Role of herbal medicines in the management of renal calculi - a review

Dr.M.Suguna⁽¹⁾, Dr.P.Arul jothi⁽¹⁾, Dr.G.Mohana Prabha⁽¹⁾, Dr.G.Dineshraman⁽¹⁾, Dr.S.Sundararajan ⁽²⁾

1. PG scholars, Department of Noi-Naadal, Government Siddha medical College and Hospital, Palayamkottai.

2. Lecturer, Department of Noi-Naadal, Government Siddha medical College and Hospital, Palayamkottai.

ABSTRACT:

Siddha system is an immense and multi dimensional science which found a deep relationship between the external world and the internal system of human. According to Siddha medical system a suitable proportion of the five basic elements and its harmonious work forms a healthy human body, the derangements of these five basic elements which cause derangements in the three bio regulating forces (vatham,pitham, kabam) to create disease. The ancient spiritual scientists encoded sacred sciences in the forms of poetry they elucidate tremendous values of medicinal plants as remedies for many recent day problems. RENAL STONES (Kalladaippu) a hard mass formed in the kidneys. It is an increasing urological disorder of human health affecting about 12% of the world population. This paper is the review of Siddha literatures which have certain herbal formulations as lithotriptic and diuretic for treatment of renal calculi may provide an effective impact.

KEYWORDS :

Renal calculi, Kalladaippu, Acchamari,Yega mooligai prayogam, single herbal formulation.

1. INTRODUCTION:

According to Siddha medical system a suitable proportion of the five basic elements and its harmonious work forms a healthy human body, the derangements of these five basic elements which cause derangements in the three bio regulating forces (vatham, pitham, kabam) to create disease. The ancient spiritual scientists encoded sacred sciences in the forms of poetry they elucidate tremendous values of medicinal plants as remedies for many recent day problems. RENAL STONES ( Kalladaippu )

a hard mass formed in the kidneys. It is an increasing urological disorder of human health affecting about 12% of the world population. It has been associated with an increased risk of end stage renal failure. It is a common cause of blood in the urine and pain in the abdomen flank, or groin. Development of the stones is related to decreased urine volume or increased excretion of stone–forming components such as calcium, oxalate, urate, cysteine, xanthine and phosphate. This paper is the review of Siddha literatures which have certain herbal formulations as lithotriptic and diuretic for treatment of renal calculi may provide an effective impact.

Renal Calculi Siddha Perspective

According to Siddha concept Kalladaippu (acchamari) is characterised by obstruction while passing urine, pain in the tip of penis, Burning micturition, renal pain, low back pain, small sand like crystals present in urine. Caused by increased intake of impure stagnant water, high carbohydrate containing, foods that increases Vatha humour and controlling of semen.

Based on Mukkutram Kalladaippu classified into four types

1. Vali kalladaippu

2. Azhal kalladaippu

3. Iyya kalladaippu

4. Mukkutra kalladaippu

3.HERBS USED FOR THE TREATMENT OF KALLADAIPPU:

TABLE.1 :

4. Characters of the herbs used in the treatment of kalladaippu:

TABLE.2 :

Methods of using Herbs in the management of Renal calculi:

Arugampul

Preparation : Decoction of ¼ palam(8.75gm) Arugampul with White pepper (10) mixed with paakalavu cow’s butter – Removes Renal stone.

Nerunjil

40 ml decoction of grinded nerunjil (68gms)

and coriander seed(8gms) twice a day.

Sirupeelai

Ø Sirupeelai decoction:

Equal quantity of Sirupeelai ,sirunerunjil, root of maavilangu&peraamutti

Ø Leaf juice of sirupeelai 1/8 to ¼ aalaakku

Ø Paste of equal quantity of sirupeelai rootbark and palm jaggery mixed with ½ aalaakku cow’s milk twice a day.

Seeragam removes renal calculi

Kudasapaalai removes renal calculi

Elumichan tulasi

Decoction of elumichan tulasi helps to fragmentation of bladder stones and removes.

Omam seed pocess diuretic and lithotriptic action

Kollu decoction of kollu (1:10 ratio; kollu:water) mixed with 650mg Rocksalt

it removes stones of internal organs.

Aamanakku EXTERNALUSE

( POTTANAM ) fomentation by cotyledons of aamanakku it relieves renal colic pain.

6.DISCUSSION:

Kidney stones present as an important and challenging clinical problem, diet plays an important role in the formation of kidney stones, especially the patients who are predisposed to the condition. A diet high in sodium, fat, meat and sugar, low in fibre, Vegetable protein and unrefined carbohydrates increase the risk for renal stone disease. Siddha herbal medicine when used judiciously can help in treatment and preventing recurrence of renal stones. The herbs Arugampul, nerunjil,& kollu having diuretic action has been proven effective in breaking and flushing out the kidney stones through urine, it also found effective in relieving the burning maturation. Sirupeelai, Kudasaipalai & Elumichan tulasi are the herbs having lithotriptic action which are effective in breaking and expulsion of renal stones, and it also helps to prevent future kidney stones. Seeragam&Omam are the drugs having carminative, anti-spasmodic& diuretic action they helps to prevent formation of renal stones, reduce burning maturation. Aamanakku is one of the best antivatha herb it relieves renal colic pain. This review paper reveals that Siddha herbal preparations plays a positive role in the treatment and prevention of renal calculi.

7.CONCLUSION:

Siddha system aims in both the treatment and prevention of the disease. This review concludes that appropriate medical therapy and lifestyle changes will cure the renal stone disease.

8.ACKNOWLEDGEMENTS:

Our sincere thanks to Head of the department, Faculties of Noi-Naadal department for their immense support and encouragement. We extend our thanks to Dr.S.Kavitha Dr.K.Hina Firdouse, Dr.N.Bharathi, Dr.Ragulini, Dr.Banupriya, Dr.Ramanujam of Government Siddha Medical College and Hospital, Palayamkottai.

9.REFERENCES:

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4. Sathiyarajeswaran p,shree devi M S, Sivalakshmi S, Daniya francis - Urolithiasis (Kalladaippu ) – An Evidence based case study .

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