Abstract

AYURVEDIC APPROACH TO MANAGING UROLITHIASIS (ASHMARI): A CASE STUDY

Dr. O. P. Vyas, *Dr. Gayatri Prajapati, Dr. Shivangi Rathor, Dr. Surabhi Jha

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Abstract

Urolithiasis, commonly referred to as kidney stone disease, is increasingly prevalent across the globe, influenced by dietary changes and sedentary lifestyles. Contributing factors include the excessive intake of sugar-laden beverages, high sodium and protein consumption, dehydration, and physical inactivity. Clinically, kidney stones may remain silent until they obstruct urinary flow, leading to renal colic, hematuria, burning micturition, nausea, vomiting, and urinary infections. Untreated cases may escalate to chronic kidney disease (CKD) or malignancies of the urinary tract. In Ayurveda, this condition corresponds to Ashmari, classified under Ashtamahagada by Acharya Charaka, Sushruta, and Vagbhata. Ashmari is categorized based on Dosha predominance—Vataja, Pittaja, and Kaphaja—with symptoms including Jwara, Basti Shoola, and Mutrakrichchra. Acharya Sushruta advocated a non-surgical firstline treatment involving Ghrita, Kashaya, Kshara, and Bhedana, with surgery as a last resort. Ayurvedic formulations aim to disintegrate the stone (Ashmari-bhedana), enhance urine flow (Mutrala), improve metabolism (Deepana–Pachana), and reduce inflammation (Shothahara).

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