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सीकेडी स्टेज 5 के लिए आयुर्वेदिक इलाज को लेकर चिंता
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प्रश्न #46169
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सीकेडी स्टेज 5 के लिए आयुर्वेदिक इलाज को लेकर चिंता - #46169

Client_f4374a

मुझे एक आयुर्वेद कंपनी से CKD स्टेज 5 के लिए इलाज मिला। लेकिन मुझे समझ नहीं आ रहा कि उन्होंने ट्रिबुलस टेरेस्ट्रिस और सोलनम सुरैटेंस क्यों डाला। क्योंकि गूगल कहता है कि ये किडनी को नुकसान पहुंचाते हैं। कृपया समझाएं।

How long have you been undergoing this treatment?:

- Less than 1 month

What specific symptoms are you experiencing related to your CKD?:

- No specific symptoms

Have you noticed any changes in your kidney function or overall health since starting the treatment?:

- No change
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डॉक्टरों की प्रतिक्रियाएं

Hello, I​‍​‌‍​‍‌​‍​‌‍​‍‌ really do understand the point you are making. It is a normal thing, I think, to become very worried if you read a lot of alarming things on the network regarding the situation that someone has stage 5 chronic kidney disease. I would like to explain it very calmly and still from a scientific point of view, in Ayurveda, so that you can decide what is best for you.

YOUR CONCERN – Summary

Diagnosed with stage 5 CKD Started Ayurvedic treatment 1–4 weeks ago The medicines are: Tribulus terrestris (Gokshura) Solanum surattense (Kantakari)

According to Google search these herbs “damage kidneys” No new symptoms have appeared till now Looking for safety and an explanation of it

FIRST AND FOREMOST POINT (Very Important)

Information found on Google is NOT based on the context Most of the warnings that one can find on the net refer to. –High-dose extracts –Unpurified parts of a raw plant –Self-medication –Animal toxicity experiments

Ayurveda follows the principle of using the processed, low-dose, and formulation-based method, which is quite different.

EXPLANATION BY AYURVEDA FOR THE TWO HERBS

1. Tribulus terrestris (Gokshura) Ayurvedic View Classical Mutravirechaniya & Mutrala Dravya Used in: Chronic kidney disease Urinary obstruction Oedema Reduced urine output

✔️ Found in Charaka & Sushruta Samhita

How it is helpful in CKD –By improving renal microcirculation –Decreases Vata-caused dryness and fibrosis –Supports residual kidney function –Works as a urine flow helper, not as a forceful diuretic

Reasons why Google labels it as harmful –High-dose steroidal saponins –Usage of bodybuilding supplements –Long-term, unsupervised intake

👉 The Ayurvedic CKD formulation contains very small, balanced doses, and is often mixed with cooling and protective herbs.

2. Solanum surattense (Kantakari) Ayurvedic View Mainly it is used to: Reduce inflammation Clear Aama (toxins) Support fluid metabolism It also is a part of the Dashamoola group

Why it is used in CKD –By helping to reduce chronic inflammation –Supports detoxification of the whole body –Prevents the secondary conditions (fluid retention, shortness of breath)

Reason why Google flag it –Raw plant toxicity –Alkaloids present in unprocessed form –Big doses or crude extracts

👉 In Ayurveda, only the processed root or fruit in very small is used—never the raw one.

IMPORTANT AYURVEDIC PRINCIPLE THAT YOU SHOULD KNOW

“The dose makes the poison, and the processing makes the medicine.” Even water can be harmful in CKD if not regulated. Likewise, herbs are only safe when used properly.

WHEN THESE HERBS CAN BE RISKY

⚠️ Only if: They are given in high doses Given as a single herb therapy If not adjusted for creatinine, urine output, potassium A patient self-medicates without a doctor’s supervision

WHAT YOU SHOULD DO NOW (VERY IMPORTANT)

Company / Doctor to ask: Exact dose per tablet Processing method (Shodhana) Whether formulation is CKD-stage specific Regular Monitoring Every 3–4 weeks: Serum Creatinine Urea Potassium Urine output Blood pressure

Warning signs – STOP & REPORT if Sudden drop in urine Nausea, vomiting New swelling Sudden fatigue

REALITY OF CKD - STAGE 5

Ayurveda is not capable of regenerating kidneys But it can slow down the progression, alleviate the symptoms, and better the quality of life The ultimate goal is stability, not a miraculous reversal

MY VIEW

✔️ If these herbs are used properly, then they are NOT harmful to the kidneys ✔️ They are classically considered as remedies for renal disorders ✔️ Fear arises from ​‍​‌‍​‍‌​‍​‌‍​‍‌misuse

Warm Regards Dr Snehal Vidhate

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स्वीकृत प्रतिक्रिया

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Hello, Thank you for sharing your concern.

Regarding your CKD stage 5 treatment and the inclusion of Tribulus terrestris (Gokshura) and Solanum surattense (Kantakari / Kantkari type plants):

In classical Ayurveda, Gokshura is often used for urinary tract support, mild diuretic effect, and reproductive health.

Solanum species are sometimes used for respiratory and urinary issues, and in small doses are thought to support kidney and bladder function in traditional texts.

⚠️ Modern evidence caution:

Both herbs can be nephrotoxic in high doses or with prolonged use, especially in advanced CKD (stage 5).

Scientific studies and case reports show potential kidney stress, increased creatinine, or electrolyte imbalance if used unsupervised.

Important points:

1. In CKD stage 5, kidney function is severely compromised. Even small nephrotoxic effects can be dangerous. 2. Herbal medicines should be supervised by a nephrologist and experienced Ayurvedic doctor. 3. If you are already on dialysis or medications, these herbs can interact or worsen kidney function.

🔎 Recommended Action 1. Stop these herbs temporarily until reviewed by your nephrologist. 2. Check kidney function immediately: Serum creatinine, eGFR, BUN, electrolytes 3. Consult a qualified Ayurvedic doctor who treats CKD patients specifically. They may suggest:

Safe kidney-supporting herbs like Punarnava, Guduchi, Gokshura (low dose with supervision), Varuna

Avoid herbs with possible nephrotoxicity

⚠️ Safety Advice

Do not self-administer Tribulus terrestris or Solanum surattense in CKD stage 5.

Always combine Ayurveda with conventional CKD care.

Report any swelling, reduced urine, or fatigue immediately.

✨ While these herbs have traditional uses, in advanced CKD they may harm kidneys. Only a specialist Ayurvedic physician for CKD can safely tailor your therapy. Regular monitoring is essential.

With careful guidance, Ayurveda can still support CKD safely, but these particular herbs need caution or avoidance.

Warm regards, Dr. Sumi MS(Ayu)

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
स्वीकृत प्रतिक्रिया

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Both herbs are useful in kidney issues not harmful

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
स्वीकृत प्रतिक्रिया

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I understand, your concern, especially when you already have CKD stage five and then read things on Google

Let me explain this clearly, so you can understand why this herbs are used in Ayurveda, and where the confusion comes from

Tribulus terrestris and solanum surattense or not kidney damaging by default The problem is how people interpret modern internet information without context

Tribulus terrestris has been used for centuries in Ayurveda, mainly to support urine flow, reduce burning, reduce, swelling, and ease strain on the urinary system. In classical practice. It is never given as a harsh stimulant. It is used in very specific doses. Often processed combined with other herbs and chosen based on Patient constitution and condition. In kidney disease, it is sometimes use not to push the kidneys, but to reduce obstruction in inflammation and discomfort in the urinary tract

The kidney damage you see mentioned online, usually comes from high dose extracts, bodybuilding supplements adult trade products, or prolonged and supervised use not from traditional therapeutic formulation

Silanum surattense he is also misunderstood online In Ayurveda, it is mainly used to reduce inflammation, fluid, retention, breathlessness and systemic congestion which are common in advanced kidney disease. It is not given to stimulate the kidneys forcefully. Again, toxicity reports, usually involve raw plant, miss use wrong part of the plant or excessive dozing, not classical formulation is prepared and prescribed correctly

If you still feel uneasy, it is completely reasonable to ask your prescribed doctor directly. Why these were chosen in case a good physician should be able to explain their reasoning clearly.

Your concern is valid, but the presence of these harps alone does not automatically mean kidney harm Context, dose formulation and supervision matter for more than isolated Google statements

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🌱 क्यों Tribulus terrestris (गोक्षुरा) का उपयोग किया जाता है - आयुर्वेद में, गोक्षुरा को मूत्रल (diuretic) और रसायन (rejuvenative) माना जाता है। - इसे पारंपरिक रूप से मूत्र पथ की सेहत, किडनी की छानने की क्षमता को बढ़ाने और सूजन को कम करने के लिए उपयोग किया जाता है।

1. चंद्रप्रभा वटी 2 टैब दिन में दो बार भोजन के बाद पानी के साथ 2. गोक्षुरादि गुग्गुलु 2 टैब दिन में दो बार भोजन के बाद पानी के साथ 3. वरुणादि क्वाथ 20 मि.ली. 30 मि.ली. पानी के साथ दिन में दो बार भोजन के बाद 4. पुनर्नवादि क्वाथ 15 मि.ली. 45 मि.ली. पानी के साथ दिन में दो बार भोजन के बाद

लाइफस्टाइल और डाइट - कम प्रोटीन वाला आहार: मूंग दाल, चावल, पकी हुई सब्जियों पर ध्यान दें। - अधिक नमक, तले हुए खाद्य पदार्थ, पैकेज्ड स्नैक्स से बचें। - पूरे दिन गर्म पानी की चुस्की लें। - योग: भोजन के बाद वज्रासन, तनाव मुक्ति के लिए अनुलोम-विलोम। - नींद: किडनी पर तनाव कम करने के लिए जल्दी सोने जाएं।

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हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

0 उत्तर

Thank you for contacting Ask Ayurveda

I can understand why this question has alt created fear and confusion in your mind, especially when you are dealing with kidney issues and through Google it says opposite to what a doctor has prescribed, it naturally creates doubt.

In Ayurveda, usually medicine effect depends upon dose, processing, combination, stage of disease, and the person’s digestion and strength. Google usually says about isolated compounds, animal studies, overdose, or misuse,but not about classical usage.

Tribulus terrestris, which is called as Gokshura, is actually one of the most commonly used herbs for the urinary system and renal system in Ayurveda. In classical texts it is mentioned as mutrala that means it supports urine flow, reduces burning, and eases pressure in the urinary tract and as shothahara, which means it helps in reducing swelling.

gokshura is often used to support filtration, reduce irritation, and help smooth urine flow in early and moderate stages. In very advanced CKD, especially stage 5, the intention is different. The aim is not to force the kidneys to work harder, but to reduce irritation, dryness, and secondary urinary discomfort and usually as part of a compound formulation, it does not stimulate the kidney aggressively. It works more on soothing the urinary pathways and balancing vata and pitta around the system.

when Gokshura is taken in high doses, for bodybuilding supplements, or as alcohol extracts without proper supervision, it may cause side effects Ayurveda does not use it in that crude way, especially not in serious kidney disease.

Solanum surattense, which is known as Kantakari. This herb also creates confusion because people associate it with strong action. Kantakari belongs to the Dashamoola group and is primarily used to balance vata and kapha. It helps to reduce inflammation, stiffness, fluid congestion, and obstruction ,In kidney disease, there is vata imbalance,dryness, muscle wasting, breathlessness, stiffness, and fatigue. Kantakari is sometimes used in very small amounts to address these systemic imbalances rather than directly acting on the kidney.

Again, the problem is not the herb itself. The problem is dose, duration, and context.

Ayurveda does not see the kidney as a single organ instead it concentrates on whole body, circulation, digestion, tissues, and excretory system together. When a formulation includes Kantakari, it is often to manage associated symptoms like fluid imbalance, heaviness, breathing discomfort, or systemic Many Ayurvedic companies use classical formulations where these herbs are present in very small proportions. The label may list them, but the actual quantity per tablet or dose can be quite low.

Since you mentioned that you have been on the treatment for less than a month and you have not noticed any change, positive or negative, that itself tells something. If these herbs were damaging your kidneys, you would have noticed worsening symptoms like discomfort, changes in urine or abnormal lab reports.

In advanced kidney disease, the most important factors are digestion, hydration balance, electrolyte stability, and avoiding anything that creates excess load on metabolism. Some Ayurvedic doctors continue mild supportive herbs to maintain comfort, appetite, bowel movement, and sleep, not to reverse kidney damage. And some focus on diet, routine, and reduction in symptoms Both approaches are right depending on the individual.

Your concern is valid. A good Ayurvedic doctor should be able to explain why a medicine is given and what the expected role is. If the company or practitioner has not explained this to you, it is okay for you to ask them directly. Ask them what is the intention of Gokshura and Kantakari in your case. Ask whether the dose has been adjusted for stage 5.

Google does not explain that kidney damage warnings often come from studies where herbs are taken in isolation, in high concentration, or combined other nephrotoxic substances. Ayurveda almost never uses herbs in isolation. It uses combinations that balance each other. A herb that is heating or stimulating is paired with cooling or soothing agents.

In CKD stage 5, herbs must be used cautiously. If you get symptoms like nausea, vomiting, decreased urine output, fatigue, burning, sensation or swelling after starting a medicine,stop it and review with nephrologist

Diet and routine are important than medicines at this stage. Simple easily digestible food, avoid excess protein load, avoid dehydration, maintain bowel regularity, and maintain mental calmness

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Google warnings usually classify these herbs as risky for Stage 5 CKD because of their Potassium content, not because they are toxic to the tissue. In Ayurveda, they are actually Nephroprotective (Kidney savers).

Tribulus (Gokshura): It helps revive damaged nephrons and gently flushes out Urea and Creatinine. Solanum (Kantakari): It reduces inflammation inside the kidney and helps manage fluid retention.

In Stage 5, your kidneys struggle to filter Potassium.

Check your latest Blood Test (KFT): If Potassium is < 5.0: The medicine is safe and essential to delay dialysis. If Potassium is > 5.5: Stop the medicine immediately. High potassium is dangerous for the heart. Advice: Continue the treatment only if your Potassium levels are normal, and get an Electrolyte test done every 15 days.

Regards Dr Gursimran Jeet Singh MD Panchakarma

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Client_f4374a
ग्राहक
64 दिनों पहले

लेकिन यह एक छोटी मात्रा है, Tribulus terrestris 52mg रोजाना

Solanum surattense 36mg रोजाना

दवाई लें और 1 हफ्ते बाद सीरम इलेक्ट्रोलाइट्स फिर से चेक करें। अगर पोटैशियम लेवल्स में कोई बढ़ोतरी नहीं होती है, तो दवाइयां जारी रखें और 1 हफ्ते बाद लेवल्स फिर से चेक करें ताकि निगरानी बनी रहे।

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पोटैशियम के स्तर को ध्यान में रखते हुए ऊपर दिए गए प्रिस्क्रिप्शन के अनुसार जारी रखें। यह कम डोज़ है, लेकिन अगर पोटैशियम का स्तर 5.5 से अधिक है तो इसे न लें।

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Client_f4374a
ग्राहक
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मेरे पास 5.5 पोटैशियम है लेकिन मैं पोटैशियम कम करने के लिए लोकल्मा भी लेता हूँ।

Tribbulus terrestris is kidney friendly herb. It does not have any metals, so no chance of damaging kidney. , but yes it’s purification process in the herb, and dosage is very important,and should be suggested by Ayurvedic physician. Solanum surratense is also a herb, and helps reduce inflammation. Many times Google gives lots of information, what to consider and what to filter regarding a particular product, is best to be discussed with conserned expert.

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

0 उत्तर

When you’re dealing with CKD stage 5, it’s critical to have a clear understanding of the treatments involved. Tribulus terrestris, known as Gokshura in Ayurveda, and Solanum surattense, also called Kantakari, are herbs with specific uses, but their application should be guided by skilled practitioners.

Gokshura is traditionally known for its diuretic and strength-promoting properties, making it sometimes utilized in urinary tract issues within Ayurveda. However, its use should be cautiously considered in CKD stages, especially in stage 5, where kidney function is severely compromised. If the kidneys are struggling, introducing diuretics can potentially strain them more. This reflects an understanding of Gokshura’s effects in possibly increasing urine flow, which may not align with what’s beneficial for the kidneys in advanced CKD stages.

Similarly, Kantakari is part of the Dashamoola group, which targets respiratory and other systemic imbalances. Its traditional application isn’t focused specifically on kidney support, and its usage would generally be for issues like asthma or cough within TRADITIONAL Ayurvedic practice, not directly for kidneys.

It’s vital to work closely with a knowledgeable Ayurvedic physician and also consult your nephrologist or healthcare provider. They can assess potential interactions and effects on existing conditions, as serious kidney impairment requires delicate management. Immediate medical intervention may be necessary if there’s any sign of increased harm or distress.

Any inclusion of these herbs should consider individual constitution (prakriti), present health status, and dosha imbalances. Without expert oversight, herbal treatments should be approached with caution. It’s crucial to address an questions or concerns directly with the practitioner providing the treatment to ensure your safety and health are prioritized.

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आपका व्यक्तिगत उपचार तैयार है
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Presley
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Thanks a ton for this comprehensive list. Your advice about Ayurveda was such a relief! I feel more confident managing my allergies now.
Thanks a ton for this comprehensive list. Your advice about Ayurveda was such a relief! I feel more confident managing my allergies now.
John
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Wow, thanks for the detailed plan! This really helps to have everything broken down like this. I’m relieved to have some clear steps to follow now. Super appreciated!
Wow, thanks for the detailed plan! This really helps to have everything broken down like this. I’m relieved to have some clear steps to follow now. Super appreciated!
Warren
1 दिन पहले
Thank you so much for the advice! I’ll definitely give those a try. Really appreciate the clear suggestions, had no clue what to do before!
Thank you so much for the advice! I’ll definitely give those a try. Really appreciate the clear suggestions, had no clue what to do before!
Kayden
1 दिन पहले
This was super helpful, thank u! The advice was clear and simple to follow. Already feeling a bit better after a few days.
This was super helpful, thank u! The advice was clear and simple to follow. Already feeling a bit better after a few days.