INTRODUCTION Present day lifestyle especially of a hardworking teacher is difcult with respect to his diet habits. The maintenance of the food regulation and life style are difcult and leads to the indigestion, a chief cause of Udara Roga. i.e. ascites and organomegaly. Even though many infectious conditions are placed before to get a “Hepatomegaly” in medical practice. In Ayurveda according to sign and symptoms and the pathology of the disease we can consider this clinical entity as Yakritdalyudar. There is no detailed description of Yakritdalyudar but Acharyas correlate its symptoms with Pleehodar as “Evameva Yakridapi Dakshinparshvastham Kuryat.” Clinical features of Yakritdalyudar are Dorba ly a (weakness), Aruchi(anorexia), Avipaka (Indigestion), Varcha Graha(retention of stool), Trishnadhikya(excessive thirst), Mandagni(indigestion), Udarshool(abdominal pain), Tamapravesh(anxiety). Main causative factor of this disease is Mandagni, altered food habits etc. The presented case has no history or evidence of generating the hepatomegaly other then his altered food habits and life style. CASE PRESENTATION A 33 yrs old hindu married male patient residing Udaipur presented to the OPD of Kayachikitsa Ayurvedic College, Udaipur on 14/3/19 (OPD No. 3265) with complain of anxiety, constipation, tenderness in Rt. Hypochondrium, gaseous abdomen, coated tongue, excessive thirst, polyurea, abdominal pain and burning after taking food. The pain was aggrevated by oily, spicy and heavy foods. Patient's life style was disturbed, irregular food habits and sleep was also disturbed. There was no signicant family history. The Ayurvedic diagnosis on these condition is Yakritdalyudar can be correlated with Hepatomegaly. On physical examination, vitals were normal and was fatty built. His pulse rate was 80/min, BP- 140/80 mmofHg and repiratory rate 20/min with normal body tempreture. The skin, mucous membrane were normal. On systemic examination, GIT examination showed the tenderness in r ight hypochondrium and mild liver enlargement was observed. There was no any abdominal mass was reported. Before coming here patient look out another physician and he has suggested some essential investigations like complete blood count, Liver function tests, urine complete and USG whole abdomen. First time he diagnosed hepatomegaly in 6/12/18. USG suggested showed hepatomegaly with fatty inltration of liver grade – �. After that patient took Allopathy and other treatment but didn't get satised. Then patient came in Anusandhan Hospital OPD. Table No. 1 Showing blood investigation report before and after treatment MANAGEMENT AND TREATMENT The treatment planned according to patients condition. First of all patient is advised his life style and dietary changes (Pathya and Apathya) and some medicines for 10 days. After 10 days patient came for follow up and reported relief in his complaints and patient's reports showed remarkable improvement in his reports in SGOT,SGPT, HB% etc. Then same treatment was continued till his for next 10 days due some mild symptoms present. Some medication added according to patient's complaint. After next 10 days follow up, patient visited to hospital, there was complete relief in symptoms. Af ter t reatment repor ts were showed encourageous results with improvement in liver echotexture.( Table no.1) Table No. 2 Showing given treatment and follow up. In this preparation Triphala Churna works as Rechan Dravya because Yakritdalyudar is one type of Udara Roga and Rechan is specially mentioned in Udara Roga by Acharyas and Triphala also have Rasayana, Agni Pradipak and Kapha- Pitta Shamak properties. Mandoor Bhasma also have hepatoprotective properties and it also helps to increase blood cells in our body. DISCUSSION In present case Triphala Churna and Mandoor Bhasma is advised to the patient. Triphala contain Haritaki, Amalaki and Bibhitak. Haritaki is a good liver tonic, promote overall body health and for the support of digestive system and functioning and have Vatanulaman property. Bibhitak is luxative in nature, cure loss of appetite and enhance immunity. Amalaki also AYURVEDIC MANAGEMENT OF HEPATOMEGALY W.S.R. OF YAKRIT DALYODAR – A CASE STUDY Original Research Paper Dr. Jyoti Jangid P.G. Scholar, P.G. Dept. of kayachikitsa Madan Mohan MalviyaGovt. ayurveda College, Udaipur (Raj) X 9GJRA - GLOBAL JOURNAL FOR RESEARCH ANALYSIS Ayurveda Hepatomegaly is a enlargement of the Liver. It is caused by inadequate life style and food habits, infection (like viral hepatitis), toxins (such as alcohol), genetic disease or autoimmune disease. Benign and cancerous tumors may also cause liver enlargement. In Ayurveda hepatomegaly (Yakritdalyodar) is described as one of the type of Udara Roga. In Ayurveda there are many herbs and natural remedies available for treatment of liver disorder. In this case study a 33 yrs old married patient was reported in Kayachikitsa OPD, Govt. Ayurved Hospital and Research Centre associated with M.M.M. Govt. Ayurvedic College, Udaipur with complain of anxiety, abdominal pain, constipation, tenderness in Rt. Hypochondrium, gaseous abdomen, coated tongue, excessive thirst. The condition is well managed with Ayurvedic medicines viz. Triphala Churna, Mandur Bhasma in short time effectively. The patient recovered in 10 days prescription of these medicines and the LFT is expressive as normal. ABSTRACT KEYWORDS : Hepatomegaly, Yakritdalyudar, Udara Roga. Dr. Ravi Sharma* Prof. & H.O.D., P.G. Dept. of kayachikitsa Madan Mohan MalviyaGovt. ayurveda College, Udaipur (Raj) *Corresponding Author VOLUME-8, ISSUE-9, SEPTEMBER-2019 • PRINT ISSN No. 2277 - 8160 • DOI : 10.36106/gjra Particulars B.T. (13/10/18) A.T. (24/3/019) SGOT 55.2 U/L 27.80 U/L SGPT 52.3 U/L 37.10 U/L Date S.No. Given treatment Anupana 14/3/19 1. Triphala churma 3gm Madoor bhasma 500mg BD Madhu 22/3/19 2. Same repeated Madhu 03/4/19 3. Repeated same t/t Madhu 10 X GJRA - GLOBAL JOURNAL FOR RESEARCH ANALYSIS balance Agni. In Ayurveda all Udara Roga caused by mainly due to Agni Mandhya and all the drugs contents have property of increase the Agni. Mandoor Bhasma is a iron formulation. It contains iron dust, Triphala decoction, cow's urine and Aloe vera juice. In Ayurveda it is used for anemia, jaundice, hepatomegaly( Yakritdalyudar) and also in spleenomegaly (Pleehodara). In this formulation Triphala and cow's urine works as a Virechana Dravya which helps in detoxication of liver and whole body and Yakritdalyudara is one type of Udara Roga and Virechana is rst line of treatment in Udara Roga so it is helpful in Yakritdalyudara. CONCLUSION Results of this study indicates that the Ayurvedic Drugs has the effect in hepatomegaly by improving the health of liver. It is concluded that Ayurveda is useful for treating Yakritdal yudara as an alternative to purgative drugs. In present case we get remarkable improvement in clinical and objective parameters with Ayurvedic treatment. This is quite safe and no any adverse effect. Ayurvedic treatment is proved to be an effective, cheapest and safe in management of hepatome galy(Yakritdalyudar). REFERENCES 1. Davidson, Principle and practice of medicine, edited by Haslett Chilvers Edwin R.etal. Ninteenth edition, 2002, 866. 2. Pandit Kashinaath Shastri, Dr. Gorakhnath Chaturvedi Charak Samhita of Maharshi Charak, Chukambhaprakashan, Varanasi, chikitsasthan, chapter 13, shlok 38 page no.387. 3. Pandit Kashinaath Shastri, Dr. Gorakhnath Chaturvedi Charak Samhita of Maharshi Charak, Chukambhaprakashan, Varanasi, chikitsasthan, chapter 13, shlok 61 page no.392. 4. Dr. Brhmanand Tripathi, Sharandhar Samhita of Acharya Sharangdhar, Chukambha Surbharati Prakashan Varanasi, Madhyam Khanda, Churna Kalpana, shlok 9-10 page no.117 5. Vaidhya Yadav ji Trikam ji, Siddha Yaga Sangraha, Chaturtha Sanskaran, page 145 VOLUME-8, ISSUE-9, SEPTEMBER-2019 • PRINT ISSN No. 2277 - 8160 • DOI : 10.36106/gjra