Traditionally described in Ayurvedic texts as conditions involving the enlargement of the liver and spleen, respectively, Yakrut Vriddhi and Plihavruddhi represent serious health issues that frequently correlate with contemporary medical diagnoses like hepatomegaly and splenomegaly, including conditions like liver cirrhosis and hypersplenism. The liver (Yakrut) and spleen (Pliha) are regarded as essential organs in Ayurveda and are the Moolasthana (root) of the Raktavaha Srotas (blood-carrying channels). Their pathophysiology is mostly caused by vitiation of Kapha and Rakta Dhatu, as well as imbalances in Pitta Dosha, especially Ranjaka Pitta, which is in charge of blood coloration and metabolism. Inappropriate eating habits (vidahi and abhisyandi ahara, which are foods that cause burning and channel blockage), an erratic lifestyle, intense physical or mental activity, repression of natural desires, and poor agni (digestive fire) are frequently the causes of these illnesses. These elements cause Ama (toxins) to build up and Doshas to become vitiated, clogging the Srotas and causing Yakrut and Pliha to enlarge and malfunction. Anorexia (aruci), indigestion (avipaka), weakness (daurbalya), stomach discomfort (udarashoola), nausea, vomiting, exhaustion, and in more severe cases, jaundice (kamala) and ascites (jalodara) are symptoms of Yakrut Vriddhi. Plihavruddhi frequently manifests as left upper abdominal ache or discomfort, anemia, easy bleeding, recurrent infections, and a sense of fullness even after little meals. Upon inspection, these disorders may show up as a palpable, enlarged organ. A 31-year-old patient in this case study complained of excruciating stomach discomfort, nausea, vomiting after meals, weakness, anorexia, and headaches after just ten days. Usg of the abdomen shows two non-obstructing canaliculi, a dilated portal vein, severe splenomegaly in the splenic hilar and peripancreatic regions, and moderate hepatomegaly with a slightly elevated echotexture. The patient was managed with Deepan, Pachana, Shaman Chikitsa (~oral medication). There was a notable decrease following therapy.
Dr. Gopesh Mangal2 Dr. Sneh Kanwar Rathore*1 (Mon,) studied this question.