Ayurvedic approach for Jaundice (Kamala / Pandu-Kamala)

Ayurvedic approach for Jaundice (Kamala / Pandu-Kamala)

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1. Ayurvedic Understanding

• Main Nidāna (causes): Excessive intake of alcohol, heavy/oily foods, suppression of natural urges, viral/bacterial infections, liver disorders.

• Doṣa involvement: Pitta predominance, sometimes associated with Kapha.

• Samprāpti:

  • Pitta vitiation → Raktadhātu & Yakṛt (liver) dysfunction → accumulation of bilirubin-like toxins in blood → yellow discoloration (Haridra-netra, haridra-tvak).

  • Can be Koshṭhāśrita Kamala (liver-based) or Śākhāśrita Kamala (tissue-based).

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2. Ayurvedic Remedies

A. Internal Medicines (use under physician’s supervision)

Medicine	Form	Dose	Benefit
Bhumi Amla (Phyllanthus niruri)	Fresh juice / powder	10–15 ml juice twice daily / 3–5 g powder	Liver tonic, antiviral
Katuki (Picrorhiza kurroa)	Powder	1–3 g twice daily with honey	Pitta-pacifying, mild laxative, hepatoprotective
Kalmegha (Andrographis paniculata)	Decoction / powder	30–50 ml decoction twice daily	Improves liver function
Punarnava Mandura	Tablet	250–500 mg twice daily	Corrects anemia, improves liver metabolism
Triphala Churna	Powder	5 g at bedtime with warm water	Detoxifies, improves digestion
Arogya Vardhini Vati	Tablet	250–500 mg twice daily	Regulates liver enzymes, removes toxins

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B. Panchakarma & Procedures

• Mridu Virechana (Mild purgation): Removes excess Pitta from the liver and intestines.

• Basti (Medicated enema): For chronic cases to balance Pitta & Vata.

• Sheetala Peya (cool decoctions): Like Guduchi, Neela Kamal.

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C. Dietary Advice (Pathya-Apathya)

Pathya (Wholesome):

• Barley water, sugarcane juice (fresh), buttermilk, pomegranate, coriander water

• Light foods: green gram (mudga), ridge gourd (tori), bottle gourd (lauki)

• Plenty of warm water

Apathya (Avoid):

• Alcohol, fried foods, heavy/oily meals

• Red chillies, spicy, sour, salty food

• Daytime sleep & night awakening

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D. Lifestyle

• Adequate rest during acute phase

• Avoid overexposure to heat/sun

• Gentle yoga postures (Bhujangasana, Vajrasana) after recovery phase

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📜 Classical Reference – Charaka Samhita, Chikitsa Sthana 16

Pittānubandhena tu pāṇḍuḥ kamalāyāmupajāyate |
pītaḥ pīta-netrotthaḥ pīta-tvak nakha-danta-gaḥ ||
Meaning – When Pandu roga is associated with aggravated Pitta, Kamala manifests, with yellowish eyes, skin, nails, and teeth.