Ayurvedic Management of Yakritodara Associated With Ashmari and Ashma Sharkara: A Case Report

Yakritodara (Non-Alcoholic Fatty Liver Disease) has emerged as a major contributor to liver-related morbidity in both developed and developing nations. Evidence suggests that NAFLD can advance to cirrhosis and ultimately liver failure. Currently, no definitive treatment is available; management is primarily focused on weight optimization. In Ayurveda, the condition is attributed to Rakta-Kapha Dushti, leading to Yakritodara (hepatic enlargement). Mutrashmari refers to calculi formed within the urinary tract, including the kidneys, ureters, bladder, and urethra. A 40-year-old male presented with complaints of pain in the right hypochondriac and epigastric regions, along with bilateral flank pain, burning micturition, nausea, and postprandial vomiting persisting for four months. Ultrasonography evaluation revealed Grade I fatty liver along with renal calculi and concretions. The patient was managed with Shamana Chikitsa (palliative therapy) based on Ayurvedic principles for one month. On follow-up, ultrasound findings demonstrated regression of fatty liver (Grade I) to normal, accompanied by a reduction in renal calculi and concretions.