Ayurvedic Management of Bahupitta Kamla W.S.R to Jaundice –A Case Study

Kamala is a Pitta-dominant disorder explained in Ayurvedic literature, either as a progressive stage of Pandu Roga or as an independent pathological condition. From a contemporary medical perspective, Kamala closely resembles jaundice, a condition marked by elevated serum bilirubin and visible yellowish discoloration of the sclera and skin. Ayurvedic management primarily focuses on normalizing aggravated Pitta, improving digestive and metabolic functions, and correcting Rakta Dushti to restore hepatic balance. The present case study documents the clinical outcome of Ayurvedic Shaman Chikitsa in a 41-year-old male patient who presented with Udarshoola, Pitavarnata Mutrata, Arochaka, Daurbalya, Mutradaha and irregular bowel habits. Detailed clinical examination, Ashtavidha Parikshan, and laboratory investigations confirmed the diagnosis of Bahupitta Kamala, corresponding to non-obstructive jaundice. A comprehensive treatment protocol comprising classical Ayurvedic formulations such as Arogyavardhini Vati, Triphala Guggul, Punarnava Guggul, Sutashekhar Rasa, Kamdudha Vati, Sanjivani Vati, Praval Bhasma, and Pitta-shamaka Churnas including Avipattikar, Amalaki, Haritaki, Shatavari, and Kutaki was administered, along with supportive proprietary medications and dietary regulation. Following the intervention, the patient exhibited substantial clinical improvement accompanied by significant biochemical normalization. Serum total bilirubin levels declined from 3.57 mg/dL to 1.16 mg/dL, while platelet count increased from 61,000/cumm to 1,24,000/cumm over a short treatment duration. No adverse effects were observed. This case highlights the potential of individualized Ayurvedic Shaman therapy, supported by appropriate diet and lifestyle modifications, in the effective management of Bahupitta Kamala and in preventing disease progression.