Introduction:
Alcohol-Associated Liver Dysfunction (AALD) is a major global health issue, often progressing to
conditions like cirrhosis and ascites (Jalodara), the latter characterized by excessive fluid accumulation
in the abdomen. Current treatments face limitations such as high costs, recurrence, and long-term
management challenges.
Methods:
This review explores modern medical and Ayurvedic management approaches for alcohol-induced
cirrhosis with ascites. Modern methods, including diuretics, paracentesis, and liver transplantation, are
compared with Ayurvedic protocols, such as Virechana (purgation) and herbal therapies likeArogyavardhini Vati and Punarnava Mandoora. Dietary restrictions, particularly salt and water intake,
are also evaluated.
Results:
Modern treatments offer symptom relief but are associated with risks of recurrence and financial burden.
In contrast, Ayurvedic therapies emphasize liver protection, detoxification, and the prevention of fluid
retention. Ayurvedic dietary guidelines (Pathya) include hepatoprotective foods like Mudga Amalaki
Yusha, supporting liver function and minimizing ascites. Combined, these approaches target both
symptom management and disease progression.
Discussion:
A synergistic treatment strategy incorporating Ayurvedic and modern therapies offers a comprehensive
approach to AALD management. While modern medicine provides immediate relief, Ayurveda focuses
on long-term liver health and holistic detoxification. Lifelong alcohol abstinence is crucial for treatment
success, and further research is needed to validate the effectiveness of integrated approaches.
Conclusion:
Ayurvedic protocols complement modern treatments in managing AALD with ascites, offering a
holistic and preventive approach. However, more clinical studies are necessary to establish their broader
application and efficacy in clinical practice. Alcoholic Liver Disease (ALD) is a significant contributor
to global liver-related morbidity, encompassing conditions like fatty liver, alcoholic hepatitis, and
cirrhosis. ALD often progresses to cirrhosis and ascites, a condition marked by fluid accumulation in
the abdomen, posing treatment challenges.
Keywords: Alcohol-Associated Liver Dysfunction (AALD), Cirrhosis and Ascites (Jalodara)
Publication date: 01/01/2026
https://ijbpas.com/pdf/2026/January/MS_IJBPAS_2026_9719.pdf
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https://doi.org/10.31032/IJBPAS/2026/15.1.9719
