Abstract

AYURVEDIC MANAGEMENT OF MOOTRASHMARI WITH SPECIAL REFERENCE TO UROLITHIASIS: A SINGLE CASE STUDY

*Dr. Kapil (PG. Scholar), Dr. Sampurna Nand Prajapati (P.G Scholar), Dr. Elizabeth P. John (HOD)

ABSTRACT

Background: Urolithiasis, or urinary tract stone disease, is a growing global health concern characterized by the formation of calculi within the urinary system. It often presents with symptoms like flank pain, dysuria, hematuria, and urinary obstruction. In Ayurveda, this condition is described as Mootrashmari, one of the AshtaMahagada (eight grave diseases), due to its painful nature and potential for severe complications. While modern medicine provides options such as lithotripsy and surgical removal, recurrence and side effects remain significant challenges. Objective: This case study aims to evaluate the clinical efficacy of Ayurvedic management in a patient diagnosed with a ureteric calculus using a combination of internal medications and Panchakarma procedures, focusing on Ashmarighna, Mutrala, and Vatanulomanachikitsa. Methodology: A 36-year-old male presented with classic symptoms of Mootrashmari—left-sided flank pain, burning micturition, and intermittent hematuria. Diagnosticultrasonography confirmed a left ureteric stone measuring 7.5 mm. A comprehensive Ayurvedic protocol was followed, including VarunadiKwatha, Pashanabheda Churna, Gokshuradi Guggulu, Chandraprabha Vati, and Punarnava Mandura, along with Kshara Basti and Patrapinda Swedana. The treatment was administered for 30 days, and follow-up assessments were done through clinical observation and repeat USG. Results: The patient experienced significant symptomatic relief within 10 days of treatment. The calculus was spontaneously expelled by day 18 without any complications. Follow-up ultrasonography confirmed complete clearance of the stone and no hydronephrosis. No recurrence was observed during a 3-month follow-up period. This case highlights the successful application of classical Ayurvedic treatment principles in the management of urolithiasis. The holistic, non-invasive approach not only facilitated the dissolution and expulsion of the stone but also prevented recurrence by addressing the underlying doshic imbalance. Further clinical studies with larger sample sizes are recommended to validate these outcomes.

Keywords: Mootrashmari, Urolithiasis, Ashmari, Ayurveda, Pashanabheda, Gokshura.