Abstract

A CASE STUDY ON THE EFFICACY OF BIMBIMOOLA SYRUP IN SHAYYAMUTRA (NOCTURNAL ENURESIS)

Priya Nanabhau Nanekar*, Ravindra Rajpal and Deepak Khawale

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Abstract

Shayyamutra or Enuresis is a repeated inability to control urination. The prevalence of enuresis is about 15-25% of children at 5 years of age, 8% of 12 years of age in male child and 4% of 12 years old female child. According to Ayurveda tama and Kapha plays important role, sleep is caused and delayed bladder maturation, worm infestation, in rare cases structural anatomical defect in external genitalia, Stress, anxiety, Excessive sleep, underlying fear and such other emotional problems may causes the Shayyamutra. It happens in day time also, but in night, loss of control of Prana and Vyana over Apana and encircling of Apana by Kapha and tama happens together and the child unknowingly urine in the bed. Mutravaha Srotas Vikriti the focus of treatment should remain on drugs acting mainly on Mutravaha Srotas. Kleda Nirharana is function of Mutra hence Kleda Vriddhi is clearly evident in the pathology along with Dhatushaithilya. Thus Dhatudardhyakara drugs are also to be thought of. From causative or aggravating factors it is clearly evident that Manas and neurological developmental delay plays a role in pathology thus Medhya drugs are also required. As the disease is occurring in childhood and concerned with urination the treatment principles of Kaphaja Prameha can be well adopted as this age is of Kapha. Also Sattvavajaya Chikitsa i.e counselling is must to boost the confidence and retain the self esteem of the child. It is considered as multifactorial behavioural disorder in contemporary medicine. The drug indicated for Shayyamutara selected for study Bimbimool (Coccinia indica) by in Bhaisajyaratnavali this drug in form of syrup and dose format has been evaluated in case study and was found effective.

Keywords: Shayyamutra, Bedwetting, Nocturnal enuresis, Bimbimoola.