Herbal management of urinary stones: Moringa and Tribulus.
Journal name: Ayushdhara
Original article title: Management of urinary calculus with herbal preparation (moringa oleifera and tribulus terrestris)
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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Original source:
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Vishal Khanna
Associate Professor, Department of Rachna Sharir, Government Ayurvedic Medical College, Jammu, J&K, India.
Anjali Sharma
Assistant Professor, Department of Kriya Sharir, Government Ayurvedic Medical College, Jammu, J&K, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Management of urinary calculus with herbal preparation (moringa oleifera and tribulus terrestris)
Year: 2021 | Doi: 10.47070/ayushdhara.v8i2.713
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Urolithiasis, commonly known as urinary stones, poses a significant health issue affecting approximately 5% of the global population. This condition carries a high recurrence rate of 50 to 80%, with males being more frequently affected than females. Traditional management involves both medicinal and surgical approaches, with treatments like Extracorporeal shock wave lithotripsy (ESWL) for larger stones. However, there is a growing interest in herbal medicines for their potential role in preventing and treating urinary stones. In Ayurveda, plants with anti-lithic properties, particularly Moringa oleifera (Shigru mool) and Tribulus terrestris (Gokshura phala), are often emphasized for their efficacy.
Role of Moringa Oleifera
Moringa oleifera demonstrates significant anti-inflammatory and diuretic properties, traditionally recognized in Ayurvedic texts for treating various ailments. This plant is indigenous to the sub-Himalayan regions and has been widely cultivated across India. Research indicates that its roots and leaves can reduce urinary oxalate levels and inhibit stone formation, potentially regulating the synthesis of stone-forming compounds in the kidneys. The combined effects of its active constituents support the disintegration and expulsion of urinary stones, which highlights its relevance in managing urolithiasis.
Importance of Tribulus Terrestris
Tribulus terrestris, known for its diuretic, anti-inflammatory, and anti-oxaluric properties, also plays a crucial role in the treatment of urinary stones. The plant's rich content of nitrates and potassium salts contributes to its ability to facilitate the discharge of stones while also preventing their formation. It has been shown to inhibit enzymes associated with oxalate synthesis, thereby reducing the likelihood of calcium-oxalate crystal deposition in the kidneys. The synergistic effect of this herb, alongside Moringa oleifera, emphasizes their combined therapeutic potential in reducing urinary stone symptoms and fostering stone expulsion.
Conclusion
The herbal formulation comprising Moringa oleifera and Tribulus terrestris has proven to provide significant therapeutic benefits in managing urolithiasis, offering symptomatic relief in patients. The study displayed a notable stone-free rate and had statistically significant results in alleviating associated symptoms such as pain, dysuria, and haematuria. With less risk of side effects, herbal medicines remain vital to primary healthcare strategies, especially in developing regions. Thus, these findings advocate for further exploration of traditional herbal remedies as viable options for the treatment and prevention of recurrent urinary stones.
FAQ section (important questions/answers):
What is the purpose of using Moringa oleifera and Tribulus terrestris?
Moringa oleifera and Tribulus terrestris are used to manage urolithiasis, or urinary stones, by providing diuretic, anti-inflammatory, and anti-spasmodic properties which can assist in disintegration and expulsion of stones.
What were the criteria for selecting patients in the study?
Patients aged 15 to 60 years with kidney or ureteric stones up to 12 mm were included. Exclusion criteria included larger stones, severe hematuria, renal failure, and serious diseases like cancer or tuberculosis.
What were the results of the herbal treatment for urolithiasis?
The herbal treatment yielded significant symptom relief, with 36.66% of stones expelled and 26.66% showing a decrease in size. Statistically significant improvements were noted in pain, dysuria, and other related symptoms.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Herbal management of urinary stones: Moringa and Tribulus.�. 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) Pain:
Pain in the context of the text refers to discomfort experienced by patients of Urolithiasis. It was assessed using a Visual Analogue Scale in the study to determine the severity before and after treatment. Symptomatic relief in pain was a key measure of treatment efficacy.
2) Tribulus terrestris:
Tribulus terrestris, or Gokshura, is an herbal plant noted for its medicinal properties, such as diuretic and anti-inflammatory effects. It was a key ingredient in the herbal decoction used in the study to treat Urolithiasis, aiding in the expulsion and reduction of urinary stones.
3) Ayurveda (Ayus-veda):
Ayurveda is the traditional system of medicine in India, focusing on natural treatments. The study references various herbs and treatments, including the use of Moringa oleifera and Tribulus terrestris, which are deeply rooted in Ayurvedic practices for treating urinary calculus.
4) Drug:
In the study, 'drug' refers to the herbal preparations made from Moringa oleifera and Tribulus terrestris. These drugs were tested for their efficacy in managing Urolithiasis, showing significant symptom improvement and stone expulsion in many patients.
5) Medicine:
Medicine in the article pertains to the herbal formulations composed of Moringa oleifera and Tribulus terrestris, which were used as a treatment for urinary stones. The study highlights their therapeutic effects in alleviating symptoms and reducing stone size.
6) Disease:
The disease in focus is Urolithiasis, a condition characterized by the formation of stones within the urinary tract, which can cause significant health issues. The study explores the herbal management of this disease using Moringa oleifera and Tribulus terrestris.
7) Shigru (Sigru):
Shigru refers to the Moringa oleifera plant in Ayurvedic medicine. Known for its anti-inflammatory and diuretic properties, it was used in the study to help dislodge and expel urinary stones, thereby managing symptoms of Urolithiasis.
8) Anjali (Amjali):
Anjali Sharma is one of the authors of the research article. Serving as an Assistant Professor at the Government Ayurvedic Medical College, Jammu, her contributions to the study include the design and implementation of the herbal treatment protocols for Urolithiasis.
9) Sharman (Sarma, Sharma, Sarman):
Anjali Sharma co-authored the study on the herbal management of Urolithiasis, where her academic and research affiliation with the Department of Kriya Sharir at the Government Ayurvedic Medical College, Jammu, played a crucial role in the research design and interpretation of results.
10) Gokshura (Goksura, Go-kshura):
Gokshura is another name for Tribulus terrestris. It is a key ingredient in the herbal preparation used in the study for its diuretic and anti-inflammatory properties, essential in the management of urinary stones or Urolithiasis.
11) Madhura:
[see source text or glossary: Madhura]
12) Samhita:
[see source text or glossary: Samhita]
13) Vipaka:
[see source text or glossary: Vipaka]
14) Bitter:
[see source text or glossary: Bitter]
15) Karma (Karman):
[see source text or glossary: Karma]
16) India:
The study was conducted in India, a country with a rich tradition in Ayurvedic medicine. The herbs Moringa oleifera and Tribulus terrestris were employed in managing Urolithiasis, reflecting the integration of ancient wisdom in modern healthcare practices.
17) Sanga (Samga, Shanga, Shamga):
[see source text or glossary: Sanga]
18) Katu:
[see source text or glossary: Katu]
19) Rasa (Rasha):
[see source text or glossary: Rasa]
20) Guna:
[see source text or glossary: Guna]
21) Human body:
The article discusses how herbal medicines can be more compatible with the human body compared to conventional treatments, particularly in the context of managing Urolithiasis, due to the herbs' natural properties and lesser side effects.
22) Sushruta-samhita (Susruta-samhita):
[see source text or glossary: Sushruta-samhita]
23) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalya-tantra refers to a branch of Ayurveda that deals with surgical techniques. Though surgical interventions are necessary for larger urinary stones, the study argues for the efficacy of herbal preparations as a non-invasive alternative.
24) Tikshnavirya (Tiksnavirya, Tikshna-virya):
[see source text or glossary: Tikshna-virya]
25) Civilization:
The text emphasizes that herbal medicines are a heritage of ancient civilization, particularly in developing countries. Despite advancements in medical science, these traditional remedies remain crucial for primary healthcare.
26) Tuberculosis:
Patients with tuberculosis were excluded from the study on the herbal management of Urolithiasis, likely due to potential complications or interactions with the herbal treatment being tested.
27) Inflammation:
Both Moringa oleifera and Tribulus terrestris were noted for their anti-inflammatory properties in the study, which contributed to their effectiveness in treating Urolithiasis by reducing local inflammation around the urinary stones.
28) Discussion:
The discussion section of the study interprets the results obtained from using the herbal preparation. It delves into how the properties of Moringa oleifera and Tribulus terrestris contribute to managing and alleviating symptoms of Urolithiasis.
29) Science (Scientific):
The article employs a scientific method to validate the efficacy of the herbal preparation. This involves clinical trials, a control group, and statistical analysis to ensure the results are reliable and can be replicated.
30) Krimighna (Krmighna, Krimi-ghna):
[see source text or glossary: Krimighna]
31) Svedopaga (Sveda-upaga):
[see source text or glossary: Svedopaga]
32) Varunadi (Varuna-adi):
[see source text or glossary: Varunadi]
33) Vrishya (Vrsya):
[see source text or glossary: Vrishya]
34) Snigdha:
[see source text or glossary: Snigdha]
35) Ashmari (Asmari):
Ashmari in Ayurveda refers to stones in the urinary tract. The study examines the use of Moringa oleifera and Tribulus terrestris in managing Ashmari, highlighting their properties in disintegrating and expelling these stones.
36) Tikshna (Tiksna):
[see source text or glossary: Tikshna]
37) Tantra (Tamtra, Tantrism):
[see source text or glossary: Tantra]
38) Ruksha (Ruksa):
[see source text or glossary: Ruksha]
39) Shalya (Salya):
[see source text or glossary: Shalya]
40) Nature:
[see source text or glossary: Nature]
41) Phala:
Phala refers to the fruit of a plant. In the context of the study, Tribulus terrestris fruit was used in the herbal decoction for its medicinal properties to treat Urolithiasis, aiding in the expulsion and reduction of urinary stones.
42) Kriya:
Kriya Sharir is a department in Ayurveda dealing with the physiological functions of the body. Anjali Sharma, an Assistant Professor in this department, co-authored the study on herbal management of Urolithiasis.
43) Laghu:
[see source text or glossary: Laghu]
44) Tikta:
[see source text or glossary: Tikta]
45) Ushna (Usna):
[see source text or glossary: Ushna]
46) Virya:
[see source text or glossary: Virya]
47) Ayus (Ayush):
AYUSH stands for Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy. The journal AYUSHDHARA publishes research like the article on the herbal management of Urolithiasis using Moringa oleifera and Tribulus terrestris.
48) Guru:
[see source text or glossary: Guru]
49) Horn:
[see source text or glossary: Horn]
50) Salt (Salty):
[see source text or glossary: Salt]
Other Science Concepts:
Discover the significance of concepts within the article: �Herbal management of urinary stones: Moringa and Tribulus.�. Further sources in the context of Science might help you critically compare this page with similair documents:
Tribulus terrestris, Diuretic properties, Urinary calculus, Herbal preparation, Ayurvedic medicine, Clinical study, Urolithiasis, Visual analogue scale, Moringa oleifera, Anti-inflammatory effect, Recurrence Rate, Renal failure, Extracorporeal shock wave lithotripsy, Percutaneous nephrolithotomy.