Dubin-Johnson Syndrome (DJS) is a rare genetic liver disorder that impairs the liver’s ability to excrete conjugated bilirubin, leading to chronic jaundice and occasional fatigue, without causing severe liver damage. In Ayurveda, DJS is seen as an imbalance in Pitta dosha, which governs bile production and liver function. To manage this condition naturally, Ayurveda recommends a Pitta-pacifying diet rich in cooling, light, and easily digestible foods, while avoiding fried, oily, and spicy foods that can worsen liver function. Herbs like Bhumi Amla, Kutki, and Triphala are beneficial for detoxifying the liver and supporting bile flow. Additionally, Ayurvedic therapies such as Panchakarma, including Virechana and Basti, can help cleanse the liver, improve bile flow, and restore digestive balance. Although DJS is genetic and cannot be cured, Ayurveda provides holistic methods to support liver health and manage symptoms by balancing Pitta and promoting overall detoxification.

Dubin-Johnson syndrome, characterized by impaired bilirubin processing due to a genetic disorder, can indeed relate to Pitta imbalance in Ayurveda, especially considering its influence on liver and bile metabolism. In Ayurvedic terms, the liver (Yakrit) is primarily associated with Pitta dosha, which governs digestion, metabolism, and transformation within the body. Chronic jaundice and liver pigmentation may be seen as a result of accumulated dosha imbalance, particularly due to excess Pitta leading to inflammation and ineffective bile flow. The symptoms you've described, such as fatigue, jaundice, and mild digestive issues, indicate a disturbance in both liver function and the digestive process, likely stemming from compromised Pitta balance. Diet is certainly crucial here; a diet heavy in processed and fried foods can aggravate Pitta, leading to further liver stress and impaired detoxification processes. Ayurveda recommends a shift toward a Sattvic diet, which includes wholesome, unprocessed foods that are light and easy to digest to support liver health. Key dietary recommendations include incorporating bitter greens, such as dandelion and chicory, and hydration with herbal teas like cilantro or mint, which can aid digestion and detoxification. In terms of herbs, Bhumi Amla and Kutki are excellent choices for supporting liver function and enhancing bile secretion. Triphala, renowned in Ayurveda for its digestive benefits, can help detox the liver while promoting regular bowel movements, thus preventing toxin accumulation. Regular consumption of these herbs in powdered form (1 teaspoon mixed with warm water) before meals can support long-term liver health. For cleansing the liver and improving bile flow, Ayurvedic Panchakarma therapies like Basti (medicated enema) could be very beneficial, especially if guided by a qualified Ayurvedic practitioner. This therapy helps remove accumulated toxins from the body, especially from the liver and digestive tract. In addition to herbal support and dietary changes, ensuring sufficient lifestyle practices like maintaining a regular routine, engaging in mild physical activity (yoga or walking), and minimizing stress through practices like meditation can be equally important. These holistic approaches aim to balance Pitta, enhance liver function, and maintain overall well-being, supporting your relative effectively. While managing a condition like Dubin-Johnson syndrome requires consistency, Ayurveda provides a comprehensive framework for nurturing liver health over the long term.