A detailed and small slide on the treatment and prevention measures of hepatitis according to AYURVEDIC concept .The slide explains in brief about the primary and secondary prevention measures for hepatitis a and hepatitis b and also their treatment principles according to ayurveda .

1. PREVENTION AND
TREATMENT

2. Hepatitis A - Primary prevention
 Water born disease
 उदकं तु खल्वत्यर्थववकृ तगन्धवर्थरसस्पर्शं
क्लेदबहुलमपक्रान्तजलचरववहङ्गमुपक्षीर्जलेर्शयमप्रीततकरमपगतगुर्ं
ववद्यात्(२); Charaka remembers Hot water here
 Endemic
 Be prepared for an out break
 Keep personal & water hygiene esp.during travel
 Seasonal
 Campaign mass virechanam in every ritusandhi
 Campaign mass virechanam at every outbreak
 Advice simple medications for mass like Keezharnelli

4. Hepatitis A - Secondary Prevention
 Absolute bed rest
 Symptom management
Hrillasam
Jwaram
Malaise
Dehydration / thirst
Constipation
 Sodhana chikitsa - Vamana & Virechanam

5. Treatment guidelines
Keep balam by rest and lightest foods and drinks
Symptomatic treatment
Broad supportive drugs
Do use Ottamoolies & with due consideration
Prevent dehydration by bath, IV fluids etc.
Ensure laxation and keep appetite
 Use Laboratary tests very frequently
to moniter the speed, intensity, complications

6. Treatment assumptions
 Simple jaundice is self limiting
So give time
±ÉÆPÉxÉÆ, º´ÉänùxÉÆ, EòɱÉÉä, ªÉ´ÉÉMÉÖ, ÊiÉHòEòÉä ®úºÉ&, ¨É±ÉÉxÉÉÆ {ÉÉSÉxÉÉÊxÉ ºªÉÖ&
ªÉlÉɴɺlÉÆ Gò¨ÉähÉ ´ÉÉ
´ªÉɪÉɨÉÉnÚù¹¨ÉhɺiÉèIhªÉÉnùʽþiÉÉSÉ®úhÉÉnùÊ{É EòÉä¹`öÉiÉ ¶ÉÉJÉÉκlɨɨÉÉÇÊhÉ pÖùiÉi´ÉÉiÉÂ
¨ÉɯûiɺªÉ SÉ
nùÉä¹ÉÉ ªÉÉÎxiÉ, iÉlÉÉ iÉ䦪É& »ÉÉäiÉÉä¨ÉÖJÉʴɶÉÉävÉxÉÉiÉÂ, ´ÉÞvªÉʦɹªÉxnùxÉÉiÉ {ÉÉEòÉiÉ EòÉä¹`Æö
´ÉɪÉÉä¶SÉ ÊxÉOɽþÉiÉÂ
iÉjɺlÉɶSÉ Ê´É³ý¨¤Éä®úxÉ ¦ÉÚªÉÉä ½äþiÉÖ |ÉiÉÒÊIÉhÉ&

7. Food and drinks
 Most important part
Use podiyari kanji with less or no salt
Ensure sufficient food intake
Avoid dry foods like bread, biskets, chappathi etc
Go for Vallee Phalam - esp.Churakka
Ensure laxation - use fruit juices
Consider Keezharnelli, jeerakam + Avanakkin kurunnu,
etc., good supportive foods

8. Hepatitis B - Primary Prevention
 Communicable by Blood and body fluids -
 Keep personal hygiene
|ɺÉÆMÉÉiÉ MÉÉjɺÉƺ{ɶÉÉÇiÉ ÊxÉ·ÉɺÉÉiÉ ºÉ½þ¦ÉÉäVÉxÉÉiÉÂ*
EÖò¹`Æö V´É®ú¶SÉ ¶ÉÉä¹É¶SÉ xÉäjÉÉʦɹªÉxiÉ B´É SÉ - - - - ºÉÆGòɨÉÎxiÉ xÉ®úÉzÉ®Æú**
 Keep professional hygiene
où¹]õEò¨ÉÉÇ ¶ÉÖÊSÉ̦ɹÉEÂò*
Use disposables and steriles
 Keep Social hygiene
गुप्ततरात्मनः||१५||
हहतं जनपदानां च शर्शवानामुपसेवनम्|
सेवनं ब्रह्मचयथस्य तर्ैव ब्रह्मचाररर्ाम्||१६||
सङ्कर्ा धमथर्शास्रार्ां महर्षीर्ां प्जतात्मनाम्|
धाशमथकै ः साप्ववकै तनथत्यं सहास्या वृद्धसम्मतैः

9. Treatment principle
 कर्म पञ्चविधं तेष ं भेषजं परर्ुच्यते||१३|| रसायनानां
ववधधवच्चोपयोगः प्रर्शस्यते| र्शस्यते देहवृविश्च भेर्षजैः
पूवथमुद्धृतैः||१४||
 सत्यं भूते दया दानं बलयो देवताचथनम ्| सद्धृिस्यानुवृविश्च
प्रर्शमो गुप्ततरात्मनः||१५||
हहतं जनपदानां च शर्शवानामुपसेवनम्|
 सेवनं ब्रह्मचयथस्य तर्ैव ब्रह्मचाररर्ाम ्||१६||
 सङ्कर्ा धमथर्शास्रार्ां महर्षीर्ां प्जतात्मनाम्|
धाशमथकै ः साप्ववकै तनथत्यं सहास्या वृद्धसम्मतैः

10. Hepatitis B - Secondary Prevention
 Hepatitis A treatment plus double extra care on
supportive treatments
 Detail attention to possible complications
 Identifying a fulminant course if any, at the earliest and
offer vigourous intervention
 Go for clinical management with experienced team

11. Understand
 <nù¨Éκ¨ÉxÉ |ÉvÉÉxÉÆ <nÆù xÉäÊiÉ, ÊSÉÊEòiºÉɪÉÉÆ |ÉvÉÉxÉÆ +´ÉºlÉÉ Ê´ÉvÉÉxÉÆ*
®úºÉ´Éè¶ÉäʹÉEòºÉÚjÉÆ
 Ê{ÉkÉÆ ´ÉμxÉ´ÉÇμxÉVÉÆ ´ÉÉ ªÉnùº¨ÉÉiÉ Ê{ÉkÉÉäÊpùHòºiÉÒIhÉiÉÞ¹hÉÉ ¤ÉÖ¦ÉÖIÉÖ&*
To the best ±ÉÆPÉxÉÆ & nùÉä¹É{ÉÉEÆò Leading to self remission
To the worst Dehydration & vÉÉiÉÖ{ÉÉEÆò tocomplications
Eäò´É±ÉÊ{ÉkÉ, Eò¡òÊ{ÉkÉ, ´ÉÉiÉÊ{ÉkÉ V´É®úÊSÉÊEòiºÉÉ, ®úHòÊ{ÉkÉÊSÉÊEòiºÉÉ, iÉÞ¹hÉÉÊSÉÊEòiºÉÉ,
¨Énù¨ÉÚUôÉǪɺÉxªÉɺÉÊSÉÊEòiºÉÉ, ªÉEÞònùÉänù®ú ÊSÉÊEòiºÉÉ
Eò¡ò¯ûrù{ÉlÉÆ - iɺªÉÊ{ÉkÉÆ Eò¡ò½þ®èúVÉǪÉäiÉÂ

12. thank you