Prathamesh V Karpe
Gomantak Ayurveda Mahavidyalaya & Research Centre, India
Title: The concept of Urolithiasis (Ashmari) in Ayurveda
Biography
Biography: Prathamesh V Karpe
Abstract
Urolithiasis is the stone formed in urinary tract (kidney, ureter, bladder and urethra). Synonym for Urolithiasis is urine stone/calculi. In Ayurveda it is known as Ashmari which means calculi or stone and its small powder like pieces are known as Sharkara or Sikatai.e. gravels. In Sushruta Samhita, Sushrutacharya explains the two process of stone formation. One is by the stagnation and super saturation of the urine and other by crystallization of the crystalloids in the urine. Charakacharya in Charka Samhita more specifically explains the process of gall bladder stone formation. Various herbal formulations are mentioned in classical texts and are found effective till today. Specific group of drugs are mentioned on basis of type of stone on its Doshas combinations. Urine stones are classified on basis of doshas – Vata, Pitta, Kapha etc and treatment is mentioned accordingly. The drugs like Varuna, Pashanabheda, Troonapanchamoola, Gokshura, Punarnava, Apamargakshar etc. are advised to be administered either in form of decoctions, fermented solutions, powder, cold infusions etc or in form of dietary products like cooked rice, gruel etc. Stones which are too large and not responding to medicinal treatment should be extracted surgically and for this Sushruta had mentioned perineal approach to remove the stone from the bladder. This paper will deal with the literature and clinical aspect of the Urolithiasis and its management in Ayurveda.