Comprehensive Ayurvedic Management of Hepatic Fibrosis (Grade III): A Case Report

Abstract

Background: The prevalence of hepatic fibrosis is increasing worldwide, with significant geographic variation. It is necessary to better understand the risk factors and how to prevent and mitigate the disease worldwide to combat the advanced stage of fibrosis and its complications. In conventional treatment, targeting the underlying cause is often insufficient, and there is non-specific drug delivery, resulting in failure of antifibrotic drugs. Clinical findings: A 33-year-old male patient complained of general weakness, indigestion, loss of appetite, and distension of the abdomen. Radiological findings revealed Grade III hepatic fibrosis, and biochemical investigations showed abnormalities in lipid profile and altered liver enzyme levels. Intervention: He was treated with Sarphonka Swaras Ghan, Bhoomi Amla Swaras Ghan, Liv52 HB, Hridton, Triglize, and Haritaki Churna for five months, along with Diet and lifestyle modifications. Outcome: After five months of treatment, marked improvement was seen in appetite, fatigue level, digestion, and bowel habits. Liver was normal in size, contour, and echotexture (Grade III fatty infiltration before treatment) in Ultrasonography of the whole abdomen, and reduced from moderate (Grade III [F3]) to mild hepatic fibrosis(Grade I [F1]) in liver elastography (Metavir value-10.90 Kpa to 5.0 Kpa). Conclusion: A case of Hepatic fibrosis was effectively treated, associated with improvement through Ayurveda. The findings suggest the effectiveness and good safety tolerance of Ayurvedic interventions in managing hepatic fibrosis. This case report highlights the potential of using Ayurvedic treatment in larger-scale clinical studies for hepatic fibrosis.