Ayuvedic approach in Primary Biliary Cholangitis (PBC): A case study

Abstract

Despite of countless facilities and highly developed technologies for the treatment of diseases in modern medical science, there are many diseases which has no medical cure other than prophylactic treatment while the disease is progressing and needs organ transplant in last stage, one such disease is Primary Biliary Cholangitis (PBC). A 65 year old female patient presenting with pain in upper abdomen (Udarshool), decrease appetite (Agnimandhyata), weakness (Daurbalyata), distension of abdomen (Kuchheradmanam), bilateral mild pedal edema (Ubhaypaad-shoth), itching (Kandu), muscular and bony pain (Mansasthishool) diagnosed as Yakritpleehodar Roga, a subtype of Udar roga was brought to Hospital National Institute of Ayurveda, Jorawarsingh Gate, Jaipur, Rajasthan. The patient was treated on the basis of Ayurvedic principles of treatment of Udar roga. According to Ayurveda, the principle of treatment of Udar roga includes Nitya Virechan (purgation), Agnideepan (increasing appetite), Yakituttejan (stimulation of Liver), Mutra Virechan (diuresis) and Ksheer Prayoga (use of milk as diet) for Balprapti (increasing strength of patient). Appreciable result were observed in the form of decreased abdominal pain, decreased abdominal girth, decreased pedal edema, decreased weakness, decreased  muscular and bone pain, increased appetite, decrease in fibrotic changes of Liver, resolution of Ascites, decrease in size of Spleen along with significant improvement in other laboratory investigations.

Keywords- Ksheer Prayoga, Jalodar, Primary Biliary Cholangitis, Udar roga, Yakritpleehodar Roga.