Discussion of Alcoholic hepatitis

The patient is a 45 years old.
He used to take alcohol and non-veg occasionally.
On examination there was tenderness in whole abdomen and on percussion bloating.
He told me that he was on fast two days back and at night he had 5-6 large pegs of wine and non-veg.
So to clear the Ama condition i gave him Chitrakadi vati 2 tabs tds for 3 day with bland diet only.
On third day his tenderness reduced but there was yellowishness in his eyes.
There was no fever.
I send him for routine blood and LFT.
As the LFT readings were very high i send him for USG.
But in USG liver and other organs were Normal.
Then I applied a this formula—
SGOT(AST) > SGPT(ALT)=Alcoholic Hepatitis
SGOT < SGPT= Viral Hepatitis
As SGOT (2930) was more than SGPT(2200),which show it is a case of Alcoholic Hepatitis.
I am the only Ayurveda physician practicing purely in Ayurveda so my other colleagues told me to refer it to Allopathy hospital and even I was not confident to handle this alone. Even I consulted a reputed specialist of my town at my own.He told to hospitalize the patient immediately. But my patient refused and asked me to give my Ayurveda treatment only.
So i tried Liv 52 drops in high dose i.e 2 tsf twice a day and Drakshadi kashyam 3 tabs bd(for pitha dosha).
After 5 days of treatment his appetite improved and his dahaalso reduced.
I stopped Drakshadi tabs and switched to Liv 52 DS syp 2 tsf bd and Nirocil 1 tab tds
.Patient reported again after 5 day.
I repeated the test for progress of my treatment of 10 days.
And there was such a remarkable improvement in LFT.
ALT and AST were normal and bilirubin was still 4.
Now the patient is on Liv 52 DS syp 2 tsf bd only and has very gud relief in his symptoms.
This proves the efficacy of Ayurveda medicines even in acute cases and even strengthened my belief in Ayurveda.Jai AYURVEDA.

Coutesy: Dr.G.S.Dehal
dear dr

this is a case of viral hepatitis not alcholic hepatitis,please read article Heapatitis abcde on this site as i have written in my article it is self limiting disease only patience in dr and patient is required.very soon i shall write a short article on alcholic hepatitis,but for your knowledge PLEASE REMEMBER THIS LINE WHILE DIAGNOSING ALCHOLIC HEPATITIS

The ratio of aspartate aminotransferase to alanine aminotransferase should be 2 or more

In most cases, the liver enzymes do not exceed 500.

the formula is SGPT DIVIDED BY SGOT=VALUE SHOULD BE MORE THAN TWO (ONLY TRUE IN ALCHOLIC HEPATITIS)

BUT IN OTHER CASES IT SHOULD BE MORE THAN 1 -------Dr.Shridhar

I Agree with Dr ShriDhar that the ratio in alcoholic hepatitis is more then 2.Infact The SGOT/SGPT ratio is significantly elevated in patients with alcoholic hepatitis and cirrhosis (2.85 +/- 0.2) compared with patients with post necrotic cirrhosis (1.74 +/- 0.2), chronic hepatitis (1.3 +/- 0.17), obstructive jaundice (0.81 +/- 0.06) and viral hepatitis (0.74 +/- 0.07).But in your case the symptoms are more suggestive of alcoholic hepatitis rather then viral.Just ve a feeling the lab reports have been goofed up----------Dr.Rishi