Cast nephropathy is a severe complication of multiple myeloma (MM) characterized by the intratubular precipitation of monoclonal light chains. In elderly patients, this often leads to acute kidney injury (AKI) manifesting as oliguria and profound physical debility. While conventional management focuses on chemotherapy and hydration, Ayurvedic interventions offer a supportive strategy to improve renal perfusion and systemic vitality. A 72-year-old female, who had a known history of Multiple Myeloma, suddenly developed symptoms such as oliguria, generalized weakness, and anorexia. Her blood reports indicated raised serum creatinine and blood urea. She was Treated with a combination of Shamana therapies. After the treatment, a significant increase in daily urine output was observed, alongside a stabilization of renal parameters and a marked improvement in the patient’s quality of life and functional status. This case suggests that individualized Ayurvedic protocols can effectively manage the symptoms of cast nephropathy in MM. Ayurveda provides a viable complementary approach for elderly patients who may have limited tolerance for aggressive conventional renal interventions.
Dr. Surbhi Jha1*, Dr. O. P. Vyas2, Dr. Shivangi Rathor3, Dr. Gayatri Prajapati4 (Mon,) studied this question.