77 Yr female with CKD, serum creatinine 3.5, HB 8 and hypertension. What treatment should be given

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Gokshur +kutki +tab chandraprabha . Wala+punarnava+chandan can add
Gokshur punarnava...makoy..dhaniya...neeri KFT....VR Rasayan
Please share the detailed history in Ayurveda context
On dialysis? Ot not?