An Ayurvedic Perspective of Nonalcoholic Fatty Liver Disease

  • Falguni Joshi Ph.D. Scholar, PG Department of Kayachikitsa, National Institute of Ayurveda, (De-Novo), Jaipur, Rajasthan, India.
  • Udai Raj Saroj Professor, PG Department of Kayachikitsa, National Institute of Ayurveda, (De-Novo), Jaipur, Rajasthan, India.
Keywords: Coronary Artery Disease, Steatosis, Steatohepatitis, Ayurveda

Abstract

Background: Non-Alcoholic Fatty Liver Disease (NAFLD) is a spectrum of liver disorders characterized by the accumulation of fat in the liver, including simple steatosis and non-alcoholic steatohepatitis (NASH). If left untreated, it can progress to more severe conditions such as liver cirrhosis and hepatocellular carcinoma. NAFLD is also associated with metabolic disorders like type 2 diabetes and coronary artery disease. Current treatment approaches are limited and largely centered around lifestyle and dietary changes.  Aim and Objective: To explore and present a comprehensive understanding of Non-Alcoholic Fatty Liver Disease (NAFLD) from an Ayurvedic perspective and evaluate its potential in the management and treatment of this condition. Materials and Methods: A thorough review of classical Ayurvedic texts and contemporary scientific literature was conducted to identify correlations between NAFLD and relevant Ayurvedic concepts. The study also examined existing Ayurvedic formulations, dietary practices, and lifestyle interventions that align with managing conditions analogous to NAFLD. Conclusion: Ayurveda offers a holistic approach to preventing and managing NAFLD through personalized dietary guidelines, lifestyle modifications, and herbal formulations. Its emphasis on balancing bodily Doshas and promoting liver health positions it as a promising complementary strategy in managing NAFLD and related metabolic disorders.

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References

Ralston SH, Penman ID, Strachan MWJ, Hobson R, editors. Davidson’s principles and practice of medicine. 22nd ed. London: Elsevier Health Sciences; 2018. Chapter 13, Liver and biliary disorders. p. 502.

Panda AK, Kar A, Gupta N, Yadav R, Mishra GS, Rout S. A consensus-driven statement for Ayurvedic nomenclature of various liver diseases (Yakrit Roga). Int J Ayu Trad Med. 2021;1(5).

Panda AK. Ayurveda management of liver diseases (Yakrit Vikara) [Internet]. 2020 Nov [cited 2025 Jun 20]. Available from: https://www.researchgate.net/publication/345504276_Ayurveda_Management_of_Liver_Diseases_Yakrit_Vikara

Charaka. Charaka Samhita. Shastri K, Chaturvedi G, editors. 1st ed. Varanasi: Chaukhamba Prakashana; Vol. 1, Sutra Sthana 23/3–7.

Mitra S, De A, Chowdhury A. Epidemiology of non-alcoholic and alcoholic fatty liver diseases. Transl Gastroenterol Hepatol. 2020;5:16.

Shalimar, Elhence A, Bansal B, Gupta H, Anand A, Singh TP, et al. Prevalence of non-alcoholic fatty liver disease in India: a systematic review and meta-analysis. J Clin Exp Hepatol. 2022;12:818–29.

Union Health Secretary, Ministry of Health and Family Welfare. [Internet]. 2024 Sep 27 [cited 2025 Jun 20]. Available from: https://pib.gov.in

Charaka. Charaka Samhita. Shastri K, Chaturvedi G, editors. Varanasi: Chaukhamba Prakashana; Vol. 2, Chikitsa Sthana 13/20–22.

Sushruta. Shushruta Samhita. Shastri A, editor. Varanasi: Chaukhamba Sanskrit Sansthana; 2016. Nidansthana 7/14–16.

National Institute of Indian Medical Heritage. e-Sushruta Samhita [Internet]. [cited 2025 Jun 20]. Available from: https://niimh.nic.in/ebooks/esushruta/?mod=adhi

Hui P, Jena S, Mishra S. Conceptual study of non-alcoholic fatty liver disease and its management in Ayurveda. J Ayurveda Integr Med. 2024;9.

Behere P, Kulthe NS. Concept of fatty liver and its management in Ayurveda. Himalayan J Health Sci. 2021;6(4).

Gupta V, Sharma VB, Tiwari RC, Dikshit M, Mittal B. Efficacy of Shleshmatakadhya Agad Ghanavati on non-alcoholic fatty liver disease (NAFLD): a prospective case study. Ann Ayurvedic Med. 2022;11(4):Oct–Dec.

Chawla YK, Taneja S. API Textbook of medicine. 9th ed. Delhi: Jaypee Brothers Medical Publishers; 2012. Vol. 1, Sec. 14, Ch. 11. p. 886–7.

Vagbhata. Ashtanga Hridaya. Gupta A, Upadhyaya Y, editors. Varanasi: Chaukhamba Prakashan; 2019. Nidanasthana Ch. 12/1.

Nisha MG, et al. The effect of Parikara Gutika in non-alcoholic fatty liver disease: a case study. Int J Res Ayurveda Pharm. 2018;9(3):44–6.

Remya E, Goyal M. Non-alcoholic fatty liver disease—an Ayurvedic pragmatic approach with its management. Int J Ayurvedic Herbal Med. 2017;7(6):2948–55.

Ambika K, Mini VG, Vishnu Priya LR. Conceptual understanding of non-alcoholic fatty liver disease. Int J Ayurveda Pharm Res. 2022;10(8).

Kumar D, Godatwar P, Sharma S, Singh P. An etiopathological study of Meda Sanchaya in liver with special reference to NAFLD and clinical study of Triphala Guggulu and Punarnavastak Kwatha. World J Pharm Med Res. 2019;5(12):100–6.

Pawar S, Kadam R, Jawale S. An open randomized study of Patola Katurohinyadi Kashayam in alcoholic liver disease. Int J Ayurveda Pharm Res. 2015;3(7).

Dasi P, Maheshwar T, Anuradha D, Koteswara Rao CVS. Arogyavardhini Vati: a boon for liver disorders from Ayurveda (fatty liver). Ayushdhara. 2021;8(4).

Bhaisajyaratnavali. Shastri KA, Mishra B, editors. Pleehayakridroga Chikitsa Prakarana. Varanasi: Chaukhamba Prakashana; p. 769.

Panda AK, Panigiri H, Kar S. Managing hyperbilirubinemia of alcoholic liver cirrhosis by Ayurveda medication: a case report. J Clin Exp Hepatol. 2022;12(S2):S10–S13. Poster (Clinical).

Ibid. Ref. 20. Udara Roga Chikitsa Prakarana. p. 768.

Mishra R, Mishra A, Kotturshetti IB. Management of Yakrit Vriddhi (hepatomegaly) by Shodhana Chikitsa (Virechana) followed by Shamana Chikitsa (Arka Makoi): a case study. Int J Res Ayurveda Pharm. 2021;12(4).

Sawarkar G, Sawarkar P. Effective management of non-alcoholic fatty liver disease with Siravedha: a case report. Int J Ayurvedic Med. 2023;13(1):219–22.

Sharma KK, Kumar KP. Effect of yogic practices on liver function parameters. Yoga Int J Yoga Allied Sci. 2017;6 (Suppl):242.

CITATION
DOI: 10.21760/jaims.10.5.21
Published: 2025-06-22
How to Cite
1.
Joshi F, Udai Raj Saroj. An Ayurvedic Perspective of Nonalcoholic Fatty Liver Disease. J Ayurveda Integr Med Sci [Internet]. 2025Jun.22 [cited 2025Jul.24];10(5):147 -153. Available from: https://www.jaims.in/jaims/article/view/4354
Section
Review Article