Sreelekshmy Eramangalath

Ojas is the vital force that sustains life formed as an essence of all the dhatu. The decline of ojas is an inevitable sequel of any disease. Shock which is a condition that results from reduced perfusion to tissues and organ dysfunction is relatable to the 3 stages of ojakshaya as mentioned by Susrutha. Sannipatajwara which is also called as Hritaujas and its classification into 13 types can be aligned to the stages of different types of shock. The contradiction of visha and ojas and the importance of the trimarma in the pathology of ojodushti are also significant in understanding and managing ojodushti. The emergency management system has to focus on the concept of ojodushti.

Chronic Kidney Disease (CKD) is a multifaceted progressive deterioration of renal function. Its furtherance is often undetected and paves way to a pervasive and insidious health crisis. Methodology: A review of published cases was planned to explore the efficacy of Ayurvedic management in improving renal function and other symptomatic parameters in CKD. A comprehensive literature search of case studies in Google Scholar and PubMed spanning five years was conducted. The studies that fulfilled the inclusive criteria were included in the review. Based on this conclusion, an in-depth interview of five experts treating CKD from Malappuram, Kerala was done. The interpretations of both the review of published case reports on ayurvedic management of CKD and in-depth interview were statistically represented. Result: Out of 22 identified case reports, 14 met the inclusion criteria for analysis. The mean age of the subjects was 51.58 years, with 71.4% males and 26.8% females. Following Ayurvedic treatment, notable improvements were observed in serum creatinine, serum urea and e-GFR. Conclusion: This case based review suggests that Ayurvedic treatment can contribute to improving the quality of life of CKD affected patients. However, inconsistencies in methodology and lack of standardized diagnostic criteria underscore the need for large-scale, high quality clinical trials to confirm these findings and establish the efficacy and safety of Ayurvedic formulations in CKD management.