Purpose of ayurveda
 To maintain the health of a healthy person.
 To cure the diseases of patient.
In this, to fulfill the first purpose, daily routine,
seasonal routine, night routine and diet. There is a description of adherence
to apathya and use of chemicals and to achieve the second purpose, there is a
description of the three sutras and the quadruples of treatment.
In Ayurveda, Ashmari disease is one of the eight
diseases.
vatvyadhi, prameha, kustha,
arsha, bhagandar, ashmari, mudhagarbha, these seven and eighth udergat disease,
these eight are major diseases and are harmful by nature.
Ashmari is made up of two words, Ashm and Ari,
Ashm means stone and Ari means enemy.
12% of the world’s
population is suffering from kidney stone disease, the recurrence rate of which
is 70% to 81% in men and 47% to 60% in women.
97: Ashmari is found in kidney and ureter while the
other 3: are found in urinary bladder and urethra.
Ashmari is a worldwide problem. Ashmari causes severe
abdominal pain, burning sensation in urine, bloody urine and difficulty in
urination.
Ashmari is a terrible disease, it should be considered
equal to Yamraj (deadly). For new cancer, medical treatment is possible, but
for old cancer, there is a need for weapon treatment.
Ashmari is a serious and painful disease, since
Acharya Sushruta has called new asthma treatable, hence asthma should be
treated in the new stage itself, so that the disease remains treatable.
Since the Samhita period, many Ayurvedic remedies are
being used for the treatment of ashmari.
In the Samhita, Ashmari has been described under mutravaha
shrotas. Which Tridoshaj is mainly Vatakafaj, which Acharya Charak has
described under Samanjay Vikar.
Synonyms of Ashmari. stone, sarkara
Due to not correcting the body through vomiting,
purging etc. and bad habits like wrong diet and behavior, the mucus which gets
irritated by mixing with urine and enters the body, produces ashmari.
In the initial form of Ashmari, the symptoms are pain
in the internal Urethral Orifice, loss of interest in food, dysuria, fever due
to dysuria, and smell of goat in the urine.
Just as even when a new pitcher is filled with very
clean water, after some time, sludge gets collected in the form of a
precipitate, in the same way, in the existing clean urine too, stone formation
occurs after some time.
When the air dries up the urine along with the semen
or the phlegm along with the bile which has entered the urinary bladder, then
the body becomes stoney, just like gorochan is formed in the gall bladder of a
cow.
Form of Ashmari: Due to Vata dosha it is like Kadamba
flower and Triputi is triangular, due to Pitta dosha it is hard and smooth like
a stone and due to Kapha and Shukra it is soft.
Symptoms of kidney stone: When stone comes into the
urinary tract, it blocks the passage and creates obstruction in urine output
and causes pain in the colon. Then the urethra (from the root of the scrotum to
the anus) causes pain in the penis and urinary bladder and produces many
streams of urine and the patient urinates repeatedly.
UROLITHIASIS
DEFINITION
Stones is the urinary tract occur when urinary chemistry
result in concentrations of stone salts that exceeds the limit of metastability
for that salt in solution.
This most often reflects
excessive excreation of one or more stone constituents,deficient inhibitory
activity in urine, or simply a low urine volume resulting in excessively
concentrated urine.
Ø PATHOPHYSIOLOGY
Urinary calculi consist of aggregates of cristals ,usually
containing calcium or phosphate in
combination with small amounts of proteins and glycoproteins. In devloped
countries, however,most calculi occure in healthy young man, in whom
investigation reveal no clear predesposing cause. Renal stone vary greatly in
size. There may be particals like sand anywhare in the urinary tract, or large
round stones are common, particularly in children.In developed countries,the
incidence of childhood bladder stones is low,renal stones in adults are more common.
Ø CAUSES
·
Low urine volumes, low fluid intake
·
Diet: high protien, high sodium, low
calcium
·
High sodium, oxalate, urate excreation
·
Low citrate excretion
·
Renal tubular acidosis type1
·
Famillial hypercalciuria
v TYPES
OF UROLITHIASIS
1.Calcium 0xalate stones ( >
70%)
2.Uric acid stones (10%)
3.Struvite stones (15%)
4.Cystine stones (1%)
v SYMPTOMS
1. Pain
– (a) Ureteric colic – cramping, sharp, often excruciating
pain,fluctuating in intensity but not completely remitting.
(b) Loin pain
- independent of ureteric colicor infection.
2.
Haematuria – accompanying the colic or even frank haematuria in absence of
colic.
v SIGNS
1.
Loin tenderness –
is usually manifestation of associated infection.
2.
Palpable kidney in
the presence of staghorn calculus, or when obstruction has remitted.
BASIS OF DRUG SELECTION:-
ï¶
The medicine for Asthmari has been described in detail in the scriptures, the
selected combination of the medicine is effective in dissolving, eliminating
and treating Asthmari, the component of urine-purifying Mahakashaya and Eladi
Kwath, and is effective in preventing the recurrence of the disease.
ï¶
Use of castor oil as a supplement reduces the friction caused by emetic,
emphysema and diaphoretic expulsion.
ï¶
All the components of the selected yoga are easily available and accessible at
low cost.
ï¶
Aushadha yoga will be used in the form of kashay kalpana. Due to which it is
immediately effective due to its quick absorption. Therefore, I have selected
Mahakashay and Eladi Kwath, which is a diuretic and has castor oil as a Kashay.
ï¶
Before manufacturing the medicine, the
medicine will be identified and tested by dravyaguna departmentof the college
and NIScPIR new delhi .
ï¶
manufacureing of drugs will be done under the guidance of teachers of the rasasastra
and bhaishgya kalpana Department of the college.
ï¶ After studying the data obtained, a report was
prepared for analysis.
For
clinical subjective criteria – wilcoxon rank
sum test
For
clinical objective criteria – paired t
test
For
comparative subjective criteria – Mann whitney u test
For
comparative objective criteria – independent
sample test will be used.
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