Role of virechan with narayan churn in the management of yakritarbuda (hepatocellular carcinoma)

Hepatocellular carcinoma(HCC) is a kind of primary hepatic cancer that begins in liver cells (hepatocytes) damaged by birth defects, cirrhosis, alcohol or drug abuse, contamination of food, poor eating habits and regimen, hemochromatosis, or severe infection with many viruses such as hepatitis B and C. Cancer is an illness that occurs when abnormal cells sprout too quickly and occupy a lot of space, leaving fewer living space for normal cells to reside. A cancerous growth can interrupt almost all of the liver's functions. Its cause is usually attributed to environmental, dietary, or lifestyle factors. Surprisingly, men have four times the incidence of HCC than women. Prolonged damage and inflammation, regardless of the cause, advancement through fibrosis, cirrhosis, and finally HCC, where the cancerous lesion usually begins. In Ayurveda the "Yakrtarbuda" is not specifically described. Ayurvedic experts have given many names to liver-related disorders that fall under the category of abdominal diseases. The clinical manifestations of yakritarbuda are virtually identical to the disease described in the Ayurvedic text as Kamala Roga.Yakritarbuda is a Pitta-dominant disorder ofaavaran of Kapha and Meda at the site of khavaigunya, which necessitates the use of Pitta Virechaniya and Koshtha Sodhaka drugs to remove vitiated and agitated doshas from the body. Due toits therapeutic potential, Narayana churna can easily carry out these functions.