Abstract
Background: Nephropathy is one of the major micro-vascular complications of DiabetesMellitus, which can be detected in the earlier stage by the investigation of urinarymicroalbumin excretion level, estimation of ACR and GFR. The Siddha drug SirupeelaiKudineer indicated for the complications of Diabetes Mellitus is selected for this Case study.The efficiency of the drug was reported by measuring the change in Renal function over theperiod of study and the KD QOL assessment. Case description: A male patient of 62 yearswith the history of DM and hypertension since 20 years came to the hospital with complaintsof bilateral pedal oedema, general weakness, frequent nocturnal micturition and weariness oflimbs since last two months. His renal profile and glycaemic index was deranged (SerumCreatinine -1.42 mg/dl; Blood Urea -54.3 mg/dl; Urine Micro albumin -99.45mg/L; UrineCreatinine -74.8 mg/dl; ACR -15.02 mg/mmol; eGFR - 64.5 ml/min; BSL (Fasting) -157mg/dl; BSL (Postprandial) -289 mg/dl). Patient was taking certain oral allopathic medicinesand injection huminsuline 30/ 70 in the dose of 35 units before lunch, and 30 units beforedinner subcutaneously. As per Siddha concept his three humours deranged and seen with theClinical features of Madhumega roga avathaigal and Neeradaippu. He was given Siddhamedicine Sirupeelai kudineer-120ml twice a day for the period of one month. Significantrelief in symptoms and improvement in certain renal parameters was noted in the subject.Conclusion: The clinical and laboratory parameters in this case study suggest that this drugmay be used along with other allopathic drugs in the treatment of Diabetic nephropathypatients.
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