Cholangitis is the inflammation of the bile duct system.  The bile duct is the slender tube that carries bile through the liver.

• SIGNS AND SYMPTOMS OF CHOLANGITIS 
• CAUSES OF CHOLANGITIS 
• PATHOPHYSIOLOGY OF CHOLANGITIS 
• DIAGNOSIS OF CHOLANGITIS 
• TREATMENTS FOR CHOLANGITIS 
• PROGNOSIS OF CHOLANGITIS 
• COMPLICATIONS OF CHOLANGITIS 
• CHOLANGITIS AND AYURVEDA
• NIDANA- AYURVEDIC CAUSES OF CHOLANGITIS 
• PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CHOLANGITIS 
• SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CHOLANGITIS 
• LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CHOLANGITIS 
• AYURVEDIC PROGNOSIS OF CHOLANGITIS 
• CHIKITSA- AYURVEDIC TREATMENT FOR CHOLANGITIS 
• AYURVEDIC LOCAL TREATMENT FOR CHOLANGITIS 
• AYURVEDIC SAMANA TREATMENT FOR CHOLANGITIS 
• AYURVEDIC SHODHANA TREATMENT FOR CHOLANGITIS 
• COMMONLY USED AYURVEDIC MEDICINES FOR CHOLANGITIS 
• HOME REMEDIES FOR CHOLANGITIS 
• DIET AND BEHAVIOUR FOR CHOLANGITIS 
• YOGA FOR CHOLANGITIS 
• RESEARCH PAPERS ON AYURVEDIC MANAGEMENT OF CHOLANGITIS 

SIGNS AND SYMPTOMS OF CHOLANGITIS 

• Fever
• Chills
• Fatigue
• Yellow discolouration in the skin, mucous membrane, sclera
• Right abdominal pain
• Vomiting
• Nausea
•  Dark coloured urine
• Clay coloured stools

CAUSES OF CHOLANGITIS 

• Gall stones – Cholesterol stones, Pigment stones, Mixed stones
• Primary sclerosing cholangitis
• Narrowing of bile duct
• Obstruction in the bile duct
• Parasitic infection
• Bacterial infections

PATHOPHYSIOLOGY OF CHOLANGITIS 

Cholangitis due to gall stone obstruction is more common. If there is increased cholesterol secretion and decreased bile acid secretion, supersaturation of bile occurs. This leads to the precipitation of secretions along with cholesterol in the gall bladder gradually gall stones are manifested. These gall stones obstruct the bile duct causing inflammation and associated symptoms.

DIAGNOSIS OF CHOLANGITIS 

• Blood test
• Liver function test
• Magnetic resonance imaging (MRI)

• Abdominal ultrasonography (ultrasound)
• Computerized tomography (CT) scan
• Endoscopic retrograde cholangiopancreatography

TREATMENTS FOR CHOLANGITIS 

• Antibiotics to control bacterial infections
• Removal of obstruction and draining of fluid
• Treatment of underlying pathology
•  Surgical interventions

PROGNOSIS OF CHOLANGITIS 

• Prognosis is based on the cause of the bile duct inflammation and the condition of the patient

COMPLICATIONS OF CHOLANGITIS      

• Liver diseases
• Portal hypertension
• Recurrent infections

CHOLANGITIS AND AYURVEDA

• In Ayurveda,cholangitis is managed based on the treatment principle of ‘yakrit pleehodara’.

NIDANA- AYURVEDIC CAUSES OF CHOLANGITIS 

• Excess consumption of sour food
• Excess aggravation of doshas
• Virudhahara – incompatible food
• Rudhapadha – obstruction in bile duct by pittashmari

PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CHOLANGITIS 

• Kshud nasa – loss of appetite
• Chirat pachanam – delay in digestion
• Sahate na athisouhityam – intolerance to excess eating

SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CHOLANGITIS 

• Agnimandya and tridosha prakopa adversely affect the swedavaha, udakavaha and rasavaha srothas leading to yakrit pleeha vridhi and associated symptoms.

LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CHOLANGITIS 

• Sula – abdominal pain
• Chardi – vomiting
• Avipaka – indigestion
• Jwara – fever
• Ksheena – fatigue
• Pale stools

AYURVEDIC PROGNOSIS OF CHOLANGITIS 

• Krichra sadya – difficult to cure

CHIKITSA- AYURVEDIC TREATMENT FOR CHOLANGITIS 

AYURVEDIC SAMANA TREATMENT FOR CHOLANGITIS 

• Avipatti churna
• Vasaguluchyadi kashayam
• Gokshuradi churna
•  Gorochanadhi vati
• Yavakshara
• Hazrulayahuda bhasma
• Katuki churna
• Usheerasava – after food
• Chandraparbhavati
• Arogyavardhini vati
• Eranda taila along with lukewarm cow’s milk

 AYURVEDIC SHODHANA TREATMENT FOR CHOLANGITIS 

• Vamana – emesis
• Virechana – purgation

COMMONLY USED AYURVEDIC MEDICINES FOR CHOLANGITIS 

Internal administration

• Avipatti churna
• Vasaguluchyadi kashayam
• Gokshuradi churna
• Usheerasava
• Chandraparbhavati
•  Gorochanadhi vati
• Yavakshara
• Arogyavardhini vati
• Eranda taila
• Hazrulayahuda bhasma

HOME REMEDIES FOR CHOLANGITIS 

• consume sugarcane juice
• grape juice
• Apple cider vinegar

DIET AND BEHAVIOUR FOR CHOLANGITIS 

• Avoid food items that produce dosha imbalance like sour, cold and dry food, hard to digest. Because dosha imbalance aggravates the symptoms.
• Consume easily digestible food items
• Avoid high cholesterol diet

YOGA FOR CHOLANGITIS 

• Nadi Shuddi Pranayam    – refresh the body and mind

The patient needs to be seated in a meditative posture with the head and spine erect, and the body relaxed. The patient has to close one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.                             

• Bhujangasana
• Dhanurasana
• Pashchimottasana

RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF CHOLANGITIS 

1.     Ayurvedic Approach In Primary Biliary Cholangitis (PCB): A case study

https://www.researchgate.net/publication/331928963_Ayurvedic_Approach_In_Primary_Biliary_Cholangitis_PCB_A_case_study

2.     A case study on the management of pittashmari w.s.r. to gall bladder stone

https://www.jaims.in/index.php/jaims/article/view/611

• A case study on ayurvedic management of gall stones (cholelithiasis)

Click to access 1509445012.pdf

• Ayurvedic management of cholelithiasis (pittashmari): a case study

Click to access 1469876692.pdf

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