Year - 2026Volume - 4Issue - 2Pages - 64-73
A CLINICAL CASE STUDY OF HEPATITIS-C SANSARGAJANYA BAHUPITTA KAMALA With SPECIAL REFERENCE TO HEPATITIS C.
24 Apr 2026
14
About Author
Bandsode D1,Jaiswal D2,Jamdade D3,Jamdade D4,
1 PG Scholar, Department of Kaychikitsa, D. M. M. Ayurved Mahavidyalaya,Yavatmal
2 Professor & HOD, Dept. of Kaychikitsa, D. M. M. Ayurved Mahavidyalaya,Yavatmal
3 Professor and Guide, Dept.of Kaychikitsa, D. M. M. Ayurved Mahavidyalaya,Yavatmal
4 Assistant Professor, Dept. of Dravyaguna, D. M. M. Ayurved Mahavidyalaya,Yavatmal
Correspondence Address
A-201,Prince Palace, Sector-11, plot-14/15 Kharghar, Navi Mumbai
410210
Contact No. : 8879471580, Email : shubhada2420@gmail.com
Date of Acceptance : 26 Jun 2026
Date of Publication : 30 Jun 2026
Article ID : SD-IJAY_180
How to cite this article : http://doi.org/10.55552/SDNJAY.2026.4208
Abstract
Kamala is a Pitta-dominant disorder in Ayurveda characterized by yellow discoloration due to vitiation of Pitta and Rakta, and involving the Yakrit (liver). Sansargajanya Bahupitta Kamala is a severe form associated with other Doshas and is clinically comparable to Hepatitis C. This case study presents a 45-year-old male patient with symptoms like bhrama, aruchi, and udarashoola, diagnosed with Hepatitis C and mild hepatomegaly.
The patient was treated with Shamana Chikitsa using classical Ayurvedic formulations along with dietary and lifestyle modifications, aiming at Pittashamana, Amapachana, and restoration of liver function.
Marked improvement was observed in symptoms and laboratory parameters, including increased hemoglobin, reduced ESR, and improved platelet count, with no adverse effects, indicating the effectiveness of Ayurvedic management in such conditions.
KEY WORDS:- Sansargajanya, Bahupitta Kamala, Pitta dosha, Rakta Dhatu, Yakrit and Hepatitis-C
Introduction
Kamala is a well-described disease in Ayurveda characterized by yellow discoloration of the skin, sclera, and urine, primarily resulting from the vitiation of Pitta dosha and its effect on Rakta dhatu and Yakrit (liver). Among its types, Sansargajanya Bahupitta Kamala involves predominant aggravation of Pitta in association with other doshas, leading to severe clinical manifestations. Acharya Charaka has considered Kamala as an advanced stage (Upadrava) of Pandu Roga, occurring due to continued intake of Pittakara Ahara in a patient of Pandu[1]. In contrast, Acharya Sushruta describes Kamala as a separate disease entity, although it may also develop as a complication of Pandu[2]. Acharya Vagbhata also recognizes Kamala as an independent disease[3]. Acharya Chakrapani, in his commentary, uses the term Bahupitta Kamala synonymously with Koshthashakhashrita Kamala and Alpapitta Kamala with Shakhashrita Kamala, indicating variations based on the extent and site of Pitta involvement[4]. Clinically, this condition shows close resemblance to infective hepatitis, particularly Hepatitis C, which is a blood-borne viral infection affecting the liver and often progressing to chronic disease if untreated. Modern medical literature describes Hepatitis C as causing hepatocellular injury, impaired bilirubin metabolism, and jaundice[5]. Understanding this correlation helps in integrating Ayurvedic principles with modern diagnostic and therapeutic approaches for effective management.
Discussion
1.Triphala Guggulu
Triphala Guggulu exhibits Lekhana, Shothahara, and Srotoshodhana properties, helping reduce excess Meda and inflammation. Triphala (especially Amalaki) along with Guggulu pacifies vitiated Pitta and purifies Rakta, thereby reducing yellow discoloration (Haridra varna) seen in Kamala [11,12].
2.Punarnava Guggulu
Punarnava Guggulu is effective in reducing Shotha (edema) and fluid accumulation. It acts on Yakrit–Pliha, reducing enlargement and restoring normal Ranjaka Pitta function, thereby improving bile metabolism [12,13].
3.Arogyavardhini Vati
Arogyavardhini helps in Amapachana and Agnideepana, removes metabolic toxins, and clears obstruction in Raktavaha and Pittavaha Srotas, correcting Srotorodha and Vimargagamana of Pitta [11,13].
4.Kamdudha Rasa
Kamdudha Rasa is primarily Pittashamaka, reducing burning sensation and other Pitta-dominant symptoms in Kamala [14].
5.Sutshekhar Rasa
Sutshekhar Rasa acts as Agnideepana and Pachana, aiding in digestion of Ama and correcting metabolic imbalance [14].
6.Punarnava Mandura
Punarnava Mandura acts as Raktavardhaka and Yakrit Uttejaka. Mandura Bhasma corrects Rakta Kshaya and Pandu, enhances hemoglobin levels, and improves overall liver function [11,12].
7.Amalaki, Shatavari, Avipattikara Churna, Haritaki
These drugs exhibit Agnideepana and Amapachana, helping reduce Srotorodha. Amalaki and Shatavari also act as Rasayana, improving immunity and supporting tissue regeneration [12,15].
8.Panchasakar Churna
Panchasakar Churna acts as Mridu Rechaka (mild purgative) and laxative, helping eliminate accumulated Mala and Pitta, and relieving colicky pain associated with Vata aggravation [15].
9.Guduchi Bharad Kwath
Guduchi Bharad Kwath has Jwaraghna, Agnideepana, Amapachana, and Rasayana properties. It enhances Vyadhikshamatva (immunity), clears obstruction in Raktavaha and Pittavaha Srotas, purifies Rakta, and reduces yellow discoloration in Kamala [12,16].
Conclusion
Form the above discussion we can conclude that timely management of Bahupitta kamala with Pitta shaman, Amapchan and Yakrit Uttejak drugs can control the disease and prevent the occurance of complications. Ayurveda has a holistic approach on the management of Hepatitis C and Sansargajanya Bahupitta Kamala. Hepatitis C can be prevented by intake of uncontaminated water and food and by avoiding any blood contact.
Diet- Completely avoid fatty, oily food substances and excessive spicy foods substances.
Lifestyle- advice rest, hydration and avoidance of alcohol and processed food.
References
[1] Charaka Samhita. Charaka Samhita. Agnivesha; revised by Charaka and Dridhabala. Varanasi: Chaukhambha Orientalia; 2014. (Sutra Sthana 20/14, 28/7; Vimana Sthana 5/7–8, 5/24; Chikitsa Sthana 16/34–44).
[2] Sushruta. Sushruta Samhita. Uttara Tantra, Chapter 44, Verses 4–6.
[3] Vagbhata. Ashtanga Hridaya. Nidana Sthana, Chapter 13.
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[11] Bhaishajya Ratnavali. Pandu & Kamala Chikitsa Adhyaya. Varanasi: Chaukhambha Sanskrit Sansthan.
[12] Charaka Samhita. Chikitsa Sthana 16 (Pandu–Kamala Chikitsa). Varanasi: Chaukhambha Orientalia.
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