Ayurveda is an Indian system of medicine which has been in practice for thousands of years. Ayurvedic medications have been shown to be effective in the treatment of several disorders of the liver including liver cirrhosis, hepatitis and fatty liver. This case report describes an unusual intervention utilizing Ayurvedic treatment for hepatic encephalopathy. A patient with miliary tuberculosis undergoing anti-tubercular treatment developed hepatic encephalopathy presenting with coma, severely increased liver function tests (LFTs) and other abnormalities. Treatment based on Ayurvedic diagnosis and medication was deployed. It resulted in improvement in liver function, with normalization of LFTs and restoration of consciousness within a short period of time. This case report indicates a possible role for Ayurveda in hepatic encephalopathy and warrants further investigation.
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