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VOL 3
ISSUE 1 (2015) INTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINEINTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINEINTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINEINTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINE
eISSN
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Sneha Aswale et. al., A Case Discussion on CRF (Mutraghat) Treated with Kshar Basti and Mansaras Basti, Int. J. Ayu. Alt. Med., 2015; 3(1):60-63
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CASE REPORT eISSN 2348- 0173
Impact Factor (2014) – 0.815 by International Scientific Indexing (ISI) UAE
A CASE DISCUSSION ON CRF (MUTRAGHAT) TREATED WITH KSHAR
BASTI AND MANSARAS BASTI
Sneha Aswale1*, V.E.Gogate,2 S.I.Pathan3, Abhijit Ahire 4
1. PG Scholar, Department of Kayachikitsa, Govt. Ayurved College, Nanded, Maharashtra, Contact No. 9405266671. email-snehaaswale2588@gmail.com
2. Associate Professor, Department of Kayachikitsa, Govt. Ayurved College, Nanded, Contact No. 9422214311. email-vgogate21@gmail.com
3. Assistant Professor, Department of Kayachikitsa, Govt. Ayurved College, Nanded, Contact
No. 9665311877. email-pathanshamshirkhan@gmail.com
4. Assistant Professor, Department of Panchakarma, Govt. Ayurved College, Nanded, Contact No. 7774048512
Article Received on - 20th
Jan 2015
Article Revised on - 14th
Feb 2015
Article Accepted on - 24th
Feb 2015
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eISSN
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Sneha Aswale et. al., A Case Discussion on CRF (Mutraghat) Treated with Kshar Basti and Mansaras Basti, Int. J. Ayu. Alt. Med., 2015; 3(1):60-63
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CASE REPORT eISSN 2348- 0173
*Corresponding Author
Sneha Aswale PG Scholar, Department of Kayachikitsa, Govt. Ayurved College, Nanded, Maharashtra, Contact No. 9405266671 Email - snehaaswale2588@gmail.com
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ABSTRACT: Kidneys are the organs that have numerous biological roles. They maintain the
homeostatic balance of body fluids by removing waste out of body. Chronic
Kidney disease (CKD) or Chronic Renal Failure (CRF) refers to an irreversible
deterioration in renal function, which develops over a period of years. The
conventional approach of management includes dialysis and renal
transplantation, which are involving the high costs and complexity so very few
patients are able to obtain adequate treatment for kidney disorders because of
financial limitation. Therefore, exploration of a safe and alternative therapy is
needed, which proves to be helpful in reducing the symptoms and improve the
quality of life. The use of herbal drugs for the prevention and treatment of
various diseases is constantly developing throughout the world. In Ayurveda
CRF can be correlated with Mutraghat due to similarity in symptoms. In present
study a case was taken of chronic kidney disease treated with Basti Therapy. He
was given Kshar Basti for 7 days followed by Mansaras Basti 21 days. This
treatment approach has significantly reduces the symptoms and improve the
quality of life.
Key Words: Chronic Kidney Disease, Mutraghat, Basti Therapy
INTRODUCTION
The world is facing a global epidemic of chronic
Kidney disease (CKD).As the morbidity and
mortality from infectious disease decline, life-
expectancy increases and chronic degenerative
diseases have become more prevalent.CKD is
unique amongst the chronic non-infectious illness. [1] Chronic kidney disease (CKD) encompasses a
spectrum of different pathophysiologic processes
associated with abnormal kidney function, and a
progressive decline in glomerular filtration rate
(GFR). [2] Chronic Kidney disease is an illness that
has existed > 3months with either kidney damage
or low GFR. [3]
In early CRF the patient is often asymptomatic.
Renal failure may present as a raised blood urea
and creatinine found during routine examination,
often accompanied by hypertension, proteinuria or
anaemia.[4] Clinical feature includes Anorexia,
Nausea, Tiredness, Oligouria ,Oedema etc. The
dispiriting term end-stage renal disease represents
a stage of CKD where the accumulation of toxins,
fluid, and electrolytes normally excreted by the
kidneys results in the uremic syndrome. This
syndrome leads to death unless the toxins are
removed by renal replacement therapy, using
dialysis or kidney transplantation. The monthly
cost of hemodialysis (HD) in most private hospitals
is very expensive. The treatment cost is a burden
for common man. Therefore, exploration of a safe
and alternative therapy is highly needed.
Ayurveda does not individually suggest the causes
and treatment for CKD. Though CKD patients
involve multisystem & associated with variety of
symptoms but main complaint i.e oligouria-
supression of urine formation can be correlate
with Mutraghat vyadhi as Acharya Chakrapani
clarifies that Mootraghata is characterized by
Shoshan and Hani of mutra [5], which indicate a
state of suppression of urine.
In mutraghat vyadhi because of vitiated vata urine
formation get hamper so quantity of urine get
minimized. Acharya charak has given that
mutrakruccha can be caused due to santarpan [6]
also and in Bheshajya Ratnavali acharya described
that chikitsa of mutraghat can be done as that of
mutrakruccha and described Bastii chikitsa for it [7]
& CRF patients also complaining symptoms like
agnimandya, aruchi which are due to Aama
samchiti. Considering above factors, Basti therapy
has been selected as a treatment modality for CRF
patient.
A single case study of CRF is reported here. In
which vitiated Doshas were specified with the use
of Kshar Basti followed by Mansaras Basti.
CASE REPORT
A 52 Year old male patient visited kayachikitsa
OPD of Government Ayurved Colleage, Nanded,
Maharashtra with complaints of Nausea, Anorexia,
A CASE DISCUSSION ON CRF (MUTRAGHAT) TREATED WITH
KSHAR BASTI AND MANSARAS BASTI
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ISSUE 1 (2015) INTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINEINTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINEINTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINEINTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINE
eISSN
2348-0173
Sneha Aswale et. al., A Case Discussion on CRF (Mutraghat) Treated with Kshar Basti and Mansaras Basti, Int. J. Ayu. Alt. Med., 2015; 3(1):60-63
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weakness, Edema over both lower limb, oligouria
(suppression of urine).He was diagnosed with CKD
before 3 years and having history of hypertension
for more than 6 years. Patient was treated with
diuretic-tab Lasix-20 mg-1 OD, Tab Amlodepine 5
mg -1 OD, Calcium and Iron Supplements.
Thorough clinical examination of patient was done.
Patient was afebrile, pulse-76/min regular, pallor
present, coated tongue (sam jivha) BP-160/100
Mm/Hg, RS, CVS, CNS showed no abnormality.
Patient was investigated Hb%-7.2 gm%,
Sr.creatinine-3.2 mg/dl, Bl.Urea-56 mg/dl, Urine
albumin +, Urine output-400 ml.
According to Ayurveda Patient was Diagnosed as
Mutraghat as Oligouria is the main symptom. The
laboratory diagnostic tests and sonological
investigation had confirmed the presence of
chronic kidney disease. Patient was having the
symptoms of Aama like Agnimandya,Aruchi, along
with above complaints,for this following treatment
regimen was followed..
1) Kshar Basti-(260 ml) at morning after
meal for 7 days.
2) Mansa Rasa Basti-(260 ml) at morning
after meal for 21 days.
Patient experienced increased in Apetite
,Angalaghavata, Decreased in Nausea, Oedema
slightly decreses, sr.creatinine level also slightly
decrease i.e.3 mg/dl after 7 Days of Kshar Basti.
After 7 Days of Kshar Basti ,Mansaras Basti was
started for 21 days. After 28 days of Basti Therapy
patient experienced very good relief in symptoms
like Weakness, Nausea, Oedema, Anorexia.
Sr.creatinine level also slightly decrease i.e
2.86mg/dl.
Preparation of Basti
Kshar Basti- Ingrediant of Kshara Basti [8]
1. Saindhava Lavana : 5 gm
2. Guda(Jaggary) : 50 gm
3. Chincha (Tamarindus) : 50 gm
4. Shatahva(Souph) : 5 gm
5. Gomutra : 160 ml
Total : 260 ml
Initially 50 gm of Jaggary (Guda) and 50 gm of
chincha was mixed uniformly with equal quantity
of lukewarm water then 5 gm of Saindhava was
added to the above mixture then 5 gm of Kalka of
Shatahva were taken and added to above mixture
carefully. Lastly 160 ml of Gomutra was added
slowly and mixing is continued so as to have
uniform Basti Dravya. Finally after filtering, Basti
Dravya is made lukewarm by keeping it into hot
water.
Ingredients of Mansaras Basti [9]
1. Madhu : 50 ml
2. Ghrut : 50 ml
3. Mansaras : 160 ml
4. Nagarmotha kalka : 5 gm
Total - : 260 ml
Initially 50 gm Madhu was mixed uniformally with
equal quantity of Ghrut. Then Musta Kalka was
taken and added to above mixture and mixed
properly. Lastly 160 ml Mansras was added slowly
and mixing is continued so as to have uniform
Basti Dravya.
Kshar & Mansaras basti were prepared with slight
modification from the textual reference. Amount of
all dravyas as mentioned in the text was taken in
its half quantity keeping in the mind the body
strength (rogbala) of the patient.
PROBABLE MODE OF ACTION
Kshar Basti comprises of Saindhava, Guda, Chinch,
Gomutra and shatava. In this Basti, maximum
quantity is of Gomutra which is having Tikshna,
Ushna, Agnideepak, Kshar Guna. [10] These has the
property of Lekhan and Rukshana which are
antagonistic to Ama. Chinch to be taken in Kshar
Basti should be in Pakva stage that is having
Deepan, Ruksh gun & ushana virya because of these
properties it is Vata – Kaph shamaka. [11]
In this basti Puran Guda is used, it is laghu, pathya
annabhishyandi, agnivardhaka and vata-pittaghna. [12] Saindhava due to its sukshma and tikshna
property helps the Basti dravya to reach up to the
molecular level. [13] It is capable of liquefying the
viscid matter and breaking it into minute particles.
In this way, strotorodh and samata might be
reduced due to kshar basti. Mansaras Basti was
given for dhatu and bala vardhana purpose after
strotoshodhan done by ksharbasti.
For preparation of Mansaras we used Ajamansa.
Acharya Vagbhata has said that,because of having
samshitoshna character it doesn’t vitiated any
dosha. Guna of Aja mansa are as similar as sharir
guna of human beings so they may help to nutriat,
sapta dhatu. [14] Ghrut also ingredient of mansaras
basti is Agni,Bala vardhak, [15] properties so in this
way bruhan karma done by mansaras basti.
Basti therapy has the quality to eliminate both vat
and kapha-kleda also it is the best shodhan therapy
for the elimination of Dosha lying in the lower
parts of the body, so ultimately basti therapy
provide significant relief in Anorexia, Nausea
,weakness, oedema.
CONCLUSION
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eISSN
2348-0173
Sneha Aswale et. al., A Case Discussion on CRF (Mutraghat) Treated with Kshar Basti and Mansaras Basti, Int. J. Ayu. Alt. Med., 2015; 3(1):60-63
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In Ayurveda Mutraghat has the symptom similar to
CRF. So Mutraghat can be correlated with CRF.As
Mootrarogas are Santarpanjanya roga and
Mutraghat is one of the Mutraroga Kshar Basti is
the effective treatment for this, to prevent
excessive apatarpan Mansras Basti is used. Basti
Therapy showed very good result in reducing the
symptoms but has very low effect in reducing the
sr.creatinine level. From the above study it can be
said that Kshar Basti and Mansaras Basti might
prove beneficial to the patients of CRF in reducing
the associated symptoms and to improve the
quality of life.
REFERANCES 1. Siddharth N. Shah, API text book of medicine, vol. 1, 8th ed.
reprint, published by the association of physicians of India,
Mumbai, 2009, p. 732
2. AS Fausi et al; Harrison’s principles of internal medicine,
17th ed., Mc Graw Hill Medical publication, 2008, p. 1761
3. Siddharth N. Shah, API text book of medicine, vol. 1, 8th ed.
reprint, published by the association of physicians of India,
Mumbai, 2009, p. 733
4. C Haslett et al; Davidson’s Principles and practice of
medicine,18th ed., Churchill Livingstone Harcourt
Publishers Limited,1999, p. 433
5. Yadavaji Trikamji, Charak Samhita, Sanskrit commentary,
Chaukhambha Prakashan Varanasi, 2013, p. 600
6. Yadavaji Trikamji, Charak Samhita, Chaukhambha
Prakashan Varanasi, 2013,ch.su,chp 23,shlok-31, p. 455.
7. Siddhinandan Misra, Bhaishyaj Ratnavali of Kaviraj Govind
Sen edited with ‘Siddhiprada Hindi Commentry’ Vol.2, First
ed. Chaukhamba Surbharati Prakashan Varanasi, 2005, p.
683
8. Indradeva Tripathi, Chakradatta-with the ‘Vaidayaprabha’
Hindi Commentary of Shri Chakrapanidatta, 2nd ed.,
Chaukhambha Sanskrit Sansthan,Varanasi,1994, p. 455
9. Yadavaji Trikamji Acharya, Charak Samhita – with Ayurved
Dipika commentary of Chakrapanidatta, Chaukhambha
Prakashan Varanasi, 2013, p.733
10. Chunekar K. C., Bhavaprakasa Nighantu, Bhavamisra,
Chaukhambha Bharati Academy,Varanasi, 2010, p.761
11. Chunekar K. C., Bhavaprakasa Nighantum, Bhavamisra,
Chaukhambha Bharati Academy,Varanasi, 2010, p. 586
12. Chunekar K. C., Bhavaprakasa Nighantu, Bhavamisra,
Chaukhambha Bharati Academy,Varanasi, 2010, p. 779
13. Chunekar K. C., Bhavaprakasa Nighantu, Bhavamisra,
Chaukhambha Bharati Academy,Varanasi, 2010, p.148
14. Brahmananda Tripathi, Astanga Hrdayam, Vagbhata,
Chaukhambha Sanskrit Pratishthan, Delhi, 2010, p. 100
15. Brahmananda Tripathi, Astanga Hrdayam, Vagbhata,
Chaukhambha Sanskrit Pratishthan, Delhi, 2010, p.73
CITE THIS ARTICLE AS –
Sneha Aswale et. al., A Case Discussion on CRF (Mutraghat) Treated with Kshar Basti and Mansaras Basti, Int. J. Ayu.
Alt. Med., 2015; 3(1):60-63
Source of Support – Nil Conflict of Interest – None Declared
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