Ayurvedic Management of Kamala With Shaman Chikitsa - A Case Study

Background: Kamala is a Pitta-dominant disorder described in Ayurvedic literature, characterized by yellowish discoloration of the skin, sclera, urine, and stool due to vitiation of Ranjaka Pitta and Rakta Dhatu Dushti. It is explained either as a complication of Panduroga or as an independent disease caused by Pitta prakopa. These features closely resemble jaundice in modern medicine, which occurs due to elevated serum bilirubin levels secondary to hepatobiliary dysfunction. Ayurveda focuses on correcting doshic imbalance, improving Agni, and restoring liver function.Case Description and Intervention: A patient presented with complaining of icterus, dark-yellow urine, loss of appetite, nausea, abdominal discomfort, and weakness for ten days. Based on Ayurvedic evaluation, the condition was diagnosed as Kamala. The patient was treated with a combination of classical Ayurvedic formulations possessing Pittashamana, Deepana-Pachana, Yakrit-uttejaka, and Raktaprasadana roperties. Outcome: The intervention resulted in marked clinical improvement with resolution of symptoms and a significant reduction in serum bilirubin levels, along with normalization of other blood parameters, demonstrating the effectiveness of Ayurvedic management in Kamala.