Panchakarma Intervention in Chronic Kidney Disease: A Case Report on Significant Renal Function Improvement

Chronic Kidney Disease (CKD) is a progressive deterioration of renal function characterized by impaired filtration, accumulation of metabolic toxins, and disturbance of systemic homeostasis. Kidneys play a vital role in maintaining fluid balance, electrolyte regulation, and excretion of waste products through urine formation. In Ayurveda, CKD can be correlated with Vrikka-vikara, often developed as an Upadrava of Mutravaha Srotas disorders or long-standing Prameha. Classical Ayurvedic texts describe Vrikka and Basti as the roots of urinary channels, where vitiated Dosha, particularly Kapha and Meda, obstruct the Srotas through involvement of Rasa, Rakta, Mamsa, and Kleda, leading to functional impairment comparable to proteinuria and elevated blood urea and serum creatinine. The disease progression is considered Krucchrasadhya in early stages and Yapya in advanced conditions, necessitating long-term management. Ayurvedic therapeutics adopt a holistic approach incorporating Shodhana, Shamana, and Rasayana therapies. As there is Kapha and medas involvement in the disease procedures such as Rookshana Karma like Udwartana and Takradhara helps in Kapha-Medo Vishodhana followed by Shamanushadis