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Role of Ayurveda in the management of chronic kidney disease: A case study

Wide emergence of chronic kidney disease (CKD) may be considered as a global threat, but with simple diet, lifestyle modification and early intervention, it can be managed through Ayurveda. It is possible to withhold morbidity and mortality, which occurs due to CKD. Currently, available conventional treatments for CKD have their own limitations. Considering those, alternate remedies for curing and curbing the disease progression are being worldwide welcomed. In Ayurveda, CKD may be compared with the subtypes of Mutraghata (~obstructive and suppressive uropathies), for which extensive treatment modalities have been described in classics. In the present study, 37-year-old female patient diagnosed with Stage-3 CKD (estimated through either glomerular filtration rate) visited the outpatient department complaining headache, restlessness, shortness of breath, swelling in feet, tiredness, etc. She had a history of anemia and blood transfusion every 6 months for 18 months, for which she was investigated and later diagnosed as a case of CKD. Initially, she was prescribed with Trina panchamoola kwatha, Punarnava mandoora, Syrup Neeri KFT, and Kamadudha rasa for two months, and further treatment was altered and tailored according to the patient's condition and Shatavari, Shivagutika, Punarnava mandoora, Lauhasava, Chandanasava, Varunadi kwatha, and Gokshura churna were prescribed in the different phases of management. The patient was advised to avoid milk and milk products, vegetables such as cabbage, spinach, brinjal, and avoid the suppression of naturalurges. Increase in hemoglobin level (to 10.2 mg/dl) and decrease in creatinine level (to 0.9 mg/dl) were observed. The patient did not have to take blood transfusion either. The case clearly reveals the significance of ayurveda treatment modality in the management of CKD.