Deha prakṛti (Body constitution) in the prevention and management of Chronic Kidney Disease and assessment of Deha prakṛti in patients with Chronic Kidney Disease – Western Province, Sri Lanka

Abstract

The concept of Deha prakṛti mentioned in Ayurveda, is a multifaceted concept with a wide variety of therapeutic applications that can be successfully employed for the integrated prevention and management of CKD. As there is no scientifically proven evidence exists that the concept has been implemented clinically in CKD patients, this study discusses how the concept can be utilized in the prevention and management of CKD and the prevalence as well as distribution patterns of Deha prakṛti among patients with CKD in the Western province of Sri Lanka. This was a retrospective cross-sectional observational study that included 134 CKD patients. 

Although the prevalence of Vāta (33.6 percent), Pitta (35.1 percent), and Kapha (30.6 percent) pradhāna prakṛti types was shown to be nearly equivalent among CKD patients, Pitta and Vāta pradhāna prakṛti types are most largely associated with CKD. CKD was found in a very small percentage of Sama Doṣaja prakṛti type patients (0.7 %).The patients with Kapha pradhāna prakṛti types and Sama Doṣaja prakṛti type appeared to have stage 1 CKD, but those with Pitta and Vāta pradhāna types were dispersed across CKD stages 2,3,4 and 5. As the disease advances, the proportion of CKD patients with Pitta and Vāta pradhāna prakṛti types steadily increases, with the majority of Vāta pradhāna prakṛti type patients representing the later stages, i.e., CKD stages 4 and 5, whereas the majority of patients with Pitta pradhāna prakṛti type representing CKD stages 2 and 3.