Neikkuri Examination in Athi Nurai Neer / Frothy Urine a Condition of Albuminuria

Athi Nurai Neer is a condition described by our Sages, to find out major damage of renal system by means of mere examination of urine. By Neerkuri, Neikkuri examination it showed that the main affected uyir thathu is pitham, by finding out this, treatment can be properly done. In our system of medicine it is very essential to find out the root cause of the disease then only we will be able to treat the condition well. Other diagnostic parameters such as Naadi, Sparisam, Naa, Niram, Mozhi, Vizhi showed some significance but was not so marked according to this hospital based study. This study can be made more relevant by increasing the sample size of both Macro Albuminuria and Micro Albuminuria subjects, because in this study patients with Macro Albuminuria showed a different pattern that is pithathil pitham which was not observed in normal subjects. For finding out the degree of renal damage, in modern system of medicine they use dip stick method, spot microalbumin test which is not accurate moreover there are chances of false positive and false negative results, as per reseaerches 24 hour urine protein test is considered to be comparatively accurate; but take a whole day and is not so easy for the patient to collect it in a proper way and this test is expensive too. If this Neikkuri procedure is well developed it will be very cost effective. Not only because of its cost effectiveness it shows the deranged humour, by identifying the deranged humour treatment will be effective. But the procedure of Neikkuri needs more standardization in the case of factors like time period in which the sample should be collected, time up to which the spreading of oil drop should be observed . By this study the author wishes to conclude that the driving force for causing Athi Nurai Neer of the selected subjects were pitham , because majority of cases were diabetic(deranged humour in diabetes is said to be pitham) and the severity of pitham derangement was observed in Neikkuri as pithathil pitham. If the Neikkuri procedure is more standardized the treatment will become more effective.