World Journal of
Pharmaceutical and Life Sciences

AN AYURVEDIC APPROACH IN THE MANAGEMENT OF ASHMARI (UROLITHIASIS)

Kainat Ansari*, Prof. (Dr.) P. K. Sharma, Prof. (Dr.) A. K. Gupta and Mohan Kumar

ABSTRACT

In ancient centuries urolithiasis was often a disastrous disease, with a catastrophic outcome all too often leading to the patient?s death. Even today, urolithiasis is the one of the most common affliction of the urinary tract. Detailed medical literature on urolithiasis is available from ancient India. As per classics, Ashmari is included in Ashtamahagada due to its fatal nature. Description of Ashmari is found in almost all Samhitaas of Ayurveda as well as in Vedas. Achaarya Sushruta, the father of surgery has described Ashmari in detail with regard to its etiopathogenesis classification, symptomatology, complications & management in a most scientific manner. Modern science also emphasizes on involvement of various factors like heredity, age, sex, metabolic disorders, hydration status, mineral content of water, nutritional deficiency, etc. for urinary stone formation. Urolithiasis typically occurs in middle age which is the most productive years of life. It causes pain, loss of working time, medical expenses, needs for hospitalization as well as it is infrequent cause of renal failure and death. Different management of urolithiasis has been developed in modern system but inspite of all these techniques, surgery remain treatment of choice. The other techniques developed are Extra Corporeal Shock Wave Lithotripsy (ESWL), Percutaneous Nephro Lithotomy (PCNL), Ureto-Reno Scopy (URS) & the most advanced system by manipulation with laser. But all these treatment modalities can develop complications with high chances of recurrence of urinary stone due to its peculiar tendency. At the same time all the treatment modalities are expensive affair. Even after surgery patients have to take medicines to check its further recurrence. In this way the need of medicinal treatment is always required.

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