A Case study: Ayurvedic Management of Hrudadaurbalya-janita- Vrukkamaya(Pre-renal- CKD) Dr. Priyanka Parmar 1* ,   Dr. Khushali Bhatt 2 ,   Prof.  Vd.  Surendra A. Soni 3 Vd. Anamika S. Soni 4     1,2 M.D. Scholars, P.G. Department of Kayachikitsa, Akhandanand Ayurveda Collage, Ahmedabad. 3 Professor and HOD, P.G. Department of Kayachikitsa, Akhandanand Ayurveda Collage,     Ahmedabad. 4 Associate Professor, P.G. Department of Kayachikitsa, Akhandanand       Ayurveda Collage, Ahmedabad .   Abstract LVH is thickening of wall of heart's main pumping chamber. This thickened heart wall loses its elasticity and may result in elevation of pressure within heart and sometimes poor pumping action. The most common cause is high blood pressure. LVH can often be corrected by treating underlying problem causing heart to work too hard. Depending on type of damage that has occured, treatment measures may include medications like ACE Inhibitors, Beta blockers, C