Ayurvedic approach to Nephrology, covering:Electrolyte Disturbances, Acid-Base Disorders, Acute & Chronic Renal Failure

Ayurvedic approach to Nephrology, covering:

• Electrolyte Disturbances

• Acid-Base Disorders

• Acute & Chronic Renal Failure

This includes clinical Ayurvedic correlations, Samprāpti, Chikitsā Sūtras, classical references, and useful formulations.

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🟢 1. Electrolyte Disturbances

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🔹 Modern Understanding:

Disorders in Na⁺, K⁺, Ca²⁺, Cl⁻, HCO₃⁻ balance — often due to renal dysfunction, vomiting, diarrhea, or endocrine disorders.

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🔹 Ayurvedic Correlation:

Electrolyte Disorder	Ayurveda View
Hyponatremia (low Na⁺)	Āma-janya srotos avarodha, Rasa–Majja–Meda dhātu kṣaya
Hyperkalemia (high K⁺)	Ātyayika Vātaprakopa, Māmsa-Majjā dhātu dushti
Hypocalcemia	Asthi-Majjā dhātu kṣaya, Ojas-kṣaya
Hyperchloremia/Alkalosis	Related to Pitta-prakopa, Amlapitta, or Atipitta
Hypomagnesemia	Majjā dhātu kṣaya, Vāta prakopa

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🔹 Samprāpti (Pathogenesis):

• Rooted in Dhatvagni Mandya, Doṣa dushti, Srotorodha → impaired regulation of Drava dhātu and Rasa-Vikshepa.

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🔹 Chikitsā Sūtra:

“Snehanaṁ, Svedanaṁ, Bastiṁ cha vātabalaṃ jayāt।”
— Suśruta Cikitsā 4
“तत्र रसवहानां स्रोतोदोषे तिक्तसिद्धं क्षीरं प्रयोज्यम्।”
— C.S. Vimāna 5/16

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🔹 Ayurvedic Management:

1. Agni dīpana, Ama pachana

2. Srotoshodhana, Rasa-prashādana

3. Rehydration and Rasāyana support

4. Basti karma for correcting Apānavāta

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🔹 Formulations:

• Triphala ghṛta, Dashamoola kvātha

• Shaddharana churna (deepana-pachana)

• Shatāvari ghṛta for electrolyte balancing

• Punarṇavādi kaṣāya – Rasayana & fluid balance

• Jeerakādi Vati, Dadimashtaka churna

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🟢 2. Acid-Base Disorders

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🔹 Modern Understanding:

• Metabolic/Respiratory Acidosis or Alkalosis

• Commonly linked to renal failure, vomiting, diarrhea, lung disorders

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🔹 Ayurvedic Correlation:

• Pitta-Prakopa, Agnimandya, Amla-rasa vriddhi, Vidāha, Mūtrakṛcchra, Mūtrādaha, Trishna

Condition	Ayurveda View
Metabolic Acidosis	Pitta dushti, Mūtrāvaha srotas dushti, Āma
Metabolic Alkalosis	Vāta-Kapha dushti, Mandagni, excessive fluid loss

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🔹 Samprāpti:

• Disruption in Pitta sāmya, Rasa–Rakta dhātu dushti, improper processing of Amlīya dhātus.

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🔹 Chikitsā:

1. Pitta–Tridoṣa shamana

2. Shīta virechana, Mridu basti, Mūtrala chikitsā

3. Agnideepana, Āma pachana

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🔹 Formulations:

• Avipattikara churna, Sootshekhara rasa, Kamdudha rasa

• Drākṣādi kwātha, Shatāvari kalpa, Guduchi satva

• Chandanasava, Ushīra svārasam – Pittahara

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🟢 3. Acute and Chronic Renal Failure

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🔹 Modern Understanding:

Condition	Description
Acute Kidney Injury (AKI)	Sudden drop in renal function
Chronic Kidney Disease (CKD)	Progressive nephron damage, leading to uremia, fluid & electrolyte imbalance

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🔹 Ayurvedic Correlation:

Modern Term	Ayurveda Equivalent
AKI	Mutrakṛcchra (acute), Mutraghāta, Tridoshaja jwara
CKD	Mutravāha srotodushti, Mutraghāta, Prameha janya upadrava, Ojas kṣaya

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🔹 Samprāpti (Pathogenesis):

• Kapha–Vāta vitiation → Mutravāha srotas blockage

• Rasa–Rakta–Meda–Mūtra dushti

• Ojas–dhātu kṣaya, Apānavāta vaigunya

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🔹 Chikitsā Sūtra (S.S. Cikitsā 9/5):

“Mutraghāte bastiḥ śreṣṭhaḥ – Snigdhośṇaḥ pānīyaḥ।
Mūtralaṁ pānāṁ, Rasāyanaṁ cha prayojayet॥”

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🔹 Management Protocol:

🔸 1. Stage-wise Shamana & Shodhana:

• Early AKI: Ama-pachana, Mūtrala therapy

• Chronic stage: Rasāyana, Srotoshodhana, Basti therapy

🔸 2. Rasayana Therapy:

• Improve Dhātu-nutrition, reduce Ojas-kṣaya

🔸 3. Shodhana:

• Mild Virechana with Trivṛt, Eranda Sneha

• Basti therapy (Yapanabasti, Tikta kṣīra basti)

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🔹 Formulations:

• Punarṇavādi Mandoora, Gokṣurādi guggulu

• Chandraprabhā vaṭi, Varunādi kvātha

• Neerabala kwātha, Dashamūla kwātha

• Ikṣumūla kvātha, Shilājatu, Gokṣura churna

• Chandra-kānta rasa, Makshika Bhasma

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🔹 Dietary Advice:

• Avoid: Sālty, sour, spicy, and protein-rich foods

• Prefer: Moong dal soup, light boiled vegetables, Punarnava soup, cow’s milk (small quantities)

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🔹 Supportive Therapies:

• Takra Basti, Anuvāsana Basti – for Apānavāta balancing

• Nabhi-marma Abhyanga with Punarṇava taila

• Yoga & Prāṇāyāma – Bhrāmari, Anuloma-viloma

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📘 Classical Text References

Topic	Ayurveda Term	Classical Source
Electrolyte imbalance	Rasa-Raktavaha srotodushti, Dhātukṣaya	C.S. Sūtra 28, Vimāna 5
Acid-base disorder	Amlapitta, Pitta-kapha dushti	A.H. Cikitsā 9
AKI / CKD	Mutrakṛcchra, Mutraghāta, Prameha Upadrava	C.S. Cikitsā 6 & 26, S.S. Uttara 60

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🧪 Modern + Ayurvedic Integration:

• Punarnava – Proven diuretic, anti-inflammatory

• Gokshura, Varuna – Nephroprotective actions

• Shilajatu – Supports glomerular filtration, improves renal antioxidant status

• Studies in IJAR, AYU Journal, and CCRUM show improved creatinine, urea levels with Ayurvedic nephroprotective herbs