An Ayurvedic Case Report of Yakritdalyodar with Special Reference to Hepatomegaly: A Clinical Presentation

Introduction- Hepatomegaly is an enlargement of the liver caused by metabolic, infectious, inflammatory, or infiltrative conditions. In Ayurveda, it can be correlated with Yakritdalyodar, described under Udara Roga. The condition is primarily associated with Agnimandya, Ama formation, and vitiation of Pitta-Kapha Dosha, leading to dysfunction of Raktavaha Srotas. This case highlights the Ayurvedic understanding and management of hepatomegaly with clinical correlation and therapeutic outcomes.

Case presentation- A 50-year-old male patient presented with nausea, constipation, pain and tenderness in the right hypochondrium, indigestion, coated tongue, gaseous distension, and abdominal discomfort persisting for two years. On examination, the patient had coated tongue, abdominal tenderness, and symptoms suggestive of digestive impairment. Laboratory investigations revealed elevated liver enzymes consistent with hepatomegaly with fatty liver infiltration.The case was diagnosed as hepatomegaly with fatty liver changes, correlated with Yakritdalyodar in Ayurvedic perspective. The patient was managed with Ayurvedic medications aimed at correcting Agnimandya, reducing Ama, and balancing Pitta-Kapha Dosha over a period of six months. After six months of treatment, the patient showed marked symptomatic relief along with significant improvement and normalization of biochemical parameters.

Conclusion- This case demonstrates that Ayurvedic management focusing on Agnimandya, Ama pachana, and Dosha shodhana can be effective in improving symptoms and biochemical markers in hepatomegaly (Yakritdalyodar). It highlights the potential role of integrative Ayurvedic therapy in chronic hepatic disorders.