Successful Management of Hyperbilirubinemia with Snehapana and Virechana: A Case Report

Background: Hyperbilirubinemia reflects impaired bilirubin metabolism, usually due to hepatic dysfunction or bile flow obstruction. Ayurveda considers such conditions to be Pitta-dominant disorders affecting Yakrit and Ranjaka Pitta. Classical Panchakarma therapies such as Snehapana and Virechana are indicated for detoxification and Pitta elimination. Case: A 35-year-old male presented with mild jaundice, fatigue, dark-coloured urine, and a history of asthmatic bronchitis. Laboratory evaluation revealed elevated total (2.5 mg/dL), direct (1.2 mg/dL), and indirect (1.3 mg/dL) bilirubin levels. The patient underwent Snehapana with Indukanta Ghrita followed by Virechana with Trivrit Avaleha. Intervention and Outcome: Samyak Snehana signs were achieved on the fourth day. Virechana produced Madhyama Shuddhi with 13 Vegas. Post-therapy bilirubin values returned to normal limits (total 0.3 mg/dL, direct 0.1 mg/dL, indirect 0.2 mg/dL). The patient reported significant improvement in jaundice, breathing difficulty, and fatigue. Conclusion: This case demonstrates the potential efficacy of Ayurvedic Panchakarma -specifically Snehapana and Virechana-in managing hyper-bilirubinemia and improving liver function. Further controlled studies are warranted.