Ayurvedic Management of Right Ureteric Calculus with Mild Hydronephrosis : A Case Report with Radiological Evidence

Abstract- Mutrashmari, described in Ayurveda as a Kapha-pradhanaTridoshajaVyadhi, is classified under Ashtamahagada due to its difficult-to-cure nature. It is clinically comparable to urolithiasis, a common urinary tract disorder associated with significant morbidity and high recurrence rates. Urolithiasis is a common global issue, affecting 1-13% of people worldwide, with prevalence rising due to lifestyle, diet, and climate changes, causing significant health and economic burdens. Conventional management often involves surgical intervention, which may be costly and does not guarantee prevention of recurrence. Ayurveda offers conservative therapeutic approaches aimed at disintegrating and expelling urinary calculi. Objectives: To evaluate the efficacy of Ayurvedic management in the treatment of ureteric calculus (Mutrashmari) through clinical and ultrasonographic assessment. Materials and Methods: Study Design- This is a single-patient, prospective observational case study conducted to evaluate the therapeutic effect of Ayurvedic management in a patient diagnosed with ureteric calculus (Mutrashmari). Study Setting- The study was carried out in an Ayurvedic clinical setting on an outpatient basis. Ethical principles of clinical practice were followed, and written informed consent was obtained from the patient prior to initiation of treatment. Patient’s information- A 35-year-old male patient engaged in field work presented with complaints of right flank pain radiating towards the pelvic region, mild left flank pain, burning micturition, dysuria, increased frequency of urination, and occasional nausea and vomiting. Appetite, bowel habits, and sleep were normal. The patient had a Kapha-Pittaja Prakriti and followed a mixed diet with moderate water intake. Vital parameters at presentation were recorded as: blood pressure 130/80 mmHg, pulse rate 106/min, and body temperature 98°F. Results- Following the completion of the Ayurvedic intervention, the patient demonstrated marked clinical and radiological improvement. All signs and symptoms of patient resolved and there was no trace of calculi in the right ureter, along with absolute resolution of clinical symptoms according to the USG report after 15 days. Highly significant relief in symptoms was seen in patient after 15 days of Ayurvedic treatment.