The effect of Avapeedaksnehapan by using Kulatthadi Ghrita in the management of Mutrashmari with special reference to Urolithiasis: A case study
Department of Kayachikitsa (Medicine Department), M.A.M.’s Sumatibhai Shah AyurvedMahavidyala, Malwadi, Hadapasar, Pune-411028, Maharashtra State, India.
Case Study
World Journal of Advanced Research and Reviews, 2022, 16(02), 1196–1200
Publication history:
Received on 19 October 2022; revised on 23 November 2022; accepted on 26November 2022
Abstract:
Urolithiasis is very common now a day. The disease occurs in all age groups. Males are more commonly affected than females with male:female ratio of 3:1. The peak age for developing stones is between 30 to 50 yrs and recurrence is common. The symptoms of Urolithiasis can be co-relate with the symptoms of Mutrashmari in Ayurveda. Mutrashmari is one of disease occur in Mutravaha Strotasa. Ashmari comprises of two words that is Ashma and Ari. Ashmameans a stone and Ari means the enemy hence Mutrashmari means the disease which gives tremendous pain to the body like enemy. Acharya Sushruta explained the 4 types of Mutrashmari. The treatment principle of Urolithiasis in modern science is hydrotherapy in case of calculi less than 5 m.m. in large stones, the treatment like Extacorporeal Shock Wave Lithotripsy (ESWL) Percutaneous Nephrolithotomy (PCNL), Pyelolithotomy, Nephrolithotomy, Nephrostomy etc. are done. But these procedures have their own disadvantages as they may leads to complications and there is more chances of recurrence in the disease. Similarly Sushruta said that newly formed Ashmari is Aushadhisadhya while chronic, big sized Mutrashamari is Shastrakarmasadhya. There are 3 types of treatment are mentioned for Ashmari i.e. Ausahadhi Chikitsa, Ksharachikitsa, and Shastrakarma. Shastrachikitsa is expensive and may have some complications & Aushadhichikitsa used in all types of Mutrashmari situated anywhere in Mutravaha strotas are less expensive, easily available and have less complications. The present study was undertaken to evaluate the efficacy of Avapeedaksnehapan by using Kulatthadi Ghrita in the management of Mutrashmari with special reference to Urolithiasis. A patient was selected.
In this particular case study we used the Avapeedaksnehapan of Kulatthadighrita administration given for 1 month and after completion of course follow up taken for 3 months to check the recurrence of the disease. The results found in this study is encouraging enough. The study was completed in Sumatibhai Shah Ayurved Mahavidyalaya and Sane Guruji Ayurved Hospital, Hadapsar, Pune – 411028.
Keywords:
Urolithiasis; Mutrashmari; Aushadhichikitsa; Ksharchikitsa; Shastrachikitsa; Percutaneous Nephrolithotomy (PCNL); Extacorporeal Shock Wave Lithotripsy (ESWL)
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