Biliary colic develops when gall stones quickly hinder the cystic duct or the frequent bile duct. Cholecystitis happens when this obstruction is extended, leading to irritation of the gall bladder wall. The phrase ‘honest, feminine, fats and fertile’ summarizes the key threat components for the event of gall stones and gall bladder illness. Typical signs embrace fixed ache within the stomach on the fitting higher facet, nausea, vomiting and fever. Most sufferers normally give a historical past of recurrent episodes of such ache.
The administration of sufferers with biliary colic relies upon upon the severity of the signs. Acute and extreme irritation may end up in gangrene and perforation and due to this fact, all sufferers within the acute section have to be hospitalized and noticed rigorously. As soon as the acute section has settled down, remedy is given to scale back the irritation, take away the obstruction, and stop recurrence of signs. For persistent ache, Ayurvedic medicines like Shank-Vati, Hingashtak-Churna, Agnitundi-Vati, Vishtinduk-Vati, Vat-Gajankush-Ras, and Triphala-Guggulu are used. If investigations reveal a excessive diploma of irritation within the gall bladder, medicines like Shankh-Bhasma, Praval-Panchamrut, Kamdudha-Ras, Sutshekhar-Ras and Chandrakala-Ras are used. So as to take away the obstruction of gall stones, medicines like Arogya-Vardhini, Sharpunkha (Tephrosia purpuria), Kutki (Picrorrhiza kurroa), Tamra-Bhasma, Punarnava (Boerhaavia diffusa), Kalmegh (Andrographis paniculata), Devdangri (Luffa echinata), Bhrungraj (Eclipta alba), Bhumiamalaki (Phyllanthus niruri), Yav-Kshar, Swarjika-Kshar, Surya-Kshar and Apamarga-Kshar are used.
So as to stop a recurrence of this situation, medicines like Arogya-Vardhini, Sutshekhar-Ras and Shankh-Vati are utilized in low doses for extended intervals. Diabetes, HIV, cardio-vascular illness, weight problems and extended fasting are identified threat components for gall bladder illness and gall stones. Different preventive remedy particular to those situations must be given so as to stop cholecystitis and biliary colic in such sufferers. Triphala-Guggulu and Arogya-Vardhini are helpful medicines which may obtain this function in sufferers with cardio-vascular illness and weight problems. Chandraprabha-Vati could be added to the remedy of sufferers with diabetes. For sufferers with HIV, medicines like Bhumiamalaki, Yashtimadhuk (Glycerrhiza glabra) and Bhrungraj could be added to different remedy so as to stop gall bladder pathology.
Biliary colic and cholecystitis thus want a even handed mixture of pre-hospital, hospital and post-hospital remedy. Surgical procedure could also be required for sufferers suspected of getting an imminent perforation or different severe issues of the illness. Surgical procedure might also be required for sufferers with recurrent signs who don’t reply to plain medical remedy.