Therapeutics

of
Jaundice
Dr. Purnima Swathi
MM MD Part II

Category

Definition

Pre-hepatic/ hemolytic

The pathology is occurring prior to

the liver due toA.intrinsic defects in RB cells B.
Extrinsic causes external to RB cells

Hepatic/ hepatocellular

The pathology is located within the liver

caused due to disease of parenchymal cells of
liver.

Post-Hepatic/ cholestatic

The pathology is located after the conjugation

of bilirubin in the liver caused due to
obstruction of biliary passage.[6]

BNBBBBB C

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General
Management

 Jaundice that occurs due to anemia may be treated

by elevating the iron levels in the blood through
iron supplements or with the intake of foods rich
in iron.
Jaundice induced by hepatitis may be treated with
anti-viral medications.
Surgery may be required in cases where the
condition develops as a result of blockages.
In some cases, jaundice may even develop as a
result of, as a side effect from certain medications.
In such cases, the jaundice may be treated by
altering the dosage or changing the medication.

Radish Leaves: You can

extract the juice from green
radish leaves and drink
daily. It helps to regulate
abdominal discomfort and
also improves appetite.

Tomatoes: Add some pepper and

salt to fresh tomato juice and
drink every morning. Lycopene
from tomatoes can help to reduce
damage to the liver and even
facilitate recovery.

Snake Gourd Leaves: Add some

dry snake gourd leaves to boiling
water. Then boil coriander seeds
in water until it reduces to one
third the amount. Combine both
decoctions and drink thrice every
day.

Almonds: Soak 7 to 8 almond kernels

in water and keep overnight. Peel the
almonds, grind into a paste and
consume.

Lemon Juice: Dilute

lemon juice with water
and drink frequently
during the day. This
will help in protecting
the liver cells.

Sugarcane Juice: Squeeze half a

lime into a glass of sugarcane
juice and drink twice or thrice
daily. This is a popular remedy
for jaundice which is known to
quicken recovery

Turmeric: Add a quarter teaspoon of turmeric

powder to warm water and drink twice daily.

Papaya Leaves: Grind some tender

papaya leaves into a paste.
Combine the paste with half a
teaspoon of honey and consume.

Ginger: Extract the juice

from a piece of ginger,
combine with lime juice
and mint juice and
consume several times a
day.
Buttermilk: Add a pinch of
roasted cumin seeds powder and
some salt to buttermilk and
consume. This aids in proper
digestion and is beneficial for the
liver.

 A good intake of fluids helps to remove

excess bilirubin from the body through the
urine and stool.
Vegetable and fruit juices are also beneficial
as they help to regulate the balance of
electrolytes in the body.
Avoid canned juices.
Usually a liquid diet is recommended for the
first 4 to 5 days.
Alcohol should be avoided completely as it
can seriously affect the liver.

 Once the bilirubin levels start decreasing,

light foods such as fruits, porridge and yogurt
may be added to the diet.
You can also consume vegetables such as
spinach and carrots.

Some amount of lean protein will help

in recovery and hence you can also
consume egg.

 It is advisable to divide your meals

into smaller portions and eat them
frequently during the day.
Refrain from eating foods that are
oily or spicy.
Sugary foods, artificial sweeteners
and caffeine should also be
avoided.

 As the bilirubin levels reduce to almost

normal, you can add foods such as rice, lentil
or fish to your diet. Ensure that no oil is used
to cook foods..

Try to avoid eating foods rich in cholesterol

and those which are hard to digest. The body
needs time to regain its normal functioning.

Homoeopathic
Therapeutics

Haemolytic Jaundice

Crotalus horridus
Malignant jaundice; haematic rather than
hepatic.
General disorganization of the blood,
haemorrhages and jaundice.
Blood decomposition, haemorrhages (dark
fluid that forms no clots), tendency to
carbuncles, malignant scarlatina, yellow
fever, the plague, cholera, give opportunity
to use this remedy.

Benzolum
Indicated in graver forms of anaemia
(pernicious) and jaundice.
Produces fatal toxic jaundice.
In the human provers it resulted in a decrease
of the red and increase of white cells. (R.F.
Rabe, M.D. ).
It ought to be of use in Leucaemia.
Hallucinations - Epileptiform attacks, coma,
and anaesthesia.

Lachesis
Purple, mottled, puffed; looks swollen, bloated,
jaundiced, chlorotic.
Climacteric ailments: haemorrhoids,
haemorrhages; hot flushes and hot
perspiration; burning vertex headache,
especially at or after the menopause.
Intolerance of tight bands about neck or
waist.

Phos
Disorganizes the blood, causing fatty
degeneration of blood vessels and every tissue
and organ of the body and thus gives rise to
haemorrhages, and haematogenous jaundice.
Adapted to tall slender persons of sanguine
temperament, fair skin, delicate eyelashes, fine
blond, or red hair, quick perceptions, and very
sensitive nature.
Young people who grow too rapidly are inclined
to stoop (to walk stooped, Sulph.); who are
chlorotic or anaemic; old people, with morning
diarrhoea.

T.N.T
The destructive action on the red blood
corpuscles is responsible for the anaemia and
the jaundice with their secondary symptoms.
Later stages of the poisoning produce toxic
jaundice and aplastic anaemia.
The jaundice is the result of cellular
destruction in contrast to obstructive
jaundice.

Hepatic Jaundice

Cardus Marianus
The action of this drug is centred in the liver,
and portal system, causing soreness, pain,
jaundice.
Hyperaemia of liver, with jaundice.
Pain in region of liver.
Left lobe very sensitive.

Cascara Sagrada
Chronic indigestion, cirrhosis and jaundice.
Rheumatism of muscles and joints, with
obstinate constipation.
Introduced as a palliative for constipation
(non-homoeopathic).

Chelidonium
The jaundiced skin, and especially the
constant pain under inferior angle of right
scapula, are certain indications.
Jaundice due to hepatic and gall-bladder
obstruction.
Tongue coated thickly yellow, with red edges,
showing imprint of teeth (Pod.-large, flabby,
with imprint of teeth, Mer.).

Chionanthus
Jaundice with arrest of menses.
Sore; enlarged, with jaundice and
constipation.
Jaundice; gallstones.
This remedy is often of service in many types
of headaches, neurasthenic, periodical sick,
menstrual and bilious.

Digitalis
Jaundice from induration and hypertrophy of
the liver.
Jaundice with heart disease.
Diarrhoea during jaundice.
Itching and jaundiced.

Leptandra Virginica
A liver remedy, with jaundice and black, tarry
stools. Bilious states.
Clay coloured stools with jaundice.
Enfeebled portal circulation.
Malarial conditions.

Myrica Cerifera
Marked action on the liver, with jaundice and
mucous membranes.
Jaundice
Complete jaundice, with bronze-yellow skin;
loss of appetite.
Antidote : Digit. (jaundice.)

Podophyllum
Torpidity of the liver; portal engorgement
with a tendency to haemorrhoids, hypogastric pain, fullness of superficial veins,
jaundice.
Patient is constantly rubbing and shaking the
region of liver with his hand.
Stool is watery with jelly-like mucus, painless,
profuse.

Stillingia Silvatica
Torpor of lymphatics; torpid
liver, with jaundice and
constipation.
Chronic periosteal
rheumatism, syphilitic and
scrofulous affections.
Respiratory symptoms well
marked.

Taraxacum
For gastric headaches, bilious
attacks, with
characteristically mapped
tongue and jaundiced skin.
Debility, loss of appetite,
profuse night sweats,
especially when convalescing
from bilious or typhoid fever.
Restlessness of limbs in
typhoid

Obstructive Jaundice

Dolichos
A right-sided medicine, with
pronounced liver and skin
symptoms.
A general intense itching
without eruption.
Exalted nervous sensibility.
Senile pruritus.
Haemorrhoidal diathesis.

Juglans Cinerea
A faulty elimination that produces jaundice
and various skin eruptions, is pictured by this
drug.
Jaundice, with pain about liver and right
scapula.
The sharp, occipital headache, usually
associated with liver disturbances, is very
characteristic.

Thyroeidinum
Jaundice with pruritus.
Heart rate increased, ex-ophthalmus and
dilation of pupils.
In myxoedema and cretinism its effects are
striking.
Infantile wasting.
Delayed union of fractures.

Fel Tauri
It is of service in cases of jaundice due to
obstruction, when the stools are very
offensive, of a light, clay colour.

Lycopodium
The skin presents a dirty appearance and the
complexion is pale, jaundiced, or there are
"liver spots."
The complexion is jaundiced, yellowish grey
or of a dingy yellow hue.

Astacus Fluviatilis
URTICARIA; with hepatic symptoms, jaundice,
etc.; with cramps in liver region; on right side
only.

Neonatal Jaundice
Lupulus Humulus
Is a good remedy in unstrung conditions of the
nervous system attended with nausea, dizziness,
headache following a night's debauch.
Infantile jaundice, Urethral burning.

THANQ