  • Weight loss: exercise, change in eating habits, and some medications like GLP1RA can help in reducing weight.
  • Take medications to manage metabolic conditions: Take prescribed medicines to manage diabetes, cholesterol, and triglycerides (fat in the blood). You may also need to take vitamin E and thiazolidinediones.

AYURVEDIC OVERVIEW

According to ayurveda, the liver is the origin of pitta. Pitta regulates metabolic and biochemical functions of the body and maintains heat as pitta has hot and light characteristics Kapha has a cold and stabilized nature. When Kapha dosha rises above normal levels, it suppresses pitta and its function in supporting the liver. Therefore, it can be inferred from this correlation that fatty liver disease results from elevated Kapha dosha. Fatty liver means the presence of fat in the liver. It refers to Meda (fat) and Yakrit (liver). So in ayurveda it is termed as Medaja Yakrit Roga (fatty liver). NAFLD is called kaphaja yakrit dulludara. It is a most common complication of Udara Roga (abdominal disease).

Ranjaka pitta (fire that helps in production of blood), which turns Rasa Dhatu (plasma, interstitial fluids) into Rakta Dhatu (blood tissue) is based in Yakrit (liver). It is associated with Raktavahi (Blood vessels) and Mamsvahi Dhamni (arteries nourishing muscle tissue) and its Mulasthan (origin place) is Rakta Vaha srotas (channels that transport blood). Yakrit is closely linked to Rasa (plasma), Rakta (blood), Mamsa dhatu (muscle) and plays a significant role in Dhatu Parinama (essence of body tissues).

Samprapti (Etio-pathology)

Dushti of Annavaha (Channels that transport food), Udakvaha (channels that transport water), Rasa vaha (channel that carries circulatory fluids), Raktavaha (channels that transport blood), Medo vaha (channels that transport nutrients to body tissue) srotas etc. is caused by:

  • High fat diet
  • Sedentary lifestyle

Agnivikruti (disturbance in digestive fire) causes the creation of Apakva anna rasa (undigested food) which causes the vitiation of kapha dosha and uneven formation and deposition of fat in the liver. Agni Vikruti (disturbance in digestive fire) is caused by vitiated Vata.

Hepatocytes undergo inflammatory alteration when pitta is implicated in the pathophysiology and then this illness develops next stage NASH. When Vata is implicated then it develops fibrosis which leads to cirrhosis, ascites, hepatocellular carcinoma. Vitiation of samana vayu (balancing air), Apan Vayu, pachaka pitta (fire that digest food), Ranjaka pitta (fire that helps in production of blood), Kledaka kapha (moistening of food particle), rasa (plasma), Rakta (blood), Medo (fat) Dhatu and pureesha (body’ excretory product) are major variables involved in etiopathology of this disease.

SIGNS AND SYMPTOMS

  1. Daurbalya (Weakness)
  2. Arochaka (Anorexia)
  3. Avipaka (Indigestion)
  4. Varchograha (constipation)
  5. Pain in kostha (abdomen) due to vata
  6. Pipasa (thirst)
  7. Agninasha (loss of digestive fire)

According to Acharya Charak

  • Nila, Harit, Haridra (blue, green, yellow) coloured lines on the abdomen.
  • Pale discoloration of skin (Kamla)

Pathya (To be consumed)

  • Vegetables: carrot, beetroot, pumpkin, all green vegetables
  • Milk Products: plant-based such as tofu, almond milk, soya milk
  • Dry Fruits: almonds, walnuts, chia seeds, sunflower seeds (soaked overnight)
  • Spices: fennel, turmeric, cumin, coriander, fenugreek, black pepper
  • Oils/Fats: olive oil, rice bran oil, canola oil, cow’s ghee
  • Juices: coconut water, pomegranate juice, beetroot juice, barley water

Apathya (Not to be consumed)

  • Vegetables: cauliflower, eggplant, jackfruit, canned vegetables or vegetable soup
  • Milk Products: avoid all kinds of dairy products
  • Dry Fruits: cashews, peanuts, raisins, pistachios
  • Oils: coconut oil, palm oil, hydrogenated oils
  • Spices: red chilli, green chilli, table salt
  • Fruits: coconut, banana, mango, dates
  • Packed, processed, bakery foods

Treatment

In ayurveda dietary restriction, physical exercise, weight reduction are the first line treatment. Ayurveda has a potential remedies for fatty liver. Things to keep in mind while treating this disease are:

  • Agni Vikruti (disturbance in digestive fire)
  • Vitiation of kapha, meda
  • Agni Deepana (enhancing digestive fire)
  • Rookshana (drying therapy)
  • Sroto Shodhan (cleansing of channels)
  • Pacification of kapha, Meda, and Vata

This should be the first line of treatment. The careful use of Samshodhana, Samshamana, and ahara would help to reverse the fatty liver.

Shaman Chikitsa

In shaman chikitsa:

  • Sharpunkha (Tephrosia purpurea)
  • Bhoomi Amalaki (Phyllanthus niruri)
  • Katuki (Picrorhiza kurroa)
  • Guduchi (Tinospora cordifolia)
  • Haritaki (Terminalia chebula)
  • Pippali (Piper longum)

All these single herbs are useful in shaman Chikitsa (pacifying therapy).

Shodhan Chikitsa

Virechana: It is the best shodhana karma for fatty liver. It helps to eliminate excessive pitta dosha along with Vata and kapha. It is indicated in both sroto shodhan (cleansing of channels) and excess dosha buildup.

HERBAL REMEDIES FOR FATTY LIVER BY PLANET AYURVEDA

Planet Ayurveda is a GMP certified company that prepares 100% pure medications by following proper ayurvedic principles. Their products are natural and free from any kinds of additives, preservatives, chemicals, and fillers. For fatty liver, they have too many products but here we are talking about Fatty liver care pack. These products are totally safe and natural.

  1. Yakrit Plihantak Churna
  2. Livo Plan Syrup
  3. Liver Detox Formula
Fatty Liver, Fatty Liver Disease, Types of Fatty Liver Disease, Cause of Fatty Liver, Symptoms of Fatty Liver Disease, Treatment for Fatty Liver Disease, Ayurvedic Treatment for Fatty Liver Disease, Ayurvedic Overview, Herbal Remedies for Fatty Liver, Fatty Liver Ayurvedic Treatment, Fatty Liver Care Pack

PRODUCT DESCRIPTION

1. Yakrit Plihantak Churna

It is herbal powder that contains Bhumiamla (Phyllanthus niruri), Makoy (Solanum indicum), Katuki (Picrorhiza kurroa), Punarnava (Boerhavia diffusa), Kaasni (Cichorium intybus), Sharpunkha (Tephrosia purpurea), Kalmegh (Andrographis paniculata) and Bhringraj (Eclipta alba). This herbal powder is useful in liver anomalies and helps in treatment of cirrhosis, splenomegaly, fatty liver. Punarnava (Boerhavia diffusa) and some other herbs which are used in this formulation have characteristics like liver rejuvenation, anti-inflammatory, Choleretic Properties (stimulation of the production of bile from liver).

Dosage: 1 teaspoonful twice a day before meals with warm water.

2. Livo Plan Syrup

This is a herbal syrup that contains herbs such as Sharpunkha (Tephrosia purpurea), Kalmegh (Andrographis paniculata), Bhringraj (Eclipta alba), Shyonak (Oroxylum indicum), Rohitaka (Tecomella undulata), Bhumiamla (Phyllanthus niruri), Kasni (Cichorium intybus), Patol (Trichosanthes dioica), etc. These herbs regenerate the liver cells and protect the liver from toxins. It eliminates the toxins from the liver and provides a healthy liver function.

Dosage: 2 tsp twice a day after meals.

3. Liver Detox Formula

This herbal capsule preparation is prepared by using herbs like Punarnava (Boerhavia diffusa), Makoy (Solanum nigrum), Kutki (Picrorhiza kurroa) etc. This formulation is mainly used for liver disorders, it protects the liver against cell damage caused by free radicals due to its antioxidant, hepatoprotective properties. It can also help to provide relief in gas and abdominal discomfort. These herbs are very beneficial for balancing pitta dosha in the body.

Dosage: 1 capsule twice a day after meals with warm water.

CONCLUSION

Liver is the largest organ inside your body. It helps your body digest food, store energy, and remove poisons. Fatty liver disease is a condition in which fat builds up in your liver and if not treated properly, it can lead to scarring of the liver. Fatty liver can be cured by lifestyle modifications. In Allopathy only symptomatic management is done but Ayurveda has good management along with dietary & lifestyle modifications.

Ayurvedic Treatment for Ulcerative Colitis with Herbal Remedies

ABSTRACT

Ulcerative colitis is a type of inflammatory bowel disease (IBD). Another type of IBD is Crohn’s disease. Ulcerative colitis (UC) is a chronic condition that happens when there is inflammation in the colon. Most people with UC experience symptom flare-ups followed by remission without symptoms. Signs and symptoms include diarrhea, bloody stools, abdominal cramping, and weight loss. Here we will discuss its Ayurvedic point of view and treatment.

Ulcerative Colitis, Types of Ulcerative Colitis, Cause of Ulcerative Colitis, Symptoms of Ulcerative Colitis, Treatment for Ulcerative Colitis, Ayurvedic Treatment for Ulcerative Colitis, Ayurvedic Overview, Herbal Remedies for Ulcerative Colitis, Ulcerative Colitis Ayurvedic Treatment

INTRODUCTION

Ulcerative colitis is a chronic inflammatory bowel disease (IBD) in which the abnormal reactions of the immune system cause inflammation and ulcers on the inner lining of your large intestine with relapsing nature. Ulcerative colitis incidence rate is 9 to 20 cases per 100,000 persons per year. No male or female predominance exists in UC. It affects the age group of 15-35 years and is less common in 50-75 years.

TYPES OF ULCERATIVE COLITIS

Ulcerative colitis is classified based on where the inflammation is in the colon. The inflammation usually starts in the rectum, which is close to the anus. The inflammation can spread and affect all or part of your colon. Types include:

  • Ulcerative Proctitis: In this type, inflammation affects the sigmoid colon and rectum. This condition mainly affects less than six inches of the rectum, and it is not associated with any risk of cancer.
  • Left-sided Colitis: Inflammation affects the left side of your colon. Inflammation begins at the rectum and extends as far into the colon as the splenic flexure, which is a bend in the colon near the spleen. Left-sided colitis also includes proctosigmoiditis, which affects the rectum and the lower segment of the colon located right above the rectum known as the sigmoid colon.
  • Pancolitis: Inflammation affects your entire colon. Continuous inflammation begins at the rectum and extends beyond the splenic flexure.

CAUSES OF ULCERATIVE COLITIS

The cause of ulcerative colitis is unknown. People with this condition have problems with their immune system. However, it is not clear if immune problems cause this illness. Stress and certain food can worsen the situation like:

  • Beverages with alcohol
  • Caffeinated drinks
  • Dairy products
  • Insoluble fiber food (raw vegetables, nuts, whole grain, fruits with skin on)
  • Greasy food
  • Spicy food

SYMPTOMS OF ULCERATIVE COLITIS

Main symptoms of ulcerative colitis are

  • Bloody diarrhea
  • Pus in stool
  • Rectal bleeding

Other Symptoms Include

  • Pain in the abdomen
  • Rectal pain
  • Urgency
  • Weight loss
  • Fatigue
  • Joint pain and swelling
  • Red burning and itchy eyes
  • Painful bumps
  • Rashes on the skin
  • Ulcers on the skin

COMPLICATIONS OF ULCERATIVE COLITIS

Ulcerative colitis can increase the risk of developing other conditions. These conditions include:

  • Anemia
  • Colon cancer
  • Primary sclerosing cholangitis
  • Growth and development issues in children

Some emergency complications that require immediate treatment in ER include:

  • Dehydration
  • Perforation
  • Severe Bleeding
  • Toxic Megacolon

DIAGNOSIS FOR ULCERATIVE COLITIS

The initial diagnostic workup for ulcerative colitis consists of a complete history and physical examinations with assessment of signs and symptoms, laboratory tests, and endoscopy. Specific testing may include:

  • Complete Blood Cells Count: It may show anemia and thrombocytosis (increased platelet count).
  • Kidney Function Test (KFT) and Electrolyte studies: Chronic diarrhea may be associated with hypomagnesemia and hypokalemia kidney injury.
  • Inflammatory Markers: Erythrocyte sedimentation rate and C-reactive protein.
  • Endoscopy: To evaluate the rectum, distal large intestine, or entire colon and end of the small intestine (colonoscopy) for ulcers and inflammation.

Some other tests may include:

  • Stool calprotectin
  • Barium anemia

Tests of the small intestine are needed to differentiate between ulcerative colitis and Crohn’s disease, including:

  • CT Scan
  • MRI
  • Upper endoscopy or capsule endoscopy
  • MR Enterography

TREATMENT FOR ULCERATIVE COLITIS

Ulcerative colitis treatment usually involves surgery or drug therapy. The type and category of medication depend upon the severity of the condition. It takes time to find the medication that helps because the medication that works well for some people may not work well for other patients.

Anti-inflammatory

The first step in the treatment of ulcerative colitis is anti-inflammatory drugs as they help many patients with their condition. These medications include:

  • Oral-5-aminosalicylates
  • Corticosteroids

Immunomodulators

These medicines also reduce inflammation. They do so by suppressing the immune system response that starts the process of inflammation. These medicines include:

  • Azathioprine and Mercaptopurine
  • Cyclosporine

Biologics

This class of therapies targets proteins made by the immune system. Types of biologics used to treat ulcerative colitis include:

  • Infliximab, Adulimumab, golimumab
  • Vedolizumab
  • Mirikizumab
  • Risankizumab

Other Medications

Additional medications are required to manage specific types of symptoms of ulcerative colitis. These medications include:

  • Antidiarrheal
  • Antispasmodic
  • Iron supplement
  • Pain relievers

Surgery

If medications are not working, then surgery is the option. 30% of ulcerative colitis patients need surgery at some point. There are two types of surgery, and they both involve proctocolectomy:

  1. Proctocolectomy and ileal pouch
  2. Proctocolectomy and ileostomy

AYURVEDIC OVERVIEW

The major symptoms of ulcerative colitis are diarrhea, rectal bleeding, passing of mucus, pain in abdomen. According to ayurveda these symptoms are correlated with Atisara (Diarrhea), some sub types of Atisara have similar symptoms. These symptoms can be correlated with Pittatisara (Diarrhea due to excess pitta) and Raktatisara (Diarrhea with blood) i.e Chronic stage of Pittatisara. According to Acharya Charak Raktatisara (Diarrhea with blood) can be caused due to intake of pitta vitiating drinks and food by the patient suffering from Pittatisara (Diarrhea due to excess pitta). Patients with Pittatisara have tendencies to develop Raktatisara if they do not follow pathya ahara vihara (Favorable food and routine). Due to an increased amount of blood in stool this condition is correlated with active ulcerative colitis.

CAUSES

According to Ayurveda Impaired Jatharagni (digestive fire) causes various kinds of gastrointestinal disease. According to Acharya Charak:

  • Intake of sour, salty, alkaline,pungent, hot and irritant things
  • Exposure to scorching sun, fire, hot wind
  • Stress
  • Anger
  • Envy

All of them cause Pittatisara. According to Acharya charak intake of pitta vitiating factor by pitta prakriti patients can cause raktatisara.

According to Acharya Sushruta

Understanding Pittatisara and Raktatisara According to Acharya Sushruta :

  • Intake of heavy, excessive fatty food
  • Incompatible food
  • Heavy food before digestion of previous
  • Improperly cooked
  • Contaminated food or drinks
  • Suppression of natural urges
  • Worm infestation

According to Acharya Madhavkar

Continuous and excessive intake of pitta increasing diet by pitta Prakriti patients can cause Raktatisara.

Samprapti Ghatak

  • Dosha: pitta dominant Tridosha
  • Dusya(involved tissue): Rasa (Plasma), Rakta (Blood)
  • Strotas(channel involved): PurishaVaha srotas (Channel that transport faeces), UdakaVaha srotas (Channel that transport water), Annavah satotas (Channel that transport food and liquid)
  • Sroto Dushti: Ati Pravarti (Excessive flow)
  • Agni: jatharagni (Digestive fire), Dhatvagni (Bodily tissue fire)
  • Utbhavasthana(placed involved): Pakvashya (Large intestine)

SIGNS AND SYMPTOMS

According to Acharya Charak

  1. In Pittatisara patients:
    • Green, yellow, blue, black coloured stool
    • Thirst
    • Burning sensation
    • Sweating
    • Fainting
  2. In Raktatisara patients:
    • Bloody diarrhea
    • Pain in abdomen
    • Burning sensation in abdomen
    • Inflammation in Anorectum

According to Acharya Sushrut

  1. In Pittatisara patients:
    • Hot faeces with bad smell
    • Thirst
    • Fainting
    • Fever with sweating
    • Ulceration in rectum and anus
    • Burning sensation in abdomen
  2. In Raktatisara patients:
    • Inflammation in Anorectum
    • Bloody diarrhea
    • Burning sensation
    • Fever

According to Acharya Vaghbata

  • In Pittatisara patients:
    • Yellow, black, turmeric-like or green feces
    • Foul smell from stool
    • Fainting
    • Perspiration
    • Pain in abdomen
    • Ulceration in abdomen

Continuous and excessive intake of pitta-increasing diet by pitta Prakriti patients can cause Raktatisara (Diarrhea with blood).

TREATMENT

Agnimandya (Low digestive fire) is the root cause of this disease. In any kind of Atisara (Diarrhea), Ama (Undigested food) and Pakva conditions should be determined first. This is the first-line treatment of Atisara. Keeping in mind the strength of the patient:

In Amavastha

  1. Langhan (fasting)
  2. Yavagu (thick gruel) is made with Deepan (Enhance digestive fire) and Pachan (Digestion) drugs like Shunthi, Chitrak, etc.

Grahi drugs should be avoided in Amavastha (Undigested food) because it can cause Pliha Vridhi (Splenomegaly), Pandu (Anemia), Anaha (Constipation), Prameh (Diabetes), Ghrani (IBS), Arsh (Piles), Shula (Pain), etc.

In Pakva condition

In this condition, Grahi (Absorb and retain fluids) medication can be given. Along with this, Shaman Chikitsa (Pacifying therapy) and Shodhan Chikitsa (Purifying therapy) are indicated.

In Raktatisara condition

Basti karma is indicated for Raktatisara. Pichha basti is considered to be the best treatment.

Shaman Chikitsa

Some Ayurvedic preparations mentioned in classical Ayurvedic texts for Raktatisara and Pittatisara are:

  1. Churan (Powder)
    • Madhukadi Powder: Powder of Madhuk, Katfal, Lodhra, Dadim. Take all their ingredients in equal parts with honey followed by Tandulodak (rice water). It is very helpful in Pittatisara.
    • Nagkesar Powder: Intake of 6gm of Nagkesar powder with Makhan or honey 2 times a day on an empty stomach. It has Raktastambhak properties, so it is helpful in Raktatisara.
    • Nilopladi Yoga: Take 3gm of Nilotpala, Mochrasa, Lajjalu, and Padhmakesar with goat’s milk. A diet of rice and milk is advised after the digestion of the drug.
  2. Ghrita Preparations
    • Shatavri Ghrita: Take Shatavari Ghrita with milk. A milk diet helps to overcome bloody diarrhea. It is helpful in Pittatisara, Raktatisara, and Ghrani. It is Balya (Increasing strength), Medhya (Intellect and cognitive power), and Rasayana (Rejuvenating). It also helps to heal ulcers.
    • Nyogradi Ghrita: Take Nayogradi Ghrita with honey and sugar. It helps in Raktatisara.
  3. Kwath (Decoction)
    • Cold decoction of Shalmali Vrinta with Yashtimadhu with honey. It helps to cure Pittatisara and Raktatisara.
    • Dadimadi Kwath: Take bark of Dadim and Kutaj fruit. It helps to cure bloody diarrhea.
    • Dhanya Panchak Kwath: It is used for pain in the abdomen and for controlling diarrhea.
    • Take Bilva Majja with Fadita followed by honey. It is helpful in Raktatisara.
  4. Kshir (Medicated Milk)
  5. Kutaja Kshira: Take goat’s milk and water in equal proportions. Add Yavkuta powder of Kutaj bark (12 gm) and boil it. Let all the water evaporate. The remaining portion is Kutaja Kshira. Intake of 6gm of this Kshira (Milk) is helpful in Raktatisara.

Shodhan Chikitsa

In Shodhan Chikitsa, Basti is indicated for Raktatisara:

  • Anuvasana Basti
  • Piccha Basti

Pathya (To be taken)

  • Dairy Products: Cow’s ghee, Goat’s milk
  • Fruits: Banana, apple, ripened papaya, bael fruit, muskmelon, watermelon
  • Vegetables: Potato, carrot, turnip, gourd
  • Pulses: All types of millets, moong dal with skin removed, rice
  • Oils: Cow’s ghee, mustard oil, olive oil, rice bran oil
  • Juices: Pomegranate juice, rose petal juice, marigold petal juice, coconut water, coriander leaves juice
  • Nuts: Overnight soaked nuts

Apathya (Not to be consumed)

  • Dairy Products: Milk, tea, ice cream, butter, and all others
  • Spices: Red chili, green chili, white salt
  • Fruits: All citrus fruits like orange, grapes, lemon, mango, pineapple
  • Vegetables: Peas, beans, garlic, brinjal, onions, cauliflower, ladyfingers, cucumber
  • Pulses: Kidney beans, black beans, black grams, chickpeas, red, black, yellow lentils
  • Oils: Hydrogenated oils, coconut oil, palm oil, soybean oil
  • Others: Aloe vera juice, pickles, fried food, baked food, alcohol, Triphala

HERBAL REMEDIES OF ULCERATIVE COLITIS BY PLANET AYURVEDA

Planet Ayurveda is a well established brand. It is a GMP certified and US-FDA registered company. Planet ayurveda uses best quality herbs and prepares medications by following proper ayurvedic principles. All these medicines are prepared under the supervision of MD scholars. Planet ayurveda has 100% pure medicine with no side effects. They have the best combination of herbs for ulcerative colitis and one of them is the Ulcerative Colitis Care Pack. These are safe to use as they have no side effects.

  1. Arjuna Capsules
  2. Vatsakadi Churna
  3. Pitta Balance
  4. Kutajghan Vati
Ulcerative Colitis, Types of Ulcerative Colitis, Cause of Ulcerative Colitis, Symptoms of Ulcerative Colitis, Treatment for Ulcerative Colitis, Ayurvedic Treatment for Ulcerative Colitis, Ayurvedic Overview, Herbal Remedies for Ulcerative Colitis, Ulcerative Colitis Ayurvedic Treatment

Products Description

1. Arjuna Capsules

It is in the form of capsules prepared using standardised extract of Arjuna’s (Terminalia arjuna) tree bark is a standardized extract and it is used to make this formulation. It acts as analgesics, anti-inflammatory, antioxidant and antidiarrheal. It is rich in minerals like magnesium, copper, zinc, and calcium. It helps to maintain tridosha (Vata, Pitta, Kapha). It is helpful in healing ulcers and increasing red blood cells in the body. So it is very beneficial in ulcerative colitis.

Dosage: 2 capsules twice a day with water after a meal.

2. Vatsakadi Churna

It is a powder that is a blend of many herbs. It consists of Kutaj (Holarrhena antidysenterica),Dhania (Coriandrum sativum), Saunf (Foeniculum vulgrea), Nagarmotha (Cyperus scariosus), Choti Elaichi (Cardamom), Bilva (Aegle marmelos), Anar (Pomegranate) and Jaiphal (Myristica fragrans). It works on the intestines. Kutaj It has been used to relieve dysentery, Bilva helps in relieving the digestive system disorders, Saunf has phytoestrogens which help in digestion, Choti elaichi is also good for the digestive system. It acts as a mouth refresher and helpful in respiratory disorders, Jaiphal acts as a stimulant, analgesic and moreover it is the best for the digestive system. Thus, all these herbs work amazingly in ulcerative colitis.

Dosage: 1 tsp twice a day with water after a meal.

3. Pitta Balance

It is in the form of a capsule. It consist of Praval pishti (Mentha spicata), Jahar mohra pishti (Serpentine stone), Akik pishti (Silicon dioxide), Kamdhenu ras (samadera indica), Mukti pishti, Giloy satva (tinospora indica). Our body consists of vata, Pitta and kapha. Pitta is responsible for digestion and metabolism of the body. In this formulation there is a calcium compound which helps in controlling bleeding and provides a cooling effect on the body. In ulcerative colitis it is very important to balance the pitta as it is primarily caused due to imbalance of pitta dosha in the body.

Dosage: 1 capsule twice a day with water after a meal.

4. Kutajghan Vati

It is in the form of tablets. It consists of the purest extract of Kutaj (Holarrhena antidysenterica) herb. Diarrhea and Dysentery can be cured by Kutajghan herbs. It is very useful in the functioning of the intestine. Thus it helps in managing ulcerative colitis.

Dosage: 2 tablets twice a day with water after a meal.

CONCLUSION

Ulcerative Colitis is a disease that can be managed very well with Ayurveda. Ayurvedic treatment provides various oral medications and panchkarma therapies like Piccha Basti and Planet Ayurveda’s Ulcerative Colitis Care Pack has been proved useful in alleviating symptoms and to reducing serious conditions. Ayurvedic treatment provides a better quality of life for patients.