Cross Sectional Observational Study of Rasa Dhatu Dushti in Known Diabetic Patients of Chronic Kidney Disease (C.K.D.)

The rising incidence of CKD in Indian population is likely to pose major problems for healthcare and the economy in future years. In known diabetic patients of CKD, study of Rasa Dhatu Dushti is important for understanding the role of Rasa Dhatu in Samprapti of CKD. Aim is to assess Rasa Dhatu Dushti in known diabetic patients of chronic kidney disease on dialysis. Objectives are to assess Rasa Dhatu Kshaya, Vruddhi Lakshanas as per Vagbhata and Rasa Dhatu Dushti Lakshanas as per Charaka Samhita and analyse their severity as per the stages in known Diabetic patients of CKD on dialysis. Known diabetic patients of CKD on dialysis of age group 30-70 year and both genders were selected from dialysis centre. A Case Record Form was design for incorporating Lakshanas of different types of Rasa Dhatu Dushti. The stage of CKD is calculated on the basis of Sr. creatinine and Blood Urea reports collected from the patients. On the basis of grading of Lakshanas, the subjects are divided into Mild, Moderate and Severe Rasa Dhatu Vruddhi, Kshaya and Dushti Lakshanas. It is observed that Rasa Dhatu Kshaya, Vruddhi and Dushti remain highly prevalent across all CKD stages. More than 50 % of Rasa Kshaya Lakshanas were observed in 71 patients, Rasa Vruddhi Lakshanas in 40 patients and Rasa Dushti lakshanas in 7 patients. On the basis of outcome of observation and discussion, it is concluded that all types of Rasa Dhatu Dushti (predominantly Rasa Kshayatmaka Dushti) in all stages is present in known diabetic patients CKD on dialysis. Treatment of Rasa Dhatu is important to retard the disease progression.