jaundice

1. Kamala (Jaundice) -
An Ayurvedic View
Dr. Sachin S. Bagali MD (Ayu)
Assistant Professor
Department of Samhita & Siddantha
BLDEA’s AVS AMV Vijayapur

2.  The Disease Kamala is one among the liver disorders explained by
our Acharyas.
 It can be co-related with Jaundice according to its resemblance in
signs and symptoms.
 Shakhashrita Kamala (obstructive jaundice) is one of the type of
kamala .
 It has been reported that 1361 persons per 1lakh population is
suffering from jaundice in India. (NHFS survey)
 Causative factors like substandard hygienic condition, imbalanced
nutrition and excessive alcohol intake provoking the disease.
 Kamala is a Pittaja Nanatmaja vyadhi and Raktapradosaja vyadhi.
INTRODUCTION
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3. OBJECTIVES OF THE STUDY
 To analyze the concept of Kamala in Ayurveda
w.s.r. to Shakhashrita Kamala
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4. Kamala utpatti:
The root ‘kamu’ which means kanthi by ‘Nhin’ pratyaya,
form the term kamala. Thus the term Kamala is Kamu + Nhin .
Nirukti:
कामन ्ऱाति इति कामऱा ।
Here ‘kaman’ means itcha or desire and
‘lati’ means to diminish.
Hence kamala can be understood as a condition, which
checks the desire or an individual loose interest in all aspect
KAMALA
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5. ऩाण्डुरोगी िु योऽत्यर्थं पऩत्िऱातन तनषेविे|
िस्य पऩत्िमसृगमाांसां दग्वा रोगाय कल्ऩिे||
हाररद्रनेत्रः स भृशां हाररद्रत्वङ्नखाननः|
रक्िऩीिशकृ न्मूत्रो भेकवर्णो हिेन्द्न्द्रयः|| (C Ci 16/34-35)
PARIBHASA
The term kamala can be
defined as “A pathological
state in which hunger and
appetite for food is
diminished, all the malas
gets vitiated and
discolourates (peeta,
Haridra) the whole body”
especially mala sthanas
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6. CLASSICS SYNONYMS OF KAMALA
Atharveda  Haridraka, Harima, Harita, Vilohittatwa
Dalhana  Kamala, panaki, Kumbahvaya, Lagharaka,
Alasa,Alasakhya
Vagbhata  Lodhara
Chakrapani  Alpapitta Kamala as Shakashrita Kamala
 Bahupitta Kamala as Kosthashrita Kamala
SYNONYMS OF KAMALA
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7. TYPES OF KAMALA C.S S.S A.H M.N Sha.S Bh.Pr
Kosthashrita Kamala
    
Shakhashrita Kamala
    
Kumbha kamala
     
Halimaka      
Lagharaka 
Apanika 
Alasakya 
TYPES OF KAMALA
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8. NIDANA OF SHAKHASHRITA KAMALA
रूऺशीिगुरुस्वादुव्यायामैवेगतनग्रहैः|| C Ci 16/125
Excessive intake of Ruksha, Shita, Guru and Madhur Ahar.
Ati vyayam
Vega nigrah
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9. • Haridra Netra ,Tvaka ,Mutra
• Sveta varcas
• Tila-pistha varcas
• Atopa
• Visthambha
• Hridaya guruta
• Daurbalya
• Alpagni
• Parshva-arti
• Hikka ,Swasa
• Aruchi ,Jwara (C Chi 16/126-127)
LAKSANA OF SHAKHASHRITA KAMALA
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10. SAMPRAPTI OF SHAKHASHRITA
KAMALA
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11. Nidana sevana, Vata and Kapha gets prakopa
Vitiated Vata and Kapha circulated through the pittavaha srotus
Avarodha of pittavaha srotus by the vitiated Kapha
Margavarodha of Pitta occurs
Tilapishtha-nibha mala pravruti
Pitta begins to accumulate in liver, and causes yellow discoloration of
eyes, skin, nails etc.
SHAKHASHRITA KAMALA 11

12.  Dosha: Pitta
 Dushya: Rakta, Mamsa
 Adhisthana: Kostha (Mahasrotasa – Yakrit)
Shakha(Raktadi and tvacha)
 Srotus: Rasavaha, Raktavaha, Annavaha,
Pureeshvaha
 Srotodusti: Atipravritti, Sanga, Vimargagamana
SAMPRAPTI GHATAKA
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13.  Sukhasadhya ---- having minimum nidana, poorvarupa,
rupa
 Asadhya ---- disease is chronic and present with the
complication
(krishna peeta Mala, Mutra, Chardi, Rakta
vinmutea,etc)
 Upadravayukta kamala -- kastasadhya and Asadhya
SADHYASADHYA
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14. सांशो्यो मृदुभभन्द्स्िक्िैः कामऱी िु पवरेचनैः|| (C Chi 16/40)
 Firstly snehana should be done by panchagavya ghruta or Mahatikta
ghruta
 After proper snehana , mruduvirechana with tikta dravya
 Samshamana chikitsa done by vata kapha shamana, Agni deepana,
 Single drugs:- Katuki, Guduci ,Bhringaraj, Bhumyamalaki
 Compound drugs:- Arogyavardini 250mg Tid
Punanavadi mandoor 125mg Tid
Phalatrikadi kwata 20 to 30 ml Tid
CHIKITSA OF KOSTHASHRITA KAMALA
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15. CHIKITSA OF SHAKHASHRITA KAMALA
So Caraka has mentioned especially some measures to bring
dosha from Sakha to kostha.
वृद्ध्या पवष्यन्दनाि् ऩाकाि् स्रोिोमुखपवशोधनाि्|
शाखा मुक्त्वा मऱाः कोष्ठां यान्द्न्ि वायोश्च तनग्रहाि्|| (C SU 28/33)
 The main line of treatment for Sakhashrita Kamala needs special
emphasis because malaranjaka pitta is situated in Sakha therefore
Virecanadi karma will not be effective till dosha are not brought
to the kostha.
 When dosha comes to kostha the same treatment is given as that
of kosthshrita kamala.
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16. Ripened papaya fruit
Draksha
Wheat
Jawar
Usna, Tiskna, Katu rasa
Lekhanakara ahara
Bed rest
PATHYA
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17. APATHYA
Snehana & svedana, karma,
Rakta mokshana, Dhumapana, Vegadharana
Madhura rasa pradhana ahara
Snigdha, Guru, Kaphakaraka ahara
Vyayama, Maithuna
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18.  Kamala is a Pittaja Nanatmaja vyadhi and Raktapradosaja
vyadhi, where the skin, eye and mucous membrane take
yellow discoloration.
 In modern science jaundice is considered as symptom of
liver disorder whereas in Ayurveda Kamala is taken as
disease.
 Due to a Pitta dominant disease Mrudu Virechana and Pitta
Shamaka treatment is given.
CONCLUSION
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