Abstract

A COMPREHENSIVE REVIEW ON AYURVEDIC MANAGEMENT OF MOOTRASHMARI W.S.R. TO UROLITHIASIS

Dr. Kapil*, Dr. Sampurna Nand Prajapati, Dr. Elizabeth P. John

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Abstract

Urolithiasis, a pervasive global health concern characterized by the formation of calculi in the urinary tract, is associated with significant morbidity, high recurrence rates, and potential complications like renal damage. In Ayurveda, this condition is meticulously described as Mootrashmari, one of the eight most critical disorders (Ashta Mahagada). The pathogenesis is attributed to the vitiation of Vata and Kapha doshas, leading to the drying and hardening of urinary constituents, forming a stone-like mass that causes severe pain, dysuria, and haematuria. This review article aims to synthesize the classical Ayurvedic principles and modern scientific perspectives on the management of Mootrashmari, with a specific focus on evidencebased herbal and herbo-mineral interventions. The article delves into the etiopathogenesis (Samprapti) according to Ayurvedic texts and correlates it with the modern understanding of urolithiasis. A significant portion of the review is dedicated to critically evaluating two pivotal Ayurvedic formulations: Apamarga Paneeya Kshar (an alkaline ash preparation from Achyranthes aspera), Gokshur Beej Churna (a powder from Tribulus terrestris seeds) etc. That’s type of medicine have such type of properties like Bhedan (lithotriptic), Lekhan (scraping) and Shoolaprashamana (analgesic), Mutravirechaniya (diuretic) and Sothahara (anti-inflammatory) is highlighted for its potential to dissolve calculi, promoting diuresis, reducing inflammation, and facilitating the expulsion of micro-crystals. The review consolidates evidence from classical texts like the Charak samhita, Sushruta Samhita, pharmacological profiles of the drugs, and findings from previous clinical studies to provide a holistic overview. It concludes that Ayurveda offers a safe, effective, and non-invasive alternative or adjunctive approach for managing urolithiasis, particularly for small stones and to prevent recurrence, advocating for its integration into mainstream clinical practice.

Keywords: Mootrashmari, Urolithiasis, Ashmari, Basti, Renal Calculi, Herbal Medicine, Pashanabheda.