Steatohepatitis is a disorder in which accumulation of excess fat occurs in the liver. It is a metabolic liver disease which can be alcoholic or non-alcoholic in nature. Considering the basic concepts of Ayurveda, it may be related to Dhatwagni vikara which may arise from santarpanotha or apatarpanotha nidana. The concept of Steatohepatitis may be related to raktavahasrotomoola medavriddhi, pittasthane kaphameda vriddhi, pittasthane dhatwagni dushti, pitta stane medasanchaya. The non-alcoholic causes include synthetic estrogens, amiodarone, patients on parenteral nutrition and in industrial workers exposed to volatile petrochemical products. The various stages of steatohepatitis include Simple steatosis, Steato-hepatitis (inflammation), Advanced Fibrosis (hardening), Matrix deposition (Sanga), Matrix removal from its place (Ashayapakarsha), Cirrhosis (Shrinking) and Primary Liver Carcinoma. Usually the early stages of Steatohepatitis are asymptomatic and maybe diagnosed accidentally when checked for some other issues. All the dravyas having the property of ushna, kaphamedohara properties and which are antioxidant in nature may help in the condition of Steatohepatitis. The diagnosis of Steatohepatitis if done in an earlier stage can be treated in an efficient way by the plentiful of medicines in Ayurveda.
Steatohepatitis, NASH, Dhatwagni vikara, Snehapana
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