Management of Inactive Carrier Stage of Hepatitis B Through Ayurveda: A Case Report

Hepatitis B is a common cause of liver disease and spreads easily due to inadequate awareness of safety measures. The WHO reports a prevalence of 2% in the South-East Asia Region. Key symptoms include Jaundice, Abdominal discomfort and Vomiting. Globally, the disease poses a significant health burden, particularly in the Western Pacific and African Regions, with 97 million and 65 million people chronically infected, respectively. In Ayurveda, this set of symptoms is known as Kamala. Kamala is caused due to aggravation of Pitta Dosha. This case report illustrates the effectiveness of the Ayurveda treatment modality in a patient with a viral load of < 150 IU/ml, and the values of AST (aspartate aminotransferase) and alanine transaminase (ALT) were 90 IU/ml and 120 IU/ml, respectively. A 55-year-old Male patient with a complaint of yellowish discoloration of urine, eyes, and skin with fatigue and irritability was diagnosed with Kamala. The patient was treated with Ayurvedic drugs. After the treatment for 6 months, improvement was observed based on AST (decreased from 90 IU/ml to 52.01 IU/ml) and ALT (decreased from 120 IU/ml to 57.5 IU/ml). This paper presents a case report of Hepatitis B carrier stage managed through Ayurvedic interventions. Significant improvement was observed in Appetite, Digestion, Fatigue with Irritability, Nausea, Yellow discoloration of Eyes, Skin, Nails, Face, Urine and Liver function parameters, with reduction in viral markers during follow-up. This case suggests that Ayurveda may play an adjunctive role in the management of inactive HBV carriers.