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Gall Bladder Stone
Management by
Ayurveda
DR.SHAILESH PHALLE
MD (AYURVEDA MEDICINE)
AYUSANJIVANI AYURVEDA PUNE
www.ayusanjivani.com
9011609371
Gallstones
 In Ayurveda, gallbladder disorder is known
as Pittashmari.
 The gallbladder is a small pear-shaped organ that
averages three to six inches in length. It lies beneath
the liver in the upper right side of the abdomen.
 It is connected to the liver and small intestine by small
tubes called bile ducts. Bile, a greenish-brown fluid, is
utilized by the body to digest fatty foods and assists in
the absorption of certain vitamins and minerals.
 The gallbladder serves as a reservoir for bile. Between
meals, bile accumulates and is concentrated within this
organ. During meals, the gallbladder contracts and
empties bile into the intestine to assist in digestion.
Major Types of Gallstones :
1. Cholesterol gallstones are composed
mainly of cholesterol which is made in the liver.
2. Pigment gallstones are composed of
calcium salts, bilirubin and other materials.
3. Mixed stones are basically cholesterol stones
which have been acted upon by the body’s
bacteria and immune cells to break down the
bilirubin. This causes a change in the chemical
composition of the stones where they begin to
resemble that of pigment stones to some extent.
Major Types of Gallstones :
1. Cholesterol gallstones are composed mainly of cholesterol which
is made in the liver.
2. Pigment gallstones are composed of calcium salts, bilirubin and
other materials.
3. Mixed stones are basically cholesterol stones which have been
acted upon by the body’s bacteria and immune cells to break down the
bilirubin. This causes a change in the chemical composition of the
stones where they begin to resemble that of pigment stones to some
extent.
Causes of Gallstones :
It’s not really clear what causes gallstones to form.
Your bile contains too much cholesterol. Normally, your bile
contains enough chemicals to dissolve the cholesterol excreted by
your liver. But if your liver excretes more cholesterol than your bile
can dissolve, the excess cholesterol may form into crystals and
eventually into stones.
Your bile contains too much bilirubin. Bilirubin is a chemical
that’s produced when your body breaks down red blood cells. Certain
conditions, including liver cirrhosis, biliary tract infections and some
blood disorders, can cause your liver to make too much bilirubin. The
excess bilirubin contributes to gallstone formation.
Your gallbladder doesn’t empty correctly. If your gallbladder
doesn’t empty completely or often enough, bile may become very
concentrated and this contributes to the formation of gallstones.
Who is at risk for gallstones?
 People who are overweight
 Older persons of 60 years+
 Pregnant women
 Women who use hormone contraceptives and post-
menopausal hormones
 Persons with a family history of gallstones
 Persons of American Indian or Mexican-American ancestry
 Persons with diseases of the small intestine or issues like
Leaky Gut Syndrome
 Persons who have recently had significant weight loss
 Eating a diet that’s high in fibre, fat or cholesterol
 Persons having diabetes mellitus
Symptoms of Gallstone Disease
 Approximately 80% of all gallstones are completely asymptomatic and “silent.” The chance that
“silent” gallstones will become symptomatic is 2% for each year the stones lurk within you.
Symptoms of gallbladder disease occur when gallstones irritate the gallbladder. The most common
indicators include:
 Severe and intermittent pain in the right upper abdomen. This pain can also spread to the chest,
shoulders or back. Sometimes, this pain may be mistaken for a heart attack.
 Chronic indigestion, fever and nausea coupled with clay-colored stools can also be common gallstone
symptoms.
 In a few people, it may also happen that you develop what doctors refer to ‘complicated gallstone
disease.’ In such cases, the gallstones obstruct the flow of bile for longer periods of time or make
their way into other organs (such as the pancreas). If any of the above scenarios are true, you may
start to experience:
 High fever
 Persistent pain
 Rapid heartbeat
 Yellowing of the skin and whites of eyes (jaundice)
 Rashes on skin
 Foggy memory
 Loose bowel movements
 Chills
 Low appetite
How are gallstones identified?
 Nearly all gallstones can be easily identified by an ultrasound
examination. This is a simple and painless procedure in which sound
waves are utilized to create pictures of the gallbladder, bile ducts
and their contents. This test is highly sensitive for identifying either
gallstones or sludge within the gallbladder.
 Classically, gallstone patients can be easily identified if they display
signs like high fever accompanied by abdominal pain in the upper
right quadrant usually following a heavy meal. However, diagnosis
may not always be so easy as abdominal pain may not be
specifically localized and other symptoms like nausea and vomiting
are unexceptional.
 In such circumstance, the common symptoms of fat intolerance
cannot always be the final call. Murphy’s sign (pain under the right
costal margin when palpated) can definitely be positive, but isn’t
always a sure sign. Differential diagnoses may include IBS, peptic
ulcers, pancreatitis and dyspepsia.
What are some complications of
gallstones?
 Most people with gallstones never experience any serious
complications. However, sometimes one can experience
complications like:
 inflammation of the gallbladder (cholecystitis) – this occurs when
a gallstone gets lodged in the neck of the gallbladder
 inflammation of the bile duct (cholangitis) – this occurs when a
gallstone blocks the tubes (ducts) through which bile flows from
your gallbladder or liver to your small intestine
 inflammation of the pancreas (biliary pancreatitis) – this occurs
when a gallstone blocks the pancreatic duct, a tube that runs from
the pancreas to the common bile duct
 obstruction of the intestine (gallstone ileus) – this occurs when an
abnormal channel (known as a fistula) opens up near the
gallbladder, blocking the bowel.
Can gallstones be prevented?
Recent studies have suggested that persons at highest risk for
gallstone formation, obese persons undergoing weight
reduction, can virtually eliminate their risk for developing
gallstones by taking KANCHANAR GUGGULU.
Cholagogues and Choleretics are the two most important
traditional Ayurvedic medicines that can help in the prevention
of gallstones. Let us understand what they are:
 Cholagogues: These are herbs that have the ability to
stimulate the gallbladder in order to make it contract. Aloe
vera and castor are common examples of cholagogues.
 Choleretics: These are herbs that stimulate the liver so as
to make it secrete more bile than it usually would. Turmeric
is the best example of a bitter herb that is a choleretic
followed by dried ginger, black pepper, long pepper and
asafetida.
Ayurvedic treatment :
A)Oral medications :
 Gokshura churna,pashanbheda churna,punarnava
churna,varun churna,yavak kshar,kalmi sora,hajaral yahud
bhasma,narikela lavan,sweta parpati etc medications used.
 Narikel lavan + shweta parpati having excellent results in
pittashmari.
B)Shodhan :
 Vaman :
 Virechan :
 Shodhan basti :
Thease panchakarma procedures adviced according to
prakruti having excellent results in pittashmari.
Diet :
• Small gallstones can usually be cleared through dietetic cure. In
case of acute gall bladder inflammation, the patient should fast for
two or three days until the acute condition is reduced. Nothing but
water should be taken during this period. After the fast, the patient
should take fruit and vegetables juices for a few days. Carrots,
apples, beets, citrus fruits like oranges and grapefruit, pears,
pomegranates, lemons or grapes may be taken in the form of juice.
Bromelain, an enzyme in pineapple, and papain an enzyme
contained in the papaya are very beneficial for the gallbladder.
Thereafter, the patient should adopt a well-balanced diet with
emphasis on raw and cooked vegetables, fruit and vegetable juices.
Yogurt, cottage cheese and a tablespoon of olive oil twice a day
should also be included.
• According to a US study, a diet rich in magnesium can reduce the
risk developing gallstones. You need 400 mg per day of this
marvelous mineral. Ascorbic acid (vitamin C) has been known to be
effective to convert cholesterol to bile acids. With less cholesterol
and more acids in your body, you can decrease the risk of
gallstones.
Lifestyle
The pain of gallstone colic can be relieved by
application of hot packs or fomentation to the upper
abdominal area. A warm water enema at body
temperature will help eliminate faecal accumulation if
the patient is constipated. Physical exercise to
maintain optimal weight is also essential. Surgery
becomes necessary if the gallstones are very large or
in cases where they have been present for very long.
Yoga
 Thunderbolt Pose (Vajrasana)
 The Knee to Chest (Pawanmuktasan)
 Lotus Pose (Padmasana)
 Back-Stretching Pose (Paschimottanasana)
 Locust Pose (Shalabhasana)
CONTACT FOR DETAILS :
DR.SHAILESH S PHALLE
MD AYURVEDA MEDICINE
dr.shaileshphalle@gmail.com
CLINIC ADDRESS :
Dr.Phalles Ayusanjivani Specility Clinic and Panchakarma
Centre
1 st floor, opposite radisson blu hotel,
bypass road ,Kharadi Pune :411014
www.aysunajivani.com
 For online appointment : 9011609371 (whats up )
 For details : 8432329371 ( whats up )

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Gall bladder stone treatment by dr.shailesh phalle

  • 1. Gall Bladder Stone Management by Ayurveda DR.SHAILESH PHALLE MD (AYURVEDA MEDICINE) AYUSANJIVANI AYURVEDA PUNE www.ayusanjivani.com 9011609371
  • 2. Gallstones  In Ayurveda, gallbladder disorder is known as Pittashmari.  The gallbladder is a small pear-shaped organ that averages three to six inches in length. It lies beneath the liver in the upper right side of the abdomen.  It is connected to the liver and small intestine by small tubes called bile ducts. Bile, a greenish-brown fluid, is utilized by the body to digest fatty foods and assists in the absorption of certain vitamins and minerals.  The gallbladder serves as a reservoir for bile. Between meals, bile accumulates and is concentrated within this organ. During meals, the gallbladder contracts and empties bile into the intestine to assist in digestion.
  • 3. Major Types of Gallstones : 1. Cholesterol gallstones are composed mainly of cholesterol which is made in the liver. 2. Pigment gallstones are composed of calcium salts, bilirubin and other materials. 3. Mixed stones are basically cholesterol stones which have been acted upon by the body’s bacteria and immune cells to break down the bilirubin. This causes a change in the chemical composition of the stones where they begin to resemble that of pigment stones to some extent.
  • 4. Major Types of Gallstones : 1. Cholesterol gallstones are composed mainly of cholesterol which is made in the liver. 2. Pigment gallstones are composed of calcium salts, bilirubin and other materials. 3. Mixed stones are basically cholesterol stones which have been acted upon by the body’s bacteria and immune cells to break down the bilirubin. This causes a change in the chemical composition of the stones where they begin to resemble that of pigment stones to some extent.
  • 5. Causes of Gallstones : It’s not really clear what causes gallstones to form. Your bile contains too much cholesterol. Normally, your bile contains enough chemicals to dissolve the cholesterol excreted by your liver. But if your liver excretes more cholesterol than your bile can dissolve, the excess cholesterol may form into crystals and eventually into stones. Your bile contains too much bilirubin. Bilirubin is a chemical that’s produced when your body breaks down red blood cells. Certain conditions, including liver cirrhosis, biliary tract infections and some blood disorders, can cause your liver to make too much bilirubin. The excess bilirubin contributes to gallstone formation. Your gallbladder doesn’t empty correctly. If your gallbladder doesn’t empty completely or often enough, bile may become very concentrated and this contributes to the formation of gallstones.
  • 6. Who is at risk for gallstones?  People who are overweight  Older persons of 60 years+  Pregnant women  Women who use hormone contraceptives and post- menopausal hormones  Persons with a family history of gallstones  Persons of American Indian or Mexican-American ancestry  Persons with diseases of the small intestine or issues like Leaky Gut Syndrome  Persons who have recently had significant weight loss  Eating a diet that’s high in fibre, fat or cholesterol  Persons having diabetes mellitus
  • 7. Symptoms of Gallstone Disease  Approximately 80% of all gallstones are completely asymptomatic and “silent.” The chance that “silent” gallstones will become symptomatic is 2% for each year the stones lurk within you. Symptoms of gallbladder disease occur when gallstones irritate the gallbladder. The most common indicators include:  Severe and intermittent pain in the right upper abdomen. This pain can also spread to the chest, shoulders or back. Sometimes, this pain may be mistaken for a heart attack.  Chronic indigestion, fever and nausea coupled with clay-colored stools can also be common gallstone symptoms.  In a few people, it may also happen that you develop what doctors refer to ‘complicated gallstone disease.’ In such cases, the gallstones obstruct the flow of bile for longer periods of time or make their way into other organs (such as the pancreas). If any of the above scenarios are true, you may start to experience:  High fever  Persistent pain  Rapid heartbeat  Yellowing of the skin and whites of eyes (jaundice)  Rashes on skin  Foggy memory  Loose bowel movements  Chills  Low appetite
  • 8. How are gallstones identified?  Nearly all gallstones can be easily identified by an ultrasound examination. This is a simple and painless procedure in which sound waves are utilized to create pictures of the gallbladder, bile ducts and their contents. This test is highly sensitive for identifying either gallstones or sludge within the gallbladder.  Classically, gallstone patients can be easily identified if they display signs like high fever accompanied by abdominal pain in the upper right quadrant usually following a heavy meal. However, diagnosis may not always be so easy as abdominal pain may not be specifically localized and other symptoms like nausea and vomiting are unexceptional.  In such circumstance, the common symptoms of fat intolerance cannot always be the final call. Murphy’s sign (pain under the right costal margin when palpated) can definitely be positive, but isn’t always a sure sign. Differential diagnoses may include IBS, peptic ulcers, pancreatitis and dyspepsia.
  • 9. What are some complications of gallstones?  Most people with gallstones never experience any serious complications. However, sometimes one can experience complications like:  inflammation of the gallbladder (cholecystitis) – this occurs when a gallstone gets lodged in the neck of the gallbladder  inflammation of the bile duct (cholangitis) – this occurs when a gallstone blocks the tubes (ducts) through which bile flows from your gallbladder or liver to your small intestine  inflammation of the pancreas (biliary pancreatitis) – this occurs when a gallstone blocks the pancreatic duct, a tube that runs from the pancreas to the common bile duct  obstruction of the intestine (gallstone ileus) – this occurs when an abnormal channel (known as a fistula) opens up near the gallbladder, blocking the bowel.
  • 10. Can gallstones be prevented? Recent studies have suggested that persons at highest risk for gallstone formation, obese persons undergoing weight reduction, can virtually eliminate their risk for developing gallstones by taking KANCHANAR GUGGULU. Cholagogues and Choleretics are the two most important traditional Ayurvedic medicines that can help in the prevention of gallstones. Let us understand what they are:  Cholagogues: These are herbs that have the ability to stimulate the gallbladder in order to make it contract. Aloe vera and castor are common examples of cholagogues.  Choleretics: These are herbs that stimulate the liver so as to make it secrete more bile than it usually would. Turmeric is the best example of a bitter herb that is a choleretic followed by dried ginger, black pepper, long pepper and asafetida.
  • 11. Ayurvedic treatment : A)Oral medications :  Gokshura churna,pashanbheda churna,punarnava churna,varun churna,yavak kshar,kalmi sora,hajaral yahud bhasma,narikela lavan,sweta parpati etc medications used.  Narikel lavan + shweta parpati having excellent results in pittashmari. B)Shodhan :  Vaman :  Virechan :  Shodhan basti : Thease panchakarma procedures adviced according to prakruti having excellent results in pittashmari.
  • 12. Diet : • Small gallstones can usually be cleared through dietetic cure. In case of acute gall bladder inflammation, the patient should fast for two or three days until the acute condition is reduced. Nothing but water should be taken during this period. After the fast, the patient should take fruit and vegetables juices for a few days. Carrots, apples, beets, citrus fruits like oranges and grapefruit, pears, pomegranates, lemons or grapes may be taken in the form of juice. Bromelain, an enzyme in pineapple, and papain an enzyme contained in the papaya are very beneficial for the gallbladder. Thereafter, the patient should adopt a well-balanced diet with emphasis on raw and cooked vegetables, fruit and vegetable juices. Yogurt, cottage cheese and a tablespoon of olive oil twice a day should also be included. • According to a US study, a diet rich in magnesium can reduce the risk developing gallstones. You need 400 mg per day of this marvelous mineral. Ascorbic acid (vitamin C) has been known to be effective to convert cholesterol to bile acids. With less cholesterol and more acids in your body, you can decrease the risk of gallstones.
  • 13. Lifestyle The pain of gallstone colic can be relieved by application of hot packs or fomentation to the upper abdominal area. A warm water enema at body temperature will help eliminate faecal accumulation if the patient is constipated. Physical exercise to maintain optimal weight is also essential. Surgery becomes necessary if the gallstones are very large or in cases where they have been present for very long.
  • 14. Yoga  Thunderbolt Pose (Vajrasana)  The Knee to Chest (Pawanmuktasan)  Lotus Pose (Padmasana)  Back-Stretching Pose (Paschimottanasana)  Locust Pose (Shalabhasana)
  • 15. CONTACT FOR DETAILS : DR.SHAILESH S PHALLE MD AYURVEDA MEDICINE dr.shaileshphalle@gmail.com CLINIC ADDRESS : Dr.Phalles Ayusanjivani Specility Clinic and Panchakarma Centre 1 st floor, opposite radisson blu hotel, bypass road ,Kharadi Pune :411014 www.aysunajivani.com  For online appointment : 9011609371 (whats up )  For details : 8432329371 ( whats up )