A 52 years old Male patient approached a health care center seeking an advice for general health improvement. On elucidating the history, the patient was known alcoholic since 20 years and consumed twice daily (250-300ml). Clinical examination revealed muddy conjunctiva and tremors in the hand. On palpation, tenderness was elucidated in right hypochondric region with three finger hepatic enlargement. Investigation revealed mild hepatomegaly (Yakruttodara) with diffuse fatty infiltration of liver, mild spleenomegaly (Pleehodara) and grade I prostatomegaly with elevated LFT levels. Urine examination presented with pale yellow color, slightly turbid with presence of Albumin, calcium oxalate crystals, bacteria and pus cells. The modality of treatment adopted was Virechana karma. Post-Virechana, there was a marked regression in hepatomegaly with normal LFT and urine routine. 

Keywords: Yakruttodara; Hepatomegaly; Spleenomegaly.