As someone on dialysis, incorporating any Ayurvedic treatment should be approached with care, specially since your body is already under significant physiological stress. Dhanyamla is a fermented liquid traditionally used in Ayurveda to alleviate various conditions, including swelling or water retention. However, before considering its application, it’s crucial to first discuss it with your primary healthcare provider to ensure it’s safe given your unique health circumstances.
For Lepam, or topical application, proper preparation and method are essential. Dhanyamla can be made by fermenting cereals like rice, along with dry ginger, and fenugreek for about 7 days, until sour. This liquid is typically safe for external use, but you may consider starting with patch test to check for any allergic reactions or sensitivity. Applying Dhanyamla may help reduce the water accumulation, but remember, it won’t replace your primary treatments like dialysis.
You may apply this liquid in combination with various Ayurvedic powders to create a paste which is gently applied over the abdomen where the water retention occurs. Typically, the mixture should be left on the affected area for about 15 to 30 minutes, then rinsed with lukewarm water. Make sure to do this in a calm environment, perhaps twice a day or as suggested by your Ayurvedic practitioner.
In parallel, adhere to a diet that’s light and easy to digest. Avoiding salty, preserved, and heavy foods, as they can exacerbate water retention, aligning with your medical dietary requirements, is ideal. Foods with diuretic properties like barley water, or light soups may be supportive and complement the topical treatment. Ensure to stay hydrated but follow your physician’s guidance on fluid intake.
However, given your condition, it’s essential that these Ayurvedic interventions be monitored and adjusted by a qualified practitioner experienced in managing treatments alongside conventional medical care to ensure your safety and health remain top priorities.
For your situation as a dialysis patient, it’s crucial to approach treatments like Dhanyamlam with careful consideration. Dhanyamlam, a fermented liquid preparation, is typically used in external applications like lepam for its potential to reduce inflammation and aid in detoxification. However, given your condition, particularly with dialysis and fluid accumulation, utilizing Dhanyamlam needs tailored attention.
Firstly, make sure to consult with your healthcare provider or nephrologist before applying Dhanyamlam or any other treatment. They can provide guidance based on your current treatment plan and health status. Fluid management is key in dialysis patients, and any intervention should not exacerbate your condition.
If deemed safe, use Dhanyamlam as a lepam by applying it externally over the affected area, such as the stomach, without internal ingestion. This can be done by soaking a clean cloth or bandage in Dhanyamlam, gently placing it over the area, and letting it sit for about 15–20 minutes. This can potentially help with local fluid retention.
Also, ensure your diet aligns with your dosha needs and follow prescribed dietary restrictions due to dialysis. Vata balance is crucial here as fluid dynamics in the body are significantly influenced by Vata. Foods that support Vata balance, like warm, moist, and easily digestible meals, might help. Always coordinate any changes with dietary restrictions for kidney health.
Finally, practicing gentle exercises, recommended by a healthcare professional, can support circulation without adding strain to the kidneys or other organs. Always ensure you’re regularly consulting with your healthcare team, especially when trying new treatments alongside your existing regimen.


