Diagnostic criteria
Albumin creatinine ratio > 30 mg/g
Electrolyte abnormalities due to tubular disorders.
Serum creatinine > 1.2 mg/dl
Blood urea > 40 mg/dl
Abnormalities detected by USG KUB (if necessary for confirmation or differential diagnosis)
History of failure of kidney transplantation.
Decrease eGFR (GFR < 60ml/min/1.73 m2)
Inclusion criteria:
Participants of either gender of aged 18-60 years
Patients having one or more markers of kidney damage i.e.
Patients of Serum creatinine level 1.2 to 6.5mg
Patients of Blood urea level 48 to 180 mg/dl
Patients with eGFR level > 45 ml/min/1.73m² and persistent (present for > 3 months)
Patients of Albuminuria with ACR level > 30 mg/g.
Patients having any clinical signs and symptoms of Chronic Kidney Disease.
Patients who are fit for basti treatment
Exclusion criteria:
Patients who are on dialysis treatment for more than one month period
Patients who are already under gone for renal transplantation.
Patients who have stage 4 & 5 Chronic Kidney Disease.
Patients with Haemoglobin (Hb) < 7gm/dl .
Female patients having pregnancy, breast feeding or post-delivery period.
Patients having some illness like cardio-vascular disease, mental disorders or any other serious illness.
TRIAL DRUG
Kala basti
sharakashadi niruha basti
Pitadarusiddha anuvasana basti
Posology :
Dose:1020 ml
Dose form:Basti dravya
Route of administration: Basti
Time of administration: Empty stomach
Duration: 06 days
Candraprabha vati
Posology:
Dose: 500 mg BD
Dose form: vati
Route of administration: Oral
Time of administration: Before meal
Duration of Therapy: 60 days
ASSESSMENT CRITERIA
Subjective Parameters
Breathlessness (swasa krcchata)
Anorexia (Aruci)
Oedema (sotha)
Generalised Weakness (Daurbalya)
Nausea/Vomiting (chardi)
Urine analysis (atisrista / atibaddha mutra, abhiksna / alpalpa mutra, sashula mutra, bahala mutra)
Objectives parameters
Lab investigations
The following investigation will be done on 0th day,4th week and end of the trial. Following laboratory investigations will be performed for proper diagnosis and to rule out major pathological conditions:
RFT , e GFR , CBC , Urine analysis , Serum electrolyte . Blood sugar level
Routine examination and assessment: The full details of history & physical examination of patient will be recorded. Clinical & physiological assessment will be done before treatment, during treatment & at the end of the treatment and results will be analysed with appropriate statistical tests.
STUDY OUTCOME
Primary Outcome:
Changes in Serum creatinine level, eGFR, Blood urea level, ACR level from baseline to at end of the trail.
Secondary Outcome:
Patient get relief from clinical sign and symptoms of CKD at end of treatment.
Changes in urine analysis at end of 8th week.
Changes in the other laboratory like Serum electrolytes, Hb, Blood sugar level etc at the end of treatment.