Hepatomegaly is a condition of increase in the normal size of liver.

There are many factors which lead to enlarged liver. Two most common causes nowadays which lead to enlarged liver are Alcohol abuse and Non alcoholic fatty liver.


  • Infective liver disease.
  • Alcohol or drug abuse.
  • Neoplastic growth.
  • Blood disorders like sickle cell anemia, hemolytic anemia.
  • Biliary disorders like biliary cirrhosis or sclerosing cholangitis.
  • Metabolic disorders like wilson’s disease, Haemochromatosis, Non alcohol fatty liver disease.
  • Various syndromes or diseases which affect the liver like Sarcoidosis, Zellweger’s Syndrome, Hunter Syndrome, etc.


  • Generalised weakness.
  • No or decreased appetite.
  • Weight loss.
  • Distended abdomen.
  • Pain in right side of abdomen.
  • Serious signs and symptoms may include jaundice, Itching in all body, Mass in the abdomen.


In Ayurveda, distended abdomen as a main symptom is described as “Udara roga”. It is a broad term which includes many diseases.

If the abdominal distension occurs in Right side then it is called as “Yakritalyudara”. This can be correlated to Hepatomegaly.


  • Intake of very salty, sour, dry, spicy, unhygienic, alkaline or acidic diet.
  • Chronic poisoning.
  • Not following proper diet and lifestyle post Panchkarma therapy.
  • Holding of natural urges of the body.
  • Frequent intake of incompatible diet for e.g. intake of milk and fish together, intake of sweet and sour fruits together etc.


When a person already suffering from Mandagni (low digestive power) or indigestion, practices any of the causative factors mentioned earlier, it leads to further impairment of digestive capacity of body. Partially digested food aggravates all the three Doshas in the gut. These Doshas lead to obstruction of nutritive channels of the body. The obstructed nutritive juice (Rasa Dhatu) slowly begins to collect in the Kostha (Abdominal Cavity) which leads to gradual distension of abdomen.


General clinical features as mentioned by Acharyas are:-

  • Distended Abdomen.
  • Oedema in hands and feet.
  • Indigestion.
  • Fatigue.
  • Loss of weight.
  • Constipation.
  • Obstruction of flatus.
  • Burning sensation in body parts.
  • Increased thirst.


The main line of treatment of Hepatomegaly is to first identify the cause through clinical features and investigations.

The general line of treatment for enlarged liver is to improve Agni status of the body and balance aggravated Doshas in the GI system. Panchkarma procedures like Virechana and Basti are also very beneficial in removal of toxins from the body.


Ayurveda provides various hepatoprotective drugs which help by reducing the inflammation in hepatic cells or improve the functioning of hepatic cells.

1. Single herbs – Bhumyamalki (Phyllanthus niruri), Daruhaldi (Berberis aristata), Kutki (Picrorhiza kurroa), Nagarmotha (cyperus rotundus), Indravaruni (Citrullus colocynthis), Pippali (Piper longum), Giloy (Tinospora cordifolia), Neem (Azadirachta indica), Mahanimba (Melia azedarach), Chirayta (Swertia chirata), Patola (Trichosanthes dioca), Punarnava (Boerhavia diffusa).

2. Ayurvedic Herbal combinations – Trikatu churna, Triphala churna, Darvyadi churna, Vishaladi churna, Avipattikar churna, Aarogyavardhini vati.

3. Iron preparations – Yograj rasayana, Nisha lauha, Navayas Lauha, Vidangadi Lauha, Punarnava Mandoor.

4. Liquid preparations – Phaltrikadi Kwath, Beejakarishta, Kumaryasava, Lohasava.


1. Eat light and easy to digest diet and do not take fatty, spicy diet.

2. Take lot of glucose mixed water (4-5 litres/day).

3. Take proper rest and avoid heavy weight lifting or excessive physical exertion in Hepatomegaly.

4. Take 4-5 fresh Neem leaves and take their juice or boil them in 2 glasses of water to prepare a fresh decoction. Intake of Juice or decoction on neem leaves is very beneficial for faster recovery.

5. Intake of Giloy juice 10 ml daily empty stomach is very beneficial for faster liver healing.

6. In case of Non alcoholic fatty liver disease, take cinnamon tea daily empty stomach in the morning. Cinnamon has been studied to improve the metabolism of body and reduces fat content from the liver cells.

7. Drink 1-2 glass of buttermilk seasoned with Roasted cumin seeds and ginger in lunch daily. This will help in improving digestion and appetite.

8. Take 5 gms of Harad powder (Terminalia chebula) along with equal quantities of jaggery daily. It is a very good option to naturally improve bloating and flatulent abdomen.

9. Take 1 Amla (gooseberry) or 10 ml Amla juice daily as it is a very good remedy for aggravated Pitta Dosha. Also it is said to be good rejuvenator (Rasayan) for body.

10. Take 5 gm dried ginger powder along with 5-10 gm jaggery regularly empty stomach helps in improving appetite and digestion.

11. 5-10 ml of Onion juice along with half teaspoon of black pepper and 1 pinch of black salt twice daily helps in detoxification of liver.

12. Pomegranate juice , sugarcane juice and lemon water are very good for liver. Avoid pulses like Urad (Black gram), Rajma (Kidney beans), Chhole (Bengal Gram) and Lobia (Black eyed Pea).


The purpose of Ayurvidya is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider regarding your medical condition or treatment and before undertaking any new health care regimen.