An Ayurvedic approach towards management of Acute Pancreatitis: A Case Study

Abstract

In acute pancreatitis, there is sudden inflammation of the pancreas, histologically characterized by the destruction of acinar cells, which can range from mild to life-threatening. A 22-year-old non-alcoholic male patient presented to the outpatient department (OPD) with acute abdominal pain, accompanied by heartburn and nausea. MRCP findings suggested acute pancreatitis, with a large heterogeneous collection observed along the body and tail of the pancreas in the lesser sac, containing internal debris and hemorrhagic contents indicative of a pancreatic pseudocyst, along with elevated serum amylase and lipase concentrations. Due to the similarity between the patient's chief complaints and the symptoms of Pittaja Gulma, treatment was administered based on the principles of Pittaja Gulma. The treatment regimen included Dashmool Kwath, Mulethi Kwath with Narikela Lavana, Drakshovin syrup, and a combination of Avipattikar Churna, Kamdhudha Ras, Praval Panchamrit Ras, and Shankha Bhasma. After 15 days of treatment, serum markers returned to normal levels, and ultrasonography reports indicated satisfactory changes. The therapy's effectiveness was deemed satisfactory, with statistically significant improvements observed in both clinical and laboratory findings.