Ayurvedic management of paediatric urolithiasis (mutrashmari): A case report

Abstract

Monika Meshram*, Kiran Khandare and Sabir Ali

Mutrashmari (Urolithiasis) is one of the most common disorders of the Mutravaha srotas (Urinary system). In the contemporary medical science, it is correlated with urolithiasis. It is a highly prevalent condition with a high recurrence rate that has a large impact on the quality of life of those affected. Paediatric urolithiasis is an important encountered kidney disorder in clinical practice. A 9-year-old patient approached the OPD with complaints of pain abdomen associated with nausea, vomiting and burning micturition. On interrogation, patient’s parents gave the history of using bore well water for consumption. Ultrasound scan of the abdomen revealed the renal calculi measuring 6 mm in the vesico ureteric junction causing hydro nephrosis and another 3.5 mm calculus in the upper pole of the right Kidney. It was diagnosed as vataaja ashmari (Type of Renal calculi) based on signs and symptoms and investigational reports. Most of the renal calculi in children comprise of either calcium oxalate or calcium phosphate. Based on Ayurvedic line of management, the patient was administered Chandraprabhavati, Gokshuradi guggulu and a polyherbal syrup containing diuretics. The calculi were expelled out within 7 days after the administration of oral Ayurvedic medicines relieving great pain and suffering. An attempt has been made to present the Ayurvedic management of mutrashmari (Urolithiasis) in paediatric age with successful emergency pain management. This case study intends to instill confidence among Ayurvedic physicians for the management of mutrashmari (Urolithiasis) by Ayurvedic means involving non-invasive procedure, avoiding surgical intervention and being cost effective.