A literature review on shayyamutra and its management

Summary of article contents:

Nocturnal enuresis, or Shayyamutra, while not physiologically detrimental, adversely impacts a child's mentality and indicates delayed brain development. Ayurveda categorises this issue as a Kaphaavrita Vata ailment with associated Tama involvement. Shayya Mutra’s account is included in the Sharangadhara and Vangasen Samhita. The literature review and documented studies in Ayurvedic terminology emphasised the significance of specific Kaphaghna/Pramehaghna substances (such as Marich, Bimbi, Vangabhasma, Khadira, Shilajit, Chandraprabha Vati), nervine tonics (including Brahmi, Giloy, Yashtimadhu, Shankhpushpi), Panchakarma therapies (notably Nasya and Shirodhara), and, most critically, Sattvavajaya Chikitsa. Therefore, in light of the pathophysiology of Shayyamutra, treatment should be devised using a multidimensional strategy encompassing all cofactors. Behavioural issues such as bedwetting, stammering, and sleepwalking are prevalent in early children. Bedwetting (Shayyamutra) is one of the persistent issues. Enuresis is characterised by the involuntary and nearly complete discharge of urine at inappropriate times and locations at least twice monthly after the age of five Shayyamutra of psychosomatic origin. Enuresis must be distinguished from continuous or intermittent incontinence or dribbling. In enuresis, the bed is typically saturated, whereas incontinence involves pee loss without the regular voiding of the bladder. In most instances, the primary cause of enuresis is attributed to behavioural and emotional factors. It may also be attributed to urinary tract infections, food allergies, obstructive sleep apnea, and persistent constipation, among other factors. Ayurveda emphasises the significance of both medicinal and psychological interventions for the ailment. A nervine tonic medication that enhances bladder control and strengthens bladder muscles, possessing Grahi, Stambhana, and Mutrasamgrahaniya qualities, can reverse the pathology of Shayyamutra. Components of management extend beyond the selection of an individual medication or Kalpa. Keywords: Enuresis, Shayamutrata, Bedwetting, Ayurvedic concept, Holistic management INTRODUCTION Shayyamutra