Tag: fatty liver

Factors Responsible For Liver Failure How Does Ayurveda Deals With It

Abstract

Problems like liver failure has immerse to a great height nowadays. The main reason if it is modernization. People at a very young age of their life start drinking alcohol it could be due to peer pressure or due to any other reason. But this is not the only one factor contributing to liver failure there are so many. Such as in developing countries infections like hepatitis, viruses are the main reason of chronic liver disease & hepatobillary (liver + gall bladder) carcinoma that ultimately leads to hepatic failure.

Ayurveda is the ancient most science that focuses on examining the disease first then going toward the management part. This is beautifully explained in the below mentioned verse.

It states that a physician should try to diagnose the disease first then proceed towards the application of medicine. He should always need to have a detailed knowledge of the ailment.

In this article let put some rays on the factors responsible for liver failure & how ayurveda deals with it does.

Cirrhosis of the Liver

Introduction

Firstly let’s discuss about the liver: Liver- It is an organ situated at the right hypochondrium quadrant of abdomen. It plays major role in maintaining metabolism of the body & in detoxifying the blood. It weighs about 1-1.8 kg in humans.

According to ayurveda we call it “Yakrit” (liver) the main place of ‘Agni’ (digestive fire). It releases various useful enzymes and hormones in the circulation.

How does it originate in humans?

This verse explains that – yakrit (liver) & paliha (pancreas) develops from the blood during the embryonic stage of life.

This yakrit (liver) & paliha (pancreas) are the main seat of Raktavah Srotas (blood containing channels) in the body.

Functions Of Liver

  • It produce albumin (a protein found in blood serum)
  • Helps in synthesis of angiotensinogen (hormone) important for raising the blood pressure.
  • Gall bladder a small pouch that’s present below the liver, produces Bile (contain cholesterol & bile acids) that helps in breakdown of fat.

Definition Of Liver Failure

It means inability of the liver to perform its functions properly there is formation of necrosis (death) in hepatocytes (liver cells).

This is of two types

  • Acute liver failure: There is rapid development of hepatic failure in this due to any underlying pathology or hepatotoxic drugs (e.g. NSAIDS non steroidal anti inflammatory drugs, anti depressants)
  • Chronic liver failure: When a person suffering from liver disease from a longer duration of time such as due to cirrhosis, cholestatic jaundice.
  • In regards to our classical text: In rakatavah srotas dushti, vitiation of pitta dosha is usually seen that leads to rakat (blood) toxification.

Causes

As per ayurveda the main reason of raktavah srotas dushti are as follows:

  • Consume vidhai anna (acidity causing food)
  • Over intake of snigdh (soft), ushan (hot), drav (liquid) diet.
  • Excessive exposure to sunlight and fire.

Other causes

  • Halimak vyadhi (chronic obstructive jaundice) – in this there is formation of greenish yellow discoloration in the skin.
  • Kumbh kamla (chronic jaundice with edema) – presence of edema along with the dark yellow coloured urine & stool.
  • Panaki (chronic jaundice complicated with diarrhea).

In modern science

  • Acute viral hepatitis is the most common cause worldwide.
  • Drug toxicity example paracetamol toxicity.
  • Mushroom (Amanita phalloides) poisoning during pregnancy.
  • Excessive consumption of alcohol.
  • Iron and copper overload.
  • Due to underlying autoimmune diseases.
  • Certain carcinoma.
  • Over intake of fat rich diet leads to fatty liver disease.
  • Cholecystitis (inflammation of gall bladder).
  • Cholelithiasis (gall stones).
  • Non alcoholic fatty liver disease.
  • Herditary
  • Obstructive jaundice.

Clinical Features: It means the complaints, patient present in front of physician. They are as follows:-

  • General body weakness.
  • Nausea & vomiting.
  • Clubbing of fingers (abnormal shape of nail bed)
  • Bruising (bluish discoloration of skin) over the body.
  • Jaundice (presence of yellow coloration of skin & sclera of eye).
  • Dilated abdominal veins.
  • Edema (fluid accumulation)
  • Profuse sweating.
  • Low blood pressure.
  • Ascites (fluid in the abdominal cavity).
  • Fatigue.
  • Bodyache
  • Anorexia (loss of hunger)
  • Drowsiness (lethargic)
  • Indigestion
  • Polydipsia (excessive thirst)

DIAGNOSIS

It means how we can identify the disease. There are various methods:

  • Physical examination of the patient: by analyzing the physical signs seen in patient body.
  • History taking: A proper history taking play a role of asset in diagnosing the disease.
  • Laboratory findings: it includes:
    1. Complete blood count.
    2. Liver function test – It includes serum bilirubin, SGOT, SGPT etc.
    3. Toxicology screening of urine.
    4. Prothrombin time becomes prolonged as liver plays a major role in the synthesis of coagulation factors that got hampered in this.
    5. Percutaneous Liver biopsy
  • Past history: Generally there is presence of family history.

According to ayurveda we diagnose the disease

Trividh pariksha (Set of 3 examination)

  • Darshan (diagnosis is made by visual examination of the symptoms)
  • Sparshan (physician use tactile examination to evaluate whether skin is cold/hot)
  • Prashan (physician ask direct question form the patient)

Asthavidh pariksha (Set of 8 examination procedure)

  • Nadi pariksha – by palpating the pulse rate of the patient.
  • Mutra pariksha – by examining the urine of the patient.
  • Mal pariksha – by stool examination.
  • Jivha pariksha – by examining the tongue whether coated or not.
  • Shabad pariksha – by observing the natural sounds within the body like intestinal sound (peristalsis)
  • Sparsh pariksha – by observing the patient skin texture whether it is cool, wet or dry.in psoriasis it is usually dry, rough in texture.
  • Drik pariksha – when physician inspect patient symptoms through his/her eyes. In liver disease patient yellowish discoloration of skin (jaundice) is the prime finding.
  • Akriti pariksha – observing the patient body posture whether lean or obese.

Management

  • Condition like liver failure is usually a non recoverable ailment. If we diagnose it in its early phase then the recovery rate is good. But once it reaches the chronic phase then only management is the final solution we cannot completely cure this.
  • In modern science they recommend you to go for a liver transplant procedure, every individual cannot afford this as it an expensive procedure & you need to find the right donor for this.

But with ayurveda we can manage its growth with certain herbal drugs such as Bhumiamlaki, kalmegh, daru haridra. Etc.

Line of treatment according to ayurveda: as it is pita elevated “tridoshaj vyadhi”

A. Sanshodhan Chikitsa (Detoxification procedure) –

  • Virechan (Purgation) is the best technique to release out the pita dosha from the body by anal route.
  • Raktamokshan (Bloodletting) It is considered as “ardh chikitsa” (As a whole treatment) by acharya shushruta because it helps in purifying the blood by removing harmful toxins from it.

B. SAMSHMAN CHIKITSA (By medication) – in this we control the disease by subsiding dosha with in the body itself

  1. Drink gomutra(Cowurine) – 15 to 20 ml early in the morning
  2. Triphala sawaras early in the morning.
  3. Cowmilk with cowurine (15 to 20 ml) drink it empty stomach after waking up.

Planet Ayurveda offers various formulations that aid in managing the further advancement of this:

Liver Care Pack

Product Description

1. Liver Detox Formula

  • Ingredients: Katuki (Picrorrhiza kurrao), Kalmegh (Andrographis paniculata), Kasni (Cichorium intybus) etc.
  • Above mentioned herbs are natural supplement works as hepatoprotective agents (Good for liver), help in lowering the blood pressure, so prove as best medication in liver disease.
  • Dosage: 2 capsules twice daily after meals.

2. Indian Echinacea

  • Ingredients: kalmegha/bhunimab (Andrographis paniculata)
  • It is mentioned as the best herb to enhance the liver function in the body. It has properties like pita sarak (releases pita dosha from the body), krimighan (kill worms)
  • Help in maintaining the immune system and supporting overall health it will provide strength to the patient body in hepatic failure.
  • Dosage: 2 capsules twice daily after meals.

3. Yakritplihantak Churna

  • Ingredients: Is a herbal powder formulation containing herbs like Phyllanthus niruri, Eclipta Alba, Picorrhiza kurro, Andrographis panniculata etc.
  • All these herbs works as natural analgesics (pain killer), appetizer (enhance hunger) & hypotensive (lower blood pressure) thus help in managing further growth of hepatic failure.
  • Dosage: You can boil the powder 1 teaspoonful in 400 ml water, keep it boiling until it remains 50 ml. Strain it and drink the water. Leave the residue. Do it twice daily. Make fresh every time.

4. Phyllanthus Niruri

  • Ingredient: Bhumi amla (Phyllanthus niruri)
  • It posses sheeta virya (cold potency) best suited for lowering the vitiated pitta dosha, also is a hepatoprotective & hypotensive herb, thus help in maintenance of Liver function so effective in liver failure.
  • DOSAGE: 2 capsules twice daily after meals.

In our ancient text it is also mentioned that:

  • If a physician have a good knowledge of curable and non curable disease after that when he precede the treatment in time, he will surely succeeds. But if he try to treat incurable disease even after knowing that it is a non treatable ailment, he will certainly suffers from the loss of arth (wealth), vidya (his/her study), yash (reputation) in the society.
  • The main conclusion of above verse is- it is very important for a doctor to tell his patient that your disease is a non curable one, we cannot treat it completely but we can stop its advancement with herbal medication.

Conclusion

Now we can conclude that liver failure is a condition where disease progress to the advanced stage the only treatment modality for it is liver transplant as per modern science but with ayurveda we can manage its progression by using proper herbal medicine, dietary changes & lifestyle changes.

Planet ayurveda the leading herbal manufacturing unit offers you best herbs and diet charts made under the supervision of ayurveda experts. Products are 100% organic & preservative free. So there is no need to worry when we have planet ayurveda with us. You can contact us through our website www.planetayurveda.com

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.