Ayurvedic management of Hepatitis-B focuses on enhancing liver function, reducing viral load, and preventing complications. Here’s a comprehensive approach:

*Ayurvedic Herbs:*

1. Kutki (Picrorhiza kurroa): Liver protectant and antioxidant.
2. Bhumi Amla (Phyllanthus niruri): Liver tonic and anti-inflammatory.
3. Giloy (Tinospora cordifolia): Immune system support and antioxidant.
4. Kalmegh (Andrographis paniculata): Liver protectant and anti-inflammatory.
5. Amalaki (Emblica officinalis): Antioxidant and immune system support.

*Ayurvedic Formulations:*

1. Punarnava MandurvVati: Enhances liver function and protects against damage.
2. Kaishore Guggul: Supports liver health and reduces inflammation.
3. Arogyavardhini Vati: Enhances liver function and immune system.

*Panchakarma Therapies:*

1. Basti (Medicated Enema): Removes toxins and rejuvenates liver.
2. Virechana (Purgation): Eliminates toxins and excess bile.
3. Nasya (Nasal Administration): Enhances immune function.

*Dietary Recommendations:*

1. Emphasize bitter, astringent, and sweet tastes.
2. Include liver-friendly foods: green leafy vegetables, turmeric, ginger.
3. Avoid: oily, spicy, and salty foods.

*Lifestyle Modifications:*

1. Stress management through yoga and meditation.
2. Regular exercise and physical activity.
3. Adequate sleep (7-8 hours).

*Monitoring and Precautions:*

1. Regular liver function tests.
2. HBV DNA monitoring.

*Clinical Studies:*

1. A study published in the Journal of Ayurveda and Integrative Medicine found significant reduction in HBV DNA levels and liver enzyme normalization in patients treated with Ayurvedic herbs.
2. Another study in the Journal of Clinical and Experimental Hepatology demonstrated improved liver function and reduced viral load in patients treated with Ayurvedic formulations.

*Integration with Conventional Treatment:*

Ayurvedic management can be used in conjunction with conventional antiviral therapy to enhance liver function and reduce side effectments