Ayurvedic Management of Chronic Kidney Disease: Classical Texts, Herbal Interventions, and Clinical Evidence
DOI:
https://doi.org/10.65327/kidneys.v15i1.621Keywords:
Ayurveda; Chronic Kidney Disease; Mutravaha Srotas; Rasayana Therapy; Integrative NephrologyAbstract
Chronic kidney disease (CKD) represents a growing global health challenge characterized by progressive decline in renal function and limited curative options in advanced stages. This article explores CKD through an Ayurvedic and integrative lens, emphasizing classical conceptual frameworks, therapeutic principles, herbal interventions, and contemporary clinical perspectives. Ayurveda conceptualizes renal and urinary disorders within the domain of Mutravaha Srotas dysfunction, arising from metabolic imbalance, impaired digestion (Agnimandya), accumulation of Ama, and progressive Dosha and Dhatu involvement. Such a systems-based understanding aligns closely with the chronic, multifactorial nature of CKD. The article critically examines classical textual references, principles of Ayurvedic management, and the pharmacological rationale underlying herbal and polyherbal formulations used in urinary and metabolic disorders. Emphasis is placed on Chikitsa Siddhanta such as Ama Pachana, Dosha Shamana, and Rasayana therapy, along with the central role of Pathya–Apathya in long-term disease management. Available clinical studies, case reports, and integrative healthcare models are reviewed to assess observed outcomes, safety considerations, and challenges related to evidence generation and standardization. An integrative perspective is proposed, highlighting the potential of Ayurveda to complement contemporary nephrology by offering preventive, supportive, and quality-of-life–oriented strategies for CKD management. At the same time, the article acknowledges limitations in existing evidence and underscores the need for rigorous clinical research, quality control, and interdisciplinary collaboration. Overall, the review suggests that Ayurveda, when applied judiciously and integrated responsibly with modern medical care, may contribute meaningfully to holistic and sustainable approaches for chronic kidney disease.
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