Abstract

Acharya Manish, Dr. Gitika Chaudhary*, Dr. Richa, Dr. Sunil Kumar Verma, Dr. Tanu Rani

ABSTRACT

Hydronephrosis, corresponding to "Mutraghata" in Ayurveda, is a condition characterized by urine flow obstruction leading to kidney swelling and impaired renal function. This case report presents the Ayurvedic management of a 15-year-old male diagnosed with hydronephrosis secondary to pelviureteric junction (PUJ) obstruction in the left kidney. The patient exhibited symptoms of flank pain, reduced urine output, and discomfort. Initial investigations revealed an enlarged left kidney with thining of renal parenchyma with reduced excretory function, and significant tracer retention on 99mTc-DTPA renal scintigraphy. A comprehensive Ayurvedic treatment, lifestyle and dietary modifications were advised. The outcome was assessed using subjective parameters like the Visual Analog Scale (VAS) for pain, which improved from 7 to 3, and objective parameters such as renography, which indicated moderately improved parenchymal function with sluggish clearance post-treatment. The use of herbs like Gokhru (Tribulus terrestris), Punarnava (Boerhavia diffusa), and Chandraprabha demonstrated anti-inflammatory, diuretic, and nephroprotective effects, supporting their role in managing urinary obstructions. This case underscores the potential of integrating Ayurvedic medicine for chronic renal conditions and highlights the need for further research to establish efficacy on a larger scale. This report provides a promising insight into the role of Ayurveda in managing hydronephrosis (Mutraghata), suggesting a non-invasive approach to improve patient outcomes.