Successful treatment of Svabhava satmya Viparyaya Yakrit Kshaya (Autoimmune liver cirrhosis) : A case study

Abstract

Presentation of a case of Auto immune liver disease (AILD) which was treated with Ayurveda  principles, logic and also tried to established the Ayurveda terminology for the AILD. Svabhava satmya is the  synergetic properties of dosas and dhatus even though the possession of antagonist properties within them and  Svabhava satmya viparyaya (Auto immunity) is rare condition where synergetic properties of dosas and dhatus  are lost. It cause many organ specific diseases and Yakrit Kshaya(Cirrhosis of liver) is one of them . It is difficult  to diagnose without adequate laboratory support. A 57-year women with persistent jaundice, mild ascites, bilateral  pedal oedema, with negative viral hepatitis and other metabolic screening is presented. Portal hypertension with  Cirrhosis of liver are found in her ultrasound findings before treatment. An extensive interview was conducted with  the patient to know the dosh, Prakriti, etc. Herein, a timeline of her diagnosis and treatment are discussed. The  patient was prescribed with Agnideepak, srotasodhaka, snigdha ,Mutrala and Rasayana medication and strict diet  to treat Svabhava satmya Virparyaya Yakrit Kshaya (Autoimmune liver cirrhosis.Vardhamana Pippali Rasayana is not helpful to this case. But current medication is well tolerated and the midline stiff of liver in fibroscan reduced  to 27 Kpa from 57 Kpa. Her Portal hypertension is corrected and Liver parenchyma regenerated. The patient has  maintained the normal liver enzymes and her overall health is improved even if the drug regimen was stopped after  one year. Her therapeutic regimen was tried conservatively as it was successful, so it may be serving a useful  therapeutic model for this type of rare Chronic Liver disease (CLD).