Ayurvedic intervention for managing ureteric calculi: case study.
Journal name: Ayushdhara
Original article title: Efficacy of an ayurvedic intervention in the management of ureteric calculi: a case study
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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*Mangal Anil
Research Officer/Scientist-2 (Ayurveda), Regional Ayurveda Research Institute for Drug Development, CCRAS, Madhya Pradesh
Rashmi Dr
Consultant (Ayurveda), Regional Ayurveda Research Institute for Drug Development, CCRAS, Madhya Pradesh
Dixit Amit K
Research Officer (Biochemistry), Regional Ayurveda Research Institute for Drug Development, CCRAS, Madhya Pradesh
Rotwar DS
Research Officer (Ayurveda), Regional Ayurveda Research Institute for Drug Development, CCRAS, Madhya Pradesh
Bharati PL
Research Officer/Scientist-2 (Ayurveda), Regional Ayurveda Research Institute for Drug Development, CCRAS, Madhya Pradesh
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Efficacy of an ayurvedic intervention in the management of ureteric calculi: a case study
Year: 2016
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Urinary calculi, commonly referred to as kidney stones, are a prevalent urological disorder affecting 10-12% of the global population. This condition is often characterized by symptoms such as frequent urination, intense pain that may radiate to the flanks, sweating, and restlessness during episodes of pain. While conventional medicine frequently employs invasive surgical techniques like ureterostomy and lithotripsy to address ureteric calculi, many patients still experience persistent symptoms. In contrast, this study explores an Ayurvedic approach involving herbal treatments aimed at non-invasive management of ureteric calculi, specifically through the administration of Chandraprabha Vati and Swetparpati, combined with decoctions of natural herbs.
Efficacy of Ayurvedic Treatment
The case study involves a 40-year-old male patient presenting with symptoms of ureteric calculi, who had previously undergone 30 days of allopathic treatment without lasting relief. The Ayurvedic intervention included administration of Chandraprabha Vati (500 mg) and Swetparpati (250 mg) twice daily for 90 days, along with a herbal decoction (30 ml) consumed twice daily. The treatment aimed at symptomatic relief and facilitated the expulsion of calculi. Post-treatment evaluations demonstrated significant reductions in painful symptoms, as well as ultrasonography results that showed the absence of calculi where previously a 4.3 mm stone was detected.
Importance of Lifestyle Modifications
In conjunction with the herbal treatment regimen, patients were advised to avoid seedling vegetables and maintain proper dietary habits, which are essential considerations in Ayurvedic medicine. Regular monitoring through laboratory tests, including urine analysis and ultrasound, provided objective evidence of improvement. The study indicated that the combination of targeted herbal therapies, dietary restrictions, and systematic follow-ups could effectively manage urinary calculi while minimizing the risks associated with surgical interventions.
Conclusion
The findings from this pilot study support the efficacy of Ayurvedic interventions in managing ureteric calculi, demonstrating both significant symptomatic relief and the potential for stone expulsion or size reduction without major invasive procedures. With a growing global interest in traditional medicine, further large-scale studies are recommended to validate these results and potentially integrate such findings into broader primary care practices for urinary calculi management. The study not only highlights the benefits of Ayurvedic treatments but also encourages a comprehensive approach involving lifestyle modifications for optimal health outcomes in patients with this condition.
FAQ section (important questions/answers):
What is the main issue addressed in the case study?
The case study focuses on the management of ureteric calculi, a common and painful urological disorder affecting 10-12% of the population, exploring the efficacy of an Ayurvedic intervention as an alternative treatment.
What Ayurvedic treatments were used in the study?
The study utilized Chandraprabha Vati (500 mg), Swetparpati (250 mg), and a decoction of natural herbs, administered twice daily for 90 days, aiming to relieve symptoms and promote the expulsion of ureteric calculi.
What were the results of the Ayurvedic intervention?
The intervention resulted in significant symptomatic relief for the patient, with follow-up investigations indicating no visible ureteric calculi after treatment, highlighting the effectiveness and safety of this Ayurvedic approach.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Ayurvedic intervention for managing ureteric calculi: case study.�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Medicine:
In the case study, 'medicine' refers to the Ayurvedic intervention using specific Ayurvedic medicines like Chandraprabhavati and Swetparpati for treating ureteric calculi. These medicines aim to offer a non-invasive and safe treatment option compared to conventional medical procedures.
2) Drug:
In this context, 'drug' represents the various Ayurvedic formulations and natural decoctions used in the case study to treat ureteric calculi. For instance, Swetparpati and Chandraprabhavati are specifically mentioned for their therapeutic actions.
3) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine employed to treat various ailments, including ureteric calculi. The study showcases its potential in providing an effective and natural treatment alternative to traditional allopathic medicine.
4) Pain:
Pain, especially intermittent pain radiating to the flanks, is a notable symptom of ureteric calculi. In the patient case study, Ayurvedic treatment was successful in alleviating this pain, thereby highlighting the efficacy of the intervention.
5) Disease:
The term 'disease' refers to the condition affecting the urinary tract, specifically ureteric calculi or urinary calculi. The case study explores an Ayurvedic approach to managing this disease, offering potential avenues for treatment.
6) India:
India is not only the location of the Regional Ayurveda Research Institute for Drug Development where this case study took place, but also the origin of Ayurvedic medicine, which was used in the study to treat ureteric calculi.
7) Sweating (Sweat):
Sweating is one of the symptoms reported by the patient suffering from ureteric calculi. This symptom, along with frequent micturition and intermittent pain, was alleviated following Ayurvedic intervention.
8) Ashmari (Asmari):
Ashmari is the Ayurveda term for urinary stones, including ureteric calculi. The case study focuses on the Ayurvedic approach to treating Ashmari, emphasizing therapies that are Kaphahara, Lekhana, and Mutrala.
9) Mangala (Mangal, Mamgala):
[see source text or glossary: Mangal]
10) Seedling:
Avoidance of seedling vegetables was part of the diet restrictions advised during the Ayurvedic treatment of ureteric calculi. This dietary advice aims to prevent the recurrence of stone formation.
11) Madhya:
[see source text or glossary: Madhya]
12) Indian:
[see source text or glossary: Indian]
13) Diet:
Diet is crucial in the management of ureteric calculi within the Ayurvedic treatment framework. Patients were advised to avoid seedling fruits and vegetables to minimize the risk of stone formation.
14) New Delhi:
New Delhi is significant as it is the location of the Central Council for Research in Ayurvedic Sciences (CCRAS), which supported the study highlighting the effectiveness of Ayurvedic treatment for ureteric calculi.
15) Pharmacological:
Pharmacological actions of Ayurvedic medicines, such as diuretic, anti-lithiatic, and antiseptic effects, play a key role in the treatment of ureteric calculi. This is detailed in the pharmacological descriptions of Chandraprabhavati and Swetparpati.
16) Mutrakricchra (Mutrakrcchra, Mutra-kricchra):
[see source text or glossary: Mutrakricchra]
17) Yogasamgraha (Yogasangraha, Yoga-samgraha, Yoga-sangraha):
[see source text or glossary: Yoga-sangraha]
18) Candraprabha (Candra-prabha):
Chandraprabha Vati is an Ayurvedic medicine used in the study for its antiseptic, diuretic, and lithotriptic properties, helping in the treatment of urinary calculi. It was administered at a dose of 500 mg twice daily.
19) Mutrakrichra (Mutrakrchra, Mutra-krichra):
[see source text or glossary: Mutrakrichra]
20) Aharashakti (Aharasakti, Ahara-shakti):
[see source text or glossary: Aharashakti]
21) Mutraghata (Mutra-aghata):
[see source text or glossary: Mutraghata]
22) Kaphadosha (Kaphadosa, Kapha-dosha):
Kaphadosha is one of the three doshas in Ayurveda believed to contribute to stone formation in the urinary tract. Ayurvedic treatment aims to balance Kaphadosha to prevent and treat ureteric calculi.
23) Discussion:
Discussion in the article elaborates on various aspects of the Ayurvedic treatment of ureteric calculi, comparing it with conventional treatments and emphasizing the efficacy and safety of the Ayurvedic approach.
24) Madhyama:
[see source text or glossary: Madhyama]
25) Adhikara:
[see source text or glossary: Adhikara]
26) Prakriti (Prakrti):
[see source text or glossary: Prakriti]
27) Samgraha (Sangraha):
[see source text or glossary: Sangraha]
28) Samhita:
Samhita refers to ancient Ayurvedic texts. Specifically, Sharangdhara Samhita is cited in the study as a reference for the use of Chandraprabhavati in treating urinary disorders.
29) Lekhana:
Lekhana, meaning scraping, is one of the therapeutic actions described in Ayurveda for treating ureteric calculi. This action helps in the removal or breakdown of stones in the urinary tract.
30) Bharati:
[see source text or glossary: Bharati]
31) Kulatha:
Kulatha, or Dolichos biflorus, is one of the raw herbs used in the decoction given to the patient. It has diuretic and antilithiatic properties beneficial in the management of ureteric calculi.
32) Mutrala:
Mutrala refers to diuretic activity in Ayurveda. Medicines with this property, like Chandraprabha Vati and Swetparpati, help in the treatment of ureteric calculi by promoting urine flow to flush out stones.
33) Vikriti (Vikrti):
[see source text or glossary: Vikriti]
34) Gwalior:
Gwalior is the location of the Regional Ayurveda Research Institute for Drug Development, where the case study was conducted. It underscores the regional focus on developing Ayurvedic treatments.
35) Siddha:
[see source text or glossary: Siddha]
36) Satmya:
[see source text or glossary: Satmya]
37) Rashmi (Rasmi):
[see source text or glossary: Rashmi]
38) Varuna:
Varuna, or Cratevea nurvala, is another herb used in the decoction administered to the patient. It is known for its tonic, astringent, and diuretic properties, aiding in the management of ureteric calculi.
39) Khanda (Khamda):
[see source text or glossary: Khanda]
40) Kapha:
Kapha is one of the three doshas in Ayurveda. It is believed that aggravated Kapha leads to the formation of ureteric calculi, thus Ayurvedic treatment focuses on balancing Kapha to treat the condition.
41) Ikshu (Iksu):
Ikshu, or Saccharum officinarum, is a herb included in the decoction for treating ureteric calculi. It has diuretic properties, which help in flushing out stones from the urinary tract.
42) Delhi:
Delhi is mentioned in the context of administrative and organizational support for the study from CCRAS, located in New Delhi, which plays a key role in promoting Ayurvedic research.
43) Ayus (Ayush):
[see source text or glossary: Ayush]
44) Pulse:
Pulse, measured at 78/min, is one of the parameters recorded during the general examination of the patient. It helps in assessing the overall health condition before starting the treatment.
45) Blood:
Blood parameters, including CBC (Complete Blood Count), were monitored before and after the treatment. Initial mild lymphocytosis normalized after the Ayurvedic intervention, reflecting the treatment's impact.
46) Vaya:
[see source text or glossary: Vaya]
47) Yoga:
[see source text or glossary: Yoga]
48) Medas (Meda, Medash):
[see source text or glossary: Meda]
49) Vati:
Vati refers to the tablet form of Ayurvedic medicine. Chandraprabhavati, used in the study, is a vati that combines multiple herbs and minerals to treat urinary calculi effectively.
50) Sara (Shara):
[see source text or glossary: Sara]
51) Food:
Restrictions on certain foods, such as seedling fruits and vegetables, were an important part of the treatment regimen for ureteric calculi, aiming to reduce the risk of stone formation.
Other Science Concepts:
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Holistic approach, Pain relief, Traditional medicine, Clinical feature, Ayurvedic treatment, Urinary system, Ayurvedic intervention, Chandraprabha vati, Micturition frequency, Calcification, Patient cooperation, Pathological examination, Natural herb, Ureteric calculi, Endoscopic procedures, Dietary recommendation.