Abstract

AYURVEDIC MANAGEMENT OF MUTRASHMARI - A REVIEW ARTICLE

Arvind Kumar*, Indumati Sharma, Kamlesh Kumar Sharma, Yashpal Singh and Tulsi Kapadia

Abstract

In Ayurveda, Mutrashmari is the stone formed in urinary tract (Kidney, ureter, bladder and urethra). Synonym for Mutrashmari is urine stone/calculi. In Modern it is known as Urolithiasis which means calculi or stone and its small powder like pieces are known as Sharkara or Sikata i.e. gravels. In Sushruta Samhita, Sushrutacharya explains the two process of stone formation. One is by the stagnation and super saturation of the urine and other by crystallization of the crystalloids in the urine. Charakacharya in Charka Samhita more specifically explains the process of gall bladder stone formation. Various herbal formulations are mentioned in classical texts and are found effective till today for stone. Specific group of drugs are mentioned on basis of type of stone on its Dosha combinations. Urine stones are classified on basis of doshas – Vata, Pitta, Kapha etc and treatment is mentioned accordingly. The drugs like Varuna, Pashanabheda, Troonapanchamoola, Gokshura, Punarnava, Apamargakshar etc. are advised to be administered either in form of decoctions, fermented solutions, powder, cold infusions etc or in form of dietary products like cooked rice, gruel etc. This article reviews the various concept of Ashmari in Ayurveda regarding its classification, symptomatology, etiological factors, pathology, complications and management have been dealt with both medico-surgical procedure.

Keywords: Ayurveda, Mutrashmari, Review, Urinary disorder.