Management of Mutrashmari (Urolithiasis) through Ayurvedic Intervention: A Single Case Report.

Abstract

Background: Mutrashmari (urolithiasis) is a common urinary disorder described in Ayurveda, characterized by pain in the bladder region, dysuria, and formation of stone-like concretions. Despite advances in surgical management, recurrence and associated complications are frequent. Ayurvedic management provides a holistic and non-invasive approach for prevention and treatment.

Case Presentation: A 38-year-old male presented with dull aching pain in the lower abdomen and loin, pricking sensation, and burning micturition for two weeks. Ultrasonography (USG) of the abdomen revealed a left vesico-ureteric junction (VUJ) calculus measuring 11 mm and 3 mm. The diagnosis of Mutrashmari (Ashmari) was made based on Ayurvedic and modern diagnostic parameters.

Intervention: The patient was treated with Gokshuradi Guggulu (2 tablets thrice daily after food), Chandraprabha Vati (2 tablets thrice daily), Cystone (1 tablet thrice daily), and Varunadi Kashaya (15 ml twice daily with water) for six weeks, along with dietary modifications and lifestyle advice as per classical guidelines.

Outcomes: After six weeks of therapy, symptoms of pain and burning micturition subsided completely. Repeat ultrasonography confirmed expulsion of calculi with no residual hydronephrosis. No adverse effects were reported.

Conclusion: Ayurvedic management using classical formulations and dietary measures effectively managed VUJ calculi, relieved symptoms, and prevented recurrence without invasive procedures.