Water drinking is given importance in management of diseases through naturopathy. There should be special considerations with regard to the treatment of renal diseases through water drinking

1. IMPORTANCE OF WATER
DRINKING AND RENAL DISEASE
ACCODING TO NATUROPATHY
Dr Sujatha KJ
Dean
Division of natural therapeutics
SDMCNYS

2. NATUROPATHY
• Naturopathy, Nature cure or Drugless therapy, as
it known, is a system of treatment of sick without
medicines or drugs.
• Handbook of Naturopathy-
Dr.Sukhbir Singh
Henry Lindlahr
Nature cure is a system of building the entire being in
harmony with the constructive principle in Nature on the
physical,Mental,Moral and spiritual planes of being.

3. WHO Definition
A drug is a substance or a product that is
used to modify or explore physiological
system or pathological states for the benefit
of the recipient.

4. Panchamahabhutha
• ACCORDING TO PANCHAMAHABHUTHA THEORY MAN IS
MADE UP OF 5 ELEMENTS
• EARTH
• FIRE
• WATER
• AIR
• SPACE
• REFERENCE:
• SWASTHAVRITTA
• BHAGVATH GITA , CHAPTER 6 & 7

5. • Renal involvement can be primary or
secondary
• Primary – renal causes
• Secondary – non renal or sysyemic causes

6. Predominant tattva is water
• Treatment depend on
• extent of damage to the renal system
• Circulatory – insufficiency & congestion
• Obstruction –renal calculi
• Structural – anomalies

7. • Naturopathy principle to be emphasized on is
balance between input ( water intake ) and
output ( water elimination )
• SUPPLY = DRAINAGE
SUPPLY AND DRAINAGE
Water intake
Water
excretion

8. Water and kidney function
• Water homeostasis depends on fluid intake and maintenance of body water
balance by adjustment of renal excretion under the control of arginine vasopressin
hormone.
• kidney plays a critical role in water homeostasis. Every day, plasma ultrafiltration
produces 150 L of filtrate (ie, 100 mL/min) via approximately 2 million nephrons.
• This primary urine is almost entirely (ie, 90%) reabsorbed in parallel to electrolytes.
• Reabsorption of the remaining volume depends on the presence or absence of an
antidiuretic hormone, arginine vasopressin (AVP).
• Usually, only 1% of the initial amount of filtrate is excreted, leading to a urine
volume of 1.5 L/d.
• Usual fluid intake is above the requirement for sufficient hydration, the kidney
mostly excretes excess water.
• Tack, Ivan. Effects of Water Consumption on Kidney Function and Excretion. Nutrition Today: November-December 2010

9. Renal disease
• Acute kidney injury,
• kidney cysts,
• kidney stones, and
• kidney infections

10. Variability of water intake
Increase water intake
• A low intake of fluids,
especially water, aggravates
the chance of kidney stone
formation
• Excess water intake needed
in conditions of –
• Kidney stones, UTI
• Water consumption-2
litres/day
Decrease water intake
• Chronic kidney disease
• Limiting water intake
needed in conditions of –
CKD prolonged stages
• Water consumption- water
intake restriction is advised
depending on the severity
and GFR

14. Excess of water intake
• Renal function is ultimately related to the
glomerular filtration rate.
• As long as extracellular volume (which
primarily depends on regulation of sodium
rather than regulation of water) is sufficient to
maintain renal blood flow, the amount of
water made available by glomerular filtration
allow healthy renal tubular function.

15. Chronic kidney disease
• Despite a diminishing GFR, sodium and water
balance is well maintained by increased fractional
excretion of sodium in urine and a normal
response to thirst.
• Thus, the plasma sodium concentration is
typically normal, and hypervolemia is infrequent
unless dietary intake of sodium or water is very
restricted or excessive.
• Heart failure can occur due to sodium and water
overload, particularly in patients with decreased
cardiac reserve.

16. • Although the kidneys filter more than 150 L
body fluid on a daily basis depending on
glomerular filtration rate (GFR), less than 1%
of filtered fluid is actually passed into the
urine.
• Renal water excretion is primarily under the
control of arginine vasopressin (AVP; an
antidiuretic hormone) and the renin-
angiotensin system.

17. THANK YOU !