Management of Kosthasakhashrita Kamala W.S.R. to Hepatocellular Jaundice – A Case Study

Notice

This is an unedited manuscript accepted for publication and provided as an Article in Press for early access at the author’s request. The article will undergo copyediting, typesetting, and galley proof review before final publication. Please be aware that errors may be identified during production that could affect the content. All legal disclaimers of the journal apply.

Year : 2026 | Volume : 15 | Issue : 01 | Page : 1 8
    By

    Nihal N Kanziya,

  • Himanshu R Kanzaria,

  • Vaibhavi B Jani,

  • Yogita M Rathwa,

  1. PG Scholar, Department of Kayachikitsa, Government Akhandanand Ayurveda College and Hospital, Ahmedabad, Gujarat, India
  2. M.D. (AYU) Lecturer, Department of Kayachikitsa, Government Akhandanand Ayurveda College and Hospital, Ahmedabad, Gujarat, India
  3. PG Scholar, Department of Kayachikitsa, Government Akhandanand Ayurveda College and Hospital, Ahmedabad, Gujarat, India
  4. PG Scholar, Department of Kayachikitsa, Government Akhandanand Ayurveda College and Hospital, Ahmedabad, Gujarat, India

Abstract

Kosthasakhāśrit Kamala is a well-recognized clinical entity in Ayurveda and is widely correlated with modern hepatocellular jaundice. The condition arises primarily due to the vitiation of Pitta dosha within the Kostha (gastrointestinal tract), which subsequently spreads to the Sakha (peripheral tissues). Classical texts describe hallmark features such as Haridra Netra (yellowish discoloration of the eyes), yellowish hue of twak and nakha, pitta varṇa of mutra and sakrit (yellow urine and stool), along with systemic symptoms like dourbalya (weakness), decreased appetite, and agnimandya. These clinical manifestations closely resemble the presentation of hepatocellular jaundice, where impairment of liver parenchyma leads to defective bilirubin metabolism and elevated serum bilirubin levels. From a modern point of view, hepatocellular jaundice is defined as the yellow discoloration of the skin and sclera due to accumulation of bilirubin. Hepatocellular jaundice specifically results from hepatocyte injury caused by viral infections, toxins, drugs, alcohol, autoimmune disorders, or metabolic dysfunction. Ayurveda attributes similar pathology to vitiated Pitta obstructing rasa-rakta vaha srotas, weakening agni, and disturbing the normal functioning of yakṛt (liver) and pliha (spleen). The overflow of aggravated Pitta from the Kostha into peripheral tissues manifests as classical Kosthasakhashrit Kamala lakshanas. If untreated, it may progress to Kumbhakamala, a condition comparable to chronic hepatic disorders. This article explores the samprapti (pathogenesis), clinical features, and chikitsa (management) of Kosthasakhāśrit Kamala, with special emphasis on Shamana Chikitsa therapy plays a pivotal role in reducing aggravated Pitta, restoring digestive strength, and improving liver metabolism through herbs, dietary measures, and lifestyle adaptations. The case presented highlights the application of classical principles alongside modern diagnostic tools, thereby offering a comprehensive understanding of Ayurvedic hepatology

Keywords: Ayurveda, Hepatocellular Jaundice, Kosthasakhashrita Kamala, Liver, Pitta, Shamana Chikitsa

[This article belongs to Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy ]

How to cite this article:
Nihal N Kanziya, Himanshu R Kanzaria, Vaibhavi B Jani, Yogita M Rathwa. Management of Kosthasakhashrita Kamala W.S.R. to Hepatocellular Jaundice – A Case Study. Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy. 2025; 15(01):1-8.
How to cite this URL:
Nihal N Kanziya, Himanshu R Kanzaria, Vaibhavi B Jani, Yogita M Rathwa. Management of Kosthasakhashrita Kamala W.S.R. to Hepatocellular Jaundice – A Case Study. Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy. 2025; 15(01):1-8. Available from: https://journals.stmjournals.com/joayush/article=2025/view=237712


References

  1. Phadke AY, editor. API Textbook of Medicine. 11th ed. Vols 1–2. New Delhi: Jaypee Brothers Medical Publishers; 2019. p. 57–65.
  2. Charaka Samhita. Chakrapanidatta commentary; Hindi commentary by Kashinath Shastry. 8th ed. Varanasi: Chaukhambha Sanskrit Samsthana; 2004. Chikitsasthan, Chapter 16, Verse 36.
  3. Charaka Samhita. Chakrapanidatta commentary; Hindi commentary by Kashinath Shastry. 8th ed. Varanasi: Chaukhambha Sanskrit Samsthana; 2004. Chikitsasthan, Chapter 16, Verse 34.
  4. Acharya Vagbhatta. Astang Hridaya. Edited by Vijayshankar Dhanshankar Munshi. Ahmedabad: Sastu Sahitya Vardhak Karyalay; 2017. Nidanasthan, Chapter 13, Verse 17.
  5. Charaka Samhita. Chakrapanidatta commentary; Hindi commentary by Kashinath Shastry. 8th ed. Varanasi: Chaukhambha Sanskrit Samsthana; 2004. Chikitsasthan, Chapter 16, Verse 35.
  6. Acharya Vagbhatta. Astang Hridaya. Edited by Vijayshankar Dhanshankar Munshi. Ahmedabad: Sastu Sahitya Vardhak Karyalay; 2017. Chikitsasthan, Chapter 16, Verse 40.
  7. Charaka Samhita. Chakrapanidatta commentary; Hindi commentary by Kashinath Shastry. 8th ed. Varanasi: Chaukhambha Sanskrit Samsthana; 2004. Sutrasthan, Chapter 26, Verse 43.
  8. Charaka Samhita. Chakrapanidatta commentary; Hindi commentary by Kashinath Shastry. 8th ed. Varanasi: Chaukhambha Sanskrit Samsthana; 2004. Chikitsasthan, Chapter 16, Verse 116.
  9. Sharangdhar Samhita. Madhyam Khanda. Chapter 2, Verse 77. Sastu Sahitya; p. 223.
  10. Charaka Samhita. Chakrapanidatta commentary; Hindi commentary by Kashinath Shastry. 8th ed. Varanasi: Chaukhambha Sanskrit Samsthana; 2004. Sutrasthan, Chapter 27.
  11. Acharya Vagbhatta. Astang Sangraha. Edited by Kaviraj Atridev Gupta. Varanasi: Chaukhambha Krushnadas Academy. Sutrasthan, Chapter 6, Verse 16.
Regular Issue Subscription Case Study
Volume 15
Issue 01
Received 19/11/2025
Accepted 02/12/2025
Published 03/12/2025
Publication Time 14 Days
50

Login


My IP

PlumX Metrics