# Alternative Treatment Methods for Kidney Failure and Dialysis
In kidney failure, many patients seek supplements to standard dialysis. Below we describe which alternative and complementary approaches have been studied, what is known about them, and what caution is warranted.
Acupuncture (and Laser Treatment)
Acupuncture, and particularly laser treatment on acupuncture points (laser treatment), has been studied in a few trials in dialysis patients who experience significant fatigue and sleep problems after treatment.
ResearchediPositive results in clinical studies, not yet standard treatment
Recent research shows that laser treatment on acupuncture points in a randomized, placebo-controlled study improved fatigue and sleep quality independent of dialysis technical factors and depression. This suggests that the effect is not simply placebo. However, the effect is small to moderate, and the research was conducted on small groups. Laser treatment of acupuncture points is therefore considered a supportive tool, not a replacement for dialysis. Traditional needle acupuncture is less well studied in this population.
Chinese Herbal Preparations
Various Chinese herbal combinations (such as Qingshen granules and Bailing capsules) have been tested in studies with dialysis patients, mainly for preserving residual kidney function and reducing inflammation markers.
ResearchediPositive results in clinical studies, not yet standard treatment
Some studies suggest that certain combinations may help slow the loss of residual kidney function and reduce inflammation values in the blood, possibly through certain biological pathways. However, the evidence is still limited — studies are small, mostly from a single region, and not all are published in leading international journals. The mechanism of action and long-term safety are not fully clear. These supplements can be used as a complement under the guidance of your healthcare provider, but do not replace necessary dialysis.
Exercise Training Before Dialysis
Preparation with regular physical activity — started before you begin dialysis — has recently been studied as a way to maintain your fitness.
ResearchediPositive results in clinical studies, not yet standard treatment
Studies show that patients who exercise regularly in the stage of severe kidney failure (before dialysis or just beginning) maintain better lung function and endurance. Blood cells can also better store and use energy. This can help you tolerate dialysis better and experience less fatigue. Exercise training is safe when done under supervision and tailored to your kidney function. This is not a replacement for dialysis, but a complement that your GP or nephrologist can support.
Tribulus Terrestris
This is a plant used traditionally and which has been studied for whether it can limit acute kidney damage.
UnproveniNo scientific evidence that it works
So far, only one case report (a single patient) has been published. This is insufficient to establish effectiveness. It has not been studied in dialysis patients.
Integrated Traditional Chinese and Western Medicine
In a few reported cases, combined treatment (for example, herbs alongside wound care) has been described for complications such as diabetic foot gangrene in dialysis patients.
ExperimentaliOngoing in study setting, outcome still unknown
These are case reports — reports of individual patients — without comparison to other treatments. It is therefore unclear whether the traditional elements contributed or whether Western medicine alone was responsible for improvement. Such combinations can only take place under close medical supervision from your specialist, since complications such as foot infections can become serious.
Lifestyle Changes and Environmental Factors
Studies indicate that certain lifestyle factors — diet, water balance, physical activity, avoidance of certain toxic substances — are of great importance for preserving residual kidney function and general well-being.
ProveniIncluded in official guidelines, or approved by EMA or FDA
This is not 'alternative' but the foundation of dialysis care. Nevertheless, it is important to emphasize: the nutritional advice from your dietitian, not increasing your fluid intake recklessly, and regular exercise are part of your treatment plan and have proven effects on outcomes. This stands completely separate from dialysis — it is an essential part of management.
What you need to know about alternative treatment in dialysis
**Why caution?**
Dialysis replaces approximately 10–15% of what healthy kidneys do. There is no alternative treatment that can replace dialysis. Some supplementary therapies can relieve symptoms or better preserve residual kidney function, but only if they are well researched and without dangerous interactions with your dialysis treatment.
**Risks:**
- Many herbs and supplements are excreted through the kidneys. In kidney failure, they can accumulate and become toxic.
- Some medications can disrupt blood clotting, which poses risks to your shunt or catheter.
- Self-medication can undermine your dialysis schedule if, for example, you start drinking extra fluid because you 'feel better'.
**Precaution:**
Always tell your nephrologist, dialysis nurse, or general practitioner which supplementary treatments you want to try — including herbs, teas, or supplements. They can check whether it is safe alongside your current medications and dialysis.
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_This information never replaces a doctor's judgment. Always discuss your situation with your own healthcare provider._