A CRITICAL REVIEW ON MUTRASHMARI (UROLITHIASIS) AND ITS MANAGEMENT IN SHALYA TANTRA
DOI:
https://doi.org/10.22159/prl.ijayush.v15i06%20(June).2127Keywords:
Mutrashmari, Urolithiasis, Ashmari, Shalya Tantra, Urinary Calculus, AshmarighnaAbstract
Background Mutrashmari is an important urinary disorder described in Ayurveda under Shalya Tantra. It is characterized by formation of stone-like structures in the urinary tract due to vitiation of Kapha, Vata and Pitta Dosha. Its symptoms, including severe colicky pain, dysuria, haematuria and urinary obstruction, resemble urolithiasis. Modern treatment includes conservative management, lithotripsy, ureteroscopy and percutaneous stone removal. Aim To critically review Mutrashmari and its management according to Ayurveda and modern urology. Objectives To study the classical concept of Mutrashmari. To review its causes, symptoms and Samprapti. To study modern diagnosis and management. To assess the role of Shalya Tantra. Materials and Methods Classical Ayurvedic texts, modern surgical textbooks and published literature on urolithiasis were reviewed. Information regarding causes, pathogenesis, diagnosis and treatment was collected. The findings were compared and presented systematically. Observations and Results Classical features of Mutrashmari closely resemble urinary stone disease. Small uncomplicated stones may respond to hydration, diet and conservative management. Large, obstructive or infected stones require surgical or endourological intervention. Discussion The classical process of Kapha accumulation and hardening by Vata may be compared with urinary crystal formation and aggregation. Modern imaging and minimally invasive surgery provide effective diagnosis and stone clearance. Conclusion Early diagnosis and proper selection of treatment are essential in Mutrashmari.
An integrated approach may help in symptom control, stone removal and prevention of recurrence.
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