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Studies on Mutravaha Srotadusti W.S.R. to Lower Urinary Tract Infection

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Journal name: Ayushdhara
Original article title: Studies on Mutravaha Srotadusti W.S.R. to Lower Urinary Tract Infection
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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Author(s):

Sukalyan Ray
Associate Professor & H.O.D, Dept. of Roga Nidan Avum Vikriti Vigyan, Raghunath Ayurved Mahavidyalay & Hospital, Contai, West Bengal, India.
Kaushik Porel
Assistant Professor, Dept. of Roga Nidan Avum Vikriti Vigyan, Raghunath Ayurved Mahavidyalay & Hospital, Contai, West Bengal, India.


Ayushdhara:

(A peer-reviewed, bi-monthly open-access journal)

Full text available for: Studies on Mutravaha Srotadusti W.S.R. to Lower Urinary Tract Infection

Year: 2021 | Doi: 10.47070/ayushdhara.v8i6.827

Copyright (license): CC BY-NC-SA 4.0


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Summary of article contents:

Introduction

Ayurveda emphasizes the concept of Srota, which refers to channels or vessels in the human body involved in the transportation of various bodily substances. One significant channel is the Mutravaha Srota, which relates to the urinary system. Disruptions or diseases affecting this channel, termed Mutravaha Srotadusti, are linked to several urinary complications, including lower urinary tract infections (UTIs). The study aims to evaluate the Ayurvedic concept of Mutravaha Srota in relation to lower UTIs and to assess the effectiveness of the herb Gokshur (Tribulus terrestris) for treating these conditions.

Concept of Mutravaha Srotadusti

Mutravaha Srotadusti refers to the vitiation or dysfunction of the urinary channels, which is associated with various urinary disorders such as dysuria, painful urination, and urgency. This condition can be compared with modern understandings of lower UTIs, where bacterial infections lead to similar symptoms. Ayurvedic texts describe this dysfunction as stemming from factors like improper diet and lifestyle choices. Clinical observations in the study correlate the symptoms of Mutravaha Srotadusti with lower UTIs, highlighting their similarities in causative factors, pathogenesis, and clinical features.

Role of Gokshur in Treatment

Gokshur, known for its diuretic and anti-inflammatory properties, is highlighted as a potential treatment for Mutravaha Srotadusti and lower UTIs. The study involved administering Gokshur Churna (powder) to patients over a period of 21 days, evaluating its impact on various subjective and objective parameters associated with urinary health. The results demonstrated significant improvements in symptoms, reinforcing the efficacy of Gokshur in alleviating dysuria, frequency of urination, and other related issues in individuals diagnosed with lower UTIs.

Conclusion

This study confirms that Mutravaha Srotadusti aligns closely with the symptoms and causation of lower UTIs, as understood in both Ayurvedic and modern medical contexts. The herb Gokshur appears to be an effective intervention for managing these conditions, as evidenced by statistical analyses showing marked improvements in patient symptoms. Therefore, the integration of traditional Ayurvedic perspectives with contemporary medical understandings could provide a more holistic approach to treating urinary tract disorders.

FAQ section (important questions/answers):

What is the concept of Mutravaha Srota in Ayurveda?

In Ayurveda, Mutravaha Srota refers to the channels through which urine is formed and expelled. It is closely associated with urinary health and is essential for understanding conditions like lower urinary tract infections.

How was Gokshur used in the study for lower UTI?

Gokshur Churna, derived from Tribulus terrestris, was administered to 50 patients with lower UTI at a dose of 5 grams twice daily for 21 days to evaluate its efficacy in treating symptoms related to Mutravaha Srotadusti.

What were the results of the study regarding Gokshur's efficacy?

The study found significant improvement in subjective and objective parameters of patients receiving Gokshur, with a p-value <0.001, indicating high efficacy in managing lower UTI and Mutravaha Srotadusti conditions.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Studies on Mutravaha Srotadusti W.S.R. to Lower Urinary Tract Infection�. 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) Mutra:
In Ayurveda, 'Mutra' refers to urine, an essential bodily waste product. Its function is 'Vikledakrit', meaning expulsion of the body's waste [see source text or glossary: Mutra].

2) Disease:
Specific conditions caused by the vitiation of Doshas leading to Mutravaha Srotadusti manifest as disease. Lower UTI, a disease, is extensively discussed in the context of Mutravaha Srotadusti in Ayurveda.

3) Dosha (Dosa):
Doshas are fundamental bodily energies in Ayurveda responsible for body functions. Imbalance in Doshas, particularly Vata Dosha, is linked to Mutravaha Srotadusti and subsequent urinary diseases [see source text or glossary: Dosha].

4) Srotas (Shrotas):
Srotas are channels or pathways within the body carrying essential substances and waste products. Mutravaha Srotas include structures like the urinary bladder and are involved in the formation and excretion of Mutra.

5) Drug:
Gokshur Churna, derived from Tribulus terrestris, is the Ayurvedic drug studied for its efficacy in treating Mutravaha Srotadusti. It has properties like pacifying Vata Dosha and acting as an anti-inflammatory agent.

6) Dhatu:
Dhatu refers to the bodily tissues nourished by Srotas. Proper functioning of these tissues depends on the balance of Doshas, achieved through correct digestion of Ahara or food [see source text or glossary: Dhatu].

7) Mala:
Mala, in Ayurveda, denotes waste products like Purish (faeces), Mutra (urine), and Sweda (sweat). It is crucial for the expulsion of these wastes to avoid vitiation and disease [see source text or glossary: Mala].

8) Abhikshna (Abhiksna):
Abhikshna Mutratwa refers to frequent urination. This subjective parameter was significant in evaluating the presence and treatment efficacy of Mutravaha Srotadusti in the study.

9) Food:
Food, or Ahara, is fundamentally important in Ayurveda as it transforms into body tissues and waste products. Proper digestion and assimilation of food directly influence the formation and quality of Mutra [see source text or glossary: Food].

10) Mutrakricchra (Mutrakrcchra, Mutra-kricchra):
Mutrakricchra, or dysuria, is a principal disease arising from Mutravaha Srotadusti. It involves painful urination and is managed using Ayurvedic medication like Gokshur Churna.

11) Vitiation (Vitiated):
Vitiation refers to the imbalance or dysfunction of bodily elements. In the context of Ayurveda, 'Dosha Vitiation' leads to the development of diseases such as those affecting the Mutravaha Srotas.

12) Sashula (Sasula):
Sashula Mutratyag, or painful micturition, is one of the subjective parameters that indicate the presence of Mutravaha Srotadusti and helps in evaluating the efficacy of Gokshur Churna.

13) Vahala:
Vahala Mutra signifies turbid urine, a clinical indicator of Mutravaha Srotadusti. Turbidity suggests possible contamination or infection in the urinary tract.

14) Adhman:
Vasti Adhman refers to the feeling of heaviness in the bladder region, often linked to conditions like UTI and Mutravaha Srotadusti. It impacts daily activities substantially.

15) Tribulus terrestris:
Tribulus terrestris, a plant, yields Gokshur Churna. This Ayurvedic drug has proven anti-inflammatory and antimicrobial properties, effective in treating urinary disorders and Mutravaha Srotadusti.

16) Inflammation:
Inflammation, such as that found in UTIs, is an immune response often addressed by anti-inflammatory Ayurvedic herbs like Tribulus terrestris to alleviate Mutravaha Srotadusti conditions.

17) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha, one of the three Doshas in Ayurveda, governs bodily movements and activities. Imbalanced Vata-dosha is a key factor in the onset of Mutravaha Srotadusti and related ailments.

18) Ayurveda (Ayus-veda):
Ayurveda is an ancient holistic health system from India focusing on balance among body, mind, and spirit through elements like Dosha, Dhatu, and Mala. It provides detailed insights into Mutravaha Srotadusti and its treatment.

19) Udaka:
Udaka represents the initial stage in the formation of Mutra. It is absorbed from digested food and later transforms into urine via systemic processes [see source text or glossary: Udaka].

20) Vata:
Vata, one of the three Doshas in Ayurveda, is primarily associated with movement and neurological functions. Its imbalance can lead to disorders such as Mutravaha Srotadusti.

21) Kala:
Kala in Ayurveda refers to the membranous layers that function as barriers or facilitating surfaces in the body. Maladhara Kala aids in the separation of useful and waste products during digestion.

22) Samhita:
Samhita texts are primary compendia of Ayurvedic knowledge. Texts like Charak Samhita and Sushrut Samhita provide foundational information on the concept and treatment of Mutravaha Srotadusti.

23) Pitta:
Pitta is one of the three Doshas, responsible for metabolism and transformation in the body. Pachaka Pitta, a subtype, helps in the digestion of food and subsequent formation of Mutra.

24) Vayu:
Vayu, synonymous with Vata, is the Dosha linked to movement and transportation of substances within the body. Samana Vayu, a subtype, assists in controlling the digestive processes.

25) Burning sensation:
Burning sensation during urination is a common symptom of both Mutravaha Srotadusti and lower UTIs. It is a critical subjective parameter in diagnosing and assessing the treatment efficacy.

26) Samanavayu (Samana-vayu):
Samana-vayu, a branch of Vata Dosha, regulates the digestive process. It assists in the separation of useful and waste components during the digestion, contributing to Mutra formation.

27) Lakshana (Laksana):
Lakshana refers to the signs and symptoms of a disease. The clinical features of Mutravaha Srotadusti include dysuria, urgency, and turbidity of urine, similar to signs of lower UTIs.

28) Samana (Shamana):
Samana encompasses the concept of maintaining balance. In Ayurveda, the balance of Doshas, including Vata and Pitta, is essential for health, impacting processes like urination and digestion [see source text or glossary: Samana].

29) Powder:
Powder of Gokshur (Tribulus terrestris) is used in Ayurvedic treatment for Mutravaha Srotadusti. The study administered 5 gm of Gokshur Churna twice daily for its therapeutic effects.

30) Pain:
Painful micturition, or Sashula Mutratyag, is a significant symptom in diagnosing Mutravaha Srotadusti. Effective management of pain is a key aim of Ayurvedic treatments like Gokshur Churna.

31) Human body:
The human body in Ayurvedic understanding consists of Dosha, Dhatu, and Mala. Balance among these components is crucial for health, affecting functions like urination and digestion [see source text or glossary: Human body].

32) Madhurarasa (Madhura-rasa):
Madhura-rasa, or sweet taste, is a quality of Gokshur that contributes to its efficacy for pacifying Vata Dosha, making it suitable for treating conditions like Mutravaha Srotadusti.

33) Mahakashaya (Mahakasaya, Maha-kashaya):
Mahakashaya refers to a group of forty-nine therapeutic plant categories in Ayurveda. Gokshur falls under Shothahara Mahakashaya and Mutravirechaniya Mahakashaya, indicating its use for inflammation and promoting urine flow.

34) Mutraghata (Mutra-aghata):
Mutraghata, known as urinary obstruction, is a disease connected with Mutravaha Srotadusti in Ayurveda. Treatment involves herbs like Gokshur to ease obstruction and inflammation.

35) Shothahara (Sothahara, Shotha-hara):
Shothahara denotes the anti-inflammatory property of a substance. Gokshur's Shothahara property contributes to reducing inflammation in the urinary tract, aiding in the treatment of lower UTIs.

36) Madhura:
Madhura, or sweetness, describes the taste profile that soothes and balances Vata Dosha. This characteristic of Gokshur makes it effective in managing Mutravaha Srotadusti.

37) Prameha:
Prameha involves a group of metabolic disorders often linked to urinary abnormalities. These disorders are considered consequences of Mutravaha Srotadusti in Ayurveda.

38) Snigdha:
Snigdha, meaning unctuous or oily, is a quality of Gokshur that helps pacify Vata Dosha. Snigdha substances are crucial in treating dryness and abnormal functions in Mutravaha Srotas.

39) Ashmari (Asmari):
Ashmari, or urinary stones, result from Mutravaha Srotadusti. They lead to symptoms like severe pain and urinary obstruction, highlighting the need for effective Ayurvedic treatments.

40) Sevana:
Sevana, or sexual activity, is one of the predisposing factors leading to the onset of lower UTI and Mutravaha Srotadusti. Ayush-based health practices indicate moderation to maintain health.

41) Bengal (Bemgal):
The study on Gokshur Churna's efficacy for Mutravaha Srotadusti and lower UTI was conducted at Raghunath Ayurved Mahavidyalay & Hospital, Contai, West Bengal, India.

42) Kleda:
Kleda is the intermediate product in urine formation, following Udaka. It involves the addition of waste products during systemic circulation, contributing to urine composition [see source text or glossary: Kleda].

43) Ahara:
Ahara, or food, is central to Ayurvedic medicine. Proper digestion and assimilation of food are essential for forming healthy tissues and urine, as discussed in the context of Mutravaha Srotas.

44) Guru:
Guru, or heaviness, is a quality of Gokshur that helps in grounding and balancing the Vata Dosha. This property is important in conditions like Mutravaha Srotadusti.

45) Rasa (Rasha):
Rasa, meaning taste, refers primarily to the initial flavor property in Ayurveda. Gokshur’s Madhura (sweet) Rasa is integral in treating Vata-related conditions like Mutravaha Srotadusti.

46) Rupa:
Rupa, meaning form or manifestation, generally refers to the visible symptoms and characteristics of disease conditions in Ayurveda, such as turbidity in urine indicating Mutravaha Srotadusti [see source text or glossary: Rupa].

47) Guna:
Guna refers to the inherent qualities of substances in Ayurveda. Gokshur possesses qualities like Snigdha (unctuous) and Guru (heavy) which are crucial in combating Mutravaha Srotadusti.

48) Diet:
Diet, in Ayurveda, significantly influences health and bodily functions like urination. Proper dietary habits prevent the vitiation related to Mutravaha Srotadusti by maintaining doshic balance.

49) Dhatupradushana (Dhatupradusana, Dhatu-pradushana):
Dhatu-pradushana is the affliction of bodily tissues by vitiated Doshas. This process leads to conditions like Mutravaha Srotadusti where urinary function is disrupted [see source text or glossary: Dhatu-pradushana].

50) Sthanasamshraya (Sthanasamsraya, Sthana-samshraya):
Sthanasamshraya refers to the localization of vitiated Doshas at specific sites within Srotas, leading to disease formation. This concept explains the pathology behind Mutravaha Srotadusti.

51) Purification:
Purification practices, like Vasti Shodhana, help in cleaning and restoring the function of the bladder. Gokshur is known for its purification properties aiding the treatment of Mutravaha Srotadusti.

52) Discussion:
The discussion in the study focused on comparing Ayurvedic concepts like Mutravaha Srotadusti with modern medical insights on lower UTIs to validate traditional claims through clinical evidence [see source text or glossary: Discussion].

53) Science (Scientific):
Scientific analysis in the study confirmed the significant efficacy of Gokshur Churna with statistical validation, demonstrating its benefits in treating urinary conditions like Mutravaha Srotadusti.

54) Mahabhuta (Maha-bhuta):
Mahabhutas, or five great elements, form the basis of material existence in Ayurveda. Components like Apa (water) and Agni (fire) are integral to the formation and function of Mutra [see source text or glossary: Mahabhuta].

55) Shodhana (Sodhana):
Shodhana denotes purification processes in Ayurvedic treatment. Gokshur Churna exhibits Shodhana properties, aiding in the treatment of urinary tract infections by cleansing the bladder.

56) Ashtanga (Astanga, Ashtan-anga):
Ashtanga refers to the eight branches of Ayurvedic medicine. Texts like Ashtanga Hridayam provide foundational insights into diseases such as Mutravaha Srotadusti and their treatments.

57) Medicine:
Medicine in the Ayurvedic context includes herbs and formulations like Gokshur Churna, used for treating conditions such as Mutravaha Srotadusti based on principles of Dosha balance and Srotas function [see source text or glossary: Medicine].

58) Swelling:
Swelling, a sign of inflammation, is alleviated by anti-inflammatory properties of Ayurvedic herbs like Gokshur. This helps reduce symptoms in conditions like Mutravaha Srotadusti.

59) Katurasa (Katu-rasa):
Katurasa, a pungent taste, should be avoided in conditions like Mutravaha Srotadusti. Patients were advised to avoid this rasa to help manage the symptoms of the urinary tract infection.

60) Vedhana:
Vedhana, meaning puncture, refers to the mechanical injury to Srotas. The description of Srotaviddha by Acharya Sushruta implies anatomical disruptions possibly causing conditions like UTIs.

61) Madhava:
Madhava Nidan is a classical Ayurvedic text providing detailed information on diagnosis and pathology of diseases including those related to Mutravaha Srotas like Mutrakricchra.

62) Vikriti (Vikrti):
Vikriti, or pathological state, refers to the diseased condition resulting from Dosha imbalance. Mutravaha Srotadusti signifies such pathological states affecting urinary function.

63) Nigraha:
Nigraha, meaning suppression, particularly of the urinary urge (Mutra Nigraha), is a predisposing factor for Mutravaha Srotadusti and can lead to conditions like lower UTIs.

64) Hygiene (Hygienic):
Hygiene, especially toilet hygiene, is essential in preventing diseases like lower UTIs. Practicing good hygiene helps manage Mutravaha Srotadusti and maintain urinary health.

65) Viddha:
Viddha, derived from the root word Vedhana, signifies puncturing or wounding. 'Srotaviddha' implies a mechanical injury to the channels, leading to disruptions like Mutravaha Srotadusti [see source text or glossary: Viddha].

66) Dushya (Dusya):
Dushya refers to the elements in the body that get vitiated. In the context of Mutravaha Srotas, this could involve the affliction of Dhatus and Malas, resulting in conditions like dysuria.

67) Atreya:
Atreya is a school of thought in Ayurveda as mentioned by Charaka. It provides foundational theories on physiological systems (Srotas) and their roles, essential in understanding Mutravaha Srotadusti.

68) Anjali (Amjali):
Anjali is a measure used in Ayurveda. The normal amount of Mutra is 4 Anjali, indicating the volume of urine considered healthy within the physiological context [see source text or glossary: Anjali].

69) Vipaka:
Vipaka is the post-digestive effect of food, classified into properties like Madhura (sweet). Gokshur has Madhura Vipaka, contributing to its effectiveness in pacifying Vata Dosha in Mutravaha Srotadusti.

70) Kshata (Ksata):
Kshata means injury or mechanical damage to the bodily structures. In Ayurveda, it refers to trauma that can lead to Mutravaha Srotadusti and worsening urinary conditions.

71) Medhra:
Medhra, or penis, is considered one of the roots of Mutravaha Srotas as per Acharya Sushruta. Its proper function is crucial in the formation and expulsion of Mutra.

72) Kitta:
Kitta represents the waste part of digested food. It is separated and excreted as urine or faeces, with its formation involving structures like the Maladhara Kala [see source text or glossary: Kitta].

73) Sita (Shita):
Shita, meaning coolness, is a characteristic of Gokshur. Shita Virya (cool potency) makes it effective in managing inflammatory conditions like Mutravaha Srotadusti and lower UTIs.

74) Virya:
Virya, or potency, is a quality of a substance in Ayurveda. Gokshur has Shita (cool) Virya, making it suitable for treating inflammatory conditions in the urinary tract.

75) India:
India is the country where Ayurveda originated and is practiced extensively. The study on Gokshur Churna for Mutravaha Srotadusti was conducted in West Bengal, India.

[Note: The above list is limited to 75. Total glossary definitions available: 83]

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Samanavayu, Kleda, Sthanasamshraya, Pachakapitta, Clinical feature, Khavaigunya, Lower UTI, Mutravaha srota, Nidan sevana.

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