Abstract

STUDY OF EFFICACY OF PAANIYA KADALI KSHARA IN THE MANAGEMENT OF MUTRASHMARI WITH SPECIAL REFERENCE TO UROLITHIASIS - A CASE STUDY

Dr. Aniket Hinge* and Dr. Rajendra H. Amilkanthwar

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Abstract

Ayurveda is a simple practicle science of life. Its principles are universally applicable to each individual for daily existence. Sushruta the pioneer of shalyatantra has enumerated the urology in his legendary textbook of surgery. Sushrut samhita by describing anatomy, physiology and pathology of many diseases like ashmari, mutrakruchchra and mutraghata. Ayurveda considered Ashmari mainly as mutrashmari (urolithiasis), as sushruta describes classification, symptomatology, etiology, pathology of ashmari[1][7][8][9]’’Ashmanam rati dadati iti Ashmari’’ means the formation and presentation of substance like stone. Mutrashmari is the disease of mutravahastrotasa and considered as one of the Ashthamahagada.[2] Sushrut has advised several Ghruta, Kshara, kashaya, and kshira preparation.[3] In Rasatarangini adhyay 14 gives description of Kadali kshar which is effective by its ushna, tikshna, pachan, daran gunas.[4] Acharya describes various treatment modalities including surgical intervention for mutrashmari. Aacharya sushruta describe kshar is pradhantam[5] and shrestha in Shastra and Anushstra due to chedan, Bhedan, Lekhan and mutra, tridoshaghna properties. Now a day‟s various modern treatment modalities and operative procedures are available but this are expensive for common peoples. Like PCNL (Percutaneousnephro lithotomy), ESWL (extra corporal shock wave lithotripsy) cystolithotomy, ureterolithotomy are available at higher centers which are out of reach for common peoples. In modern science surgical management has many post operative complications. All the modern procedures available they remove the formed stone surgically but do not eradicate the dosha dushya samurcchana i.e the samprapti. By conservative and surgical treatment the urinary calculus is treated, but unfortunately none of these methods are unable to prevent recurrence of urinary calculus. In urolithiasis recurrence is burning problem and challenge for the treating docters by looking into the above problems for the people of arban and rural era it has been decided to work on kadlikshar which helpful in removing of calculus is advocated by rasatarangini.[4]

Keywords: Mutrashmari, anandbhairavivati, Ashmari, Hanan, Upsnehannyaya, Samprapti.