Nonalcoholic Fatty liver disease (NAFLD) is a form of Simple fatty liver whose progression leads to adverse circumstances, e.g., metabolic dysfunction. Sushruta said that the Sira Vedha at Dakshin Kurpara Sandhi as a therapy for Yakrit Vikara Modern science also supports on the same page that phlebotomy treatment for some liver diseases but did not mention the exact site for phlebotomy. Still, because of a lack of clinical evidence, one cannot confidently practice it in routine exercise. Thus, there is a need to validate Sushruta's principle with clinical evidence for liver diseases.

Aim & Objectives

To study the efficacy of Siravedha in the management of Nonalcoholic Fatty liver disease.

Material & Methods

It is a single case study of 44 years old female patient suffering from complaints such as nausea, loss of appetite, distended abdomen, weight gain, constipation for 10 Months. As she was diagnosed with NAFLD by U.S.G. advised by her physician. The patient had severe insensitivity towards allopathic medicines, so she approached Ayurvedic treatment. After a thorough examination of the patient based on Ayurvedic fundamentals, three sittings of Siravedha (65 ml Bloodletting) from the Dakshin Kurpar Sandhi (Rt. Cubital fossa) were done at the interval of 15 days (on baseline visit, 15^th day, and 30^th day) and followed was taken after one month.

Observations

U.S.G. Abdomen done after one month showed encouraging results and improvement in the liver grade, i.e., from grade I to grade 0. The liver showed normal shape and Echotexture.

Moreover, clinical features, e.g., nausea, loss of appetite, distended abdomen, constipation, also resolved completely. The weight of the patient was also reduced by 5 kg within one month.

Discussion

Siravedha may decrease liver enzymes, oxidative stress, and necrosis, reducing apoptosis and improving liver cells' health.

Conclusion

This case report is helpful to plan further clinical studies in a large sample size by showing the efficacy of Siravedha in the management of Non-alcoholic Fatty liver disease without causing any undue event. This case study also reaffirms the classical reference of the specific site of Raktamokshana in a specific clinical condition.