जॉन्डिस , सामान्य बोल चाल की भाषा में इसे पीलिया कहा जाता है। इस रोग में रक्त में बिलीरुबिन की मात्रा सामान्य से ज्यादा बढ़ जाने पर त्वचा तथा आंख के सफ़ेद भाग का रंग पीला हो जाता है। यह बीमारी नवजात शिशु तथा वयस्क दोनों में ही देखने को मिलती है। नवजात शिशुओं में इसे निओनेटल जॉन्डिस के नाम से जाना जाता है। यह निओनेटल जॉन्डिस दो प्रकार का होता है - फिजियोलॉजिकल जॉन्डिस और पैथोलॉजिकल जॉन्डिस।
आयुर्वेद में जॉन्डिस - Jaundice in Ayurveda in Hindi
आयुर्वेद में जॉन्डिस के लक्षण कामला रोग से मिलते जुलते है। आयुर्वेद के कुछ लोगो ने कामला को स्वतंत्र रोग माना है तो कुछ ने पाण्डु रोग की प्रवर्धमानावस्था को कामला माना है तथा कुछ लोगो का मानना है की कामला रोग पाण्डु तथा अन्य किसी व्याधि के बाद होने वाला उपद्रव है।
जॉन्डिस के लक्षण - Symptoms of Jaundice in Hindi
नेत्र , त्वचा , मुख एवं नाखून का वर्ण हल्दी के समान पीला हो जाना।
अपच होना अर्थात भोजन का ठीक प्रकार से न पचना।
मल तथा मूत्र का रक्त मिश्रित पीले रंग का हो जाना।
पूरे शरीर में कमजोरी होना।
अरुचि ( खाना खाने की अथवा किसी कार्य को करने की इच्छा न होना।
दाह
नासिका तथा मसूड़ो से रक्तस्राव होना।
जॉन्डिस के कारण - Causes of Jaundice in Hindi
अत्यधिक मात्रा में पित्त्तवर्धक आहार ( खट्टे , तीखे , मिर्च मसालों युक्त ) का सेवन करना।
किन्ही कारणों के चलते या मलेरिआ , ब्लैक वाटर फीवर जैसे रोगो से ग्रसित होने के कारण अधिक मात्रा में रक्त कणों का नष्ट हो जाना।
यकृत सम्बंधित बिमारियों जैसे अल्कोहलिक हेपेटाइटिस , अल्कोहलिक सिरोसिस से ग्रसित होना।
पित्त ( बाइल जूस ) का वहन करने वाली नली का पित्ताश्मरी ( गॉल ब्लैडर स्टोन ) के कारण ब्लॉक हो जाना।
लिवर पर बुरा प्रभाव डालने वाली दवाइयों जैसे पेनिसिलिन , बर्थ कण्ट्रोल पिल्स और स्टेरॉइड्स का अधिक मात्रा में प्रयोग करना।
जॉन्डिस डायग्नोसिस - Jaundice Diagnosis
सी बी सी (कम्पलीट ब्लड सेल काउंट )
एल अफ टी( लिवर फंक्शनल टेस्ट )
क्या करे?
पचने में आसान चीजों का सेवन करे।
तक्र का सेवन करे।
उबली हुए सब्जी का सेवन करे।
दलिया , पोहा , उपमा , बेसन का चीला , हरी पत्तेदार सब्जी , मूली , नारियल पानी आदि चीजों को अपने आहार में शामिल करे।
खाने में कम मात्रा में सैन्धा नमक का प्रयोग करे।
क्या न करे?
अल्कोहल का सेवन न करे।
दूध या दूध से बने खाद्य पर्दाथ का सेवन न करे।
अधिक मात्रा में फिजिकल वर्क न करे।
कच्ची सब्जी का प्रयोग न करे।
जॉन्डिस के घरेलू उपाय - Home Remedies for Jaundice in Hindi
प्रातः काल आंवले या आंवले के जूस का सेवन करे।
करेले का जूस तिक्त रस होने से पित्त दोष का शमन करने से कामला में उपयोगी होता है अतः इसका सेवन करे।
ऐसे फलों का सेवन करे जो अग्नि ( डाइजेस्टिव पावर ) को बढ़ाये जैसे पपीता , अन्नानास आदि।
गन्ने के जूस का सेवन करे यह यकृत को बल देता है।
एक चम्मच भूने हुए जौ का चूर्ण और एक चम्मच शहद को आपस में मिलाकर गुनगुने पानी के साथ लेने से यह योग शरीर में संचित आम को कम करने में मदद करता है।
प्रश्न उत्तर - FAQ's
प्रश्न- निओनेटल जॉन्डिस के क्या क्या कॉम्प्लीकेशन्स हो सकते है?
उत्तर- निओनेटल जॉन्डिस को सामान्य समझ के अगर उपचार न किया जाये तो नवजात शिशु का ब्रेन डैमेज होने के साथ साथ वह सेरिब्रल पाल्सी , बहरापन से भी ग्रसित हो सकता है।
प्रश्न- जॉन्डिस होने पर अल्कोहल और मांसाहार का सेवन करना चाहिए ?
उत्तर- जॉन्डिस होने पर अल्कोहल और मांसाहार में साथ साथ ऐसे किसी भी खाद्य पदार्थ का प्रयोग नहीं करना चाहिए जो पचने में भारी हो या जिसके सेवन से यकृत पे बुरा प्रभाव पढ़े।
प्रश्न- क्या जॉन्डिस होने से किसी की मृत्यु भी हो सकती है?
उत्तर- हाँ , जॉन्डिस होने पर यदि व्यक्ति समय रहते उचित उपचार न कराये तो मृत्यु भी हो सकती है।
प्रश्न- उपचार के पश्चात् जॉन्डिस सही हो जाने पर पुनः जॉन्डिस हो सकता है ?
उत्तर- उपचार के पश्चात् यदि जॉन्डिस करने वाले कारणों का त्याग नहीं किया जाये या उपचार करते समय सिर्फ लक्षणों की चिकित्सा कर, जॉन्डिस होने के मूल कारण की चिकित्सा न की गयी हो तो एक बार ठीक होने पर भी पुनः जॉन्डिस होने की सम्भावना रहती है।
प्रश्न- जॉन्डिस सही हो जाने के पश्चात कितने समय तक पथ्य पालन करना होता है?
उत्तर- जॉन्डिस सही हो जाने पर पथ्य पालन कितने समय तक करना होगा ये रोगी व्यक्ति के शारीरिक बल और अग्नि बल पर निर्भर करता है। सामान्यतया रोग सही हो जाने पर दो से तीन महीने तक पथ्य पालन करते हुए धीरे धीरे सामान्य आहार लेना चाहिए।
प्रश्न- जॉन्डिस के केस में आयुर्वेदिक उपचार कितना कारगर है ?
उत्तर- जॉन्डिस हो या अन्य कोई व्याधि सभी में आयुर्वेदिक उपचार काफी कारगर है क्योकि आयुर्वेद रोग के लक्षण की चिकित्सा करने के साथ साथ रोग के मूल कारण की भी चिकित्सा करता है। जॉन्डिस को आयुर्वेद में कामला नाम से बोला गया है तथा जॉन्डिस होने पर मृदु विरेचन देने और पथ्य अपथ्य के द्वारा चिकित्सा करने का वर्णन मिलता है।
Jaundice is described as yellowish tinge to the skin and whitening of the eyes. This is depend on the levels of bilirubin which is a waste product or material found in the blood. High levels will appear brown and moderate levels usually leads to yellow color. Jaundice clearly indicates the problems regarding liver or bile duct.
According to Ayurveda, jaundice is known as kamala. In ayurveda this is pittaj nanatmaj vyadhi and rakt pradoshaj vyadhi. Untreated pandu leads to kamla disease, they both are interrelated diseases.
Causes can be any problem in the production of bilirubin in any of the three phases. Due to increased level of bilirubin you may have unconjugated jaundice (caused by collection of clotted blood under the skin). during production of bilirubin cause can be alcohol, autoimmune disorders, viruses(hepatitis A,B,C).After bilirubin is produced cause can be gallbladder inflammation, pancreatic tumor, gallstones and gallbladder cancer. Other causes includes infections, certain medicines, bile duct blockage, liver diseases, blood diseases.
SYMPTOMS
Yellowish tinge to the skin
Dark urine
Itchiness
Whites of the eyes
Pale stool
Fatigue
Vomiting
Weight loss
Pain in abdomen
Fever
Chills
Flu like symptoms
Nausea
Loss of appetite
Weight loss
WHEN TO SEE YOUR DOCTOR FOR JAUNDICE
Tenderness and abdominal pain
Fever
Vomiting with blood
Black stool or blood in stool
Mental function changes like confusion, drowsiness, agitation
CAUSES AND RISK FACTORS
RISK FACTOR
Cholestasis
Bile duct obstruction
Bile duct inflammation
Inflammation of the liver
Hemolytic anemia
Psudojaundice
Patient of blood disorders
Hepatitis
Sickle cell anemia
Blood group incompatibility(infants)
PREVENTION
Alcohol limits
Manage cholesterol
Avoid hepatitis infection
Drink boiled and clean water
You need to maintain a healthy weight
Eat fresh food
DIAGNOSIS
Bilirubin tests
Complete of full blood count
Hepatitis A B C tests
Liver function test
Imaging test
Blood cultures
Liver biopsies
GENERAL TIPS
Eat healthy small meals, frequent meals
Take care of water intake throughout the day or frequent hydration
Avoid coffee, tea or sugar intake
No to alcohol
Maintain weight
Maintain hygiene
Exposure to sunlight
Milder exercise like yoga, walking, cycling
HOME REMEDIES
Exposure to sunlight
Goat’s milk
Have a bowl of curd daily
You can have make juice of boiled tomatoes and have a glass daily
Make a paste of amla(after boil them) mix with water and honey and have it daily
Tulsi has hepatoprotective properties, boil leaves of tulsi and have this daily
Ginger intake in the form of ginger tea
Green grapes juice and sugarcane juice
Add 3-4 garlic cloves in your diet
Take 1tbs of roasted barley seeds powder with one glass of water and honey
Paste of papaya leaves and obtain the juice, mix half tbs of this juice and 1tbs of honey and drink this mixture
Exercise daily
Maintain your weight
WHAT TO AVOID
Alcohol
Saturated fats, unsaturated fat
Refined sugar
Carbohydrates
Packed foods
Raw and uncooked fis or shellfish
Meat
Dairy products
Salt
WHAT TO EAT
Herbal teas
Fruits like mango, banana
High fiber diet
Almonds, berries, oatmeal, brown rice, broccoli
Grapes, avocado, grapefruit, brussel sprouts
Sugar cane juice
Radish leaves
Buttermilk
Citrus fruits like lemons, limes
Tomatoes, ginger, garlic
Blueberries, spinach
QUESTIONS AND ANSWERS
Q.1) What are the main symptoms of jaundice?
Ans.Main symptoms are change in the color of the skin, pain in abdomem,symptoms like flu, fever, chills, dark color of urine, yellow eyes and in more severe cases this eye color turns into brown or orange, pale stools, vomiting, fatigue.
Q.2) What are the best foods for jaundice?
Ans. Always have fresh foods and boiled water, whole grains, nuts,
Juice of sugarcane and add citrus fruits.
Q.3) How to cure jaundice naturally?
Ans. Maintain weight and hygiene, fiber rich diet , sunlight exposure, exercise and yoga, avoid alcohol and consult doctor is condition is severe.
Q.4) What are the complications of jaundice?
Ans. Complications can be Liver failure, constipation, bleeding, kidney failure, diarrhea, flatulence, anemia, swelling in legs, bloating in abdomen, hepatic coma, haemorrhage, ascitis, fever. In infants dazedness, vomiting, high pitched crying, fever these are some complications of jaundice.
Q.5) How can you prevent jaundice?
Ans.follow some simple steps to prevent jaundice:-
Avoid alcohol completely
Control or maintain your weight
Maintain your physical and mental state, diet with essential nutrients
Exercise daily
Stay hydrated
Q.6) How ayurveda treatment considered effective?
Ans.Effective, Ayurvedic treatments for jaundice will usually aim in pitta imbalance and to eliminate the toxins that is shodhana chikitsa with lifestyle changes and control in diet.
It is a very common liver disorder. An essential organ of our body is known as the liver. It helps to break down the food which we have and it is also responsible for the removal of toxins from the body. Nowadays liver problems are increasing day by day due to changes in lifestyle, changes in eating habits, increases in consumption of alcohol, and excessive intake of medicines. So, here we are giving information about “Jaundice” which is related to the liver. Jaundice is caused by increases in bilirubin, a waste material, in the blood. An inflamed liver or obstructed bile tube can lead to jaundice, as well as other basic conditions. Here you’ll get information about “5 Useful Herbs for the Cure of Jaundice in Ayurveda”.
What is Jaundice?
Jaundice is also known as Icterus. It may happen at any age including infants, and adults. In dealing with jaundice, the skin turns to yellowish color, and the white part of the eye is also turned yellowish. It is due to the results of increased bile pigments and bilirubin in the blood.
Jaundice in View of Ayurveda
In Ayurveda, Jaundice is known as “Kamala”. As Ayurveda says, our body is preserved by three essential energies known as vata, pitta, and kapha. Ayurveda classifies Kamala as an apratyaksha(indirect) disease. Disorder in any of the three energies results in a problem in the body. Aggravation of pitta reasons is a liver disturbance. Ayurveda considers the malformation of Ranjak pitta(a subtype of pitta) as amenable for jaundice.
Types of Jaundice
There are four types of Jaundice:
1. Neonatal or Physiological Jaundice(jaundice in newborn babies)- Neonatal jaundice is a normal condition, mainly in babies born before 38 weeks gestation (premature delivery) and some breastfed babies. Neonatal jaundice usually happens because a baby's liver is not that mature to do away with bilirubin in the bloodstream. In some babies, an underlying disease may reason for Neonatal jaundice. To get rid of this disease our liver needs to do proper functioning.
2. Pre-Hepatic or hemolytic Jaundice- In hemolytic Jaundice is caused by a rapid increase in the breakdown and annihilation of the red blood cells (hemolysis), overwhelming the liver's ability to sufficiently remove the increased levels of bilirubin from the blood.
3. Hepatic or Hepatocellular Jaundice- Hepatocellular jaundice happens as an effect of liver disease or injury. Hepatocellular jaundice occurs as a result of hemolysis, or an accelerated breakdown of red blood cells, leading to growth in the production of bilirubin.
4. Obstructive or Post-hepatic or Cholestatic Jaundice- Obstructive Jaundice happens as a result of an obstruction in the bile duct. Obstructive Jaundice fends bilirubin from leaving the liver.
Symptoms of Jaundice
There are various known signs and symptoms of jaundice such as:
1. Haridra netrata(yellowing of the eyes)
2. Daurbalya(Weakness)
3. Haridra-anana(Yellowing of the face)
4. Rakta-pitta shakrit(yellow stools with blood)
5. Avipaka(indigestion)
6. Bheka varna(a frog-like complexion)
7. Daha(burning sensation)
Causes of Jaundice
Any kind of problem in the liver can cause jaundice.
1. Problem in the proper processing of the bilirubin.
2. Jaundice can also happen when there’s too much bilirubin, a yellow-orange substance active in your blood.
3. Hepatitis - Most of the time, this infection is caused by a virus. It can be short-lived (acute) or chronic, which means it lasts for at least 6 months. Drugs or autoimmune disorders can reason for hepatitis. If it gets extra time, it can damage the liver and lead to jaundice.
4. Alcohol-related liver disease - Alcohol could seriously damage your liver.
5. Blocked Bile Ducts - These are diluted tubes that carry a fluid called bile from the liver and gallbladder to the small intestine. Infrequently, they get blocked by gallstones, cancer, or rare liver problems. If they do, you could have jaundice.
6. Certain Medicines - Drugs like acetaminophen, penicillin, birth control pills, and steroids have been linked to liver disease.
Jaundice Treatment in Ayurveda
In Ayurveda, during the preparatory condition of jaundice, usually, mild purgatives are given. Jaundice treatment in Ayurveda is the faithful treatment known these days. It can eradicate deeply or from the basics with the best jaundice treatment in India. For jaundice, this naturalistic cure removes all the doshas from the body and maintains the best stage of pitta in the body that helps you to battle Jaundice. This is to encourage the function of the liver and to rise the flow of bile in the bile duct. Triphala, Trivrit, and Kutaki take for the purpose.
1. Daily take one to “two teaspoons(tsp)” with hot water, if you prefer to take Triphalachoorna, you can take "one tsp" of Triphalachoorna with warm water, twice a day. Two compound preparations, that are generally used to cure jaundice, are Aarogyavardhinivati and Avipattikarachoorna. However, use them after consulting a physician.
2. Bhoomyaamalaki (Phyllanthus niruri), a miniature herb with promiscuous leaves, is normally used in the cure of all types of jaundice. "One tsp" of the juice of the plant or fresh root in the form of a paste with honey can be taken thrice a day.
3. Punarnavamandoor should be taken for daily 2 to 3 weeks. NavaayasLoha taken in the amount of 125 mg thrice in a day is an emphatic remedy for Jaundice. Other helpful medicines are Lohaasava, Punarnavaasava, and Kumaaryaasava.
4. Another common medicine that can work for all types of jaundice is the Bhumyamalaki. This is a small herb that is in short supply. Its juice is given with honey in "a tsp" quantity thrice in a day. Kakamachi, Triphala, and Vasaka are the other drugs used.
5 Useful Herbs for the Cure of Jaundice in Ayurveda
1. Berberis (Berberis vulgaris)- Berberis is a very powerful herb for all kinds of liver ailments, especially jaundice. So powerful is the herb that it is nominated as a 'jaundice berry'. In taste, It is a bitter tonic that must be given to a jaundice patient many times a day in "quarter tsps". The liquid extract of the fruit also has equal properties.
2. Chicory (Chichoriumintybus)- All properties of the chicory plant are helpful in the cure of liver ailments. Flowers, roots, and seeds are the most frequently used. The liquid of the chicory may help in the cure of sluggishness of the liver, the obstacle of the flux of bile, and the magnification of the spleen; all of which are associated with jaundice. Chicory can also encourage the healthy secretion of bile.
3. Hygrophila Spinosa (Gokulakanta)- gokulakanta plant's root is powerful in the cure of liver problems such as hepatitis and jaundice. An infusion of the source of the herb in water is prepared and given to the patient twice or thrice in a day.
4. Aloe vera (Aloe barbadensis)- It is a perfect remedy for liver diseases such as jaundice. For a powerful cure, the pulp of one of its leaves is to be taken with black salt and ginger every morning for a period time of ten days.
5. Turpeth (Operculinaturpethum)- The other optimal Ayurvedic remedy for jaundice is Turpeth. It is named nisoth in Ayurveda. The power of this herb is prescribed mixed in hot water 2 times a day.
Ayurvedic Diet Plan for Jaundice
Daily Diet Schedule
Early Morning: Amla-1 only and that needs to be cooked / Amla juice 10-15 ml
Breakfast: Dalia / Upma / Besan chila / Sewian / Poha / Idli
Mild-Morning: Sugarcane juice / Sprouts / Coconut water / Wheatgrass juice / Radish juice / Fruit
Lunch: Plain chapatti / Khichri / Boiled rice / Dalia / Vegetable+Dal+Curd / Buttermilk / Veg pulao
Evening: Ginger tea / Green juice / Herbal tea
Pre-dinner: Home-made soup / Sweet rice / Red juice / Green juice
Dinner: Plain chapatti / Boiled Rice / Vegetable+Dal
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