Despite sky touching technologies for the treatment of disease in modern science, there are many diseases that have no medical cure. Such diseases are managed by prophylactic treatment. But even after prophylactic treatment the disease never stops growing. It grows till the stage of organ failure and a transplant is required. Sometimes conditions get so worse that even transplanted organs fail and ultimately death. One such disease is primary biliary cholangitis. This disease destroys the bile channel inside the liver. Destruction of bile channels inside of the liver results in accumulation of bile in it and thus results in cholangitis.
In primary biliary cholangitis, biliary means related to bile duct and cholangitis means inflammation of the bile duct system. It is also termed as primary biliary cirrhosis. The main cause for this condition is damage to bile duct or bile channel due to bacterial infection or by autoimmune process. The biliary system is responsible for carrying bile to the small intestine in order to complete the digestion process. Bile also helps our body in getting rid of toxins, cholesterol and residues of red blood cells. In ayurveda this condition can be best correlated as yakritpleehodra, a subtype of udra roga in Charaka chikitsa.
Stages of primary biliary cholangitis
The progression of this disease can be further categorized into four stages, these are:
Stage 1: (Florid)
Bile duct damaged due to inflammatory actions.
Stage 2: (Periportal)
Bile duct vanishes, portal or periportal inflammation with ductular proliferation.
Stage 3: (Fibrosis)
Portal fibrosis takes place.
Stage 4: (Cirrhosis)
Irreversible changes occur on and inside the liver surface.
In modern science only two causes are explained either by bacterial invasion or by the autoimmune process (tendency of body’s immune system to kill its own healthy cells).
In Ayurveda if doshas are too much accumulated inside of body and in addition a person is having poor state of digestion and use hot, saline, alkaline, burning, sour and poisoned food or intake of improper food after evacuative therapy or improper evacuative therapy, suppression of natural urges, morbidity in channels, ama dosha, obstruction due to piles etc. result in udara roga of all types.
Acharayas believed that the accumulated doshas by blocking the channels carrying sweat and fluid and affecting prana, agni and apana produce abdominal diseases (udara roga).
Symptoms of Primary biliary cholangitis
The symptoms initially include fatigue, itching over skin and dry eyes. But with passage of time and ignorance patient many develop severity of symptoms like pain in right upper abdomen, swelling in spleen, fat deposits around eyelids and over skin, yellowish discoloration of skin and eyes, skin darkening due to hyperpigmentation, weak brittle bones, slow buildup of fluid inside body due to liver dysfunction, ascites in case of liver failure and swollen lower limbs or ankles.
The general symptoms according to Ayurveda acharya in all udara roga includes gurgling sound in abdomen, swelling of hands and feet, poor digestion and emaciation (to grow thin), yakritpleehodar (hepatomegaly, splenomegaly), and accumulation of free fluid in abdomen. (due to bile accumulation).
- Drinking alcohol in excess
- Intake of heavy oily meals on regular basis
- If runs in a family (genetic)
- History of any other liver condition
There are three key points out of which at least two should be fulfilling:
- Persistent raised levels of serum alkaline phosphatase.
- Presence of anti mitochondrial antibodies.
- Liver biopsy histology with persistent primary biliary cholangitis.
Herbal Remedies for Primary Biliary Cholangitis
In Ayurvedic aspect udara roga is the result of excessive accumulation of doshas resulting in obstruction of channels. In this case one should purge the patient daily. After he is evacuated and managed with a proper diet she should be given milk for promoting strength and after the purpose is served it should be withdrawn gradually.
Planet Ayurveda which is a leading herbal manufacturing unit offers liver care packs for the management of this condition.
- Yakritplihantak churna
- Echinacea capsules
- Phyllanthus niruri capsules
- Liver detox capsules
1. Yakritplihantak churna
This blend powder is known for its effect on liver disorders. The ingredients are:
Bhumiamla (Phyllanthus niruri)
Bhumi amla is known by another name as Dukong anak. This herb has properties which can act on oedema in the liver, hyperbilirubinemia like in primary biliary cholangitis. It also detoxifies the liver. Due to its rejuvenating property nourishes the body.
Kalmegh (Andrographis paniculata)
Kalmegh which is also known as kalmegh is known for its hepatoprotective property. It balances pitta and kapha.
Katuki (Picrorhiza kurroa)
Kutaki helps in maintaining proper metabolism of liver and also in eliminating accumulated fat on liver. Regular use of kutki in particular doses helps in eliminating, cleansing and preventing gallbladder stones.
Punarnava (Boerhavia diffusa)
It is one of the famous diuretic in Ayurvedic herbs. It is having the potency to eliminate excessive water content from the body. Punarnava can be termed as a natural liver tonic and enhances kidney functioning.
Makoy (Solanum indicum)
It is called as kakamachi in sanskrit and garden nightshade in English. The extract from leaves and fruits of this plant is used in managing liver disorders.
Sharpunkha (Tephrosia purpurea)
Sharpunkha is called as sarpoonkh in hindi and wild indigo in English. It helps in balancing vata and pitta dosha. Sarpunkha or sarpoonkh have excellent results in liver cirrhosis. This is also known to detoxify liver.
Kaasni (Cichorium intybus)
Kaasni is known as hinduba. This herb pacifies pitta and kapha. It is having deepana, sedative and diuretic properties. It is known to remove any kind of vascular, hepatic, visceral obstruction.
Bhringraj (Eclipta alba)
Bhringraj is known by another name in English as false daisy. The bhringraj is neetrahitkara (beneficial for eyes), jatharagni deepaka (revive digestion fire), , keshranjaka (hair vitaliser) , pachana (digestion stimulant), kapha visha nasha (eliminate kapha dosha and its toxins from body)shothahara (reduces oedema), rasayana (have rejuvenating properties), pandunut (helps in managing anaemia).
Dosage of Yakritplihantak churna: ½ teaspoon twice daily wit plain water, after meals.
2. Echinacea capsules
These capsules are made up of standardized extract of kalmegh
(Andrographis paniculata). Kalmegh is especially used in managing liver related diseases. Kalmega derived its name from its appearance. Kalmega means “dark cloud”. It has properties to protect the liver from damage caused by free radicals. It is known to be quite effective against hepatitis B viral infection. It is antioxidant, anti-inflammatory, antipyretic, kriminashak, in various skin diseases and has hepatoprotective action.
कालमेघतु भूिनबो यवाकारफलतथा। सुितो लघुोणः
दीपनः वेदनो वयो वरः क्रिमिनाशक। यकृतोगेमो कुबरेचासो ॥
Bhuminimb is said to be Kalmega’s synonym. The fruit of having a shape like yava. Its taste is tikta (bitter), guna are laghu and ruksha, virya is ushana and action is kapha pitta nasha. It is also believed to be agni deepak (stimulates digestion), veedana nasak (analgesic), kriminashak (kills worms), used in yakrit vikara (liver disorders) and kushta roga.
Dosage: Two capsules twice daily, after meals.
3. Phyllanthus niruri capsules (Bhumiamla)
Phyllanthus niruri capsules consist of bhumiamla alone. It is having therapeutic action on the liver and kidney. It helps in eliminating accumulated toxins from both the organs. Regular use of bhumi amla in jaundice helps in reducing serum bilirubin levels naturally.
भूधात्री वातकृतितिक्ता कषाय मधुर हिमा
पिपासा कासा पित्तास्त्र कफ कण्डु क्ष्तापहा (भा .प्र 298)
Qualities of bhumiamla:
- It is pungent, sweet and astringent in taste.
- It pacifies vata dosha, relieves thrust and cough.
- Also pacifies pitta dosha, rakta dosha
- Relieves swelling and itching.
Dosage: 2 capsules twice daily, after meals.
4. Liver detox capsules
These capsules are the formula prepared by Planet Ayurveda, leading herbal manufacturing unit in India and internationally. This formula consists of standardized extract of nine herbs. Nine herbs are as follows:
- Kutki(Picrorhiza kurroa)
- Biranjasipha (Achillea millefolium)
- Makoy(Solanum indicum)
- Punarnava(Boerhavia diffusa)
- Kasni(Cichorium intybus)
- Kalmegh (Andrographis paniculata)
- Haritaki (Termenalia chebula)
- Jhavuka (Tamarix galluca)
- Himsra (Capparis spinosa)
Some of the ingredients are mentioned above and some are mentioned as following:
Biranjasipha (Achillea millefolium)
This plant is also known as yarrow. It is having properties to heal wounds. This plant is said to be used by Achilles, a greek mythology character.
Jhavuka (Tamarix galluca)
Tamarix gallica is also known as jhavuka or saltcedar. It contains an alkaloid called Tamarixin. Tamarixin is used in managing low platelet count in the body and also for treating disorders related to hepatic insufficiency.
Himsra (Capparis spinosa)
It is having antioxidant properties. This helps in liver detoxification.
Haritaki (Termenalia chebula)
This herb is well known for its analgesic properties. It also increases physical metabolism and helps to improve quality of life.
Dosage of Liver detox capsule: 2 capsules twice daily with plain water.
Planet Ayurveda offers products that are totally herbal and causes no side effects. These products are manufactured under the guidance of expert doctors. There is no addition of dies, fillers, additives, starch, etc. In case of any queries kindly visit our website www.planetayurveda.com