Ayurvedic management of non-alcoholic fatty liver disease with obesity and rheumatoid arthritis– A case report

Background: Non-alcoholic fatty Liver Disease (NAFLD) is one of the leading causes of chronic liver diseases, with a 25 % frequency worldwide. NAFLD is characterized by a complex ''multi-hit'' pathogenesis and spectrum of disorders. In Ayurveda, it is considered under Yakrit vika...

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Main Authors: Amit Nakanekar, Rashmi Jaiswal
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Phytomedicine Plus
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Online Access:http://www.sciencedirect.com/science/article/pii/S2667031325000600
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author Amit Nakanekar
Rashmi Jaiswal
author_facet Amit Nakanekar
Rashmi Jaiswal
author_sort Amit Nakanekar
collection DOAJ
description Background: Non-alcoholic fatty Liver Disease (NAFLD) is one of the leading causes of chronic liver diseases, with a 25 % frequency worldwide. NAFLD is characterized by a complex ''multi-hit'' pathogenesis and spectrum of disorders. In Ayurveda, it is considered under Yakrit vikar (∼liver disease) with Medoroga (∼disease caused by excessive fat deposition). Purpose: A 52-year-old non-alcoholic male patient came with complaints of abdominal distension, fatigue, weakness, back pain, bilateral upper limb tingling, striae present over the thigh and abdomen, bilateral shoulder joint stiffness, anorexia, constipation, and pain at the planter region for the last six months. The patient was admitted to a government medical college and was treated with NSAIDs, Antibiotics, antacids, steroids, and some multivitamin tablets for Grade II fatty liver disease. However, the recurrence occurred, so the patient came to Ayurveda for the same complaints with more added pain in all joints. Study design: The patient was treated using Santarpana (∼overconsumption and sedentary lifestyle) and Krumighn Chikitsa (∼ treatment aimed at eliminating parasites). The specialty of this case is that Krumighna treatment worked well in NAFLD, rheumatoid arthritis, and obesity. The patient was treated for around four months with Basti (∼medicated enema using oil and decoction) and Ayurvedic oral medicines. Result: A remarkable improvement was shown in clinical symptoms, weight, and abdomen and pelvis ultrasound findings. Conclusion: further studies must be conducted to obtain more scientific evidence for the efficacy of this Ayurvedic approach.
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spelling doaj-art-68858d54415843609e623e119dfaa00a2025-08-21T04:17:21ZengElsevierPhytomedicine Plus2667-03132025-08-015310078710.1016/j.phyplu.2025.100787Ayurvedic management of non-alcoholic fatty liver disease with obesity and rheumatoid arthritis– A case reportAmit Nakanekar0Rashmi Jaiswal1Government Ayurveda College, Chota Tajbaug Road, Ayurvedic layout, Azamshah Layout, Nagpur, Maharashtra, 440024, IndiaCorresponding author at: Government Ayurveda College, Chota Tajbaug Road, Ayurvedic layout, Azamshah Layout, Nagpur, Maharashtra 440024, India.; Government Ayurveda College, Chota Tajbaug Road, Ayurvedic layout, Azamshah Layout, Nagpur, Maharashtra, 440024, IndiaBackground: Non-alcoholic fatty Liver Disease (NAFLD) is one of the leading causes of chronic liver diseases, with a 25 % frequency worldwide. NAFLD is characterized by a complex ''multi-hit'' pathogenesis and spectrum of disorders. In Ayurveda, it is considered under Yakrit vikar (∼liver disease) with Medoroga (∼disease caused by excessive fat deposition). Purpose: A 52-year-old non-alcoholic male patient came with complaints of abdominal distension, fatigue, weakness, back pain, bilateral upper limb tingling, striae present over the thigh and abdomen, bilateral shoulder joint stiffness, anorexia, constipation, and pain at the planter region for the last six months. The patient was admitted to a government medical college and was treated with NSAIDs, Antibiotics, antacids, steroids, and some multivitamin tablets for Grade II fatty liver disease. However, the recurrence occurred, so the patient came to Ayurveda for the same complaints with more added pain in all joints. Study design: The patient was treated using Santarpana (∼overconsumption and sedentary lifestyle) and Krumighn Chikitsa (∼ treatment aimed at eliminating parasites). The specialty of this case is that Krumighna treatment worked well in NAFLD, rheumatoid arthritis, and obesity. The patient was treated for around four months with Basti (∼medicated enema using oil and decoction) and Ayurvedic oral medicines. Result: A remarkable improvement was shown in clinical symptoms, weight, and abdomen and pelvis ultrasound findings. Conclusion: further studies must be conducted to obtain more scientific evidence for the efficacy of this Ayurvedic approach.http://www.sciencedirect.com/science/article/pii/S2667031325000600AyurvedaRheumatoid arthritisCase reportLiver diseaseNAFLDObesity
spellingShingle Amit Nakanekar
Rashmi Jaiswal
Ayurvedic management of non-alcoholic fatty liver disease with obesity and rheumatoid arthritis– A case report
Phytomedicine Plus
Ayurveda
Rheumatoid arthritis
Case report
Liver disease
NAFLD
Obesity
title Ayurvedic management of non-alcoholic fatty liver disease with obesity and rheumatoid arthritis– A case report
title_full Ayurvedic management of non-alcoholic fatty liver disease with obesity and rheumatoid arthritis– A case report
title_fullStr Ayurvedic management of non-alcoholic fatty liver disease with obesity and rheumatoid arthritis– A case report
title_full_unstemmed Ayurvedic management of non-alcoholic fatty liver disease with obesity and rheumatoid arthritis– A case report
title_short Ayurvedic management of non-alcoholic fatty liver disease with obesity and rheumatoid arthritis– A case report
title_sort ayurvedic management of non alcoholic fatty liver disease with obesity and rheumatoid arthritis a case report
topic Ayurveda
Rheumatoid arthritis
Case report
Liver disease
NAFLD
Obesity
url http://www.sciencedirect.com/science/article/pii/S2667031325000600
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AT rashmijaiswal ayurvedicmanagementofnonalcoholicfattyliverdiseasewithobesityandrheumatoidarthritisacasereport