Role of Ayurveda in the Management of Pittashaya Ashmari (Cholelithiasis)- A Clinical Case Study

Abstract

Pittashaya Ashmari, clinically correlated with cholelithiasis, is a common hepatobiliary disorder with a global prevalence of approximately 10–15% and an estimated prevalence of 6–9% in India. In Ayurveda, this condition is attributed to vitiation of Pitta Pradhana Tridosha affecting the biliary system, resulting in symptoms such as abdominal pain, dyspepsia, nausea, abdominal distension, and intolerance to fatty foods. This case report describes a 24-year-old female who presented with severe abdominal pain, distension, anorexia, and nausea. Ultrasonography confirmed a distended gallbladder with a hyperechoic focus measuring 5mm suggestive of gallbladder calculus, along with mildly increased echotexture of both kidneys. The patient was managed conservatively with Ayurvedic formulations including Chandraprabha Vati, Punarnava Churna, Goksura Churna, Sariva Churna, Dhaniya Churna, and Neeri KFT Syrup, Tab Pithorin, Hajrul Yahood Bhasma for a duration of four months. During the treatment period, the patient experienced gradual and complete relief from abdominal pain and associated symptoms, indicating a favourable clinical response. Follow-up Ultrasonography showed a reduction in stone size to 3.7mm and subsequent imaging confirmed complete resolution of the gallbladder calculus without any adverse effects. This case highlights the Potential role of Ayurvedic therapy as a safe, non-invasive, and cost-effective option in the conservative management of early and uncomplicated Pittashaya Ashmari alternative to surgical management.