ROLE OF VARUNA GUDA IN THE MANAGEMENT OF MUTRASHMARI (UROLITHIASIS) AND ASSESSMENT WITH IMAGING TECHNIQUES

Abstract

Background: Mutrashmari (Urolithiasis)is associated with pain in bladder, testicles and penis, anorexia, Dysuria and fever. Among all the urological problems, most problematic condition is mutrashmari or the urinary calculus. The genesis of the disease can be understood from the fact that it is grouped under the eight most difficult to cure diseases - ashtamahagada. Aims: To study the disease Urolithiasis in terms of its etiopathogenesis, clinical manifestations with possible correlation to the description available in texts of Ayurveda as well as modern texts. To find out the efficacy of the drug in the management of Mutrashmari symptomatically or by confirming with the use of repeated imaging techniques i.e. Plain X-ray (K.U.B), U.S.G (K.U.B) etc. To study the side effects of drug, if any. Settings and Design: In the present study, total 36 patients of Mutrashmari were selected and treated into two groups,Group– Ipatients were treated with varuna guda orally, in a dose of 10gm. twice daily for two months and in Group- II, 15 patients were under control therapy. Materials and Method: Patients attended the O.P.D. and I.P.D. of Shalya tantra dept.of Rajiv Gandhi Govt. Post Graduate Ayurvedic College & Hospital Paprola, Distt. Kangra (H.P.) provided material for the clinical study. Results: Out of 17 patients of vataja ashmari in Group - 1, 4 patients were cured, 1 patient markedly improved and 12 patients were improved and in control group out of 13 patients of vataja ashmari, 1 was cured, 7 patients were improved and 5 remained unchanged. 1 patient of pittaja ashmari was improved and 1 patient of kaphaja ashmari remained unchanged. Conclusion: Varuna guda has shown encouraging symptomatic relief in most of the clinical features with expulsion of ureteric stones in few cases.

Registration No. 01-AVC-6, August-2004, Himachal Pradesh University, Shimla, H.P.