SUCCESSFUL AYURVEDIC MANAGEMENT OF END STAGE LIVER DISEASE PREVENTING LIVER TRANSPLANT-A CASE STUDY

Dr. Sarita Pradip Gaikwad* 

ABSTRACT

Introduction:- Liver Cirrhosis is a chronic progressive liver disease. Portal hypertension and Ascites indicate progress of Chronic liver disease to End Stage Liver Disease (ESLD). Once ESLD is developed the damage is said to be irreversible and then there is no remedy other than Liver transplant to save life. One year mortality in cases of Liver cirrhosis with Portal vein thrombosis, Portal hypertension, Refractory Ascites and SBP is high up to 90%. Case study: This 46 year old male patient with Chronic Liver Disease with portal vein thrombosis, Portal hypertension with Ascites, Hepato-Renal syndrome and severe sarcopenia was treated by Modern line of treatment for several months but liver damage remained progressive. Large Volume Paracentesis of Ascitic fluid was done several times and later he developed refractory Ascites. Spontaneous Bacterial Peritonitis developed two times during modern line of treatment, which confirmed that it was not adequately treated. Patient was listed for liver transplant but the cost of the surgery was beyond the financial capacity of the patient. The case was referred to the author for further management. Case was treated with Ayurvedic line of treatment and within two months there was marked improvement in his clinical condition. His Refractory ascites and SBP was totally disappeared. The case is still maintained on Ayurvedic treatment for last 15 months and a destined liver transplant was prevented, saving life, money and maintaining quality of life. Conclusion: Ayurved has strength and ability to treat End Stage Liver Disease, showing a distinct ray of hope to thousands of sufferers listed for liver transplantation.

Keywords: Liver cirrhosis, End Stage Liver Disease, Portal Vein Thrombosis, Spontaneous Bacterial Peritonitis (SBH), Ayurvedic management, Jalodar.