Mustadi kalpa's effect on mutraghat in benign prostatic hyperplasia.
Journal name: Ayushdhara
Original article title: Effect of mustadi kalpa in the management of mutraghat w.s.r to benign prostatic hyperplasia
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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*Vishal Khanna
Associate Professor, Department of Rachna Sharir, Government Ayurvedic Medical College, Jammu, J&K.
Asheesh Khajuria
Medical officer, National Rural Health Mission, State Health Society, Health and Family Welfare Department, Government of J&K
Ankush Bhardwaj
Assistant Professor, Department of Shalakya Tantra, Jammu Institute of Ayurveda and Research, Jammu, J&K
Abineet Raina
Assistant Professor, Department of Shalya Tantra, Sri Satya Sai Murlidhar Ayurveda College & Hospital (SSSMAC), Moga, Punjab,
Anjali Sharma
Medical officer, Department of Indian System of Medicines, Government of Jammu & Kashmir
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Effect of mustadi kalpa in the management of mutraghat w.s.r to benign prostatic hyperplasia
Year: 2017
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Benign prostatic hyperplasia (BPH) is a prevalent condition among older men, often leading to lower urinary tract symptoms (LUTS) such as increased frequency of urination, hesitancy, and chronic urinary retention. The condition primarily affects individuals over the age of 40, and surgical interventions, while commonly accepted, are associated with numerous complications and undesirable side effects. Given these considerations, there is a pressing need for safer alternative management options. Ayurvedic approaches, particularly the use of natural medicines, present a promising avenue for patient care, as described in ancient texts like the Sushruta Samhita.
Effectiveness of Mustadi Kalpa
Mustadi Kalpa, a formulation detailed by Acharya Sushruta for managing obstructive uropathy, has been evaluated for its efficacy in treating BPH. In a study involving 30 patients presenting symptoms consistent with BPH, participants received 10 mg of Mustadi Kalpa orally three times daily over 45 days. The formulation is noted for its properties that target symptoms of Mutraghata (obstructive uropathy), which include reducing swelling and balancing the Tridoshas in the body. Results demonstrated significant relief in subjective patient symptoms and objective clinical parameters, confirming the effectiveness of Mustadi Kalpa for symptomatic management of BPH.
Symptom Management Insights
The study assessed various parameters pre- and post-treatment using the International Prostate Symptom Score (IPSS), which evaluates aspects like incomplete voiding, frequency, urgency, weak urine stream, and nocturia. Analysis indicated significant improvements across all evaluated parameters. While the study reports that the size of the prostate remained unchanged post-treatment, noteworthy increases in urine flow rates and decreases in residual urine volumes were observed. These findings underscore the potential of Mustadi Kalpa in effectively managing the symptoms associated with BPH, thus improving the quality of life for affected individuals.
Conclusion
In conclusion, benign prostatic hyperplasia significantly impacts the health and well-being of elderly men, often resulting in numerous complications if left untreated. The Ayurvedic formulation, Mustadi Kalpa, demonstrates promise as a safe and effective symptomatic management option for BPH. It highlights the need for further research to explore the benefits and efficacy of such natural remedies in larger patient cohorts. As BPH becomes increasingly common with age, integrating Ayurvedic treatments with conventional practices may present a holistic approach to managing the condition and enhancing patients' overall quality of life.
FAQ section (important questions/answers):
What is Mustadi Kalpa used for in Ayurveda?
Mustadi Kalpa is utilized for managing Mutraghata, specifically in benign prostatic hyperplasia (BPH), addressing symptoms such as urinary retention and frequency by promoting urinary flow and alleviating discomfort.
What are the common symptoms of benign prostatic hyperplasia?
Common symptoms of BPH include increased frequency of urination, hesitancy, dribbling, urgency, weak urinary stream, and nocturia. These symptoms significantly affect the quality of life for elderly men.
How was the effectiveness of Mustadi Kalpa measured in the study?
The study assessed the effectiveness of Mustadi Kalpa through subjective and objective criteria, including the International Prostate Symptom Score (IPSS), urine flow rate, and residual urine volume before and after treatment.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Mustadi kalpa's effect on mutraghat in benign prostatic hyperplasia.”. 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) Mustadi (Musta-adi):
Mustadi refers to a traditional Ayurvedic formulation used in the management of certain health conditions, particularly related to obstructive uropathy and benign prostatic hyperplasia (BPH). It is made from a combination of herbs and aims to alleviate symptoms through its diuretic, anti-inflammatory, and other beneficial properties.
2) Kalpa:
Kalpa in Ayurveda pertains to a specific formulation or recipe of herbs and other substances used for treating various diseases. Mustadi Kalpa, for instance, is designed to manage symptoms of obstructive uropathy and BPH, and includes ingredients like Musta and Yashtimadhu, prepared following ancient Ayurvedic methodologies.
3) Ayurveda (Ayus-veda):
Ayurveda is a traditional system of medicine from India that uses a holistic approach to health, involving natural remedies, lifestyle modifications, and dietary guidelines. In the context of the text, Ayurveda offers formulations like Mustadi Kalpa for managing conditions such as benign prostatic hyperplasia with minimal side effects compared to modern medicine.
4) India:
India is the country where Ayurveda originated and continues to be widely practiced. In the study, Ayurvedic treatments developed in India, such as Mustadi Kalpa described by Sushruta, are tested for efficacy in managing BPH, demonstrating the relevance and continuity of traditional Indian medical practices.
5) Vata:
Vata is one of the three doshas in Ayurveda, associated with elements of air and space, governing movement in the body. The text indicates that vitiated Vata is implicated in the development of Vatastheela (an Ayurvedic condition akin to BPH), causing symptoms like retention of urine and distension of the bladder.
6) Drug:
In the context of the study, a drug refers to a medicinal substance used for treating diseases. Mustadi Kalpa is an Ayurvedic drug comprising various herbs with specific properties beneficial for managing obstructive uropathy and BPH, aiming to offer an alternative to conventional pharmaceuticals.
7) Mutraghata (Mutra-aghata):
Mutraghata is an Ayurveda term denoting a group of obstructive uropathy disorders including conditions like Mutrasanga and Mutragranthi, similar to BPH. The text evaluates the efficacy of Mustadi Kalpa in treating Mutraghata-related symptoms, highlighting its potential as a safe management option.
8) Medicine:
Medicine in the context of this text refers to both conventional modern pharmaceuticals and traditional Ayurvedic remedies. Mustadi Kalpa represents an Ayurvedic medicine evaluated for its effectiveness in treating BPH, aiming to provide a safer alternative to modern surgical and pharmaceutical options.
9) Basti:
Basti refers to the urinary bladder in Ayurveda. The text describes how vitiated Vata causes obstructions in the Basti, leading to symptoms resembling BPH. Treatments like Mustadi Kalpa aim to alleviate such conditions by promoting proper urinary flow and reducing bladder discomfort.
10) Balya:
Balya means strengthening or fortifying in Ayurveda. Mustadi Kalpa, as described in the study, has Balya properties, which contribute to its effectiveness in improving the overall strength and functioning of the urinary system, especially in elderly patients with BPH.
11) Prakriti (Prakrti):
Prakriti in Ayurveda refers to an individual's constitution, determined by the predominance of the three doshas (Vata, Pitta, Kapha). The text mentions that patients with Vata-pitta and Vata-kapha Prakriti participated in the study, indicating the importance of considering Prakriti in Ayurvedic treatment plans.
12) Disease:
Disease in the text refers to medical conditions such as benign prostatic hyperplasia (BPH) and associated obstructive uropathy, collectively termed Mutraghata in Ayurveda. The study investigates Mustadi Kalpa for managing these diseases, aiming to provide symptomatic relief through natural means.
13) Substance:
[see source text or glossary: Substance]
14) Kaphaja:
Kaphaja refers to conditions or attributes related to the Kapha dosha, which embodies elements of earth and water, in Ayurveda. In the patient demographics, some had Vata-kaphaja Prakriti, impacting the choice and effectiveness of treatments like Mustadi Kalpa in managing BPH symptoms.
15) Tantra (Tamtra, Tantrism):
[see source text or glossary: Tantra]
16) Pathya:
Pathya refers to the dietary and lifestyle guidelines advised in Ayurveda to support treatment and maintain health. During the study of Mustadi Kalpa for BPH, patients were advised to follow a Pathya regimen to enhance the efficacy of the treatment and manage urinary symptoms effectively.
17) Vastra:
Vastra in the text refers to the cloth used in the preparation of Vastra galitha churna, a fine powder form of the Mustadi Kalpa. The herbs in the formulation are sieved through a cloth to ensure a fine, uniform consistency for consumption.
18) Pain:
Pain, particularly bladder pain, is a symptom addressed in the treatment of BPH with Mustadi Kalpa. One of the effects of the formulation is its ability to alleviate pain (Vedana) associated with obstructive uropathy, improving patient comfort and quality of life.
19) Coconut water:
Coconut water is recommended as part of the dietary regimen (Pathya) for patients suffering from urinary disorders, such as BPH described in the study. Its natural diuretic properties support urinary health and complement the therapeutic effects of Mustadi Kalpa.
20) Sushruta-samhita (Susruta-samhita):
The Sushruta-samhita is an ancient Ayurvedic text attributed to Acharya Sushruta, containing detailed medical knowledge and practices. Mustadi Kalpa is one of the formulations mentioned in this text for treating Mutraghata, demonstrating the historical foundation of the study's approach.
21) Shalakyatantra (Salakyatantra, Shalakya-tantra, Shalakyatamtra):
Shalakya-tantra is a branch of Ayurveda dealing with diseases of the head and neck, including ophthalmology and ENT concerns. Dr. Ankush Bhardwaj, one of the authors, is an assistant professor in this discipline, contributing his expertise to the study on Mustadi Kalpa and BPH.
22) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalya-tantra is a branch of Ayurveda concerning surgical techniques and treatments. Dr. Abineet Raina, a contributor to the study, specializes in Shalya-tantra, lending his surgical insight to the evaluation of Mustadi Kalpa as a non-surgical management option for BPH.
23) Yashtimadhu (Yastimadhu, Yashti-madhu):
Yashtimadhu, or licorice root, is one of the ingredients in Mustadi Kalpa. Known for its anti-inflammatory and soothing properties, Yashtimadhu contributes to the overall therapeutic effects of the formulation in managing symptoms of obstructive uropathy and BPH.
24) Shothahara (Sothahara, Shotha-hara):
Shothahara refers to the anti-inflammatory property of a substance in Ayurveda. Mustadi Kalpa is noted for its Shothahara effect, which helps in reducing inflammation and swelling (such as in the prostate) contributing to symptom relief in BPH patients.
25) Mutrasamga (Mutrasanga, Mutra-samga):
Mutrasanga is one of the conditions related to obstructive uropathy under the term Mutraghata. It involves the retention or difficulty in passing urine, similar to symptoms observed in BPH. Mustadi Kalpa is studied for its potential to alleviate such conditions.
26) Abhishyandi (Abhisyandi):
Abhisyandi refers to substances that obstruct fine channels in the body, potentially causing blockages. The study advises avoiding Abhisyandi foods like curd and certain vegetables for BPH patients, as they can exacerbate urinary symptoms.
27) Apanavayu (Apana-vayu):
Apanavayu is a subtype of Vata dosha that governs the elimination processes of the body, including urination. In the text, vitiated Apanavayu is implicated in the development of Vatastheela/BPH, and treatments like Mustadi Kalpa aim to restore its balance and improve urinary function.
28) Tiktarasa:
Tiktarasa, or bitter taste, is a property of many herbs used in Ayurveda, including some in Mustadi Kalpa. Bitter herbs are known for their detoxifying and digestive benefits, which contribute to the formulation’s efficacy in treating obstructive uropathy and improving urinary health.
29) Devadaru (Deva-daru):
Devadaru (Cedrus deodara) is one of the ingredients in Mustadi Kalpa. Known for its anti-inflammatory and diuretic properties, Devadaru helps in reducing swelling and improving urine flow, making it beneficial in the management of BPH according to the study.
30) Rasayana (Rasa-ayana):
Rasayana is a concept in Ayurveda referring to rejuvenation and longevity-promoting treatments. Mustadi Kalpa includes Rasayana properties, which not only address the symptoms of BPH but also enhance general well-being and resilience, particularly in elderly patients.
31) Swelling:
Swelling, or Shotha, particularly in the prostate, is a symptom managed in BPH treatment. Mustadi Kalpa’s Shothahara properties help reduce such swelling, thereby alleviating urinary difficulties and discomfort associated with the condition.
32) Samhita:
Samhita refers to classical Ayurvedic texts that compile ancient wisdom and medical practices. The Mustadi Kalpa formulation originates from the Sushruta-samhita, reflecting the deep historical roots and documented efficacy of traditional treatments in managing conditions like BPH.
33) Lekhana:
[see source text or glossary: Lekhana]
34) Draksha (Draksa):
Draksha, or grapes, is included in the list of beneficial foods for patients with urinary disorders. Its diuretic and rejuvenating properties support the therapeutic effects of Mustadi Kalpa in managing symptoms of BPH by promoting healthy urinary function.
35) Mutrala:
Mutrala means diuretic in Ayurveda. Mustadi Kalpa has Mutrala properties, which facilitate increased urine flow and help in reducing urinary retention, making this formulation effective in the symptomatic management of obstructive uropathy and BPH.
36) Anupana:
Anupana refers to a vehicle or medium taken with medicinal formulations to enhance their effects. For Mustadi Kalpa, the recommended Anupana is Ushna jala (hot water), which likely aids in the digestion and absorption of the herbal ingredients, improving efficacy.
37) Apathya:
[see source text or glossary: Apathya]
38) Ashmari (Asmari):
Ashmari refers to urinary stones in Ayurveda. Although the primary focus of the study is on BPH, Mustadi Kalpa’s overall benefits in urinary health, including its ability to manage Ashmari, make it relevant for various conditions involving obstructive uropathy.
39) Adhmana:
Adhmana refers to the distension or bloating of the bladder in Ayurveda. This is a symptom observed in conditions like BPH. Mustadi Kalpa aims to reduce Adhmana by improving urine flow and reducing the obstruction caused by an enlarged prostate.
40) Kashaya (Kasaya):
Kashaya, or astringency, is a taste that many herbs in Mustadi Kalpa possess. Astringent herbs are known to help in reducing inflammation and swelling, which are important in managing symptoms of BPH such as urinary retention and bladder discomfort.
41) Pittaja (Pitta-ja):
Pittaja refers to conditions or attributes associated with the Pitta dosha, which embodies the elements of fire and water. The study notes that some patients had Vata-pittaj Prakriti, influencing how Ayurvedic treatments like Mustadi Kalpa are tailored to balance these doshas.
42) Jaggery:
Jaggery is mentioned as a beneficial substance for patients with urinary disorders in the Pathya regimen. Its natural sweetness and nutritive properties can support the therapeutic effects of Mustadi Kalpa in managing BPH by improving overall health and digestion.
43) Coconut (Cocoanut):
[see source text or glossary: Coconut]
44) Kashmir:
Kashmir is the region in India where some of the study authors are based, reflecting the geographical context of the research. The expertise from institutions in regions like Jammu and Kashmir contributes to the multidisciplinary study of Mustadi Kalpa for BPH.
45) Brinjal:
Brinjal is an example of Apathya (foods to avoid) for patients with urinary disorders. The study advises restricting such foods as they may aggravate symptoms like urinary retention and swelling, counteracting the benefits of treatments like Mustadi Kalpa.
46) Vidahi:
Vidahi refers to substances that produce burning sensations, particularly in the gastrointestinal tract. The study advises against Vidahi foods for BPH patients to prevent aggravating urinary symptoms, suggesting dietary modifications alongside Mustadi Kalpa treatment.
47) Vedana:
[see source text or glossary: Vedana]
48) Abhaya:
Abhaya, or Terminalia chebula, is one of the key ingredients in Mustadi Kalpa. Known for its detoxifying and balancing properties, Abhaya helps alleviate symptoms of BPH by supporting urinary health and reducing inflammation and obstruction in the urinary tract.
49) Shalya (Salya):
[see source text or glossary: Shalya]
50) Unnata:
[see source text or glossary: Unnata]
51) Anjali (Amjali):
Anjali Sharma is one of the contributors to the study, working as a medical officer in the Department of Indian Systems of Medicine, J&K. Her involvement underscores the collaborative effort in evaluating traditional Ayurvedic treatments like Mustadi Kalpa for modern medical conditions.
52) Srotas (Shrotas):
Srotas refers to the channels or pathways in the body responsible for carrying bodily fluids and nutrients. In Ayurveda, the Mootravaha srotas specifically deal with the urinary system. Mustadi Kalpa aims to enhance the function of these srotas, addressing blockages and improving urinary flow in BPH patients.
53) Punjab:
Punjab is the region where one of the study's contributors, Dr. Abineet Raina, is based, working at Sri Satya Sai Murlidhar Ayurveda College & Hospital. This highlights the geographical diversity and collaboration among different Ayurvedic institutions in India.
54) Family:
[see source text or glossary: Family]
55) Sharman (Sarma, Sharma, Sarman):
Sharma, referring to Anjali Sharma, one of the study’s authors, is a medical officer specializing in Indian systems of medicine. Her role in the research underscores the integration of traditional Ayurvedic knowledge in contemporary medical studies like evaluating Mustadi Kalpa for BPH.
56) Nature:
Nature in the context of the study refers to the natural therapeutic properties of Ayurvedic herbs used in Mustadi Kalpa. These natural ingredients provide a holistic approach to managing BPH, focusing on minimizing side effects and improving overall well-being.
57) Khanda (Khamda):
[see source text or glossary: Khanda]
58) Powder:
Powder refers to the powdered form of the herbs used in preparing Mustadi Kalpa. Each ingredient is cleaned, powdered, and then mixed to form a fine powder (Vastra galitha churna), ensuring consistent potency and easy administration for managing BPH.
59) Indian:
Indian refers to the context of the study, which is based in India and involves Ayurvedic practices unique to Indian culture. Mustadi Kalpa, an Ayurvedic formulation, is an example of India’s rich tradition of natural medicine being scientifically evaluated for conditions like BPH.
60) Panca (Pancan, Pamca):
[see source text or glossary: Pancha]
61) Acala (Acal, Achal, Achala):
[see source text or glossary: Achala]
62) Pitta:
Pitta is one of the three doshas, representing fire and water elements. Certain patients in the study had a Pitta-related constitution, which influences the treatment approach in Ayurveda. Mustadi Kalpa’s properties cater to balancing Pitta along with Vata and Kapha.
63) Chala (Chala°):
[see source text or glossary: Chala]
64) Anila:
Anila refers to Vata dosha in the body. The study mentions that the obstruction of Anila (air or Vata) due to an enlarged prostate leads to symptoms like urinary retention and distension. Mustadi Kalpa aims to alleviate these symptoms by balancing Vata.
65) Satya (Shatya):
[see source text or glossary: Satya]
66) Musta (Mushta):
Musta, or Cyperus rotundus, is a primary ingredient in Mustadi Kalpa. It is known for its diuretic and anti-inflammatory properties, making it effective in treating urinary disorders like BPH by improving urine flow and reducing prostate swelling.
67) Ushna (Usna):
Ushna means hot, and in the text, Ushna jala (hot water) is recommended as the Anupana (vehicle) for taking Mustadi Kalpa. This helps in better absorption and assimilation of the herbal formulation, enhancing its efficacy in managing BPH symptoms.
68) Mutra:
Mutra refers to urine in Ayurveda. Conditions like Mutraghata involve difficulties associated with urination. Mustadi Kalpa is studied for its effectiveness in alleviating these issues by promoting proper urine flow and reducing obstructive symptoms.
69) Shali (Sali):
Shali rice is suggested in the study as a beneficial (Pathya) dietary item for patients with urinary disorders. Its easily digestible nature and healing properties support the therapeutic effects of treatments like Mustadi Kalpa in managing BPH symptoms.
70) Takra:
Takra, or buttermilk, is recommended in Ayurveda for its digestive and diuretic properties. It is part of the Pathya regimen prescribed to patients in the study, complementing the effects of Mustadi Kalpa in managing urinary disorders like BPH.
71) Ghana:
[see source text or glossary: Ghana]
72) Ayus (Ayush):
[see source text or glossary: Ayush]
73) Sanga (Samga, Shanga, Shamga):
Sanga refers to obstruction or blockage. In the context of BPH, it denotes the urinary retention or difficulty caused by an enlarged prostate. Mustadi Kalpa aims to alleviate such obstructions, improving symptoms and enhancing overall urinary flow.
74) Sugar:
Sugar, particularly brown sugar (Khanda), is listed as beneficial for urinary disorders in the Pathya recommendations. Its properties help support overall nutritional needs, complementing treatments like Mustadi Kalpa in managing BPH symptoms.
75) Mango:
Mango, specifically dry mango powder, is categorized as Apathya (to be avoided) for patients with urinary disorders in the study, as it may aggravate symptoms like obstruction and retention, counteracting the benefits of Mustadi Kalpa.
[Note: The above list is limited to 75. Total glossary definitions available: 82]
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