Ayurvedic Management of Chronic Alcoholic Liver Disease with Ascites (Madatyaya with Jalodar): A Case Study

Abstract

All diseases especially Udara Rogas manifest in human beings as a result of aggravation of Mala due to defective Agani (Jatharagani and Dhatwagni). Excessive intake of hot, saline, food which causes burning sensation in digestive tract, excessive use of alcohol without following the rule of Madyapana, causes alcoholic liver disease with Ascites (Madatyaya with Jalodar) with clinical manifestation of hepatocellular dysfunction and portal hypertension. A 53 years old alcoholic male individual native of Jaipur, working in water plant, reported distention of abdomen from last 3 months with moderate breathlessness, hiccough and thorough swelling. Patient was diagnosed as alcoholic liver disease with ascites based on the information from the affected individual and by physical examination. He was treated with two oral medicines; a combination of 3–5 ingredients along with specific Anupana like lukewarm water, Takra etc. By the end of month, there was no pedal edema and abdominal distention. After completion of the treatment the whole laboratory and diagnostic investigations were recorded on 9/4/2012 (nearly after 45 days) and the reports suggested to have no ascetic fluid, no portal hypertension according to ultrasound report, and having lesser enlargements (2 cm) with fatty liver.