A STUDY OF CLINICAL AND LABORATORY PROFILE OF MUTRASHMARI W.S.R TO UROLITHIASIS AND ITS MANAGEMENT WITH GOKSHURADI GUGGULU

Abstract

Urological problems remain an important part of the medical science, evident from the ancient literature. Acharya Shushruta ‘the father of surgery’ has explained urinary calculus under the heading of Ashmari and included it in the “Asthmahagada”. The Mutrashmari (urinary stones) have peculiar tendency of recurrence despite their surgical removal which prove that surgery is not the only remedy. To avoid the incidence of recurrence and in search of an effective conservative treatment the present work has been undertaken. The study has been carried out with Gokshuradi Guggulu indicated by Sharngdhar samhita madhyam khand vat kalpna adhyay. Total 38 patients of Mutrasmari fulfilling all the inclusion and exclusion criteria were registered from O.P.D./I.P.D. of Rajiv Gandhi Govt. Post Graduate Ayurvedic college & Hospital, Paprola, Himachal Pradesh. These patients were given 250mg tablets of Gokshuradi Guggulu (2 tablet in the morning and 2 tablets in the evening ) for 45 days. The effect of treatment was assessed in relation to improvement in overall clinical signs and symptoms on the basis of grading and scoring system. The spastically analysis of these scores was done before and after the treatment and improvement was assessed on percentage basis.The Gokshuadi Guggulu is very effective in reducing most of clinical sign & symptoms as well as size of calculi and its excretion from the body.