Concern About Ayurvedic Treatment for CKD Stage 5 - #46169

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

🌱 Why Tribulus terrestris (Gokshura) is used - In Ayurveda, Gokshura is considered a Mutrala (diuretic) and Rasayana (rejuvenative). - It is traditionally used to support urinary tract health, kidney filtration, and reduce swelling.

1.Chandraprabha vati 2 tab twice daily with water after meals 2.Gokshuradi Guggulu 2 tab twice daily with water after meals 3.Varunadi kwath 20 ml with 30 ml water twice daily after meals 4.Punarnavadi kwath 15 ml with 45 ml twice daily after meals

Lifestyle & Diet - Low protein diet: focus on moong dal, rice, cooked vegetables. - Avoid excess salt, fried foods, packaged snacks. - Warm water sipping throughout the day. - Yoga: Vajrasana after meals, Anulom-Vilom for stress relief. - Sleep: early bedtime to reduce stress on kidneys.

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

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

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.

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.