Ayurvedic Management of Bilateral Non-Obstructive Renal Calculi (Mutrashmari)

Abstract

Mutrashmari, described as one of the Ashtamahagada in Ayurvedic classics, is characterized by the formation of urinary calculi resulting from derangement of Kapha and Vata Dosha. In contemporary medicine, it is correlated with renal calculi (urolithiasis), a common urological disorder associated with significant morbidity and frequent recurrence. Ayurveda advocates the use of Mutrala, Ashmaribhedana, Shoolahara, and Srotoshodhana therapies for the management of this condition. Case Presentation: A 26-year-10-month-old male presented with intermittent bilateral flank pain, burning micturition, and nausea of 10 days duration. Ultrasonography performed before treatment revealed bilateral non-obstructive renal calculi measuring 5.1mm in the right kidney and 3mm in the left kidney, along with Grade II fatty liver. General examination showed a body weight of 72kg, blood pressure of 122/78mmHg, and pulse rate of 76/min. Urine routine examination, serum creatinine, and blood urea were within normal limits. Intervention: The patient received Mahashakti Ashmabhedi DX Kwath (15ml twice daily), Mahashakti Ashmabhedi Tablet (2 tablets twice daily), and Mahashakti Detox Powder (6gm at bedtime) for 22 days. The patient was advised to maintain a daily fluid intake of 3–4 litres and avoid foods rich in oxalates and excessive sodium. Outcome: Progressive reduction in flank pain, burning micturition, and nausea was observed during treatment. Follow-up ultrasonography demonstrated no obvious renal calculus in either kidney and improvement of fatty liver from Grade II to Grade I. Conclusion: This case demonstrates that the prescribed Ayurvedic regimen, combined with adequate hydration and dietary modification, was associated with complete symptomatic relief and radiological absence of previously documented small non-obstructive renal calculi.