Thursday, October 23, 2014

jaundice

Dictionary Meaning -
(according to Dorland's pocket medical Dictionary)

Jaundice - icterus; yellowness of the skin, scleras, mucous membranes, and excretions due to hyperbilirubinemia and deposition of bile pigments.

alcoholic jaundice - jaundice without bilirubinemia,  associated with elevated unconjugated bilirubin that is not excreted by the kidney.

breastfeeding jaundice - jaundice occurring in breastfed infants within the first week of life, most commonly caused by inadequate intake.

breast milk jaundice - jaundice occurring in breastfed infants after the first 3-5 days of life, within serum bilirubin generally peaking at approximately 2 weeks and falling gradually over the next several months.

cholestatic jaundice - that resulting from abnormal bile flow in the liver.

haemolytic jaundice - that due to increased production of bilirubin from haemoglobin under conditions causing accelerated degradation of erythrocytes.

hepatocellular jaundice - that due to injury to or disease of liver cells.

hepatogenic jaundice, hepatogenous jaundice - that due to disease or disorder of the liver.

leptospiral jaundice - Weil syndrome.

mechanical jaundice - obstructive jaundice.

neonatal jaundice, jaundice of the newborn - icterus neonatorum.

nuclear jaundice - kernicterus.

obstructive jaundice - that due to blocking of bile flow.

physiologic jaundice - mild icterus neonatorum lasting the first few days of life.

retention jaundice - that due to inability of the liver to dispose of the bilirubin provided by the circulating blood.


Pathological Point Of View -


  • Jaundice (also known as icterus, from the Greek word ίκτερος; adjectival form, icteric) is a yellowish pigmentation of the skin, the conjunctival membranes over the sclerae (whites of the eyes), and other mucous membranes caused by hyperbilirubinemia (increased levels of bilirubin in the blood).
  • This hyperbilirubinemia subsequently causes increased levels of bilirubin in the extracellular fluid. 
  • Concentration of bilirubin in blood plasma is normally below 1.2 mg/dL (<25µmol/L). 
  • A concentration higher than approx. 3 mg/dL (>50µmol/L) leads to jaundice. 
  • The term jaundice comes from the French word jaune, meaning yellow.









 Jaundice of the skin caused by hepatic  failure.

















A 4-year-old boy with icteric (jaundiced) sclera which later proved to be a manifestation of hemolytic anemia due to G6PD deficiency following fava bean consumption.










For More Details :-



Signs & Symptoms :-










Pathophysiology :-







Management :-







Treatment in ayurveda :-





Treatment in modern medicine :-


  • suspect infective hepatitis when patient complains of sudden weakness, & loss of appetite, with nausea, fever and tender palpable liver. Examine the sclera of eyes in bright sunlight.
  • complete bed rest is very essential, till S.Bilirubin < 1.5%, and enzymes are normal. 
  • Diet :-
  • fat free diet. no oil, ghee & fried food. 
  • plenty of sweets, sugar, sugarcane juice. 
  • boiled water for all at home. 
  • strictly no alcohol.  


  • All hepatotoxic drugs should be stopped. 
  •  No sedatives should be given if jaundice is deep. 
  •  Drug Treatment. 
  •  Glucose. 
  •  Hepato-biliary Drugs. 
  •  Liver extract. 
  •  Soothing Ointments. 
  •  Corticosteroids.


  • Investigations :-
  • urine for bile salts & bile pigments. 
  • s.bilirubin - every week.
  • Australia antigen for hepatitis B if jaundice is recurrent, chronic or with weight loss. 
  • Ultrasound for Gall Bladder if obstructive jaundice is suspected. 
  • Routine Hb% WBC.


Treatment in Homoeopathy :-
" One Single Simple Drug Substance In Its Most Suitable Potency, According To Symptom Similarity Based On Totality! "
In Case Of Jaundice, List Of Useful Remedies (According To REPERTORY
by Oscar E. BOERICKE, M.D.) Are As Below-


JAUNDICE (icterus) -- Acon., Aloe, Am. m., Arg. n., Astacus, Ars., Aur. m. n., Aur., Berb. v.Bry.Card. m., Cascara sag., Ceanoth.Cham.Chel., Chelone, Chionanth., Cholest., Cinch., Corn. c., Crot., Dig., Dolichos, Eup. perf., Hep., Hydr., Iod., Jugl. c., Kali bich., Kali c., Kali Picr., Lach., Lept.Lyc., Merc. c., Merc. d.Merc. s.Myr., Nat. m., Nat. p., Nat. s., Nit. ac., Nux v., Ostrya, Phos., Picr. ac., Plumb., Pod., Ptel., Rumex, Ruta, Sep., Still., Sul., Tarax.Yucca, Veron., Vipera.



Anemia; brain disease; pregnancy -- Phos.
Chronic -- Aur., Chel., Con., Iod., Phos.
Extension of catarrhal process -- Am. m., Chel., Chionanth., Cinch., Dig., Hydr., Lob. infl., Merc., Nux v., Pod.
Mental emotion [from] -- Bry., Cham., Lach., Nux v., Vipera.
Infantile -- Cham., Lupul., Merc. d., Merc. s., Myr.
Malignant -- Acon., Ars., Crot., Lach., Merc., Phos.
For Detail Study Of Above Mentioned Individual Remedy From HOMŒOPATHIC MATERIA MEDICA by William BOERICKE, M.D.:-



Take Care Of Your Body,

It's The Only Place You Have To Live In.

With Best Regards, Karnav Thakkar :) :)

4 comments:

  1. Excellent coverage & authenticity makes this a useful article. Homeopathic management frequently require Lycopodium & its twin sister chelidonoum majus either initially or intercurrently. hence worth keeping in mind while repertorising. In all cases where lycopodium is indicated, either the digestive or urinary functions are impaired. the aggravation after 4pm mrks lycopodium but aggravation at both 4and 4pm indicates chelidonium. their complementarity is defined thus -when one of them fails, usually other one cures & also both follow each other. both crave hot food & drink, but poor appetite is characteristic of lyco while voracious appetite that of chelidon. yellowness of skin is bit higher with chelidonium than lyco ,but the yellowness of urine & sclerotica is common to both. Ars alb follows when chelidon improves and nux, acon /sulphur follow if improvement is made by lycopodoum.
    Applicability of homeopathy were the disease is a primary condition or secondary to infection & blockages makes us wonder about the nature of health & diseases and mechanism of transformation from one to the other.

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