Ayurvedic Management of Non-Alcoholic Fatty Liver Disease (NAFLD) through Kayachikitsa: Revisiting Internal Metabolic Restoration

Abstract

ABSTRACT : Non-Alcoholic Fatty Liver Disease (NAFLD) has emerged as the hepatic manifestation of metabolic syndrome, affecting millions worldwide. While modern internal medicine approaches include lifestyle changes, insulin sensitizers, and hepatoprotective agents, Ayurveda offers a comprehensive view through Kayachikitsa. This research focuses on the pathophysiology of NAFLD in light of Medo Dhatu Dushti, Agni Mandya, and Rasa-Rakta-Meda vitiation. Using Ayurvedic diagnostics such as Rogibala and Rogabala Pariksha, this paper outlines a multi-modal treatment approach involving Deepana-Pachana, Lekhana Basti, Virechana, and Hepato-specific Rasayana drugs like Bhumyamalaki, Katuki, and Guduchi. It also presents results from a 12-month clinical observation on 48 patients receiving integrative therapy. Biochemical parameters such as ALT, AST, and ultrasound findings were assessed pre- and post-intervention. The study suggests significant improvements, indicating the efficacy of Ayurvedic therapy as an adjunct or primary care model for Nafld.

KEYWORDS: NAFLD, fatty liver, Kayachikitsa, Medo Dhatu Dushti, Ayurvedic hepatology, Virechana, Rasayana, liver health, metabolic syndrome, Agni Mandya