1- ACUTE AND CHRONIC PYELONEPHRITIS
Definition
This condition refers to immediate and residual effects of bacterial infection in the kidney. This is high Pitta disorder affecting kidneys. Bacterial infection is responsible for this disease.
The predisposing factors are strictures in urinary tract, calculi, phimosis, trauma, catheterization, or instrumentation. The urine examination shows pus cells and albumin. Sudden onset of fever with chills, nausea, and vomiting is present. This disease is common in children.
2- ACUTE AND CHRONIC GLOMERULONEPHRITIS
Definition
Nephritis and glomerulonephritis are general terms used to designate number of acute and chronic bilateral nonsuppurative inflammatory or degenerative renal diseases characterized by proteinuria and haematuria.
This is also high Pitta disorder and may be due to beta hemolytic streptococcus infection. Sudden edema in face or puffiness of face is common. Fever, body ache and vomiting with headache, weakness, pallor and loss of appetite are present. There may be sudden attack of convulsion. Hypertension develops in chronic stage. Volume of urine is reduced and is dark in color. Proteinuria is almost always present. Treatment
Complete bed rest is essential in acute phase of the disease. Herbs of choice are boerrhavia diffusa and tribulis terrestris, Indian sarsaparilla, santalum album, cretaeva nurula, shilajit, and guggulu. Any of these can be given 1 to 3 gms a day for 1 month. In acute infections, use tab. Guduchi 500 mgm, 3 times a day or mallasindura rasa 50 mgm, twice a day for 15 days. In chronic stage, tab. Chandraprabha is very effective.
3- KIDNEY, URETER, BLADDER STONES
It is disorder due to vitiation of all doshas affecting the urinary system. Oxalate stones are formed predominantly due to high Vata vitiation, uric acid stones are due to Pitta vitiation, and phosphates are due to Kapha vitiation. In Ayurveda it is known as "Mutrashmari."
Symptoms
There may be sudden colic type of pain in abdomen radiating to lower abdomen and genital organs. Severe perspiration and vomiting may be present. In some patients, there is pain in the back with burning micturition and blood in the urine. Low-grade fever is rarely resent if there is secondary infection.
Treatment
Herbs of choice are punarnava, pashanabheda, bergenia ligulata, gokshura, and roots of five medicinal herbs. Combination of any three in equal parts 1 to 3 gms, should be given 3 times a day for 1 month.
Vata Kapha type- Diuretics having heating action like juniper berries, cinnamon, wild carrot are indicated. If the stones are very small along with diuretic action, they can pas through the urine. If the stones are very big there is no other choice than surgical treatment.
Pitta type- Diuretics, which are cooling type like burdock, dandelion, and horsetail are indicated in dose of 1 to 3 gms, a day for 1 month.
Chandanasava or punarnarishta (BR) should be given 15 ml 3 times a day for month.
Diet
Patient should drink at least one and half liter of water every day. Barley water, tender coconut water is more useful to flush out the kidney and ureter. Avoid all dairy products especially hard cheese, curd, and sweets made of condensed milk.
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Definition
This condition refers to immediate and residual effects of bacterial infection in the kidney. This is high Pitta disorder affecting kidneys. Bacterial infection is responsible for this disease.
The predisposing factors are strictures in urinary tract, calculi, phimosis, trauma, catheterization, or instrumentation. The urine examination shows pus cells and albumin. Sudden onset of fever with chills, nausea, and vomiting is present. This disease is common in children.
2- ACUTE AND CHRONIC GLOMERULONEPHRITIS
Definition
Nephritis and glomerulonephritis are general terms used to designate number of acute and chronic bilateral nonsuppurative inflammatory or degenerative renal diseases characterized by proteinuria and haematuria.
This is also high Pitta disorder and may be due to beta hemolytic streptococcus infection. Sudden edema in face or puffiness of face is common. Fever, body ache and vomiting with headache, weakness, pallor and loss of appetite are present. There may be sudden attack of convulsion. Hypertension develops in chronic stage. Volume of urine is reduced and is dark in color. Proteinuria is almost always present. Treatment
Complete bed rest is essential in acute phase of the disease. Herbs of choice are boerrhavia diffusa and tribulis terrestris, Indian sarsaparilla, santalum album, cretaeva nurula, shilajit, and guggulu. Any of these can be given 1 to 3 gms a day for 1 month. In acute infections, use tab. Guduchi 500 mgm, 3 times a day or mallasindura rasa 50 mgm, twice a day for 15 days. In chronic stage, tab. Chandraprabha is very effective.
3- KIDNEY, URETER, BLADDER STONES
It is disorder due to vitiation of all doshas affecting the urinary system. Oxalate stones are formed predominantly due to high Vata vitiation, uric acid stones are due to Pitta vitiation, and phosphates are due to Kapha vitiation. In Ayurveda it is known as "Mutrashmari."
Symptoms
There may be sudden colic type of pain in abdomen radiating to lower abdomen and genital organs. Severe perspiration and vomiting may be present. In some patients, there is pain in the back with burning micturition and blood in the urine. Low-grade fever is rarely resent if there is secondary infection.
Treatment
Herbs of choice are punarnava, pashanabheda, bergenia ligulata, gokshura, and roots of five medicinal herbs. Combination of any three in equal parts 1 to 3 gms, should be given 3 times a day for 1 month.
Vata Kapha type- Diuretics having heating action like juniper berries, cinnamon, wild carrot are indicated. If the stones are very small along with diuretic action, they can pas through the urine. If the stones are very big there is no other choice than surgical treatment.
Pitta type- Diuretics, which are cooling type like burdock, dandelion, and horsetail are indicated in dose of 1 to 3 gms, a day for 1 month.
Chandanasava or punarnarishta (BR) should be given 15 ml 3 times a day for month.
Diet
Patient should drink at least one and half liter of water every day. Barley water, tender coconut water is more useful to flush out the kidney and ureter. Avoid all dairy products especially hard cheese, curd, and sweets made of condensed milk.
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