Ayurvedic aspect of FLD and treatment

Ayurvedic aspect of FLD and treatment

It is very difficult to compare any particular condition explained in Ayurveda with FLD. In fact I have tried to get some extracts from different contexts so as to compile some approximate material which falls into the discussion area with FLD.

In Ayurveda, Yakrit is a name given to the Liver. Pleeha / Pliha is the name given to the Spleen. According to Ayurvedic science Yakrit and Pleeha are both inter-related organs which serve the same physiology and are related to the formation and maturation of blood. The roots of Raktavaha Srotas (channels which are related to the formation and carrying of matured blood) lie in Yakrit and Pliha.

Yakrit is said to be the place of origin or production and maintenance centre for Pitta. A subtype of Pitta called Ranjaka Pitta is said to be located in Yakrit vis-à-vis Liver and Pleeha vis-à-vis Spleen. Ranjaka means to colour. When the Rasa Dhatu (the first tissue formed in the gut in the form of essence of food, as a result of action of the Agni or digestive fire over the food – lymph / chyle) enters the Yakrit and Pleeha, it is subjected to action by Ranjaka Pitta i.e. Ranjaka Pitta acts on the Rasa Dhatu and imparts red colour to it and transforms it into Rakta Dhatu or blood tissue. Thus Yakrit and Ranjaka Pitta are responsible for the formation and maturation of Rakta.

In this context we shall discuss only about Yakrit as the Pitta sthana (seat of Pitta).

Kapha and Pitta link in FLD

Cold environment in Hot ZoneSince Yakrit is a Pitta Sthana, it should be a seat of Agni or fire. Because according to Ayurvedic theory the fire is located in our body in the form of Pitta and there is no other Agni apart from Pitta. Thus the basic temperature of Yakrit is hot owing to the presence of Pitta, a form of fire. Yakrit controls many activities in our body including emotions and thought processing. As long as its area remains hot, its immunity and physiology is at its best. But when it loses its heat due to some reason and if cold prevails and dominates this hot zone of Yakrit, it slows or shuts down in terms of its functions. This forms a point of origin for many systemic diseases.

This Ranjaka Pitta when gets diminished in its quantity and quality along with its neighbouring Pachaka Pitta (subtype of Pitta located in the stomach and intestines), the whole Pitta zone or Zone of Fire gets weak, thus reducing their micro-fragments located in each and every cell and also influencing negatively on their other subtypes. Thus the whole metabolism becomes sluggish, immunity of cells take a dip and leads to wide array of health issues, some stubborn and long standing ones too.

What do we mean by cold building in the hot zone?As per Ayurveda theory all the 3 factors which rule and control our life, the Tridosha’s i.e. Vata, Pitta and Kapha are moving all through the body through blood media, being motivated and pushed by Vata.

Vata and Kapha are cold elements which balance and buffer the body and cellular heat. On the contrary they have the capacity to reduce the heat when they gain pathological increase and to empower the heat zone. Thus when the heat of Yakrit gets reduced by the predominant cold of Kapha and Vata passing through Yakrit, the liver tends to slow down in its functions and get lazy. Vata being a self motivated entity doesn’t get stagnant at one place but it is Kapha which has a tendency to accumulate and get stagnant in areas and conditions favourable to it.

Every cell of our body is also an abode of Vata, Pitta and Kapha. If the Pitta located in the liver cells decrease it leads to favourable conditions for the kapha to get increased.

Other than Rakta (blood) and Asthi (bones) all other tissues of the body are predominant in Kapha bhava or cold factors (more fluidity). This includes Rasa dhatu (essence of food or primary nutrient), Mamsa dhatu (flesh), Meda dhatu (fat), Majja dhatu (marrow) and Shukra dhatu (semen). All these tissues (or nutrients or forming elements of these tissues – parinamamapadhyamaana dhaatu) in their micro-form are also passing through the Liver before entering into the circulation to nourish the tissue proper. When the liver fails to metabolize or process these Kapha predominant dhatus, mainly abaddha medas (unbound fat or free fat) they tend to accumulate in the liver (liver cells) and cause local blocks, further deteriorating the liver physiology.

Thus according to Ayurveda we can put forth a hypothesis that Fatty Liver occurs when there is excess concentration or accumulation of the below said (by reducing the heat in the liver):

• Kapha in circulation
• Local Kapha
• Kapha predominant dhatus especially the free medas (fat)

Thus FLD can be termed as a ‘Kaphavrita Pitta’ (Kapha blocking or enveloping Pitta, cloud around the sun or snow around fire condition) condition taking place in Liver. The concealed Pitta or fire within the envelope of Kapha also does some pathological damage in the form of causing inflammatory changes in the liver. The Vayu getting blocked by both Pitta and Kapha or aggravated due to the destructive process within the liver tends to destroy the liver cells and cause fibrosis and cirrhosis, though this part of pathology is expected to take place in a later context.

Note: Kapha accumulates due to its Guru (heavy), Snigdha (unctuous), Picchila (Slimy or sticky) etc nature

Avoid Kapha increasing foods and lifestyle activities in FLD

Kapha Prakopaka Hetu (Factors influencing pathological increase of Kapha) –

Among many causative factors leading to pathological increase of Kapha the below said also influence the progression of FLD:

• Divasvapna – Day sleep, sedentary lifestyle
• Avyayama – Absolutely doing no exercise or activities
• Alasya – Spending the day lazily, Procrastination

Excessive consumption of the food predominant in:

• Madhura – Sweet taste
• Amla – Sour taste
• Lavana – Salt
• Sheeta – Cold
• Snigdha – Oily or fatty
• Guru – Heavy to digest
• Picchila – Slimy or sticky
• Abhisyandi – Those which cause blocks in the body passages Ex. Curds etc

Good Exercise, Healthy and digestible and balanced food, Avoiding Sweet and Fat predominant foods are also recommended as lifestyle changes to be adapted in the treatment and management of FLD.

Thus we can infer that the Kapha increasing foods and activities can cause or trigger the progression of FLD and on the contrary avoiding or minimising them can help in the progression of the disease.

Treat Excess Kapha in FLD:Food which are antagonistic to Kapha –

• Katu – Hot / Spice / Pungent taste
• Tikta – Bitter taste
• Kashaya – Astringent taste
• Ushna – Hot
• Ruksha – Dry
• Teekshna – Sharp, penetrating, intense
• Laghu – Light
• Anabhisyandi – Those which do not cause blocks in the body passages

Activities antagonistic to Kapha –

• Vyayama – Exercise
• Vyavaya – Sexual activities
• Jagarana – Vigil or keeping awake at night
• Dhavana – Running
• Plavana – Leaping
• Langhana – Jumping / Jolting
• Niyuddha – Wrestling
• Unmardana – Rubbing and thumping the body
• Snana – Hot bath
• Parisarana – Walking, Brisk Walking
• Ushna Vasa – Staying in warm places
• Sukha pratisheda – Abstinence from comforts

Therapeutic:

• Vamana – Therapeutic Emesis
• Teekshna Ushna Samshodhana – Intense, vigorous cleansing of the body by administering Vamana (therapeutic emesis) and Virechana (therapeutic purgation)
• Utsadana – Application of Kapha reducing pastes on the body and rubbing them
• Dhoomapana – Smoking (with kapha alleviating drugs)
• Upavasa – Fasting
• Pipasa – withholding the urge of thirst (not drinking too much water)
• Atapa – exposure to sun
• Pachana – Medicines which have Katu, Tikta rasa, hot and intense in action to improve digestion and to digest the ama (metabolites) and get rid of excessive fluid / moisture / toxins from the cells
• Udwartana – Massaging with medicated powders and pastes in the reverse direction of the hairs

Note: Also avoid the Kapha prakopaka hetu’s mentioned above

Meda (Fat) Link in ALD

Medo-vriddhikara hetu: Foods and activities which increase fatOther cause for the manifestation of ALD might be the excessive consumption of foods and activities which tend to increase fat in the body and also reduce the capacity of the liver to process and digest Fat.

But in the above said context we have found that Meda or fat is a Kapha element (rich in kapha). Therefore the same causes which bring about a pathological increase in Kapha also will increase Meda in the body. In theMedo-roga context (chapter dealing with fat related disorders and treatment – Ref- Yoga Ratnakara, Medoroga Nidanam) among many causes, Shleshmanahara Sevanam  (consumption of Kapha increasing food and activities) is one chief cause which is said to cause a disturbance in fat metabolism leading to fat related disorders.

Thus the same treatment, food and lifestyle changes which are advised in tackling excess Kapha and Kapha related diseases also hold good in tackling excess Meda and Meda related diseases including ALD.

Other avoidable foods (avoid excessive usage):

• Masha – Black grams, Godhuma – Wheat
• Tila pishta vikruti – Preparations and dishes made up of paste of sesamum
• Dadhi – Curds, Dugdha – Milk
• Payasa – Sweet dish prepared on milk base
• Ikshu Vikara – Derivatives of Sugarcane like sugar, jaggery etc
• Anupa Mamsa – Flesh of animals living in marshy land
• Audaka Mamsa – Flesh of aquatic animals etc.

Treat Excess Meda:The same measures which have been mentioned above in treating excess Kapha shall be adapted in treating Excess Meda too.

Care should be taken while following Upavasa (fasting) in Sthoulya or Medo Roga (metabolic fat disorders including obesity and excessive weight) and should be done with the consent and in the observance of the doctor.

स्थूले स्युर्दुस्तरा रोगा विसर्पाः सभगन्दराः।
ज्वरातिसारमेहार्शःश्लीपदापचे अकामलाः॥{यो.र.मेदोरोग}
sthūle syurdustarā rogā visarpāḥ sabhagandarāḥ|
jvarātisāramehārśaḥślīpadāpace akāmalāḥ||{yo.ra.medoroga}

Kamala (jaundice) is one among the complications of Medo Roga. Kamala is a disease which takes its origin from the liver and often due to negligence or improper treatment of PanduRoga (Anaemia). This points towards the relationship between liver and fat (fat metabolism and fat related diseases) as proved by Ayurvedic literature.

Treat Excess Meda and Medo Roga (Sthoulya) in FLDThe treatment principles and medicines explained in the context of MedoRoga should be tried in FLD. They are highly effective. The below mentioned are the treatment and medicines of MedoRoga:

Preferred treatments in Medo Roga:

• Udwarthana – Medicated powder, pastes are used to massage in the reverse direction of the hairs
• Vamana – Therapeutic emesis
• Virechana – Therapeutic Purgation
• Vasti (Teekshna Kashaya Vasti) – Strong enemas with decoctions which reduce fat should be given
• Lekhana Vasti – Enemas prepared with drugs having a capacity to scrap the excess fat accumulated in the body
• Shiro Dhara – streamed pouring of medicated oils, buttermilk or milk for a scheduled period on head / body / head and body

Classical and home remedies for Medo Roga:

• Triphala Kashaya with Honey
• Boiled and cooled water mixed with honey
• Hot gruel of rice taken regularly
• Guduchi Churna (powder of Tinospora cordifolia) + Musta Churna (Powder of Cyperus rotundus)
• Triphala churna
• Takrarishta (fermented medicated buttermilk)

Good foods in Medo Roga:

• Purana Shali – Old rice
• Mudga – Green grams
• Kulattha – Horse gram
• Yava – Barley
• Kaphahara Ahara – All food and diet which can reduce Kapha.

Read more about Ayurvedic treatment for obesity

Pandu Roga and Kamala Roga link in FLD

Adapt treatment of Pandu Roga and Kamala:Already we have seen the relationship between Liver, Fat related disorders, Anaemia and Jaundice as established by Ayurveda literature. The medicines and treatment concepts which have been explained in the context of Pandu Roga Chikitsa (Treatment of Anaemia) and Kamala Roga Chikitsa (Jaundice treatment) shall be adapted in treating FLD.

Madhya (excess alcohol) and Divaswapna (Excessive sleeping during day which denotes sedentary activities, lack of exercises etc) are the important ones among the causative factors mentioned for Pandu Roga. This also proves the link between alcohol consumption and liver disorders as explained byAyurveda texts. The same are the causative or aggravating factors of ALD.

Good foods for Liver:Yava – Barley
Godhuma – Wheat
Jangala Mamsa Rasa – Flesh or meat soup of animals living in dry lands
Mudga – Green Gram
Aadhaki – Cajanus cajan (Pigeon pea)
Masura – Red lentils

Bad things for Liver:Vahnim-aatapam – Exposure to fire, sun,
Ayasa – Excessive / strenuous exercises or activities
Pittalam – Food and activities which increase Pitta
Maithunam – Excessive indulgence in sex
Krodha – Anger and extremes of emotions
Adhwagamanam – Excessive walking

Best medicines for Pandu and Kamala :Guluchyadi Kashayam
Drakshadi Kashayam
Ardhavilwam Kashayam
Lodhrasavam
Drakshasavam
Draksharishtam
Shotari Mandura
Madhu mandura
Yakritpleehari Lauha
Navayasa Lauham
Svarnamakshika bhasma etc.

Other classical medicines and home remedies for Pandu-Kamala

• Loha Bhasma (ash of iron) – with honey and ghee
• Shunti churna (ginger powder) with Loha Bhasma
• Loha bhasma with Gomutra (urine of cow)
• Powders of Ela (cardamom), Jeeraka (cumin seeds), Bhumyamalaki (Phyllanthus niruri) and Sita (sugar) – taken in equal quantities and mixed with ghee should be taken early in the morning
• Haridra churnam (turmeric powder) with curds early in the morning

Herbs beneficial for Liver:Bhumyamalaki – Phyllanthus niruri
Amalaki – Emblica officinalis
Sharapunka – Tephrosia purpurea
Katuki – Picrorrhiza kurroa
Punarnava – Boerhavia diffusa
Kakamachi – Solanum nigrumhttp://easyayurveda.com/2012/12/08/licorice-benefits-medicinal-qualities-complete-ayurveda-details/
Kalamegha – Andrographis paniculata
Loha – Iron
Kumari – Aloe vera
Guduchi – Tinospora cordifolia
Yashtimadhu Licorice– Glycyrrhiza glabra
Haridra – Curcuma longa
Bhringaraja – Eclipta alba
Vasa – Adhatoda vasica
Kiratatikta – Swertia chirayata
Daruharidra – Berberis aristata etc

Yakrutodara and Pleehodara link in FLD

Yakrutodara / Pleehodara:

Udara Roga’s are a set of disorders explained in Ayurvedic Texts wherein different abdominal disorders have been dealt with along with their treatment.

The main symptom (sign) of Udara Roga is the protuberance or enlarged abdomen (belly). They are of 8 types. Yakrutodara / Yakruddalyudara (enlargement of liver) and Pleehodara (enlargement of spleen) are 2 among those 8 types.

Atisanchita Dosha (excess accumulation of dosha’s or contaminants) is said to be one of the chief causes that gives origin to all the types of Udara Roga. In FLD,  Atisanchita Dosha can be taken as excessive accumulation of Kapha and Abaddha Medas in Liver. Likewise excessive consumption of Abhishyandi (food causing blocks in the body’s transport system) and Vidahi (foods which cause excessive burning leading to pathological increase of Pitta) food is said to be the chief causative factors in Yakrutodara and Pleehodara. These foods are said to aggravate Kapha and Rakta and cause Yakrutodara and Pleehodara. Both these types of Udara will present signs and symptoms of Kapha (steatosis) and Pitta (Hepatitis). We have already discussed ALD as a condition called Kaphavrita Pitta (Kapha obstructing Pitta) taking place in the Liver.  Abhishyandi foods are known to increase Kapha and Kapha group of tissues especially Fat leading to their accumulation in the Liver and consequentially causing Liver Disorders, FLD in this case.

Adapting Yakrutodara and Pleehodara treatments in ALD:

Treatments preferred in Yakrutodara and Pleehodara:

• Vamana – Therapeutic Emesis
• Virechana – Therapeutic Purgation
• Raktamokshana – Blood-letting from the veins of the forearm

Medicines preferred in Yakrrutodara and Pleehodara:

The same medicines explained in the treatment of Pandu Roga and / orKamala shall be used in these 2 conditions.

Other medicines:

• Dashamoolapanchakoladi Kashayam
• Vizhalveradi Kashayam
• Dantiharitaki Leham
• Dashamulaharitaki Leham

Other classic preparations and home remedies for Enlargement of Liver and Spleen:

Shalmali Pushpa Kwatha:

• Decoction prepared by steam heating the flowers of Shalmali (Bombax malabaricum) tree is given after mixing it with mustard powder

Sharapunkhamula Kalka:

• Paste of the roots of Sharapunkha (Tephrosia purpurea) mixed in buttermilk

Yavanyadi Churna:The powder of the below said is given with hot water or curd water:

• Yavani – Trachyspermum ammi
• Chitrakamula – Roots of Plumbago zeylanica
• Yavakshara – Alkali of Hordeum vulgare plant
• Pippalimula – Root of Piper longum
• Pippali – Piper longum
• Dantimula – Root of Baliospermum montanum

Sindhwadi Churnam:Powder of:

• Saindhava Lavana – Rock Salt
• Chitrakamula – Root of Plumbago zeylanica
• Shigrumula – Root of Moringa oleifera
• Pippali – Piper longum
• Jeeraka – Cumin seeds – Cuminum cyminum

Shobhanjanadi Yoga:Shigru Kwatha (Decoction of Moringa oleifera bark) should be taken mixed with Saindhava Lavana (powdered rock salt), Chitrakamula Churna (Powder of roots of Plumbago zeylanica) and Pippali churna (Piper longum powder). To this the Kshara (alkalies) of Palasha (Butea monosperma) or Yava (Hordeum vulgare plant) should be added and mixed.

Lashunadi Yoga:The powder of Lashuna (Alium sativum, Garlic), Pippalimula (Root of Piper longum) and Haritaki (Terminalia chebula) should be consumed. Later gargling should be done with Gomutra (Cow’s urine).

Shigru Kwatha:Shigru kwatha (Decoction of Moringa oleifera, Drumstick) should be taken mixed with powders of Pippali (Piper longum), Maricha (Piper nigrum), Saindhava Lavana (Rock salt) and Amlavetasa (Garcinia pedunculata)

The Prameha Link in FLD

We know that Obesity and Diabetes predispose to the formation of fatty liver.

Read related: Home remedies and Ayurvedic treatment for diabetes 

The below mentioned are the causative factors of Prameha vis-à-vis Diabetes Mellitus:

• Asyasukham – Comfortable seating (luxury, sedentary lifestyle, lack of physical activities and exercise)
• Svapnasukham – comforts of sleeping
• Dadheeni – Excessive consumption of Curds and its preparations
• Gramya-oudaka-anupa mamsa – flesh or meat soup of animals living in water and marshy regions
• Payamsi – Excessive consumption of milk, its derivatives and preparations
• Navaannapanam – Food, drinks and dishes prepared from new grains etc
• Guda vaikruti – Jaggery, its derivatives and dishes made out of it
• Kapha krut cha sarvam – All foods and lifestyle activities which increase Kapha

Most of these causes match with the causative factors leading to FLD. We have seen that FLD is caused by excessive Kapha elements and Medasaccumulating in the Liver.

We have also learnt that the Kapha aggravating factors can cause or trigger the progression of FLD because the same causes increase Meda (fat) too. Thus the causative factors of Kapha and Medas are the same. By cutting off on the Kapha increasing diet and lifestyle activities we can reverse FLD and obesity.

Even the Prameha (Diabetes) is said to be caused by the same causes that increase Kapha. Thus Ayurveda has proved the link between the causes of Diabetes, Obesity and FLD. The causative, aggravating and relieving link to all these diseases is the same Kapha.

Having a common aetiology means to tell that all these diseases share a common platform and is linked by the same pathological process. This also means to tell that the above said diseases can predispose to the formation of the other disease. Thus through common aetiology, Prameha can predispose to the formation of FLD just like the MedoRoga does. When Prameha and Medoroga are kept under control by giving good treatment and medicines, FLD can be checked and reversed. The modern view also tells the same.

The pathogenesis of Prameha is explained as below said:‘When the Meda (fat), Mamsa (flesh), Shareera kleda (Fluids of the body) and Kapha on entering the Basti (Urinary apparatus) causes Prameha’

Here too we see the involvement of fat, kapha and body fluids causing Prameha just as they had caused blocks in the Liver and caused FLD.
Fat and Kapha are thus linked both in the pathogenesis of FLD and Diabetes.

Meda is mentioned in the Dushya Varga (one of the tissue to get contaminated in the pathogenesis of Prameha) of Prameha and Kapha in the Dosha Varga (contaminants). Acharya Charaka has mentioned that Abaddha Medas (free fat) causes Prameha.

Medovaha sroto dushti:…मेदःसंश्रयांस्तु प्रचक्ष्महे।
निन्दितानि प्रमेहाणां पूर्वरूपाणि यानि च॥{च.सू.स्था.२८/१५}
…medaḥsaṃśrayāṃstu pracakṣmahe|
ninditāni pramehāṇāṃ pūrvarūpāṇi yāni ca||{ca.sū.sthā.28/15}

When the cells and channels related to the formation and maintenance of Fat (structures and factors controlling fat metabolism) get contaminated it leads to the manifestation of Ashtanindita’s and Prodromal (premonitory) symptoms of Prameha.

Ashtanindita means 8 categories of body frame which are said to be socially unfit. Atisthoulya (Obesity) is one among the Ashtanindita’s.

Here Ayurveda establishes a link between Obesity, Diabetes and Disturbance of Fat deposition (resulting in conditions like FLD).

When the channels related to fat metabolism are contaminated, Sthoulya and premonitory symptoms of Prameha are formed. Sthoulya and Prameha further contaminate Medas and predispose for its accumulation in the liver forming FLD.

The patient of Prameha is also classified as:

• Sthula Pramehi (obese patient)
• Krusha Pramehi (thin patient)

This also shows that Sthoulya and Prameha are interrelated diseases.

Since Prameha, Sthoulya and Medas are inter-related we shall try to implement Prameha Chikitsa too in FLD.

Treat Prameha in FLD:Prameha Chikitsa –

Beneficial Treatments in Prameha:

Depending on the type and condition of Prameha and considering its Dosha-Dushya dushti (pathogenesis and pathological elements) and strength of the patient the below said Shodhana procedures can be skilfully adapted under strict supervision of a qualified Ayurvedic doctor.

• Vamana – Therapeutic Emesis
• Virechana – Therapeutic Purgation
• Vasti – Enema treatment

Brimhana Therapy (Bulk promoting treatment) is a treatment of choice in the patient of Prameha who is thin and debilitated. On the other hand Samshodhana is a treatment of choice in the patient of Prameha who is obese and strong.

Best Medicines for Prameha:
Nishakathakadi Kashayam
Ayaskriti
Chandraprabha vati
Vasantakusumakar ras
Amalaki rasayanam etc.

Other classical and home remedies:Triphaladi kwatha:Decoction prepared from equal quantity of

• Triphala (Terminalia chebula, Terminalia bellirica, Emblica officinalis)
• Devadaru – Cedrus deodara
• Daruharidra – Berberis aristata
• Musta – Cyperus rotundus

It should be taken mixed with honey

Guduchi Kwatha:Decoction or juice of Tinospora cordifolia mixed with honey

Nisha kalka: Paste of Nisha (Curcuma longa) mixed with juice of Amalaki (Emblica officinalis)

Kataka beeja: Powder of Strychnos potatorum should be taken mixed in buttermilk and honey

Nisha-triphala Yoga: The powders of the below said should be kept in water over night and should be strained through a sterile cloth or sieve in the morning. It should be consumed mixed with honey.

• Nisha – Curcuma longa
• Daruharidra – Berberis aristata
• Haritaki – Terminalia chebula
• Bibhitaki – Terminalia bellirica
• Amalaki – Emblica officinalis

Other simple and effective remedies:

• Triphala Churna with honey
• Shilajit with honey
• Haritaki (Terminalia chebula) Churna with honey
• Loha Bhasma (ash of iron) with honey
• Vanga bhasma with Amrita satwa and honey
• Abhraka bhasma with Triphala churna and honey

Useful drugs in Prameha:

• Haridra – Curcuma longa
• Daruharidra – Berberis aristata
• Amalaki – Emblica officinalis
• Haritaki – Terminalia chebula
• Kataka – Strychnos potatorum
• Guduchi – Tinospora cordifolia
• Lashuna / Rasona – Allium sativum
• Jambu – Eugenia jambolana
• Karavella- Momordia charantia (Bitter melon or bitter gourd)
• Tulasi – Ocimum sanctum
• Bhumyamalaki – Phyllanthus niruri
• Beejaka / Vijayasar – Pterocarpus marsupium / Indian Kino
• Methika – Trigonella foenum-graecum (fenugreek)
• Nimba – Azadirachta indica (neem)
• Meshashringi – Gymnema sylvestre
• Ashwagandha – Withania somnifera etc

Good foods in Diabetes:

• Shyamaka – Setaria italic
• Kodrava – Echinochloa frumentacea
• Godhuma – wheat
• Chanaka – Cicer arietinum
• Aadhaki – Cajanus cajan (Pigeon pea, Red gram)
• Mudga – green gram
• Kulattha – horse gram
• Tikta shaka – Vegetables which are bitter in taste
• Patola – Pointed gourd
• Jangala rasa – Flesh / meat of animals living in dry lands
• Saindhava lavana – rock salt
• Maricha – Black pepper

The drugs until Kulattha also destroy excess fat in the body and thus beneficial in FLD

To sum up:Fatty Liver Disease (FLD) is not just a disease entity. It is a syndrome by itself because it is related to many systemic, hormonal and lifestyle diseases like Obesity, Diabetes, Metabolic syndrome etc. it is not enough to treat the Liver. In fact dealing with the diseases at the backdrop of FLD will also help in the later.

While dealing FLD via Ayurveda too we need to remember the same rules and regulations of treatment, diet, lifestyle and medicinal protocol. Ayurvedawould have possibly been the first medical science to establish a relationship between disturbed fat metabolism, liver disorders, diabetes and obesity.

FLD treatment in Ayurveda involves:

• Treating morbid Kapha and Pitta
• Treating on the lines of Medo Roga and Sthoulya
• Treating on the lines of Pandu Roga and Kamala Roga
• Treating on the lines of Yakrutodara and Pleehodara
• Treating on the lines of Prameha.