Chronic Renal Failure Case Study

USEFUL CONSERVATIVE TREATMENT IN THE MANAGEMENT OF CHRONIC RENAL FAILURE: A PILOT STUDY

Panchkarma is one of the unique treatment procedures of Ayurveda. Among that Basti karma is important one, because its sphere of action is said to be Apadmastak (1). Basti is the superior therapeutic procedure which does various actions due to combination of various drugs. It appears as a very useful treatment procedure in the management of various disorders. Chronic Renal Failure (CRF) is a disease condition in which basti karma seems to be very useful type of therapeutic procedure. Brihtayadi Kashaya of Tridoshaja Mutrakriccha rogadhikara of text Chakradutta (2) was used for Niruha Basti in the management of CRF patients. It shows very significant improvement

CRF is associated with a constellation of signs and symptoms which may or may not include reduced urine output but always include elevation in serum creatinine and bl.urea concentrations. The usual hallmark of CRF is reduced kidney size as seen by ultrasound scanning. Conservative therapy, dialysis, and transplantation are the three current treatment modalities used by modern medicine in CRF. Patients of serum creatinine level below 8mg/dl are managed by conservative therapy which includes restriction of dietary sodium and proteins intake and foods rich in phosphates and potassium. Early use of conservative therapy helps in slowing the progress of renal disease. Dialysis and transplantation are the treatment of choice if serum creatinine level are consistently above 8mg/dl. The use of chronic dialysis reduces the severity and complications of disease. Over the past 30 yrs, dialysis has prolonged the lives of thousands of patient with renal insufficiency. Unfortunately even optimal dialysis therapy is not panacea, because some disturbances resulting from impaired renal

Basti karma performs various functions in body like shodhana, shaman, sangrahana, brihana, arshan etc. by virtue of its content. Basti karma of niruha variety has specific property to remove doshas of body from pakwasaya and establish the equilibrium of tridosha.

In same way Brihtyadi Niruha Basti expel out accumulated doshas from body. Antra (intestine) is considered as a second kidney of body by surgeons. In CRF renal insufficiency leads to accumulation of toxins in body. Removal of these accumulated toxins from body is essential part of treatment in management of CRF. Brihtyadi Niruha Basti help to remove the accumulated doshas of vrikka while expelling the doshas from antra (intestines). Content of Brihtyadi Niruha Basti through systemic absorption reaches to vrikka and help to improve the functional capacity of nephrons, slow the progression of disease, minimizes the complications and helps to prevent long term sequel of disease.

Brihtyadi Niruha Basti:

Brihtayadi Kashaya of Tridoshaja Mutrakriccha rogadhikara of text Chakradutta was decided to use in niruha basti in the management of CRF patients.

Contents of Brihtyadi Niruha Basti:

Brihati

Kantkari

Patha