An Ayurvedic Approach in the Management of Renal Calculi: An Observational Study

Abstract

Renal calculi, or kidney stones, are hard mineral deposits that form within the kidneys and represent a common pathological condition. In conventional Allopathic medicine, this often require surgical intervention due to the limited efficacy of pharmacological treatments. In Ayurveda, the condition is correlated with Mutra Ashmari. Ayurveda attributes the formation of Ashmari to an imbalance of the Tridosha and accumulation of Ama in the Mutravaha Srotas, leading to mineral crystallization. This study aimed to assess the efficacy of a specific Ayurvedic treatment protocol in managing renal calculi. The subject was a 59-year-old male who presented with symptoms of painful and burning urination, along with mild lower back discomfort. He also had a medical history of type 2 diabetes mellitus and hypertension. Ultrasound imaging revealed a 7 mm non-obstructive stone in the lower pole of the right kidney. Treatment was based on Mutra ashmari chikitsa, emphasizing dosha balance, improved urination, reduced inflammation, and dietary adjustments over two months. The protocol included: 30ml of Punarnavashtaka kwatha, two pills of Gokshuradi guggulu, 15g of Mutra shodhana phanta, and 5g of Avipattikara choorna blended with Cucumis melo L. fruit, taken twice daily before meals. These herbs, known for their diuretic and antiinflammatory properties, facilitated stone dissolution. After 2 months, all symptoms have relieved, and a follow-up ultrasound scan after 2 months confirmed complete resolution of the calculus. The severity of pain was accessed using the VAS scale: the patient reported a VAS score of 5 prior to treatments, indicating moderate pain, which reduced to 0 after completion of treatment. No adverse effects reported on the patient's blood sugar or blood pressure, indicating both the efficacy and safety of the Ayurvedic approach.