Kerala Traditional Ayurveda Medicine: Kidney disease- clinical experience

Clinical Notes: swelling in the (B/L) shoulder joint and right knee with multiple joint pain since 10 months, increased body weight, headache, cold

History: The patient is having the swelling in the multiple joints since 10 years and consulted nephrologists. It was found that the size of the right kidney reduced. She also has recurrence of urinary tract infection and used to take allopathic medication. She is having the neck pain (cervical spondylosis) and multiple joint pains. The body weight increased gradually and recurrent headache. She had a discomfort to breath and found that mild thickening of the thyroid gland. She did the thyroidectomy surgery . Swelling in the (B/L) shoulder joint and right knee is seen after that. She takes allopathic medicines for HTN, hyper cholesterol, increased uric acid and thyronorm, calcium tablets.

Investigation: BP: 120/80mmHg. Wt: 73Kg

Medicines at the time starting treatments:

1. Guggulu thiktakam kasayam 15ml added with 45 ml lukewarm water and dhanwantaram (7) ½ tsp all together to be taken in morning empty stomach & in evening 6PM

2. Shaddharanam churnam 5g added with warm water at noon and night before food

3. Dasamoolahareethaki leham 1 tsp taken at night bed time followed by a cup of boiled water

4. Nirgundyadi coconut oil to be applied on the head

5. Nimbamruthadi tailam + Pinda tailam + Prabhanjanam tailam to be applied on the body

Treatments: (Panchakarma)

1. Takradhara(head):

2. Matravasti : Pippalyadi Anuvasana tailam

3. Podikizhi : kolakulathadi churnam

4. Nasyam: anu tailam 6drps

5. Snehavasti: Pippalyadi Anuvasana tailam

6. Kashayavasti:Kseera vasti, Madhutailikam vasti, ekaikaprasrutham vasti

7. Udwarthanam:Grihadhumaadi Udwarthana churnam+ dhanyamlam

8. Bashpaswedam: dasamoolam kasayam

9. Mukhaabyangam: kumkumadi tailam

Change of medicines: Nil

Condition at the time of discharge: after 3 weeks treatment- Swelling in the (B/L) shoulder joint and right knee reduced, multiple joint pain reduced, body weight reduced (65Kg), no headache, cold relieved

Follow up medicines:

1. Amruthotharam kasayam 15ml added with 45 ml lukewarm water and Twakeladi churnam 1 tsp all together to be taken in morning empty stomach& in evening 6PM

2. Navaguggulu tab 1 added with warm water at noon and night before food

3. Dasamoolahareethaki leham 1 tsp taken at night bed time followed by a cup of boiled water

4. Asanaeladi coconut oil to be applied on the head and do gentle massage before bath

5. Prabhanjanam tailam to be applied on the body and do gentle massage before bath

6. Nasyam with anu tailam 3drops,every day in alternative weeks (after 3 weeks)