stdClass Object
(
    [id] => 18067
    [paper_index] => 202511-01-024773
    [title] => FROM SAKHASRITA KAMALA TO SURGICAL JAUNDICE: AN INTEGRATIVE REVIEW ON THE AYURVEDIC ROOTS OF OBSTRUCTIVE HEPATOBILIARY PATHOLOGY
    [description] => 
    [author] => Dr. Nihal Gopan , Dr. Bharathi D Anvekar , Dr. Manjunath S Naregal , Dr Monisha CJ
    [googlescholar] => 
    [doi] => 
    [year] => 2025
    [month] => November
    [volume] => 11
    [issue] => 11
    [file] => fm/jpanel/upload/2025/November/202511-01-024773.pdf
    [abstract] => Surgical jaundice, a condition characterised by obstruction to the physiological flow of bile from the liver to the duodenum, finds its earliest conceptual foundation in the Ayurvedic description of Mārgāvarodha Janya Vikāra, particularly Śākhāśrita Kāmalā. The classical delineation of Kapha-induced obstruction of Pitta Pravṛtti and Vāta-driven displacement of Pitta into the Śākhās reflects a remarkably precise understanding of the pathophysiological sequence that modern medicine identifies as obstructive or surgical jaundice. It may thus be inferred that the fundamental principles underlying the modern comprehension of jaundice and its obstructive variants were, in essence, envisioned within the Ayurvedic framework, where the concepts of Āvarana, Doṣa Saṃmūrcchana, and Srotorodha collectively elucidate the mechanism of biliary obstruction described today. Ayurveda’s therapeutic rationale emphasises Kapha-hara, Vāta-anulomana, and Pittānulomana measures to restore normal bile flow, while Anuśāstra Karma is advocated when internal Āvarodha or structural pathology persists. Among these, Kṣāra Karma, with its Lekhana, Chedana, and Bhedana properties, assists in dissolving Āma and Kapha, re-establishing Srotas patency; Agnikarma stimulates localised Agni and mitigates Kapha-Medo Āvarodha; and Rakta Mokṣaṇa enhances hepatic circulation and aids detoxification. The classical references to Pittāśaya Aśmarī by Ācārya Charaka and Śastra Karma indications by Ācārya Suśruta illustrate an advanced surgical vision consistent with the principles of hepatobiliary management. Hence, both classical and contemporary perspectives converge upon the same therapeutic goal—Mārgavivarana, or the removal of obstruction and restoration of natural flow. This review thus highlights the depth of Ayurvedic surgical and pathophysiological reasoning, demonstrating that the conceptual roots of modern hepatobiliary understanding are deeply embedded in Ayurvedic science.
    [keywords] => Kamala, Jaundice, Śākhāśrita Kāmalā, Surgical jaundice, Obstructive Jaundice, Mārgāvarodha Janya Vikāra, Kṣāra Karma, Agnikarma, Rakta Mokṣaṇa, Pittāśaya Aśmarī, Srotorodha, Hepatobiliary disorders.
    [doj] => 2025-11-10
    [hit] => 
    [status] => 
    [award_status] => P
    [orderr] => 29
    [journal_id] => 1
    [googlesearch_link] => 
    [edit_on] => 
    [is_status] => 1
    [journalname] => EPRA International Journal of Multidisciplinary Research (IJMR)
    [short_code] => IJMR
    [eissn] =>  2455-3662 (Online)
    [pissn] => - --
    [home_page_wrapper] => images/products_image/11.IJMR.png
)
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