Cholelithiasis is the medical term for gallstones. Gallstones are crystallized deposits forming in the gallbladder or biliary tree primarily composed of cholesterol bilirubin and bile. These stones often remain asymptomatic detected incidentally during imaging. However when gallstones become larger or when they begin obstructing bile ducts symptoms or attacks begin to occur such as steady severe pain in the upper abdomen that increases rapidly and may last from 30 minutes to several hours radiate between the shoulder blades and right shoulder. Gallstone is a common public health problem especially in developed countries. In India cholelithiasis affects approximately 4 to 20 percentage of the population with a higher prevalence among females and individuals with sedentary lifestyles. In Ayurveda cholelithiasis gallstones is understood as a result of dosha imbalance primarily Pitta and Kapha along with impaired digestion and accumulation of Ama toxins. Contributing factors include excessive intake of heavy oily sweet foods guru snigdha madhura ahara irregular eating habits and sedentary lifestyle. The gallbladder is referred to as Pittashaya in Ayurveda as per WHO International standard terminology. Thus some Ayurveda physicians utilize the term Pittashaya ashmari for gall bladder stone as the stone which is formed inside pittashaya. Classical texts like Charaka Samhita and Ashtanga Hridaya mention a condition called Rudda-patha-Kamala which may relate to gallstones obstructing bile flow. This study aims to evaluate the effect of Rohithakadi Yogam a classical Ayurvedic polyherbal formulation in the management of cholelithiasis Participants aged 20 to 60 years irrespective of gender and meeting inclusion criteria will be selected from the study setting. Each participant will undergo a detailed clinical evaluation and relevant laboratory investigations. Informed consent will be obtained before enrolment. The intervention group will receive two 500 mg Rohithakadi Yogam tablets twice daily morning and evening before food for 90 days. The collected data will be subjected to statistical analysis to assess the safety and efficacy of Rohithakadi Yogam in the management of cholelithiasis. |