Ayurvedic management of renal cyst – A case study

Abstract

Introduction: Renal cysts are detected more easily in elderly people due to the widespread use of abdominal computed tomography (CT), abdominal ultrasonography (USG), and magnetic resonance imaging. The importance of renal cysts arises from their augmented detection in elderly populations with the pervasive use of CT and abdominal USG. In Ayurveda, renal cyst has been interpreted with the name of Granthi where Vata-Kapha dominant Tridosha is involved. Very less scientific data is available depicting the effect of Ayurvedic intervention in such cases. Main Clinical Finding: A confirmed case of renal cyst of size 15 mm × 16 mm was seen in the lower calyx of the left kidney, a calculus of size 2.3 mm with mild upper hydroureteronephrosis, increased parenchymal echogenicity suggestive of Grade 1 fatty liver and gallbladder is distended with multiple hyperechogenic foci suggestive of calculus largest measuring of 13mm. Diagnosis: The patient was a diagnosed case of a renal cyst of size 15 mm × 16 mm in the lower calyx of the left kidney with a calculus of size 2.3 mm with mild upper hydroureteronephrosis with Grade 1 fatty liver and calculus largest measuring of 13 mm in the gallbladder based on USG findings. Interventions: The patient was treated with Ayurvedic medicines such as Chandraprabha Vati, Kanchnara Guggulu, Lavan Bhaskara Churna, Samsamani Vati, Kumaryasava, and Gokshuradi Guggulu. Outcome: Complete remission of the renal cyst with calculi along with Grade 1 fatty liver was observed after 6 months of treatment. Conclusion: This case study demonstrates the potential and usefulness of Ayurveda in the management of renal cysts.