AN AYURVEDIC APPROACH IN THE MANAGEMENT OF HYDRONEPHROSIS WITH RENAL AND UPPER URETERIC CALCUS(MUTRASHMARI)

Renal calculus or Nephrolithiasis or Kidney stone is the most common, oldest known and most widespread disease in the urinary tract system. It is recurrent in nature and 3rd most common disorder among urinary diseases. It is more common in males; 90% are radio-opaque (gallstones are more common in females;90% are radiolucent). In ayurveda we call it as ashmari i.e. Ashma (meaning like a stone) & Ari (meaning behaving like an enemy for the body). In modern science the treatment of renal calculi involves use of antispasmodic, analgesic, antiemetic, anti-imflamatory, antacid, hydration & surgical intervention depending on the size and location of the calculi and associated symptoms. The present case study is of a 52year old female patient having symptoms of burning micturition, acute right side flank and back pain, radiating from loin to groin region, nausea, vomiting, dysuria. She was experiencing mild pain and discomfort in abdomen since 1 month and has been taking allopathic medicines for such and got temporary relief. Then got diagnosed with renal calculi after sudden episode of pain in abdomen and after investigation was advised for surgery, but was unwilling for the same. So consulted for ayurvedic medication after which the symptoms relieved. This case study aims to study the management of ashmari(renal calculi associated with right side hydronephrosis) with effective ayurvedic treatment .