Ayurvedic understanding
Fatty liver is Yakrit-vikara — disordered fat metabolism centred on the liver. Allopathic medicine has no approved disease-modifying drug for NAFLD as of 2026 — diet + exercise are the only recommendations. Ayurveda has a 2000-year track record on Yakrit-vikara: classical Lekhana (scraping) herbs reduce hepatic fat measurably (USG reversal commonly seen in 90–180 days).
Kerala treatments
Arogyavardhini Vati is the cornerstone — daily for 90 days with serial LFT + USG monitoring. Punarnavadi Kashayam adds diuretic + hepatoprotective action. Bhumi Amalaki (chanca piedra) is potent for elevated transaminases. Lifestyle is mandatory — no medicine works without diet correction.