Tag: Liver Care Pack

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

Top Ayurvedic Treatments and Natural Remedies for Liver Cirrhosis

ABSTRACT

Liver is the largest solid organ of the body. It is a self-regenerating organ. As a major organ of the digestive system, the liver must process everything that the stomach and intestines digest and absorb. It produces bile for fat digestion. A healthy liver is undeniably a key element to a healthy life. But, when liver health is altered, the results can get severe. One of such issues is liver cirrhosis. It develops first as inflammation, then fibrosis, later cirrhosis and ultimately End-stage liver disease.

Liver Cirrhosis, Diagnosis of Liver Cirrhosis, Treatment for Liver Cirrhosis, Causes of Liver Cirrhosis, Ayurvedic treatment for Liver Cirrhosis, Ayurvedic Overview, Herbal Remedies of Liver Cirrhosis, Ayurvedic Herbs for Liver Cirrhosis, Liver Care Pack

INTRODUCTION

Liver cirrhosis is a serious condition which occurs due to scarring of the liver. This can be due to various reasons such as excessive alcohol consumption, drugs, hepatitis etc. Cirrhosis is a progressive condition. As the scarring continues to spread, the liver damage is inevitably permanent. But if caught in early stages, it is reversible. Every time your liver is injured, say it because of infections, alcohol, etc. It tries to repair itself as a result of which scar tissue is formed in the liver. As cirrhosis progresses, more and more scar tissue is formed and the liver is unable to perform its function. This can lead to life-threatening conditions i.e., End stage liver disease.

CAUSES

Cirrhosis is triggered by the chronic inflammation of the liver causing gradual scarring. The most common causes include:

  1. Alcohol-induced hepatitis
  2. Non-alcohol-related steatohepatitis: It’s related to metabolic factors like high blood lipids, high triglycerides, blood sugar and blood pressure.
  3. Chronic Hepatitis C: Hepatitis C is a viral infection which is now curable.
  4. Chronic Hepatitis B: Hepatitis B is also a viral infection. It’s treatable, but not curable.
  5. Unmanaged diabetes and hypertension
  6. Sedentary lifestyle
  7. Excessive consumption of greasy, fried, oily food

Some lesser known causes are:

  1. Autoimmune diseases: In certain conditions like, autoimmune hepatitis, primary biliary cholangitis, primary sclerosing cholangitis etc., where chronic liver inflammation is present this can be a cause.
  2. Genetic disorders: Certain inherited conditions like cystic fibrosis and Wilson disease can cause toxic substances to build up in your liver and damage it.
  3. Toxic hepatitis: Long-term exposure to certain environmental toxins or certain medications including painkillers, can cause liver damage.
  4. Cardiovascular disease: congestive heart failure (causes blood to build up in your liver) or chronic ischemia (prevents blood from reaching your liver) can damage your liver.
  5. Hemochromatosis: Genetic condition in which there is iron buildup in body

TYPES OF CIRRHOSIS

  1. Compensated Cirrhosis: Patients with this condition do not show symptoms and life expectancy is around 9–12 years. They can remain asymptomatic for years.
  2. Decompensated Cirrhosis: Patients with this condition are already experiencing symptoms and complications. Their life expectancy is reduced and can be advised for liver transplant.

STAGES OF CIRRHOSIS

  1. Stage I: Steatosis: The first stage of liver disease is characterized by inflammation of liver along with accumulation of fat deposits in liver (fatty liver).
  2. Stage II: Scarring (fibrosis) of the liver due to chronic inflammation.
  3. Stage III: Cirrhosis.
  4. Stage IV: Advanced liver disease or End stage liver disease.

SIGNS AND SYMPTOMS

Early symptoms include:

  1. Nausea
  2. Loss of appetite
  3. Easy bleeding or bruising
  4. Upper abdominal pain
  5. Redness on palms of your hand (Palmar erythema)
  6. Malaise/ fatigue
  7. Visible blood vessels that give appearance of spider k/as spider angiomas.

Advanced symptoms which indicate decline in liver functions include:

  1. Unexplained weight loss/ muscle loss
  2. Jaundice (Yellow tint in skin and eyes)
  3. Itchy skin
  4. Swelling in face, legs, and hands. (Edema)
  5. Difficulty in fat digestion
  6. Dark colored urine and grey colored poop.
  7. Abdominal distention due to ascites

DIAGNOSIS

Your doctor will examine you on the basis of your signs and symptoms and few follow up tests will be required for your diagnosis.

  1. Blood Tests: LFT, CBC
  2. Imaging: USG, Fibro scan, CT SCAN to study the echogenicity and the level of damage done to liver.
  3. Liver Biopsy: if required to confirm cirrhosis

TREATMENT

In case of early stages of cirrhosis, we can minimize the damage to the liver by treating the causative factor:

  1. Alcoholic Fatty Liver: complete cessation of alcohol intake is necessary to reduce the toxin build up in the liver.
  2. Nonalcoholic Fatty Liver: they can get healthy again if they are able to manage their weight and fat intake.
  3. Medications and Nutritional Supplements:
    • Medications for viral infections like hepatitis B & C are given.
    • Nutritional supplements to manage malnutrition in the patients.
    • Medications for high BP, in case of portal hypertension.
  4. Lifestyle Modifications:
    • Low sodium diet
    • Regular exercise
    • Limiting fluid intake
    • Smaller frequent meals
    • Quitting alcohol and smoking
    • Avoid vitamin C, if iron levels are high.
  5. If liver damage is extensive and permanent, then liver transplant.

AYURVEDIC OVERVIEW

Acharya Charaka has mentioned about udara roga (Abdominal distension). He has explained about 8 types of udara roga among which in yakrit udara which can be co-related to liver cirrhosis. Acharya Charaka has explained yakrit udara if left untreated and unmanaged can ultimately lead to “jalodhar” which can be co-related to ascites. After this stage, the condition becomes manageable but not curable. Therefore, timely diagnosis and initiation of treatment is essential. Acharya Charaka has explained about Agni (imbalanced digestive power) and mala vruddhi (accumulation of waste in the body causing toxin buildup) as main causes of udara roga. Patient develops karshya (emaciation), kukshi adhman (abdominal distension), pada shof (edema in feet). Patient can be given various panchkarma treatments like niruha basti, anuvasana basti, virechan, rakta mokshan (bloodletting) to balance out the vitiated doshas. (Ch. Chi. 13 /77)

षट्पलं पाययेत् सर्पिः पिप्पलीर्वा प्रयोजयेत्|

सगुडामभयां वाऽपि क्षारारिष्टगणांस्तथा||७८||

Acharya Charaka, has mentioned about gud-haritki i.e., haritki (Terminalia chebula) with jaggery is used in treatment of jalodhar (ascites), use of Shatpal ghrita, pippali rasayana, kshara, arishta. Etc. Since yakrit udara has dominance of pitta dosha therefore to balance it out ghee medicated with herbs of jivaniya varg i.e., Jeevaka (Malaxis acuminta), Rishbhaka (Microstylis muscifera), Meda (Polygonatum verticillatum), Mahameda (Polygonatum cirrhifolium), Kakoli (Roscoea procera), kshirakakoli (Lilium polphyllum) etc.

Ancient Reference – Ch. Chi. 13/87-88

AYURVEDIC HERBS HELPFUL IN LIVER DISEASE

  1. Sharpunkha: The extract from the leaves of this plant is known for reducing increased bilirubin levels and it acts as a potent antioxidant due to presence of phenols.
  2. Bhumi-amla: The alkanoids Phyltetralin & nirtetralin present in bhumiamla are helpful in reducing pedal edema and the extracts from the leaves have proven to restore declining liver function. It is known for its hepatoprotectant, antioxidant and antiviral properties.
  3. Bhu-nimba: The andrographolides present in this provide the bitter taste to it and helps in prevention of liver fibrosis, reduces lipid accumulation, thus preventing liver damage.
  4. Katuki: The compound kutkoside & iridoid glycosides which are primarily found in the rhizome & roots of this plant are known for improving liver function.
  5. Kirat-tikt: The alkanoids swerchirin & sweroside are known to be a potent hepatoprotectant. The whole plant when cooked with coconut oil or sesame oil is helpful in relieving itching.
  6. Daruharidra: Daruharidra is also known as Indian berberry. This herb is useful in improving liver metabolism and function. It is useful in treating liver disorders and helps maintain healthy cholesterol levels. It is helpful in removing toxins and reducing levels of liver enzymes like ALT and AST in the blood. The berberine and methanolic extract from daruharidra has hepato-protective properties.

HERBAL REMEDIES FOR LIVER CIRRHOSIS BY PLANET AYURVEDA

Planet Ayurveda provides a combination of above-mentioned ayurvedic herbs for the management of liver cirrhosis. All the Planet Ayurveda medicines are 100 % natural, vegetarian, additive free, chemical & preservative free and without any side effects. The Liver Care Pack includes Indian Echinacea Capsules, Phyllanthus Niruri, Yakrit Plihantak Churna and Liver Detox Capsules.

  1. Echinacea Capsules
  2. Yakrit Plihantak Churna
  3. Phyllanthus Niruri
  4. Liver Detox Formula

PRODUCTS DESCRIPTION

Liver Cirrhosis, Diagnosis of Liver Cirrhosis, Treatment for Liver Cirrhosis, Causes of Liver Cirrhosis, Ayurvedic treatment for Liver Cirrhosis, Ayurvedic Overview, Herbal Remedies of Liver Cirrhosis, Ayurvedic Herbs for Liver Cirrhosis, Liver Care Pack

1. Echinacea Capsules

Indian Echinacea is available in capsule form which is prepared using standardized extract from Kalmegh (Andrographis paniculata). It is an ayurvedic herb rich in tikta rasa (bitter) which helps to detox the liver. As it is ushna veerya (of hot potency) it helps to balance out imbalanced kapha dosha (reduces lipid accumulation in liver). The alkaloid “andrographolides” in it is known to decrease serum transaminases.

Dosage: 2 capsules twice daily after meals with warm water.

2. Yakrit Plihantak Churna

This churna is prepared using the standardized extract of ayurvedic herbs like bhumi amalaki (Phyllanthus niruri), bhringraj (Eclipta alba), katuki (Picrorhiza kurroa), kalmegh (Andrographis paniculata) etc. which help in reversing liver damage. All these drugs have pitta balancing properties. Bhringraj (Eclipta alba) is helpful in reducing fat deposits from the liver and stimulating the regeneration of hepatocytes in the liver.

Dosage: Since it is available in powder form, to consume it you have to 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 it fresh every time.

3. Phyllanthus Niruri

These are prepared in capsulated form using standardized extracts from bhumi amalaki (Phyllanthus niruri). The extracts from this herb are known to stimulate repair mechanisms, normalize liver enzymes and reduce oxidative stress on the liver caused by hepatotoxic agents. Bhumi-amlaki is helpful in reducing pedal edema.

Dosage: 2 capsules twice daily after meals with warm water.

4. Liver Detox Formula

This formula is available in capsulated form which is prepared using standardized extracts from the herbs such as Katuki (Picrorhiza kurroa), punarnava (Boerhavia diffusa), Makoy (Solanum nigrum), Haritaki (Terminalia chebula), Kaasni (Cichorium intybus) and more such herbs, this potent formula helps in cleansing and strengthening of hepatocytes (liver cells), and ultimately helps in regaining liver health.

Dosage: 2 capsules twice daily after meals with warm water.

CONCLUSION

The cirrhosis is an increase in fibrous tissue caused due to chronic inflammation causing irreversible liver damage. It is a slowly progressing disease where healthy liver tissue is replaced with scar tissue. In cases where early intervention is done, the damage to the liver is reversible. Though the advanced methods of modern medicine provide an early diagnosis, the treatment itself is not promising enough. On the brighter side, the treatment followed through ayurvedic principles provides disease management in a natural way without any adverse effects.