Is punarnava good for ckd patients. Can punarnava taken along with allopathy medicines. Why allopathy doctors insist not to take ayurvedic medicines for renal diseases. Does ayurvedic medicines harm for patients who are taking it first time?

Dr. Mahesh RokadeNephrologist22yrs exp

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There are lot of ayurvedic/herbal/naturopathy medicines which we as nephrologists have seen over the years harm the kidneys. People with great hope of avoiding dialysis or curing kidney disease try many such medicines. We, allopathy doctors are not against any -pathy and respect every science. However there are no clinical trials or scientific evidence of these herbs like punarnava being beneficial in chronic kidney disease. You need to understand that ckd is a progressive disease and the progression can only be retarded and not halted. The factors leading to faster progression of ckd are uncontrolled sugars, uncontrolled blood pressure, massive proteinuria, etc. In my 11 years of practice as a nephrologist, I have seen several patients who have rapidly progressed to end stage renal disease just because of consumption of ayurvedic/herbal medications (cannot single out punarnava). But when we advice, not to try such medicines which do not have scientific evidence to have worked in retarding the progression of ckd, the idea is to keep at bay the preventable factors. As of now, strict control of blood pressure, blood sugar, control of proteinuria, avoiding otc medicines, painkillers, ayurvedic/herbal medicines, avoiding infections, low protein diet +/- alpha keto analogues have proven scientific evidence of helping in retarding the progression of ckd. 

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