76 साल की महिला जिनका GFR 39 है और एडिमा है, उनका इलाज पुनर्नवादि क्वाथ और नेफ्रोविन से कैसे करें? - #55198

For a 76-year-old female with GFR 39, leg edema, elevated creatinine, uric acid, potassium, and subclinical hypothyroidism, Ayurvedic management should be mild, protective, and carefully monitored. This condition mainly indicates imbalance of Mutravaha Srotas, fluid retention, and aggravated Kapha-Vata dosha. Punarnavadi Kwatha is traditionally known for its Mutrala (diuretic) and Shothahara (anti-swelling) properties. It may help in reducing water retention, supporting kidney function, and improving urinary flow. In elderly patients, it should always be started in a small supervised dose to avoid strain on weak kidneys. Nephrowin may also be supportive for kidney health, but the ingredient composition should be reviewed carefully before long-term use, especially in CKD patients. Ayurvedic Care Recommendations Prefer light, warm, freshly cooked food Reduce salt, packaged foods, pickles, papad, and fried items Avoid excess protein powders and unnecessary painkillers Sip lukewarm water in small quantities through the day Keep legs slightly elevated while resting Gentle walking and adequate sleep are beneficial Important Clinical Attention Since potassium and creatinine are elevated, regular monitoring of: Kidney function (GFR/Creatinine) Potassium levels Urine output BP and swelling is very important. Her Vitamin D level (6.4) is severely low and should be corrected properly, as it can contribute to weakness, body pain, and fatigue. Overall, Punarnavadi Kwatha can be beneficial for edema and renal support. A combined approach of Ayurveda, proper diet, and regular monitoring will provide the safest and best long-term support for her health.