Jaundice (Kamla)

Jaundice is a condition where the skin, sclera (whites of the eyes), and mucous layers become yellow. This yellow tone is brought about by a significant degree of bilirubin, a yellow-orange bile color. Bile is liquid emitted by the liver. Bilirubin is framed from the breakdown of red platelets. 

Kamala is considered a simply paittik roga brought about by rakta dushti because of vitiated pitta and tight clamp versa. Kamala has been delegated: Koshthashrita, Shakhashrita. 

Samprapti of ‘Kamla’

Admission of Ahita ahara, vihara

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Disturbance of pitta situated around there (sadhak pitta) happens

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Pitta being powerfully moved by vayu, goes into the ten vessels joined to heart

Further more, circles in the whole body.

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Being situated between the twak and muscle tissue, this exasperated pitta vitiates kapha, vayu, asrk, skin and muscles as aconsequence of which various kinds of shading, as pandu, haridra and harita shows up in skin.

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Kamla

Causes of Jaundice

Jaundice can be caused by a problem in any of the three phases in bilirubin production. Before the production of bilirubin, you may have what’s called unconjugated jaundice due to increased levels of bilirubin caused by:

• Reabsorption of a large hematoma (a collection of clotted or partially clotted blood under the skin).
• Hemolytic anemias (blood cells are destroyed and removed from the bloodstream before their normal lifespan is over).

During production of bilirubin, jaundice can be caused by:

• Viruses, including Hepatitis A, chronic Hepatitis B and C, and Epstein-Barr virus infection (infectious mononucleosis).
• Alcohol.
• Autoimmune disorders.
• Rare genetic metabolic defects.
• Medicines, including acetaminophen toxicity, penicillins, oral contraceptives, chlorpromazine (Thorazine®) and estrogenic or anabolic steroids.

After bilirubin is produced, jaundice may be caused by obstruction (blockage) of the bile ducts from:

• Gallstones.
• Inflammation (swelling) of the gallbladder.
• Gallbladder cancer.
• Pancreatic tumor.

Symptoms in Jaundice

• Pale-colored stools, Dark-colored urine
• Skin itching 
• Nausea and vomiting 
• Rectal bleeding
• Diarrhea
• Fever and chills 
• Weakness
• Weight loss
• Loss of appetite
• Confusion
• Abdominal pain
• Headche
• Swelling of the legs
• Swelling and distension of the abdomen due to the accumulation of fluid.

Management of Jaundice (Kamla)

The management of Kamala: Nidan parivarjana, Samshaman, Samshodhana this is the convention for management of kamala.Charak acharyahas referenced “Kamale tu virechanam”i.e. purgation treatment with mruduand tikta dravyas. Sushrutacharya mentioned drug and ate less carbs regimens. Vagbhatacharya quoted “Kamalayam tu pittaghnam Pandurogavirodi yat”i.e. drugs which mollify pittaand drugs which don’t meddle with panduroga should be used.

Samshodhana: Snehana: By utilizing sedated ghritalike Panchagavya ghrita, Kalyanaka ghrita, Draksha ghrita, Mahatikta ghrita, Haridradi ghrita and Dadima ghrita and so forth Svedana: is contraindicated in kamala. Virechana: should be finished by tikta and mrudu dravyathe following are prompted by Charakacharya in panduuroga chikitsa.

1. Aragvadha phanta with shunthi, pippali, maricha, bilva, alongside the svarasa of ikshu, vidari and amalaki, Gomutra haritaki.
2. Dantimula kalka and guda with cold water.
3. Triphala kwatha with trivrit kalka. 

Samshamana: After Virechana karma, Samshamana drugs are to be managed. They can be given as single medications or compound medications. The activities of the samshamanadrugs were Pitta hara/TridoshaharaPitta rechana (Choleratic), Yakrid uttejaka (Liver energizer), Dipana (Appetiser), Rechana (Purgative), Shothahara (Anti-provocative), Jwarahara (Anti-pyretic), Rakta shodhana (Blood purifier),

Pathya – Apathya

Pathya 

Vamana, virecana, purana sali, yava and godhuma, mudga, masura, adaki-sushka, jangala mansa rasa, 2. Patola, Kooshmanda (ready), unripe kadali, jivanti, ikshu, guduchi, tanduliyaka, lauha bhashma, 3. Punarnava, vartaka, lashuna, palandu, ready mango, haritaki, amalaki, gomutra, haridra and nagkesara, 4. Buttermilk, souviraka, tushodaka, navanita and chandana, 5. Daha/ Agni karma – 2 crawls underneath umbilicus, among stana and kaksha, hastamula, brow. 

Apathya 

Rakta mokshana, dhumapana, veganirodha, svedana, sex. 2. Shimbi dhanya, hingu, masha, abundance drinking of water, tambula, sarshapa, sura. 3. Eating mud, divasvapana, admission of lavana water of Sahya, Vindhya mountain regions, 4. Amla rasa, guruvidahi padartha, polluted water, non friendly, un-clean eating regimen, 5. Dwelling in hot environments and openness of brilliant sun, outrage, vyayama and arduous physical and mental exercises