Conservative Ayurvedic Management of Urolithiasis: A Case Study
conservative ayurvedic management of mutrashmari with special reference to urolithiasis
Journal name: World Journal of Pharmaceutical Research
Original article title: A case study
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: manegment of ekakushtha w.s.r. to guttate psorisis by panchtikta ghrita and raktamokshan
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Dr. Kailash Honde and Dr. Raman R. Ghugralekar
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: A case study
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20187-11759
Copyright (license): WJPR: All rights reserved
Summary of article contents:
Introduction
Urolithiasis, referred to as Ashmari in Ayurvedic texts, is a prevalent condition affecting the urinary tract. The condition arises when Kapha dosha is imbalanced, leading to the formation of calculi within the urinary system. The classical Ayurvedic texts detail the characteristics, types, and management approaches for this condition, noting its correlation with various factors, including dietary habits and lifestyle. While modern medicine often leans toward surgical interventions for treating kidney stones, Ayurveda emphasizes conservative management techniques that reportedly yield significant results with a lower recurrence rate.
Ayurvedic Perspective on Urolithiasis Management
One of the vital aspects of managing Ashmari revolves around understanding its etiological basis according to Ayurveda. Ashmari is primarily classified as a Kapha-dominant tridoshaj disorder, which can be further categorized into different types based on the composition of the stones (e.g., calcium oxalate, uric acid). Ayurvedic texts, including Charak Samhita and Sushruta Samhita, provide insights into various formulations and therapeutic measures. Gokshuraadi guggulu, Varunaadi kwatha, and Ashmarihar churna are significant herbal medicines used in treating this condition. They work synergistically to alleviate pain and facilitate the dispersal of stones through their mutral and antispasmodic properties.
Case Study Analysis
A case study of a 23-year-old female presented a practical example of conservative Ayurvedic management for urolithiasis. Initially, the patient exhibited severe symptoms, including abdominal pain, burning micturition, and vomiting. Despite being advised for surgical intervention after ultrasound findings indicated a 6-7 mm uretric calculus, the patient opted for Ayurvedic treatment. Using a combination of Ayurvedic formulations, the patient achieved complete relief from symptoms, and follow-up ultrasound results showed no evidence of calculi. This underscores the efficacy of Ayurvedic approaches in managing urolithiasis non-invasively.
Mechanism of Herbal Formulations
The success of Ayurvedic treatment relies on the specific properties of various herbal formulations. Gokshuraadi guggulu is noted for its antispasmodic traits and its ability to promote urinary flow, making it essential in dissolving and expelling stones. Ashmarihar churna, comprising herbs like Pashanbheda and Punarnava, helps manage and mitigate the formation of stones while promoting urination. Furthermore, Varunaadi kwatha provides additional anti-calculus properties, emphasizing the holistic approach of Ayurveda that incorporates multiple natural elements to address urolithiasis comprehensively.
Conclusion
In summary, the conservative Ayurvedic management of urolithiasis provides a viable alternative to surgical methods with apparently fewer complications and enhanced outcomes. The integration of careful dietary modifications with targeted herbal therapies demonstrates Ayurveda's ability to effectively treat Ashmari. This case study reinforces the idea that Ayurveda offers non-invasive, effective, and patient-friendly treatments for managing urinary calculi, showcasing its relevance in contemporary medical practice.
FAQ section (important questions/answers):
What is the Ayurvedic concept of Ashmari or Urolithiasis?
Ashmari, or Urolithiasis, is a kapha predominant tridoshaj vyadhi affecting the urinary tract, caused by vitiated kapha dosha. It leads to the formation of stones in the urinary system, primarily composed of calcium oxalate and calcium phosphate.
What are the common symptoms of Mutrashmari in patients?
Common symptoms include abdominal pain radiating to the back and thighs, burning micturition, vomiting, and obstructive micturition. Patients often experience mild pain when stones are in the kidney, which escalates severely when stones move to the ureters.
How was the 23-year-old female patient treated for Urolithiasis?
The patient received conservative Ayurvedic treatment involving several herbal formulations, leading to significant symptom relief and negative ultrasound findings for stones after treatment, demonstrating the effectiveness of Ayurvedic management.
What Ayurvedic medications were prescribed to this patient?
The patient was prescribed Gokshuraadi guggulu, Varunaadi kwatha, Ashmarihar churna, and Shoolhara gugglu, which possess antispasmodic, mutral, and analgesic properties to help dissolve the stones and alleviate pain.
What are the advantages of Ayurvedic treatment for Urolithiasis?
Ayurvedic treatment focuses on non-invasive methods with herbal medications that result in lesser recurrence and effective management of symptoms, contrasting with conventional approaches that often resort to surgery.
What is the conclusion drawn from this case study on Mutrashmari?
The study concludes that Shaman chikitsa combined with proper dietary management is an effective, classical approach to treating Mutrashmari, showing significant results with minimal side effects and lower recurrence rates.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Conservative Ayurvedic Management of Urolithiasis: A Case Study”. 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) Ashmari (Asmari):
Ashmari refers to urolithiasis or the formation of urinary stones in Ayurveda. It is characterized by the lodgment of stones (as in kidneys or ureters) due to an imbalance in doshas, primarily Kapha. Understanding Ashmari is crucial for diagnosing and treating urinary tract disorders, and it highlights the importance of holistic approaches in Ayurveda.
2) Pain:
Pain is a significant symptom associated with Ashmari, especially when stones obstruct the urinary tract. The intensity of the pain can vary from mild discomfort when stones are in the kidney to severe, agonizing pain upon movement or exertion when they migrate to the ureters. Pain management is essential in the effective treatment of urolithiasis.
3) Kapha:
Kapha is one of the three primary doshas in Ayurveda, representing the water and earth elements. In the context of Ashmari, vitiated Kapha plays a central role in the formation of urinary stones. An understanding of Kapha helps practitioners maintain balance and support treatments aimed at reducing its excess in the body.
4) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine originating from India, emphasizing balance in bodily systems through diet, herbal treatment, and yogic practices. Its relevance in treating urolithiasis underlines the efficacy of natural remedies and holistic approaches, diverging from conventional methods that often rely on surgical interventions.
5) Sharabha (Sarabha):
Sarabha refers to the location, specifically the S.K.S.S Ayurvedic Medical College and Hospital in Sarabha, Ludhiana. This institution serves as a site for treating various ailments, where Ayurvedic principles are applied, fostering the research and clinical application of Ayurveda in practice.
6) Disease:
Disease signifies a disruption in normal physiological functioning, such as urolithiasis. Identifying diseases like Ashmari within Ayurvedic texts allows practitioners to apply ancient wisdom to modern health issues, promoting a deeper understanding of disease management and prevention through natural remedies.
7) Food:
Food in Ayurveda is considered a crucial aspect of health. The concept of 'Pathya' (beneficial food) and 'Apathya' (harmful food) is vital in managing diseases like Ashmari, focusing on dietary adjustments to aid in treatment and prevent recurrence, emphasizing a holistic approach to well-being.
8) Vomiting:
Vomiting is a common symptom associated with various ailments, including Ashmari. While it indicates a disruption in the gastrointestinal tract, understanding its correlation with urinary stone disorders is essential for comprehensive management, ensuring that treatments address all presenting symptoms effectively.
9) Guggulu:
Guggulu is a notable herbal formulation in Ayurveda renowned for its therapeutic properties, particularly in managing conditions like Ashmari. It possesses attributes such as anti-inflammatory and analgesic effects, making it a popular choice in formulations aimed at alleviating pain and promoting the expulsion of stones.
10) Prakrit (Prakrt):
Prakrit refers to the natural state or condition of an individual's body, particularly in the context of Ayurvedic assessment. Observations about a patient's Prakrit aid practitioners in choosing appropriate treatments tailored to the individual's unique constitution and current health status.
11) Burning (Burn, Burned, Burnt):
Burning, particularly during micturition, is a characteristic symptom of Ashmari. It denotes irritation in the urinary tract caused by stone movement or infection. Effective treatment requires addressing both the symptom and the underlying cause to restore normal urinary function and alleviate discomfort.
12) Dosha (Dosa):
Dosha represents the fundamental energies in Ayurveda that dictate an individual's physical and mental characteristics. Analyzing the balance of the three doshas—Vata, Pitta, and Kapha—in patients informs treatment for diseases like Ashmari, guiding practitioners toward harmonious health restoration strategies.
13) Mutra:
Mutra refers to urine or urinary excretion in Ayurveda. The study of Mutra offers insights into various health conditions, with particular relevance in Ashmari, as the analysis aids in understanding urinary function, investigating imbalances, and formulating appropriate treatments for disorders in the mutravaha strotas.
14) Observation:
Observation in the clinical setting refers to the systematic monitoring of a patient's condition over time. It plays a crucial role in Ayurveda, especially in assessing treatment outcomes for Ashmari, providing insights into the effectiveness of holistic therapies employed.
15) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha is the dosha predominantly involved in the pathology of Ashmari. Its imbalance leads to the formation of stones in the urinary tract. Addressing this dosha through appropriate dietary and lifestyle modifications is vital for effective Ayurvedic management of urolithiasis.
16) Punarnava (Punar-nava):
Punarnava is an important herb in Ayurveda known for its diuretic and rejuvenating properties. It is frequently included in formulations aimed at treating Ashmari by promoting urine flow and supporting kidney function, thus contributing to the effective management of urinary stones.
17) Samhita:
Samhita refers to the classical texts in Ayurveda that document medical knowledge and practices. Understanding Samhita is essential for foundational knowledge regarding diseases like Ashmari, enabling practitioners to apply traditional wisdom in contemporary therapeutic contexts.
18) Vyadhin (Vyadhi):
Vyadhi denotes disease or disorder in Ayurveda. Understanding the specific Vyadhi, such as Ashmari, allows practitioners to correlate symptoms, dosha imbalances, and treatment options, facilitating a more targeted and effective approach to patient care.
19) Study (Studying):
Study in this context refers to the investigation and research conducted on Ayurvedic management of diseases like Ashmari. It plays a crucial role in substantiating the effectiveness of traditional practices, bridging ancient wisdom with modern medical understanding.
20) Alpa:
Alpa is the name of the primary author, Dr. Alpa Chandel, whose contributions to the study revolve around the conservative Ayurvedic management of Ashmari. Highlighting individual contributions reflects the collaborative efforts in advancing Ayurvedic research and practice.
21) Sign:
Sign refers to the observable manifestations of a disease, such as symptoms associated with Ashmari. Identifying these signs critically informs diagnosis and treatment, allowing practitioners to evaluate the disease's progression and effectiveness of interventions throughout the treatment process.
22) Reason:
Reason refers to the underlying mechanisms causing the manifestation of diseases like Ashmari. Identifying the reasons behind dosha imbalances is crucial for implementing effective Ayurvedic treatments, guiding practitioners toward addressing the root causes rather than merely managing symptoms.
23) Sushruta-samhita (Susruta-samhita):
Sushruta-samhita is a foundational text of Ayurveda authored by Sushruta, known as the father of surgery. Its teachings on surgical and non-surgical management of diseases provide vital historical context for the treatment of conditions like Ashmari in both ancient and modern practices.
24) Purification:
Purification in Ayurveda is a process aimed at cleansing the body of toxins and restoring balance. It is integral for treating Ashmari, as cleansing therapies can alleviate dosha imbalances and facilitate the removal of urinary stones, promoting overall health.
25) Ashtavidha (Astavidha, Ashtan-vidha):
Ashtavidha refers to the eightfold examination methods used in Ayurveda for assessing patient health, encompassing nadi (pulse), mala (stool), and more. These examinations aid practitioners in arriving at an accurate diagnosis of conditions such as Ashmari and tailoring appropriate treatments.
26) Tridoshaja (Tridosaja):
Tridoshaja indicates diseases arising from imbalances among the three doshas: Vata, Pitta, and Kapha. Ashmari is categorized as a tridoshaja vyadhi, emphasizing the importance of understanding how these doshas interact in health and disease management.
27) Discussion:
Discussion refers to the analysis and interpretation of findings related to the management of Ashmari. Engaging in discussion allows practitioners to reflect on treatment outcomes, explore challenges, and refine methods, fostering continuous improvement in Ayurvedic practice.
28) Samprapti:
Samprapti refers to the pathophysiological process leading to the manifestation of a disease. Understanding the Samprapti of Ashmari aids practitioners in recognizing how imbalances develop within the body and informs therapeutic interventions aimed at restoring balance.
29) Gokshura (Goksura, Go-kshura):
Gokshura is an important Ayurvedic herb recognized for its diuretic and urinary health properties. It plays a significant role in addressing conditions like Ashmari by promoting the elimination of urinary stones and reducing inflammation in the urinary tract.
30) Vidagdha:
Vidagdha refers to food or substances that may provoke or aggravate imbalances, especially in the context of certain doshas. Understanding Vidagdha foods helps in formulating dietary recommendations that prevent exacerbation of conditions like Ashmari during treatment.
31) Pradhana:
Pradhana indicates the primary element or aspect in a context. Recognizing which dosha is pradhana in conditions like Ashmari informs treatment strategies, guiding practitioners to focus on balancing that specific dosha for effective management.
32) Pariksha (Pariksa):
Pariksha refers to examination or assessment in Ayurveda. The process of Pariksha is fundamental to understanding a patient's health status, especially in diagnosing conditions like Ashmari and determining the most appropriate interventions to restore balance and health.
33) Nirgundi (Nirgumdi):
Nirgundi is an herb known for its analgesic and anti-inflammatory properties. It is frequently incorporated into Ayurvedic formulations for pain relief, making it beneficial in addressing the discomfort associated with Ashmari and other similar ailments.
34) Vitiation (Vitiated):
Vitiated refers to the imbalance or disruption of doshas within the body, which can lead to various diseases. Understanding the concept of vitiation is key in treating conditions like Ashmari, allowing practitioners to identify and restore balance effectively.
35) Science (Scientific):
Science relates to the systematic study of the natural world, including health and medicine. Within Ayurvedic practice, embracing science enhances methodologies, ensuring evidence-based approaches towards treatment and fostering a blend of ancient wisdom with contemporary understanding in managing diseases like Ashmari.
36) Shunthi (Sunthi, Sumthi, Shumthi):
Shunthi, known as ginger, is a common herb in Ayurveda celebrated for its digestive and anti-inflammatory properties. Its role in formulations for Ashmari underscores its significance in addressing symptoms like pain and digestive disruption during treatment.
37) Kaphaja:
Kaphaja indicates the condition or diseases specifically linked to the Kapha dosha. Recognizing a Kaphaja condition like Ashmari enables practitioners to focus on treatment strategies that reduce Kapha levels, thus alleviating symptoms and promoting healing.
38) Ghataka:
Ghataka refers to the factors involved in the pathophysiological progression of a disease. By understanding Ghataka related to Ashmari, practitioners can determine the best therapeutic approaches that address the causes and consequences of this urolithiasis.
39) Apathya:
Apathya are substances or activities deemed harmful to health in Ayurveda, especially in the context of specific conditions like Ashmari. Identifying Apathya enables practitioners to provide dietary and lifestyle recommendations that aid in recovery and prevent aggravation of symptoms.
40) Pradhan:
Pradhan indicates the predominant aspect of a given scenario, crucial for understanding the focus of treatment. Identifying the Pradhan dosha in conditions like Ashmari guides practitioners in developing targeted strategies to restore balance and health effectively.
41) Kashaya (Kasaya):
Kashaya refers to astringent substances in Ayurveda that are used in various treatments. Their inclusion in formulations for Ashmari highlights their role in balancing dosha imbalances, particularly by aiding in expulsion and reducing inflammation in the urinary tract.
42) Pittaja (Pitta-ja):
Pittaja indicates conditions arising from an imbalance in the Pitta dosha. Understanding Pittaja correlates to Ashmari aids practitioners in delineating treatment plans that specifically target and alleviate imbalances in this dosha in related diseases.
43) Bhasma (Bhasman):
Bhasma is a powdered form of ash made from calcined metals and minerals, often used in Ayurvedic formulations. Its therapeutic properties highlight its significance in enhancing treatments for conditions like Ashmari by promoting healing and addressing doshic imbalances.
44) Ghrita (Ghrta):
Ghrita refers to clarified butter, commonly used in Ayurvedic formulations for its nourishing properties. Its inclusion in treatments for Ashmari reflects its role in balancing doshas and enhancing the therapeutic effects of other herbal ingredients within a formula.
45) Ruksha (Ruksa):
Ruksha indicates dryness or lack of moisture in substances or conditions. In Ayurveda, understanding Ruksha properties assists practitioners in formulating treatments for conditions such as Ashmari, particularly when addressing Kapha-related imbalances that may cause stone formation.
46) Kshara (Ksara):
Kshara refers to alkaline substances used in Ayurveda with therapeutic properties for balancing pH levels. Their application in treating conditions like Ashmari helps alleviate symptoms and promote health through urine alkalization, thereby preventing stone formation.
47) Dushya (Dusya):
Dushya signifies the tissue or medium in which a disease manifests. Understanding Dushya in the context of Ashmari is crucial for practitioners to develop effective treatment strategies that target the urinary system and the underlying factors contributing to stone formation.
48) Hridya (Hrdya):
Hridya refers to the heart or emotional aspect of an individual. In Ayurveda, acknowledging Hridya emphasizes the importance of psychological balance alongside physical health, recognizing that emotions can influence physical health outcomes, including conditions like Ashmari.
49) Pathya:
Pathya denotes a dietary guideline or regimen aimed at restoring health and promoting balance in Ayurveda. Its relevance in treating Ashmari underscores the importance of lifestyle and dietary modifications alongside herbal treatments for effective disease management and prevention.
50) Akriti (Akrti):
Akriti refers to the physical form or constitution of an individual. Understanding a patient's Akriti helps Ayurvedic practitioners assess health conditions such as Ashmari accurately, as it reflects both genetic and lifestyle influences affecting the individual's overall health.
51) Srotas (Shrotas):
Srotas refers to the channels or systems through which bodily functions occur. In Ayurveda, understanding Srotas, specifically related to the mutravaha srotas in Ashmari, is essential for diagnosing and treating diseases, ensuring a holistic approach to health.
52) Vataja (Vata-ja):
Vataja indicates conditions primarily linked to the Vata dosha. Recognizing Vataja disorders informs practitioners in developing tailored approaches for Ashmari, ensuring treatments address this specific dosha's imbalances to alleviate symptoms and promote healing.
53) Kultha:
Kultha, or horse gram, is a legume recognized in Ayurveda for its beneficial properties in treating urolithiasis. Its incorporation in therapeutic formulations for Ashmari highlights its role in facilitating the dissolution of stones and promoting overall urinary health.
54) Kulthi:
Kulthi refers to a pulse used in traditional Ayurvedic medicine, known for its diuretic properties. Understanding Kulthi's role in managing Ashmari underscores the importance of incorporating specific dietary elements in treatment protocols for urinary stone conditions.
55) Pitta:
Pitta is one of the three doshas in Ayurveda, representing fire and transformation. Understanding Pitta's role in conditions like Ashmari informs treatment decisions, particularly when addressing symptoms stemming from pitta imbalances such as inflammation and heat in the body.
56) Patra:
Patra refers to the leaves or parts of herbs used in Ayurveda for various treatments. The selection of specific Patra contributes to the efficacy of formulations targeting conditions like Ashmari, highlighting the importance of herbal knowledge in Ayurvedic practice.
57) Ushna (Usna):
Ushna indicates heating or warming qualities in Ayurvedic terminology. Recognizing Ushna properties in substances is crucial for formulating treatments for Ashmari, particularly ensuring proper balance among cooling and heating elements to promote overall patient comfort and healing.
58) Basti:
Basti is an Ayurvedic treatment involving rectal administration of herbs, particularly effective for managing conditions related to Vata imbalance. Its application in Ashmari treatment highlights the comprehensive approaches within Ayurveda to eliminate toxins and restore balance in the urinary system.
59) Shali (Sali):
Shali, or rice, is an essential grain in Ayurveda renowned for its nourishing properties. In managing conditions like Ashmari, Shali is integrated into dietary recommendations to promote overall health and balance while supporting the body’s recovery process.
60) Ashta (Ashtan, Asta, Astan):
Ashta refers to the number eight, often associated within Ayurvedic practices, such as in Ashtavidha Pariksha. Understanding Ashta concepts enables practitioners to apply thorough examinations and holistic approaches in diagnosing and treating conditions like Ashmari effectively.
61) Sugar:
Sugar is a common substance whose excess consumption can lead to various imbalances, including those contributing to Ashmari. Monitoring the intake of sugar is vital in dietary recommendations to ensure the prevention of urolithiasis and maintain overall health.
62) Pulse:
Pulse refers to the vital sign denoting the rate and rhythm of the heartbeat. Assessing pulse plays a significant role in Ayurvedic examinations to gauge a patient’s health status and guide treatment decisions for conditions such as Ashmari.
63) Puran:
Puran refers to traditional methods of processing or preparation in Ayurvedic practices. Understanding Puran processes allows practitioners to adopt various formulations appropriately targeting diseases like Ashmari, promoting effective therapeutic outcomes in treatment.
64) Drug:
Drug refers to any medicinal substance used for therapeutic purposes. In Ayurvedic practice, understanding the properties of individual drugs is essential for crafting effective treatments for conditions like Ashmari, as formulations must consider the specific needs of the patient.
65) Guru:
Guru signifies heaviness in Ayurvedic terminology, often indicating the qualities of certain foods or substances. Understanding Guru aspects helps in managing dietary recommendations, particularly in conditions like Ashmari, where heavy foods may exacerbate symptoms.
66) Hara:
Hara pertains to the removal or cessation of afflictions in an Ayurvedic context. In urolithiasis treatment, strategies focused on Hara are vital to effectively eliminating stones and restoring balance within the body's urinary system.
67) Yava:
Yava refers to barley, a grain used in Ayurvedic dietary regimens. Its incorporation into treatment protocols emphasizes the significance of wholesome grains in promoting health and recovery in conditions like Ashmari, demonstrating Ayurveda's emphasis on balanced nutrition.
68) Nadi (Nadin):
Nadi refers to the channels of energy or pulse in Ayurveda. Assessing the Nadi during examination assists practitioners in evaluating a patient's overall health condition, guiding the diagnosis and treatment of diseases such as Ashmari effectively.
69) Mala:
Mala refers to waste products or excretions in the body. Understanding Mala is crucial in Ayurvedic assessments as it provides insights into a patient's digestive and excretory health, informing treatment strategies to correct imbalances leading to conditions like Ashmari.
70) Vata:
Vata is one of the three doshas in Ayurveda associated with movement and dynamics within the body. Recognizing the qualities of Vata is essential in Ayurvedic treatment of Ashmari, particularly in addressing symptoms related to Vata imbalances, such as pain and irregular excretion patterns.
71) Aha (Ahan, Ahar):
Ahar refers to dietary intake in Ayurveda, emphasizing the role of food as medicine. Understanding Ahar principles is fundamental for guiding patients' dietary habits, especially in conditions like Ashmari, promoting recovery through proper nutrition and dietary adjustments.
72) Sang:
Sang refers to the association or combination of various elements within Ayurvedic treatments. Recognizing the concept of Sang helps practitioners create synergistic formulations that enhance therapeutic effects, especially in treating complex conditions like Ashmari.
73) Sood:
Sood is the surname of one of the authors, Dr. Prashant Sood, involved in this case study. Highlighting contributors emphasizes the collaborative approach in Ayurvedic research, showcasing how various professionals contribute to enhancing understanding and practice in the field.
74) Peet:
Peet refers to a yellowish color often associated with urine's characteristics in Ayurveda. Observing the color of mutra (urine) provides valuable diagnostic information, crucial for assessing conditions such as Ashmari and guiding appropriate treatment decisions.
75) Male:
Male refers to the demographic aspect related to urolithiasis, as it is more prevalent in men compared to women. Recognizing the male predisposition to conditions like Ashmari is essential for tailored preventive strategies and treatment approaches, emphasizing gender differences in health outcomes.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Conservative Ayurvedic Management of Urolithiasis: A Case Study’. Further sources in the context of Science might help you critically compare this page with similair documents:
Apathya, Signs and symptoms, Medication, Clinical feature, Ayurvedic formulation, Mutrashmari Urolithiasis, Ayurvedic Perspective, Surgical Procedure, Herbomineral formulation, USG findings, Shaman Chikitsa, Nidan factors, Complete relief, Mutravaha strotas, Pathya Aahar, Apathya Aahar, Conventional method.