Kamala is a Pittaja Nanatmaja Vyadhi, comes under Raktapradoshaja Vikara. If Rakta get vitiated by the doshas then it leads to Raktapradoshaja Vikara like kamala. Yakrit, Pleeha and Raktavaha Dhamani are considered as Moolasthana of Raktavaha srotas . In today’s era, the changing life style and eating pattern like Viruddhaahara, Asatmya bhojana, Vidahi annapana etc, causes Vikruti of Pitta Dosha. Due to ashraya-ashrayi bhava does the prakopa of Rakta , which makes them to affect with Raktavaha Srotodushti and does the Dagdhata of Rakta and Mamsa resulting in the manifestation of kamala.

In koshtashakhashrita kamala due to Swatantra Nidana Pitta Dosha get vitiated mainly the Ranjaka Pitta present in Raktadi dhatu and Koshta get vitiated and produces the lakshanas like Haridra Netra,Nakha,Twaka,Mutra,Anana etc. These symptoms are similar to Jaundice. 

Jaundice is characterized by yellowish discoloration of body tissue resulting from the accumulation of excess bilirubin. Prevalence of Jaundice Acc. to American Roentgen Ray Society image of Jaundice epidemiology and demographics is approximately 40%.

Liver is a dual organ having both secretory and excretory functions , Liver perform various functions in maintaining homeostasis and health. These functions include the synthesis of albumin, certain enzymes, bile and its constituents, metabolism of bilirubin etc. When the liver is diseased, one or more of its functions are impaired result in elevated levels of its constituents.

Here an attempt is made to understand the Vishesha samprapti and Diagnosis of Koshtashakhashrita kamala and to know the Role of Parinama bhavas of Raktavaha Srotodushti and to assess the changes in Liver Function Test.