A Case Report of Diabetic Microalbuminuria Managed with Shatavari Gokshru Rasayana

Authors

  • Nishant Shukla Professor and Head, Department of Kayachikitsa, Shri V. M. Mehta Ayurved College, Gardi Vidyapith Anandpar, Gujarat, India

Keywords:

Diabetic complications, Daruharidra, Gokshru, herbal drugs, microalbuminuria, Shatavari

Abstract

Diabetes mellitus reduces life expectancy of patient up to 10 years. Diabetes mellitus has risk of fatal target organ damage leading to complication like diabetic renal disease, retinopathy, cardiac disease, neuropathy, etc. that is believed to be occurring due to vascular changes or endothelial dysfunction. Longevity of the diabetic patients may be increased if these changes are arrested. This change leads to microalbuminuria and therapeutic measures if used well in time to manage endothelial dysfunction help in arresting diabetic complications. As per Acharya Charaka diabetic complication may also be due to Apatarpana changes in the tissue. A few patients that presented with microalbuminuria with diabetes mellitus that were managed with Shatavari—Goskhru yoga along with Mehari yoga i.e., Trifala— Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellarica), Amalaki (embilica officinale), Daruharidra (Berberis aristata), Vishala, Nisha—Haridra (Curcuma longa), and Musta (Cyperus rotundus). Patient responded well with the treatment clinically and biochemical recovery. Cases of diabetic microalbuminuria will be discussed in full in the paper.

References

Ancient Ayurveda text Charaka Samhita Chikitsa Sthana (Prameha Chikitsa). Management of

Prameha (Urinary Diseases including diabetes). 2020, 6/40.

Diabetes UK. Key statistics on diabetes. (2010). [Online] Available at:

https://www.diabetes.org.uk/resources-s3/2017-11/diabetes_in_the_uk_2010.pdf

Mashudu Mudau et al. Endothelial dysfunction: the early predictor of atherosclerosis. Cardiovasc J

Afr.2012 May;23(4):222–231.

Charaka Samhita e-book. [Online] Available at: http://niimh.nic.in/ebooks/ecaraka/?mod=adhi

Charaka Samhita Nidan Sthana (Prameha Nidan) 4/39

Charaka Chikitsa sthana: Visarpa Chikitsa, 21st chapter. [Online] Available at:

https://www.easyayurveda.com/2015/11/23/charaka-visarpa-chikitsa-21st-chapter/.

Charak Samhita. Management of Prameha (Urinary Diseases including diabetes).2020

Ritz E. Albuminuria and vascular damage -- the vicious twins. N Engl J Med. 2003; 348(23): 2349–

p.

Nelson RG, Newman JM, Knowler WC, et al. Incidence of end-stage renal disease in type 2 (noninsulin-dependent) diabetes mellitus in Pima Indians. Diabetologia. 1988; 31(10):730–736p.

Parving HH, Mauer M, Ritz E. Diabetic nephropathy. In: Brenner BM, ed. Brenner & Rector's the

kidney. 7th ed. Vol. 2. Philadelphia: Saunders, 2004: 1777–818p.

Niimh.nic.in. (2021). e-Samhita - National Institute of Indian Medical Heritage. [online] Available

at: http://niimh.nic.in/ebooks/ecaraka/?mod=adhi Charaka Samhita Chikitsa Sthana (Prameha

Chikitsa) 6/40.

Published

2021-05-03

Issue

Section

Case Study