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Liver Disease is a medical condition

Liver Disease • Liver is a large solid gland
• Occupies rt. Hypochondria, epigastrium
• 2 lobes- right and left
• Functional unit are the lobules, each lobule consists of hepatocytes
• Portal Triad- Hepatic artery, Portal vein and Bile duct
• Blood supply-arterial thro’Hepatic artery & venous blood thro portal vein.
• Synthetic Functions- plasma proteins,some enzymes, blood clotting factors, urea, cholesterol
• Metabolic Functions- protein metabolism, fat metabolism carbohydrate metabolism

Hepato-billiary System:
Major Manifestations in Liver Disease:
. Viral hepatitis
. Ascities
. Alcoholic liver disease
. Cirrhosis of the liver
. Fatty Liver changes
. Diminished Liver Function

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Diminished Liver Function:
. Liver failure is the inability of the liver to perform its normal synthetic and metabolic function as part of physiology.
. chronic liver failure usually occurs in the context of cirrhosis , itself potentially the result of many possible causes , such as excessive alcohol intake, hepatitis B or C,autoimmune ,hereditary and metabolic causes

Common Symptoms:
. Yellowish discoloration of skin which is obvious
. Yellowish discoloration of eyes (icterus)
. pale stools
. Dark or black urine
. Nausea and vomiting
. Abdominal distension primarily due to fluid (ascites)
. Excessive Fatigue
. Itchy skin, Dry Skin

Viral Hepatitis:
. Hepatitis implies inflammatory of the liver characterized by the presence of inflammatory cells in tissue of the organ.
. Symptoms may include malaise, muscles and join aches, fever, nausea or vomiting, diarrhea, headache, profound loss of appetite, aversion to smoking among smokers, dark urine, yellowing of the eyes and skin (i.e. jaundice) and abdominal discomfort. Physical findings are usually minimal, apart from jaundice (33%) and tender hepatomegaly (10%). There can be occasional lymphadenopathy (5%) or splenomegaly (5%).

Alcoholic Liver Disease:
. Alcoholic hepatitis is inflammation of the liver due to excessive intake of alcohol.
. Alcoholic hepatitis is characterized by a variable constellation of symptoms, which may include feeling unwell, enlargement of the liver, development of fluid in the abdomen (ascites ) and modest elevation of liver enzyme levels (as determined by liver function tests )

Fatty Liver:
. Fatty liver, also known as fatty liver disease, is a reversible condition where large vacuoles of triglyceride fat accumulate in liver cells via the process of steatosis.
. Despite having multiple causes, fatty liver can be considered as single disease that occurs worldwide in those with excessive alcohol intake and those who are obese.

Liver Disease Treatment:

1. Deepana (Carminatives)
2. Pachana (Digestives)
3. Shodhaka (Laxatives)
4. Pittavirechaka (Cholegogues) herbs are recommended.

Virechana and Vamana and Basti depending upon the grade of disease are suggested.
Diet: Fat restricted food and protein rich food are recommended. In cases of hypoglycemia, intermittent glucose is advised.

1. Barley
2. Wheat
3. Green Gram
4. Red Rice
5. Bottle gourd.
6. Light food
7. Tender Coconut
8. Raisins
9. Good water intake

1. High fat foods
2. Deep fried food
3. Aerated drinksv 4. Night awakening
5. Alcohol intake
6. Mustard oil and Mustard seeds and leaves
7. Excess salt intake
8. Spices such as Dalchini, greenor red chilly.