Abstract

MANAGEMENT OF A CASE OF NEPHROTIC SYNDROME WITH ISM PROTOCOL

Dr. Prasad P. Dounde*, Dr. Anil B. Kale, Dr. T. Y. Swami, Dr. Ashish P. Rana, Dr. Mosin D. Sheikh and Dr. Pranali P. Dounde

Abstract

Nephrotic Syndrome is the clinical manifestation of glomerular diseases associated with heavy protein urea defined as > 3.5 gm/ 24 hr or urine protein: creatine ratio >2. It is characterized by large urinary losses of protein are hypoalbuminemia, edema, and hyperlipidemia (cholesterol > 200 mg/dl). Here we present a case study of 1 year and 9 Month old female child patient, 1st by birth order, born of nonconsanguineous marriage, brought & informed by father, mainly came with complaints of Periorbital Swelling, Ubhay pad shotha (Pedal Edema), Udarvriddhi (Abdominal Edema), Edema Over labia Majora, Edema over Gluteal Region, Irritable, sarvang shotha (Generalized Anasarca all over body), diagnosed as nephrotic syndrome she was apparently normal before 1 &1/2 month. Parents noticed edema on the face since 1 Month. Edema on limbs, abdomen & all over body appears after that. Treatment taken in private hospital & civil Hospital Osmanabad, because of its poor prognostic criteria and condition the child was referred to tertiary care center then for further management admitted in Government Ayurved Hospital Osmanabad. The Patient was treated with an integrated approach of Ayurveda appreciable results were observed.

Keywords: Nephrotic Syndrome, Ayurvedic, Sarvang shotha, Periorbital swelling, Pedal Edema.