Management of Mutrashmari (Urolithiasis) with Ayurvedic Formulations - A Case Report

Abstract

Mutrashmari co-related with Urolithiasis is considered as one of the Ashta-Mahagadas (Eight Dreadful diseases) due to its incurable nature and is contemplated as Yama because it gives intolerable pain. Stone of small size can be easily treated conservatively with Ayurvedic formulations. In this study, a 21-year-old male patient presented with bilateral flank pain, nausea, and dysuria persisting for two months. Ultrasonography revealed a 7 mm calculus in the left kidney at the mid pole, a 3 mm calculus in the right mid ureter, and concretions in all kidney calyces, as confirmed by NCCT(KUB) imaging. The patient experienced substantial symptom relief through the administration of Ayurvedic formulations, namely Pashanbhedadi kwatha churna 5g twice daily, Chandraprabha Vati 500 mg twice daily, and Gokshuradi Guggulu vati 500 mg twice daily throughout the treatment period of 3months. Compliance with dietary recommendations also contributed to the patient's improvement. Subsequent ultrasonography revealed normal findings. Following three months of treatment, the renal calculus was successfully removed, leading to the alleviation of symptoms.