INTEGRATED AYURVEDIC MANAGEMENT OF PITTASHMARI (CHOLELITHIASIS) PRESENTING WITH UDARSHOOL (ABDOMINAL PAIN): A CASE REPORT
DOI:
https://doi.org/10.5281/zenodo.23719206Abstract
Background: Cholelithiasis is a common hepatobiliary disorder characterised by gallstone formation in the gallbladder. This condition is clinically correlated as Pittashmari in Ayurveda. Though the conventional treatment for symptomatic cases is surgical removal of gall-bladder, Ayurvedic treatment focuses on non-invasive Shamana Chikitsa which aims to restore balance of Doshas, improve Agni (digestive and metabolic fire) and correct the underlying metabolic disturbances.
Objective: To assess the clinical efficacy of an integrated Ayurvedic treatment protocol in the management of Pittashmari with Udarshoola (abdominal pain).
Methodology: A 60-year-old female patient with complaints of abdominal pain and recurrent nausea was treated with complete Ayurvedic treatment protocol including selected herbal formulations (Aushadhi) along with therapeutic Yoga practices. The patient was followed up clinically with symptomatic evaluation and radiology.
Results: The patient's abdominal pain, nausea and digestive function were significantly improved after treatment. Follow-up ultrasonography showed a reduction of biliary sludge and small gall stones indicating a good therapeutic response.
Conclusion: The results suggest that the integrated Ayurvedic approach may be an effective non-surgical management option in selected cases of cholelithiasis. Ayurvedic therapy can improve clinical outcomes and overall digestive health by addressing gallstone pathology and the underlying metabolic imbalance.
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Copyright (c) 2026 Dr. Srushti Sunil Deshpande, Dr. Prachi Vishwakarma ; Dr. Amar Sahu; Dr. Naresh Kore
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