Child – Pugh Score for Liver Cirrhosis


Liver is an important organ which performs various essential functions like synthesis of clotting factors, flushing out toxins from the body, etc. For this normal functioning it is really important that liver cells must function smoothly. Degeneration of liver cells results in chronic liver conditions which sometimes are difficult to manage. However such chronic conditions can be controlled if we take extra care and get it diagnosed on time. Then, you can go for natural and conventional healing methods.

What is Liver Cirrhosis?

Every time when your liver gets injured which might be due to some server disease, alcoholism, etc., healthy liver will try to repair itself. But, with the progression of diseases formation of scars tissues starts (Fibrosis) which usually increases with time and leads to Cirrhosis. Cirrhosis is a late stage of scarring which makes difficult for liver to function. Generally, this condition can’t be reversed and undone. But if your condition has been diagnosed on time then we can limit the damage caused and manage it with correct treatment.Liver Cirrhosis

What are the Signs and Symptoms of Liver Cirrhosis?

People with liver cirrhosis may or may not have any noticeable symptoms. Some of the common symptoms include-

  • Fatigue and weakness
  • Sudden loss of appetite
  • Yellow discoloration of skin due to excess accumulation of bilirubin in blood
  • Lower production of blood clotting factors can cause easy brusing or bleeding
  • Weight loss
  • Ascites
  • Itchy skin
  • Redness in palms
  • Confusion and drowsiness
  • Hepatic encephalopathy
  • Nausea

What are the Major Causes for Liver Cirrhosis?

There are many factors, lifestyles, habits and diseases which can lead to Cirrhosis. Increased intake of alcohol, cystic fibrosis, non-alcoholic fatty liver disease, hardening of bile ducts (primary sclerosing cholangitis, certain medications, autoimmune hepatitis or chronic viral hepatitis, etc. Sometimes various infetions like Syphilis or brucellosis can trigger the chronic conditions. Prolonged exposure to toxins, obesity and some genetically transferred diseases like Alagille syndrome and Galactosemia can contribute in the factors which causes onset of Liver Cirrhosis.

What is Child – Pugh Score?

Child – Pugh Score is also known as Child – Pugh classification, Child – turcotte – Pugh (CTP) calculator or child criteria. This is one of the most common prognostic tool which provides a forecast of severity of liver ailments, mortality rate or necessity of liver transplant. Moreover, this tool has been primarily used for depicting the results of liver Cirrhosis.

How is Child – Pugh Score Determined?

Child – Pugh Score is usually determined by considering five clinical measures associated to liver diseases. The five clinical measures includes total bilirubin, serum albumin, prothrombin time (INR) (blood clotting time), Ascites and Hepatic encephalopathy. Each measure is scored between 1-3 and 3 indicates the most severe derangement.

What does the Child – Pugh Score Indicates?

The interpretation of the Child – Pugh Score can be done in following way-

  • Class A – If the score is between 5-6 then it indicates least severe liver diseases and the survival rate is 95%.
  • Class B – If the score is between 7-9 points then it can be categorised as moderately severe disease and survival rate will be 75%.
  • Class C – If the score is between 10-15 points then it depicts most severe liver disease and survival rate will be 50%.

Ayurvedic Treatment for Liver Diseases

According to Ayurvedic principles, every ailment can be managed naturally by traditional herbs and lifestyle changes. So for this Planet Ayurveda is providing “Liver care pack” for natural management of this condition.Herbal Remedies for Liver Diseasebuy-now

Product Description

1. Phyllanthus Niruri

Phyllanthus niruri is a amazing Ayurvedic formulation containing pure extracts of Phyllanthus niruri or Bhumi amla. This is a potent herb which restores the healthy functioning of liver cells and enhances bile secretion. These capsules helps in increasing appetite, flushing out toxins and stimulates digestive fire naturally. Bhumi Amla is loaded with Antioxidants, anti-inflammatory and anti-viral properties which protect our liver from various infections.

Dosage- 1-2 capsules two times a day after meals with plain water.

2. Yakrit Plihantak Churna

Yakrit Plihantak churna is a pure herbal combination of Indian traditional herb which improves liver function. It contains Bhumi Amla (Phyllanthus niruri) and Katuki (Picrorrhiza kurrao) which are beneficial in regeneration of liver cells and enhances secretion of bile juice which naturally improves the functioning of liver. This herbal blend effectively relieves inflammation and act as immuno modulating agent. All the beneficial herbs are useful in managing jaundice, liver cirrhosis, fatty liver and other infections efficiently. This supplements also contains Kaasni (Cichorium intybus), Makoy (Solanum indicum), Punarnava (Boerrhavia diffusa), etc. which make this churna more powerful.

Dosage- Half to full teaspoon two times a day after meals with plain water or you can make fresh decoction for consuming.

3. Liver Detox Formula

Liver detox formula from Planet Ayurveda is another wonderful natural supplement which has been formulated from Katuki (Picrorrhiza kurrao), Kalmegh (Andrographis paniculata), Makoy (Solanum indicum), Kaasni (Cichorium intybus) and Punarnava (Boerrhavia diffusa). Kutki in this combination is very effective in managing symptoms of Liver Cirrhosis. Punarnava has shown rejuvination effects on liver and supports healthy liver. Other herbs in this combination are great liver tonics and possess hepato – protective properties which helps this formula in managing liver problems.

Dosage– 1-2 capsules should be taken two times a day with plain water after meals.

4. Indian Echinacea

Indian Echinacea is a pure Ayurvedic formulation which contains standardized extracts of Kalmegh (Andrographis paniculata). This herb has wonderful actions in enhancing immune system and considered as natural blood purifier. This herb is very beneficial in relieving various types of infections and also possess anti-inflammatory properties. Indian Echenacea not only supports healthy liver but also maintains healthy digestion and possess hepato-protective properties.

Dosage- 1-2 capsules two times a day with plain water after meals.


Hence from this discussion of progression of liver cirrhosis it is clear that Child – Pugh Score is an amazing marker for determining appropriate treatment. You don’t have to get hopeless in this situation, but try to adapt healthy lifestyle and diet along with conventional treatment.

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Dr. Vikram Chauhan (MD-Ayurvedic Medicine) is an expert Ayurveda consultant in Chandigarh (India). He has vast experience of herbs and their applied uses. He has successfully treated numerous patients suffering from various ailments, throughout the world. He is CEO and Founder of Krishna Herbal Company and Planet Ayurveda in Chandigarh, India. He researched age old formulas from ancient Ayurvedic text books to restore health and save human beings from the worst side-effects of chemical-based treatments.