KIDNEY FAILURE AND ITS EFFECTIVE TREATMENT WITH AYURVEDA

What is Jaundice?

In recent time, liver problems are increasing every day due to altered lifestyle, wrong eating habits, increased alcohol usages and excessive consumption of Allopathic drugs.

Jaundice is a hepatic disorder which really is a sign or symptom of a number of diseases. 

Liver is one of the most significant, major and largest organ in our body, which is the metabolic powerhouse with a huge selection of  recognized functions. Liver is an essential body organ positioned in right subcostal region, and  has many functions and one of its function is to eliminate bilirubin (bilirubin is found in bile and is manufactured out of the breakdown of red blood cells) from your body.

The chemical bilirubin is prepared by liver and could indicate destruction of the liver. The bilirubin is a waste material and the liver takes away bilirubin from the bloodstream.

Jaundice, also called icterus in medical term and kamala or piliya in Indian language, is yellowish depigmentation or discoloration of the skin, whites of the eyes (sclerae) and mucous membranes triggered by increased levels of bilirubin in the blood. A high level of bilirubin, especially from blockage of the outflow of bile, often is associated with intense skin irritation and itching. Bile is an essential digestive fluid that is necessary for proper digestion of fat. It really is unable to work properly and filtering and removal of toxins from one's body is affected.

COMMON CAUSES OF JAUNDICE

• Increased intake of oily, spicy, and sour foods.

• Physio-psychological factors like anger, fear, lust, overindulgence in sexual activity, anxiety, stress, and  physical efforts etc.

• Sleeping in the day time.

• Immoderate flow of bile pigments in blood and excessive destruction of RBCs.

• Excessive physical works.

• Tuberculosis.

• Haemolytic anaemia.

• Typhoid.

• Malaria.

• Yellow fever.

• Cholangitis.

• Parasitic infestations.

• Carcinoma of pancreas, gallbladder or bile duct.

• Autoimmune hepatitis, or alcoholic hepatitis.

• Impaired liver function.

• Pancreatitis.

• Viral infection - Hepatitis A virus, Hepatitis B virus, Hepatitis C virus etc.

• Alcoholic liver disorder.

• Sickle cell anemia.

• Spherocytosis.

• Thalasseamia.

• Gilbert’s syndrome.

• Crigler-Najjar syndrome.

• Suppressing the natural urges of stools and urinations.

• G6PD - glucose-6-phosphate dehydrogenase deficiency.

• Cirrhosis of liver.

• Infection, inflammation, strictures, and blockage of the bile ducts.

• Congenital malformations.

• Misuse of drugs like acetaminophen, testosterone, tetracyclines, salicylates, 

co-trimoxazole, nitrofurantoin, clavulanic acid, ethambutol, antibiotics,
chlorpropamide, rifampicin etc.

SIGNS & SYMPTOMS OF JAUNDICE

• Yellow pigmentation and discoloration of the eyes, tongue, skin, nails, and discharge of yellow or dark color urine, pale or clay colored stools.

• Pain in liver - Dull pain at right subcostal margin area.

• Swelling of legs and abdomen.

• Weakness, weight loss, weak liver, tiredness, lassitude and fatigue.

• Nausea / vomiting, confusion, drowsiness and excessive thirst.

• Headache and occasional low grade fever.

• Itchy skin and alternative changes in muscle tone.

• Indigestion, flatulence, constipation and loss of appetite.

• Loss of libido.

• Burning sensation in the body.

Diagnosis And Tests For Jaundice 

• Blood examinations - Serum billirubin level, Direct billirubin, S.G.O.T., S.G.P.T. may be increased.

• Liver function tests which include testing of bilirubin levels and aspartate amino transferase/AST and alanine amino transferase / ALT, suggest inflammation of the liver / hepatitis.

• Complete blood count - Leucocytosis and immatured RBCs may seems. 

• Erythrocytes fragility tests is useful for diagnosis of hemolytic jaundice.

• Coomb's test is helpful for diagnosis of haemolytic jaundice as well.

• Lipase/amylase level for diagnosis of inflammation of the pancreas / pancreatitis.

• Skin test - With the help of  transcutaneous bilirubinometer.

• Urinalysis / Urine Examination -

                   Bile salt -   +ve.

                   Bile pigment -   +ve.

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KIDNEY FAILURE AND ITS EFFECTIVE TREATMENT WITH AYURVEDA

Imaging Studies -

• Ultrasonographic examination.

• CT Scan (computerised tomography scan) and MRI (Magnetic Resonance Imaging) - Good for detecting tumors and analyzing bile ducts.

• HIDA Scan / Cholescintigraphy.

• ERCP - Endoscopic Retrograde Cholangio-pancreatography.

• Biopsy test.

GUIDELINES & PREVENTIVE MEASURES FOR JAUNDICE 
PATIENTS WITH DIET, LIFESTYLE SUGGESTIONS

Affected patient should be used simple diet, raisin, spinach, dried out dates, whole-wheat flour, radish, almonds, boiled rice, cardamom etc.

Constipation should be averted.

Sugar cane juice should be preferred.

Stay away from direct warmth or high temperature (boilers, furnaces etc.) and sunlight.

Keep satisfactory hydration by way of having huge amounts of fluids, liquids like sugarcane juice (drink one glass of sugarcane juice twice or thrice per day is more advantageous for jaundice sufferers), lemon juice or pomegranate juice is an integral and essential part of the individual's diet. 

Vegetables which includes tomatoes and radish are beneficial. Since, these juices may begin to increasing the removal of bilirubin through urine. 

And that's the purpose that you'll require to drink a lot of normal water as well. Constantly drink filtered and boiled water.

Buttermilk is a very important thing  for the individual experiencing jaundice.

Keep away from Allopathic medicines which could result in jaundice.

Tobacco chewing and cigarette smoking should be completely avoided.

Restrict or limit  your intake of  refined flour, polished rice, mustard oil, peas, canned, tinned and preserved foods, cakes, spicy food, oily foods, junk food, heavy foods, fats, potato-chips,  pastries, chocolates, coffee, tea, ice-cream, alcoholic beverages, liquor, non-vegetarian foods like fish, meat, beef, egg, sea foods etc., jaggery, curd, pulses, legumes, coffee, tea and  ghee should be avoided.

Increase intake of whole-wheat flour, brown rice or boiled rice, mangoes, bananas, tomatoes, spinach, Indian gooseberries, grapes, radishes, lemons, dried out dates, raisins, almonds, cardamom etc. Lemon, tomato, and radish are especially useful in jaundice.

Consume more fiber products.

Vegetarian diet and food that is easily digestible should be taken.

Take adequate, satisfactory and complete bed rest.

Light and moderate exercise or workout is very beneficial in treatment of Jaundice.

Avoid unneeded exercise and stressful conditions such as anxiety, nervousness, anger or fear etc.

Avoid medications which is accountable for liver - destruction.

Avoid Alcoholic beverages or liquor - Alcoholic beverages or liquor is very dangerous to a jaundice affected patient. It may produce serious issues concerned to liver. Hence, alcoholic beverages or liquor in virtually any form must be avoided.

The fat intake should be limited.

Don't suppress natural urges of passing urine or stools.

Increase consumption of foods abundant with calcium, vitamin B, vitamin C and zinc and other minerals and nutrients like iron and magnesium has been viewed as very helpful.

HERBS USED IN JAUNDICE

Ayurveda offers secure and efficient natural herbs for jaundice (Kamla) and it can be effectively treatable with Ayurveda. Ayurvedic treatment of Jaundice entails pacifying aggravated body energies using natural herbs that encourage the function of the liver and increase the flow of bile in the bile duct. Digestive function is also restored with the aid of a personalized diet plan to make sure effective and reliable metabolism.

Kalmegh - Andrographis paniculata.

Kutki  - Picrorhiza kurroa.

Gokulakanta - Hygrophila Spinosa.

Snake gourd - Trichosanthes Anguina.

Indian Sorrel - Oxalis Corniculata.

Punarnava - Boerhavia diffusa.

Bhumi amla - Stone breaker - Phyllanthus Niruri.

Tulsi - Basil leaves - Ocimum sanctum.

Banyan bark - Ficus religiosa.

Tinputiya - Indian sorrel - Oxalis Corniculata.

Radish - Raphanus sativus.

Papaya - Carica papaya.

Ganna - Sugarcane - Saccharum officinarum.

Amla - Gooseberry - Phyllanthus emblica.

Biranjasipha - Achiellea millefolium.

Jhavuka - Tamarix gallica.

Barley - Hordeum vulgare.

Musta - Nut grass - Cyperus rotundus.

Neem - Azadirachta Indica.

Wild Indigo - Tephrosia purpurea.

Haritaki - Terminalia chebula

Araghvadh - Purging cassia - Cassia Fistula.

Himsra  - Capparis spinosa.

Vasaka - Malabar nut - Adhatoda vasica.

Bhringraj - False daisy - Eclipta prostrata.

Kiratatikta - Swertia chirata.

Nimboo - Lemon - Citrus limon.

Pigeon peas leaves

Almonds - Prunus dulcis.

Turmeric - Curcuma longa.

Milk thistle -  Silybum marianum.

Dandelion - Taraxacum officinale.

Kakamachi/Makoy - Black nightshade -Solanum nigrum.

Ghritakumari - Aloe Vera - Aloe Barbadensis.

Chicory - Chichorium Intybus.

Jaundice berry/Maider berry - Berberis vulgaris.

Shikakai - Acacia Concinna.

Angur - Grapes - Vitis vinifera.

Kheera - Cucumber - Cucumis sativus.

Agrimony - Agrimonia eupatoria.

Chamomile - Matricaria recutita.

Banana - Musa acuminata.

Carrot - Daucus carota.

Ghagharbel - Bitter luffa / Bristly Luffa - Luffa echinata.

Bael - Aegle marmelos.

Giloe - Tinospora cordifolia.

Vasaka - Adhatoda vasica.

Bibhitaki - Myrobylan - Terminalia bellirica.

Talimkhana / Gokulakanta - Hygrophila auriculata.

Nisoth/ Trivrit - Turpeth - Operculina turpethum.

Chukandar - Beet - Beta vulgaris.

Tomato - Solanum lycopersicum.

Karela - Bitter gourd - Momordica charantia.

Haritaki - Chebulic myrobylan.

Daalchini - Cinnamon - Cinnamomum verum.

Ela - Cardamom - Elettaria cardamomum.

Kaali marich - Black pepper ­- Piper nigrum.

References:

http://en.wikipedia.org/wiki/Jaundice

http://www.medicinenet.com/jaundice

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WRITTEN BY RAJESH KUMAR

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