EFFECT OF AYURVEDIC TREATMENT IN DIABETIC NEPHROPATHY: A CASE STUDY

Deshpande Shailesh Vinayak*, Kadam Maruti Dhondiram and Deshmukh Satyajit Pradip

ABSTRACT

Aim and Background: Nephropathy is leading complication of Diabetes (DM) that affects about 40% of diabetics. It needs intense management, such as dialysis and may lead to renal transplant and badly affects quality of life. With limited options available in modern medicine, following ayurvedic principles of diagnosis and treatment can be useful. Case Description: A 65 years old female patient, known case of DM for 24 years, with bilateral pedal edema, puffiness of face, frequent nocturnal micturition, nausea, vomiting, weakness and hiccups visited hospital. Her renal and diabetic profiles were deranged (serum creatinine 3.0 milligrams per deciliter (mg/dl), blood urea 50 mg/dl, blood sugar fasting 245 mg/dl and post prandial 345 mg/dl) with protein urea. Patient was taking oral hypoglycemic agent and insulin. She was case of diabetic nephropathy. According to principles of ayurveda she was diagnosed as case of ‘prameha updrava janya kapha pitta pradhan vrukka roga’. She received combination of hajrat yahud bhasma 125mg, punarnava, varuna, ushira, amalaki each 250 mg before food twice daily, fresh decoction of trina panchamoola 50 ml twice daily and chandraprabha vati 250 mg before food twice daily. Outcome: After three months of treatment patient showed significant relief in symptoms. Significant drop down was seen in renal profile and sugar (serum creatinine1.1 mg/dl, blood urea 40 mg/dl, blood sugar fasting 114 mg/dl, post prandial 203 mg/dl) with decrease in protein urea. Conclusion: Significant relief can be achieved in patients of nephropathy by applying principles of diagnosis and treatment of prameha and vrukkaroga. It’s single case study and can lay down road ahead for further research.

Keywords: Diabetic Complications, Chronic Kidney Diseases, Vrukka Roga, Serum Creatinine.