Vol. 8, Issue 6 (2019)

Author(s):
Dr. Anju, and Dr. Vijendra Pratap Singh

Abstract:
Kamala is one of the clinical entities conceived by Ayurveda. The concept of Kamala dates back since Vedic period but extensive details are available in Ayurvedic Samhitas and later texts. The word “Kamala” denotes “KaÌ„yaÌ„m Malayate iti KaÌ„maÌ„la”, means disease in which whole body becomes dirty, because of the accumulation of mala i.e. Mala of Ranjaka Pitta. As soon as fetus detaches from the mother he becomes independent to perform all the activities to maintain the life processes. During the process of homeostasis, the reorganization of hemopoetic system adjust itself immediately and as a result Mala of Rakta (Pitta/bile) is released too much and eventually the neonate, being immature to deal with load the Mala (Pitta) circulates in the body & causes jaundice called “Navajata shishu kamala”. Broadly it is of two types: physiological and pathological Jaundice occurred due to reorganization of hemopoetic system called physiological jaundice: topic of this appraisal. Either physiological jaundice is selflimiting but can cause various complications in new born if remain untreat. In Ayurveda, it can be treat as pittaj vyadhi, as Charak has mentioned Virechan is the best measure among all treatment of Pitta. A patient of Kamala should be treated initially with mild bitter purgatives (Kamale tu virechane). In physiological jaundice basic impurity is indirect bilirubin which cannot remove from body until it had not change in direct bilirubin that can possible only at liver. So drug used for that should have action of virechan (Remove out) of bilirubin from liver to gut with changing of indirect to direct form.