The 1st Ayurveda clinic for CKD was started by a group of doctors at Medawachchiya in 2014. Since then the clinic is continuously functioning on every Thursday and Friday at Ayurveda Community Medical Office (next to petrol shed, Jaffna rd, Medawachchiya). At present the clinic is conducted under the supervision of BMARI and under the governance of Department of Ayurveda and the Ministry of Health and Indigenous Medicine. The crew of doctors examine the patients and provide medications free of charge. The patients are advised about wholesome and unwholesome foods and behaviors (pathyapathya) which plays a major role on efficacy of Ayurveda drugs. The package of treatment with pathyapathya helps in slowing down the disease progress. BMARI records all successful stories of the patients. Quality of life of the patients is being assessed by a team from BMARI. There is sufficient evidence to prove the effectiveness of Ayurveda treatments for CKD.
Patients attend for the clinic come from far areas i.e. affected areas like Polonnaruwa, Vavuniya, Welioya,etc. Many volunteer groups provide meals, herbal teas for the patients. Anybody who are interested on this ‘punya karma’ can contribute. Your valuable donation is highly appreciated on behalf of the patients.

Chronic Kidney Disease (CKD) is emerging as a major health problem in Sri Lanka which is mainly caused by diabetes, hypertension, reno-vascular diseases and glomerular diseases related to infections. Although the precise figures are not known, the growing numbers of patients suffering from CRF place a great demand on the health care resources of the country, due to the high cost of dialysis and transplantation. At the beginning of the 21st century an apparently new form of chronic kidney disease of unknown aetiology (CKDu) had emerged in several areas of Sri Lanka which is not related to any other known causes. This disease condition is characterized by a slow, progressive, a s y m p t o m a t i c development, frequent onset at a younger age group. There is a possible propensity for it to be more prevalent among men engaged in agriculture, typically around the age of 40-60 years.

This new form of CKD of uncertain etiology (CKD-u) is the predominant form of CKD in certain parts of Sri Lanka, threatening to reach epidemic proportions. CKDu is characterized by a slow, progressive, asymptomatic, development, frequently starting at a younger age group. This fatal condition is taking at least two lives a day in the North central and Uva provinces. It has already killed more than 20,000 people, mainly from poor families, over the past two decades. Currently over 200,000 patients, including children as young as 10, suffer from the disease. At least 15% of the population in the 17-70 age groups, in the two provinces has been affected. One of the most challenging problem of CKD is lack of medical interventions to cure this condition. The treatment of choice or management in Allopathic medical system is renal transplant or management with renal dialysis. Renal transplant is beyond the reach for more than 90% of the affected people due to lack of resources and renal dialysis facilities are grossly inadequate for the present patient load. Further, patients who are on dialysis are permanently disabled. These managements give patients an unbearable cost and therefore it is essential to find out or identify a successful treatment system to control CKD and CKDu.

Ayurveda describes the origin of the Kidneys in the foetus (Su/ni/4). The urinary bladder and the channels of the urinary system have been described in Su/ni/5. Trimarma or the three vital points denotes the three important vital organs- Shirh (brain), Basti (kidneys) and Hridaya (heart) (cha/chi/26). King Buddhadasa (398 AD) the most significant of these physicians, wrote the SararthaSangrahaya, a comprehensive manuscript which Sri Lankan physicians still use today for reference. This valuable manuscript says about two kidneys .It says that the ancient physicians had known about kidney diseases.
Ayurveda text has not described any disease condition which can directly correlate with Chronic kidney disease. But the relevant symptoms can be seen in chapters like Mutraghatha (Cha/chi/12), Mutrakrichcha, Prameha (Su/ni/6) and 'Mutrashmari (Su/ni/3). There are eight types of Mutraghatha and Mutrakrichcha (cha/chi/26). In addition to these chapters some other symptoms like generalized oedema of CKD are mentioned in Shothoroga (Su/chi/23) chapter and Udararoga (Su/chi/14)' chapter. Considering these signs and symptoms of diseases, CKD can be defined as ' MutrawahaShrotodushti' from Ayurveda perspective (PanchaNidana).In Indigenous medicine or Deshiyachikitsa all the kidney diseases are practically named as 'Wakugaduroga'.