Tag: Liver Cirrhosis

March 31, 2025

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

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February 24, 2025

Hepatopulmonary Syndrome – Symptoms, Causes & Ayurvedic Treatment

ABSTRACT

Liver is an interesting and crucial organ/gland. Liver does a number of functions that are required to live a healthy life. Liver metabolises the food we intake. Liver helps in detoxification and also helps in the formation and storage of vitamins and minerals. Due to various reasons, liver disease occurs and its functions are hampered. In advanced stages, the lungs get involved and result in lung dysfunction. In this article, we shall study a lot more about this coupled condition of Liver and Lungs in some details and the management protocol in the modern medicinal system and Indian Ancient Medicinal System of Ayurveda will also be discussed.

Hepatopulmonary Syndrome, HPS, Liver Cirrhosis, Hypoxemia, Causes of Hepatopulmonary Syndrome, Signs And Symptoms of Hepatopulmonary Syndrome, Ayurvedic Treatmednt for Hepatopulmonary Syndrome, Herbal Remedies for Hepatopulmonary Syndrome, Planet Ayuurveda Formulations

INTRODUCTION

Hepatopulmonary Syndrome is a dual diseased condition of liver and lungs when the prior organ disease progresses and hampers the functioning of the latter. This is a complication of liver cirrhosis rather than a disease itself. This condition has a triad that is also known as Hepatopulmonary triad – liver disease, intrapulmonary vascular dilation and arterial hypoxemia. Decreased oxygen concentration leads to hypoxia and needs immediate attention. So, the main culprit here is the liver disease, therefore management of this condition has a primary goal of correcting the liver disease. Let’s now have a look at the causes and symptoms that arise in this condition.

CAUSES

  • The cause of HPS is not clear. Not all the patients suffering from liver cirrhosis not develop Intrapulmonary vascular dilatations.
  • Hypoxemia in HPS condition primarily happens due to diffusion limitation and ventilation perfusion mismatch.

SIGNS AND SYMPTOMS

  • Majority of patients come up with features of liver disease while some come up with lungs or pulmonary complaints.
  • Most common complaint is dyspnea (shortness of breath), however this is generally overlooked because multiple factors can be behind this.
  • Spider angiomata
  • Clubbing toes and fingers
  • Cyanosis

INVESTIGATION

  • Contrast echocardiography
  • Arterial Blood Gasses
  • Pulmonary function tests
  • Liver function tests
  • Macroaggregated Albumin Lung Perfusion Scan
  • CT Chest

MANAGEMENT

  • Liver transplantation
  • Long-term oxygen therapy

HERBAL REMEDIES FOR HEPATOPULMONARY SYNDROME BY PLANET AYURVEDA

Planet Ayurveda is a famous ayurvedic company and manufacturing unit. Planet Ayurveda has been dealing with various diseases successfully. Planet Ayurveda has treated many patients suffering from complicated diseases with proper ayurvedic formulations and diet charts. Planet Ayuurveda’s formulations are very unique, effective, result oriented and based on ayurvedic texts. Planet Ayurveda is pleased to inform you about the herbal formulations that work wonderfully in the management of Hepatopulmonary Syndrome. The list is as follows :

  1. Yakrit Plihantak Churna
  2. Phyllanthus Niruri
  3. Punarnava Mandur
  4. Praanrakshak Churna
  5. Boswellia Curcumin
  6. Vasaka Capsules
Hepatopulmonary Syndrome, HPS, Liver Cirrhosis, Hypoxemia, Causes of Hepatopulmonary Syndrome, Signs And Symptoms of Hepatopulmonary Syndrome, Ayurvedic Treatmednt for Hepatopulmonary Syndrome, Herbal Remedies for Hepatopulmonary Syndrome, Planet Ayuurveda Formulations

PRODUCTS DESCRIPTION

1. YAKRIT PLIHANTAK CHURNA

Yakrit Plihantak churna is a perfect blend of herbs such as Kalmegh (Andrographis paniculata), Kaasni (Cichorium intybus), kutki (Picrorhiza kurroa), makoy (Solanum nigrum), bhumi amla (Phyllanthus niruri), Punarnava (Boerhavia diffusa), bhringraj (Eclipta alba) and sharpunkha (Tephrosia purpurea). The churna is the best remedy made till now which can be taken by a healthy person because it helps in maintaining the healthy liver condition and its functioning. All the ingredients have hepatoprotective activity and also repair the damaged hepatocytes. Herbs also possess renewing property, hence helps formation of new cells. By managing liver condition, it helps in pulmonary symptoms ultimately.

Dosage: One tsp twice daily after meals.

2. PHYLLANTHUS NIRURI

Phyllanthus Niruri capsules are made up of pure herbal extract of Bhumi amla (Phyllanthus niruri). Bhumi amla exhibits anti inflammatory, hepatoprotective, antipyretic, digestive, carminative, appetiser, laxative, antiviral and anodyne properties. With these immense positive actions, Phyllanthus Niruri capsules are a must herbal formulation required in the management of Hepatopulmonary Syndrome. It helps to establish a healthy liver and maintain it . Moreover, the symptoms are also alleviated associated with this condition such as pallor, skin itching, abdominal discomfort, anorexia and respiratory diseases.

Dosage: Two capsules twice daily after meals.

3. PUNARNAVA MANDUR

Punarnava Mandur is a classical herbomineral formulation. It contains punarnava (Boerhaavia diffusa), pippali (Piper longum), chavya (Piper chaba), vidanga (Embelia ribes), haridra (Curcuma longa), mandoora bhasma (Ferric oxide calx) and others. Punarnava Mandur has a lot of health benefits. It helps reduce ascites and also increases haemoglobin and platelets that are usually deceased in Hepatopulmonary Syndrome. It also benefits proper breathing.

Dosage: Two tablets twice daily after meals.

4. PRAANRAKSHAK CHURNA

Praanrakshak Churna is a herbal powder that contains the goodness of the herbs such as vasa (Adhatoda vasica), kantkari (Solanum xanthocarpum), shirish (Albizia lebbeck), mulethi (Glycyrrhiza glabra), bharangi (Clerodendrum serratum) and others. The formulation is indicated in respiratory diseases where the gaseous exchange does not occur properly and hypoxemia occurs. It also helps patients in Hepatopulmonary Syndrome where a person gasps for oxygen.

Dosage: One tsp twice daily with warm water after meals.

5. BOSWELLIA CURCUMIN

Boswellia Curcumin is a product of Planet Ayurveda that is used in inflammatory conditions. Haridra (Curcuma longa) and shallaki (Boswellia serrata) are its composition. The benefits of these herbs are world famous. Boswellia Curcumin helps in the management of Hepatopulmonary syndrome by alleviating the correcting blood vessel dilatation and makes gaseous exchange better that helps in proper oxygen supply to all parts of the body.

Dosage: One capsule twice daily after meals.

6. VASAKA CAPSULES

Vasaka capsules are a patent product of Planet Ayurveda. The capsules contain standard extract of vasa (Adhatoda vasica). Vasa is a herb that is indicated in all types of respiratory diseases. Vasaka with its kapha pitta balancing properties is a perfect remedy for Hepatopulmonary Syndrome. It helps soothe the pulmonary mucosa and alleviates symptoms of the condition and helps in proper gases exchange.

Dosage: Two capsules twice daily after meals.

CONCLUSION

Hepatopulmonary Syndrome is a complication of advanced liver disease and is a serious condition. It causes breathlessness, hypoxia and cyanosis. The condition worsens with time. Immediate management is required such as fluid tapping in case of ascites. However, in the modern system of medicine, liver transplant is considered to be an ultimate effective management. Unfortunately, this does not always turn out to be polite and nice. Post transplant complications are quite disturbing. There are further chances of development of hepatopulmonary syndrome and sometimes the condition stays the same. And there are often chances of getting infection after transplant. However, in the ayurvedic management, the herbs work effectively on the very root cause of the disease by correcting the dosha imbalance and also check the symptoms by directly acting on them. Above mentioned herbal medicines by Planet Ayurveda is a perfect solution to manage it.

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