Punam Sawarkar, Gaurav Sawarkar
Chronic kidney disease or chronic renal failure (CRF)is one of the clinical entity which occurs as a result hampering of renal function due to many medical or systemic illness developed due to current fast lifestyle. Many contributing factors mentioned modern texts make vulnerable to conversion of the primary stage into end-stage disease, which have quite expensive modalities having non confirming results in advanced stages. Ayurveda, an ancient science, prefers to prevent or treat the disease in initial condition to avoid such complications. Though CKD is directly not mentioned in Ayurveda, we can successfully overcome this disease by application of two fundamental principles of Ayurveda i.e., root cause analysis and treatment according to underlying pathophysiology involved in specific clinical conditions. The present case study was taken up to evaluate the cumulative effect of Shodhana & Shamana Chikitsa in CRF. This is a case report of a male patient having age 69 years who was diagnosed as CRF before five years & on regular conservative treatment in modern science. Due to failure in relief of symptoms of CRF as well as persistent increase in values of serum creatinine & Serum Blood urea, he approached to Panchakarma OPD MGACH&RC. He underwent Dashmooladi Sasneha Niruha Vasti in addition to some proprietary as well as traditional Ayurvedic medicines (Syp. Neeri KFT, Chandrapbha Vati, Punaranavdi Qwath, Gomutra Arka with some specific drugs for lumbar spondylosis) for consecutive for one month & he got significant relief in symptoms & reduction in values of serum creatinine & Serum Blood urea from 4.89 to 1.21 & 64 to 50 respectively with a substantial decrease in systolic & diastolic blood pressure. In addition to these changes, noticeable results were found in patients' quality of life, including overall functional capacity, improvement in appetite, relief in constipation, and absence of lassitude without any adverse effects of therapy. This case study will become helpful in planning further research studies on a large sample size to develop a cost-effective standard regime in Ayurveda as an alternative safe treatment to avoid dialysis in advanced stages of CRF.