Management of cholecystitis after endoscopic retrograde cholangiopancreatography through Ayurveda: An experience

Abstract

Gallbladder (GB) stones (~Pittashaya ashmari) are formed within the lumen of the GB and cause obstruction in the smooth flow of bile during physiological contraction of the bladder. The research backup for this study is based on the available knowledge of Ayurveda regarding the management of GB stones. Ayurveda may have the potential to offer practical inputs to this burgeoning area. An attempt has been made here to take a view of certain characteristic aspects of Ayurveda approaches with particular reference to their compatibility with modern needs. A patient diagnosed with Pittashaya ashmari (~calculus cholecystitis) has been treated with Ayurveda modalities. The clinical presentations of this case have been assessed based on classical signs and symptoms of Ashmari (~lithiasis) mentioned in Ayurveda classics. In modern medical science, no medicinal cure has been found yet to treat this disease. Only excision of the GB or destruction of the stones by lithotripsy through microsurgery is suggested. However, in Ayurveda, different medicines administered orally with some specific Anupana (~adjuvant) are effective. A case is being presented, which was treated as per the treatment principles of Samshodhana (~cleansing therapy) as Koshthashuddhi (~mild purgation) and Sukha-virechana (~purgation) with Pittashmaribhedana prabhava (~stone crushing effect) of some specific Ayurveda medications. Follow-up has been taken two times after treatment by assessing improvement in the classical sign and symptoms of Ashmari (~lithiasis) and ultrasonography report as well. A significant clinical and radiological improvement was noted in this case.