Conceptual study of Mutrashmari and its management through Ayurveda

Abstract

Ayurveda is the only science which gives more importance on prevention of disease and maintenance of health rather than treating a disease. Mutra means Urine and Ashmari means a structure resembling stone. Etiopathogenesis, clinical features, type and prognosis of Ashmari are well described in Charaka Samhita and Susrutha Samhitha and other classical texts. Due to causative factors like imbalance Ahara Vihara (unwholesome diet and living habits) aggravated Kapha dosha reaches in urinary system and dries up to form the calculus. According to Acharya Vagbhata suppression of urge of passing urine results in crystallization and precipitates into calculus formation. There are many factors responsible for Mutrashmari formation i.e., Due to bad lifestyle, sleeplessness, odd diets, heavy consumption of fast food, preserved foods, Deficiency of Vitamin A, Intake of antacid drugs, Thyroid disease, Excess intake of particular food item, Long term use of catheter, Gastric surgery, Obesity, Infection in kidneys. Geographical conditions are also responsible for Mutrashmari. There are many formulations in texts to treat Mutrashmari i.e., Pashanbhedadi Kwath, Pashanbhed Churna, Gokshur Churna, Gokshuradi Guggulu, Varanadi kashayam, Veerataradi kashaya, Chandraprabha vati, Punarnavashtaka kashaya, Punarnavadi guggulu, Elakanadi kwatha, Trivikrama rasa, Shilajatu vati, Jawaharmohra pishti, Godanti (karpoora shilajatu) bhasma are medicine used to treat Mutrashmari in Ayurveda. We can reduce and manage this rising problem of Mutrashmari through modifying lifestyle, purification therapy and medication.