Start with - 1. Punarnavadi Mandoor: 250 mg twice daily after meals with warm water. 2. Gokshuradi Guggulu: 1 tablet twice daily after meals with water. 3. Chandraprabha Vati: 1 tablet twice daily after meals with water. 4. Sukumara Kashayam: 10 ml + 30 ml warm water morning empty stomach. 5. Raktapittantak Loha: 125 mg once daily morning with honey (for anemia).
Padabhyanga: Bala Taila on feet nightly → wear socks.
Diet – RENAL diet Take only: Rice (white, washed 3x) + moong dal (1:3 ratio) + ½ tsp ghee. Boiled apple, pear, papaya (100 gm daily). Lauki, tinda, parwal (steamed). Buttermilk (homemade, diluted) with roasted cumin. Water: 1.2–1.5 L/day (boiled + cooled). Avoid completely: High K⁺: Banana, tomato, spinach, potato, coconut water. High P: Dairy, nuts, beans, colas. Salt >2 gm/day. Protein >0.6 gm/kg/day.
Lifestyle Chest Spirometery (for COPD + SOB). Rest: Legs elevated 20 min twice daily. Avoid: Cold, dust, smoke. Sleep: Head elevated, 10 PM – 6 AM.
Monitoring (Critical) Daily: Weight, urine output, BP. Weekly: Serum Cr, K⁺, Hgb. After 30 days: eGFR, electrolytes, Hgb. Any swelling, less urine, if confusion then report to ER immediately.
eGFR 18 is critical. Ayurveda supports but does NOT replace dialysis/pre-dialysis care. Continue all nephrologist orders (EPO, binders, etc.). These medicines reduce inflammation, support RBC, protect residual function. No self-adjustment. Report all changes to nephrologist.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Hello Patricia, I understand how challenging it must be to manage Stage 3 kidney disease along with anemia and COPD. But dont worry we are here to help you out😊
You’ve already taken commendable steps by following a strict diet and receiving appropriate medical care.
✅AYURVEDIC PLAN OF TREATMENT
✅INTERNAL MEDICATION
Since you have a chronic condition with reduced renal function, gentle internal treatments are preferred rather than strong detoxification.
1 Punarnavadi Kashayam 15ml-0-15ml +45 ml water after foof – reduces fluid retention and improves kidney function.
2 Chandraprabha Vati 1-0-1 after food – supports urinary system and balances Kapha and Vata.
3 Gokshuradi Guggulu 1-0-1 after food – useful in kidney-related disorders and for urinary health.
4 Punarnava Mandura 1-0-1 after food – excellent for anemia and kidney detoxification.
5 Sarvothobhadra vati 1 tablet aftwr lunch ( for rejuvination of kidney)
Continue for 1 month and do follow up
✅DIET MODIFICATION
✔️ Include
Warm, freshly cooked meals with mung dal, lauki (bottle gourd), parwal (pointed gourd), ridge gourd, pumpkin. Old rice, barley, and wheat in small quantities. Cumin, coriander, fennel, turmeric, and black pepper in small amounts to support Agni.
Boiled and cooled water infused with a pinch of cumin or coriander seeds.
Pomegranate juice, amla, and beetroot for improving hemoglobin naturally.
❌ Avoid
Excess salt, sour, spicy, and oily foods. Canned or preserved foods and processed protein supplements. Overuse of dairy, especially cheese or curd at night. Late-night meals and daytime sleeping.
✅LIFESTYLE MODIFICATION
Gentle Pranayama (especially Anulom Vilom & Bhramari) – helps oxygenation and stress control.
Maintain a regular sleep pattern and avoid mental overstrain.
Mild stretching or walking within your energy limits to support circulation.
Avoid dehydration but also do not over-drink water — keep hydration balanced as per your doctor’s advice.
✅For Anemia and Energy
Fresh wheat grass or Moringa leaf juice – once a day helps in natural iron supplementation.
✅For COPD and Respiratory Support
Tulsi and Pippali decoction – supports respiratory strength. Avoid exposure to cold wind and dust.
Monitor creatinine, eGFR, hemoglobin, and electrolyte levels regularly.
A consistent routine, sattvic diet, and carefully chosen Ayurvedic formulations can gradually improve kidney and overall vitality.
Wishing you a good health😊
Warm Regards Dr Snehal Vidhate
Take purnanavasa 20ml bd,siva gulika 1tab bd, sarvathobhadravati gold 1tab od, chandraprabha vati 1tab bd enough
1.Gokshuradi Guggulu 2 tab twice daily with water after meals 2.Chandraprabha Vati 2 tab twice daily with water after meals 3.Punarnava Mandura 2 tab twice daily with water after meals 4.Varunadi kwath 20 ml with 20 ml water twice daily after meals
External Therapies: - Abhyanga (oil massage) with Bala Thailam or Dhanwantaram Thailam to reduce Vata and fatigue - Gentle fomentation on lower back with warm towel (avoid heat over kidneys directly)
Diet & Lifestyle Tips: - Avoid high-protein, salty, sour, and spicy foods - Include barley water, bottle gourd, ridge gourd, coriander, and pomegranate - Stay hydrated with warm water sips, avoid cold drinks - Practice gentle breathing exercises (Nadi Shodhana, Bhramari) for COPD and fatigue - Sleep by 10 PM to support tissue repair
Start with Divya Renogrit 1-1-1 after food with water Gokshuradi guggul 2-0-0 after breakfast with water Punarnava mandur 1-0-1 after food with water Do pranayam lom -vilom bhastrika bhamri 5-10mins daily twice
HELLO,
The kidneys act like the body’s filters- they remove waste and balance water, salts, and minerals When kidney function drops to about 18 mL/min waste starts to build up. This is called stage 3 chronic kidney disease- the kidneys are still working, but much less efficiently
BECAUSE OF THIS -waste toxins (urea, creatinine) rise in blood -fluid may build up-> swelling , breathlessness -anemia occurs because kidneys make less erthropoietin -electrolyte (potassium, sodium, magnesium) can go up or down, affecting heart and muscles -fatigue, shortnesss of breath, and poor appetite are common -contrast dye from a recent CT scan can temporarily worsen kidney function -Rhino/enterovirus and COPD add stress on body’s oxygen ad immunity
Ayurveda sees this as a tridosha imbalance dominated by vata and kapha, disturbing the mutravaha srotas and rakta dhatu
vata= dryness, tissue depletion, fatigue, pain,insomnia Kapha= swelling, heaviness, mucus retention, sluggish metabolism Pitta= inflammation, burning sensation, metabolic waste build up
TREATMENT GOALS -slow disease progression and preserve remaining kidney function -remove excess water and toxins without harming kidneys -correct anemia and strengthen blood -balance electrolytes naturally -support lungs and immunity for COPD and infection -nourish and rejuvenate tissues without overloading kidneys
INTERNAL MEDICATIONS
1) PUNARNAVADI KASHAYA= 20 ml + equal water twice daily after meals for 3 months =kidney protection and gentle detox
2) GOKSHURADI GUGGULU= 1 tab twice daily after meals for 3 months =urinary channel clearing and mild diuretic
3) VARUNADI KASHAYA= 20 ml twice daily after meals with water -reduce stone tendency
4) NAVAYASA LOHA= 1 tab after meals for 2 months =aemia and energy
5) ARJUNA KSHEER PAK= 50 ml twice daily =lung and heart support copd
6) AMALAKI RASAYANA= 1 tsp daily in morning =general immunity and rejuvneation
LIESTYLE -SLEEP= 7-8 hours, early to bed -HYDRATION= small sips of warm water, avid over hydration unless advised -AVOID= holding urine, skiping meals, daytime sleeping, stress’s old exposure -DAILY HABITS= gentle walk 15 mi in fresh air if tolerated, keep bowel regular -MENTAL CARE= meditation, slow breathing, listening to calming music
YOGA AND PRANAYAM -vajrasana = improves digestio, reduces acid load -supta baddha konasana/makarasana= relieves pressure on kidneys and lungs -anulom vilom= balances nervous system, oxygenates blood -bhramari= calms mind, reduces breathlessness axiety
DIET -light,freshly cooked, non salty, non spicy foods -rice, wheat porridge, moong dal soup, bottle gourd, ridge gourd, ash gourd -cumincoriandr fennel water -small amount of pomegranate, apple or pear -home made ghee 1/2 tsp improves digestion and balance vata -amlonds soaked and peeled 1-2 / day
AVOID -processed/packaged foods, pickles, papads, cheese -salt substitute high in potasium -spinach, tomato, beetroot, brinjal -excess milk/curd, fermented or fried items -heavy lentils chana, rajma -alcohol,smoking
HOME REMEDIES -punarnava root tea= 1/2 tsp powder boiled I 200ml water reduce to 50 ml,filter, drink once daily -jeera Dhanya ajwain water= sip throughout the day for bloating -amla juice + hoey 1 tsp each every mroning for antioxidant support
Ayurveda does not replace dialysis or modern nephrology but it can support kidney function reduce toxin load, and improve overall strength when used correctly
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Stage 3 kidney disease with an eGFR of 18 is quite serious, and it seems you’re dealing with multiple complications alongside it. Given your background, let’s consider a few Ayurvedic principles that might support your condition, though it’s crucial to keep in mind that any Ayurvedic treatment should complement and not replace the medical treatments being provided by your healthcare team.
First, due to the chronic anemia, it’d be beneficial to focus on boosting Rasa dhatu, which can be considered analogous to the body’s plasma and blood components in Ayurveda. Foods like lightly cooked green leafy vegetables, beets, and pomegranates can be supportive. Cooking them in a bit of ghee can make them easier for digestion as they are Vata-pacifying, which could be beneficial considering the kidney’s role in Vata dosha regulation.
For the prevalence of kidney stones, ensure that your diet is low in oxalate-containing foods like spinach, nuts, and wheat bran, which can aggravate stone formation. Drinking warm water with lemon first thing in the morning can also help dissolve stones while promoting Apana Vata balance, which governs the excretion process.
The recent administration of contrast agents and multiple IV therapies can aggravate Pitta and Vata doshas. To counteract this, maintain adequate hydration with room temperature water and avoid overly pungent, sour, or salty foods. Cumin, coriander, and fennel tea can aid in detoxifying the system gently.
For your underlying COPD, incorporate pranayama practices like Anulom Vilom (alternate nostril breathing) to support respiratory function, provided it does not exert your current state.
Considering your hospitalization and current medical interventions, it’s essential to proceed with caution and continually liaise with your healthcare team. Ayurvedic herbs and supplements should only be taken after a thorough discussion, to avoid any adverse interactions. Recognize that immediate situations may require urgent medical attention to ensure your safety.
From the symptoms which you have mentioned it seems that you were in icu monitoring And now how the levels are ? It’s better to opt for online consultation or direct admission
take gokharu 10 ml tds take 5 tulsi leave take chandraprabhavati 2 tds
