Abstract
COMPREHENSIVE APPROACH ON INTEGRATIVE AYURVEDIC STRATEGIES IN CHRONIC KIDNEY DISEASE: A CASE REPORT
Acharya Manish Ji, Dr. Gitika Chaudhary*, Dr. Richa, Dr. Suyash Pratap Singh and Dr. Manjeet Singh
ABSTRACT
Kidney diseases are categorized under Bastirog or Maha Marma (vital organs) in Ayurveda and are recognized for their Kashtasadhyatva (poor prognosis). The structural and functional components of Vrikka (kidneys) are nourished by Rakta (blood) and Meda (fat tissue), forming the basis of Medovahasrotas (fat-metabolic channels). Chronic Kidney Disease (CKD), considered an Anukta Vikara (non-specific disease) in Ayurveda, commonly arises from underlying conditions such as obesity, hypertension, and diabetes mellitus, compounded by polypharmacy. CKD is a global noncommunicable health issue with a progressive course that often leads to End-Stage Renal Disease (ESRD) requiring Renal Replacement Therapy (RRT). Dietary and metabolic imbalances, including excess fluid intake, overly dry foods with antinutrient loads (Ati-Rookshanna), unctuous (AtiSnigdha) and heat-inducing (Ushna) foods, and synthetic protein supplements or processed non-vegetarian diets (Vidahi), are critical contributors to Rakta and Medovaha srotas Dushti (pathology of circulatory and fat-metabolic channels). Such factors precipitate nephron damage, perpetuating disease progression. Despite modern interventions involving dietary modifications and dialysis, CKD often remains a therapeutic challenge. A 28-year-old female with a history of CKD stage V presented with generalized weakness, appetite loss, nausea, and vomiting, along with significantly elevated serum urea and creatinine levels. She underwent comprehensive Ayurvedic management, including a personalized treatment protocol, a modified dietary regimen, and lifestyle interventions. The treatment resulted in symptomatic relief and a significant reduction in urea and creatinine levels, highlighting the efficacy of the integrative approach. This case report underscores the potential of Ayurveda in managing CKD by addressing Srotodushti (channel dysfunction) and facilitating renal repair through holistic and individualized care.
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