Year: 2026 | Month: January-March | Volume: 10 | Issue: 1 | Pages: 53-58
DOI: https://doi.org/10.52403/gijash.20260108
Ayurvedic Management in Renal Calculi (Ashmari): A Case Study
Dr. Pankaj Singh Kushwaha1, Dr. Bharat Kumar Padhar2, Dr. Muniraj3, Dr. Mamata Godara4
1,4P. G Scholar, Department of Kayachikitsa, National Institute of Ayurveda (NIA), Jaipur, India
2,3Assistant Professor, P.G. Department of Kayachikitsa, National Institute of Ayurveda Deemed to university, Jaipur, Rajasthan, India
Corresponding Author: Dr. Pankaj Singh Kushwaha
ABSTRACT
Ashmari is a major disorder of the Mutravaha Srotas described in classicalAyurvedicliterature and is clinically comparable to urolithiasis in modern medicine1,2. It is included among the Ashta Mahagada due to its severe pain, recurrent nature, and potential for complications. According to contemporary medical data, approximately 70–80% of urinary calculi originate in the kidneys, predominantly within the renal calyces—especially the lower calyx—and the renal pelvis3. About 15–25% of stones are located in the ureters4, while 2–10% occur in the urinary bladder5. Although smaller calculi may have the potential for spontaneous passage6, calyceal stones—particularly those located in the lower calyx—often persist for prolonged periods, produce symptoms, and may subsequently lead to stone growth, infection, or urinary obstruction. Therefore, a “watchful waiting” approach alone is often insufficient, and active therapeutic intervention becomes clinically necessary. In modern medical practice, such cases are commonly managed through interventional procedures such as extracorporeal shock wave lithotripsy (ESWL)7, retrograde intrarenal surgery (RIRS), or percutaneous nephrolithotomy (PCNL), which are associated with procedural morbidity, cost, and recurrence8. In contrast, Ayurveda offers a non-invasive, safe, and holistic therapeutic approach for the management of Ashmari. In the present study, a 23-year-old male patient diagnosed with bilateral renal calyceal calculi was treated with Ayurvedic therapy. Ultrasonography revealed calculi measuring 3.2 mm and 4 mm in the right kidney and 3.4 mm and 2.7 mm in the left kidney. The patient was managed with Gokshuradi Guggulu, Varunadi Kwatha, Neeri-KFT syrup, Triphala Churna, along with appropriate dietary and lifestyle modifications (Pathya-Apathya). Post-treatment ultrasonography demonstrated a marked reduction in stone size, with partial to complete dissolution, accompanied by significant improvement in clinical symptoms. This case indicates that Ayurvedic management may represent a safe and effective therapeutic option for renal calyceal calculi
Keywords: Ashmari, Mutrashmari, Renal calculi, Ayurveda, Gokshuradi Guggulu
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