Ashmari - a classical review

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Journal name: World Journal of Pharmaceutical Research
Original article title: Ashmari - a classical review
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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Original source:

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Author:

Dr. OP Vyas, Dr. Megha Gupta, Dr. Preeti Parmar, Dr. Nimina Nanu Manikkoth and Dr. Shweta Dhurve


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Ashmari - a classical review

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20236-27684

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

Introduction

Ashmari, a term used in Ayurveda to describe a condition characterized by the formation of stones in the urinary system, is a longstanding concern in medicine. This condition, often correlated with urolithiasis, has been addressed extensively in classical Ayurveda, particularly by Acharya Sushrut. Recognized as a critical disease of mutravah strotas, Ashmari is not only prevalent but can also lead to severe complications if untreated. The endeavor to understand Ashmari involves exploring its etiology, pathogenesis, symptoms, and various treatment protocols aimed at effective management and prevention of disease recurrence.

Pathogenesis of Ashmari

In Ayurveda, understanding the etiology (nidan) and pathogenesis (samprapti) of Ashmari is essential for accurate diagnosis and treatment. Acharya Sushrut emphasized that Ashmari formation is primarily due to an imbalance in the doshas, particularly the aggravation of Kapha, which leads to the accumulation of unhealthy substances in the urinary system. Factors contributing to the development of this condition include poor dietary habits, irregular lifestyle choices, and a lack of regular purification methods. The stages of disease manifestation in Ayurveda are systematically categorized as nidan, purvaroopa, roopa, upshaya, and samprapti, offering a comprehensive understanding of Ashmari's progression.

Treatment Modalities for Ashmari

The treatment of Ashmari in Ayurveda encompasses several approaches, including Aushadha Chikitsa (medicinal therapy), Basti Chikitsa (enema therapy), Kshara Chikitsa (alkaline therapy), and Shastra Chikitsa (surgical intervention). According to classical texts, the treatment effectiveness largely depends on the stage of the disease; newly formed stones can often be addressed with medicinal therapies, whereas larger or chronic cases typically necessitate surgical intervention. The choice of treatments is tailored based on the specific type of Ashmari, categorized into Shleshmashmari, Pittashmari, Vatashmari, and Shukrashmari, each requiring distinct formulations and approaches for effective management.

Dietary Considerations in Managing Ashmari

Dietary management is another crucial aspect in the treatment and prevention of Ashmari. Ayurvedic texts outline specific dietary restrictions (apathya) and recommendations (pathya) designed to support the body's natural detoxification processes and balance the aggravated doshas. Foods that are light, cleansing, and diuretic are emphasized, including items like Yava (barley), Kulattha (horse gram), and various herbs known for their efficacy in managing Kapha and promoting healthy urinary function. Avoiding heavy, rich, and cooling foods is equally important to minimize Kapha aggravation and the risk of stone formation.

Conclusion

In conclusion, Ashmari is a significant concern within Ayurvedic medicine, requiring a multifaceted approach that incorporates an understanding of its pathogenesis, treatment modalities, and dietary considerations. The integral role of Ayurveda in managing Ashmari offers an alternative that is largely safe and free from side effects, particularly for stones up to 10mm in size. Ongoing research supports Ayurvedic treatment methods not only for managing Ashmari but also for preventing its recurrence, underscoring the importance of holistic health approaches in contemporary healthcare.

FAQ section (important questions/answers):

What is Ashmari and how is it defined in Ayurveda?

Ashmari refers to stone formation in the urinary system, often associated with urolithiasis. It is identified by its causes, symptoms, and treatment methods as described in Ayurvedic texts.

What are the common symptoms of Ashmari?

Common symptoms include severe pain in the lower abdomen, difficulty urinating, burning sensation during urination, and urine retention, indicating the presence of urinary calculi.

What are the primary causes leading to Ashmari formation?

Ashmari formation can be triggered by improper diet, lack of purification methods, and accumulation of doshas, particularly Kapha, due to unhealthy lifestyle choices.

How can Ashmari be treated in Ayurveda?

Treatment options for Ashmari in Ayurveda include medicinal herbs, Basti therapy, Kshara therapy, and Shastra karma (surgery), depending on the severity and type of Ashmari.

What preventive measures can be taken against Ashmari?

Preventive measures include a balanced diet, regular purification processes, and avoiding foods that may aggravate Kapha dosha, thus reducing the risk of stone formation.

What is the role of diet in managing Ashmari?

Diet plays a crucial role in managing Ashmari. It is advised to consume Vata-cooling foods and avoid heavy, sweet, and greasy foods that can worsen the condition.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Ashmari - a classical review”. 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 is a term from Ayurveda referring to the formation of stones or calculi within the urinary system, specifically correlating with urolithiasis. It is categorized as a serious condition, leading to severe pain and discomfort, necessitating detailed understanding of its etiology, symptoms, and treatment approaches.

2) Basti:
Basti refers to a therapeutic enema or a type of Panchakarma treatment in Ayurveda, often used to flush out toxins and soothe conditions related to the urinary system. It plays a significant role in the management of Ashmari, acting as a means to alleviate the associated symptoms and facilitate drainage of calculi.

3) Disease:
The term disease encompasses any abnormal condition affecting the body which manifests through various symptoms. In the context of Ashmari, it highlights the importance of understanding various pathological aspects, including causes, types, and treatment options, as outlined by ancient Ayurvedic texts.

4) Mutra:
Mutra translates to 'urine' in English and is crucial in the context of urinary system diseases like Ashmari. Its analysis helps in diagnosing conditions such as urolithiasis, and understanding Mutra's characteristics can lead to insights into the underlying causes of Ashmari formation.

5) Kapha:
Kapha is one of the three doshas in Ayurveda, representing the elements of earth and water. As a predominant dosha associated with Ashmari, it contributes to the disease’s etiology, particularly when aggravated by inappropriate diet and lifestyle choices, leading to stone formation in the urinary tract.

6) Gupta:
Gupta is the surname of one of the corresponding authors of the study on Ashmari, Dr. Megha Gupta. The relevance lies in the contribution of knowledgeable practitioners to Ayurvedic literature and the study of traditional methods in understanding and treating diseases like Ashmari.

7) Ghrita (Ghrta):
Ghrita refers to clarified butter or ghee used in Ayurvedic formulations. In the context of Ashmari, specific Ghrita preparations are employed for their therapeutic properties to break down stones and support the treatment process, highlighting the use of traditional medicinal practices.

8) Death:
Death serves as a critical concern in the context of Ashmari, as untreated or severe cases can lead to fatal complications. The concept underscores the urgency for proper diagnosis and timely medical intervention to avoid life-threatening outcomes associated with the disease.

9) Samprapti:
Samprapti is the process of disease manifestation in Ayurveda, involving understanding how a disease develops from its original state to full-blown symptoms. Accurately assessing Samprapti in Ashmari aids practitioners in forming effective treatment strategies and addressing the underlying issues.

10) Medicine:
Medicines signifies the various formulations used to treat Ashmari, highlighting the therapeutic potential found in Ayurvedic pharmacology. The emphasis is on natural ingredients to provide effective remedies with minimal side effects.

11) Aruci:
Aruchi indicates a lack of appetite or a condition affecting normal digestive function. In the context of Ashmari, Aruchi is one of the early symptoms that may appear before full manifestation of the disease, prompting the need for careful dietary management to facilitate healing.

12) Pida:
Peeda refers to pain or discomfort, particularly in the abdomen, that patients experience with Ashmari. Understanding Peeda is crucial for practitioners as it guides the assessment of disease severity and informs treatment choices aimed at pain relief and recovery.

13) Milk:
Milk is considered a nourishing food in Ayurveda and plays a role in various therapeutic contexts, including Ashmari. Specific milk preparations are utilized within treatments, highlighting the balance of nourishment and medicinal properties in managing urinary disorders.

14) Shastra (Sastra):
Shastra refers to the scientific knowledge or scriptures that contain ancient wisdom regarding health and medicine in Ayurveda. In treating Ashmari, Shastra contributes by providing protocols and guidelines for effective surgical and medicinal practices.

15) Adhman:
Adhman describes abdominal distension or bloating, which can accompany Ashmari. Recognizing Adhman as a symptom encourages a comprehensive approach to diagnosis and treatment, ensuring that all aspects of the patient's condition are addressed.

16) Dosha (Dosa):
Dosha is a fundamental concept in Ayurveda, representing the three biological energies that govern physiological activities. Understanding the imbalance of doshas, particularly Kapha, is essential for diagnosing and treating Ashmari effectively.

17) Karma (Karman):
Karma in Ayurveda refers to therapeutic actions or treatments applied to rectify diseases. In the context of Ashmari, Karma reflects the diverse treatment modalities, including dietary changes, herbal medications, and surgical interventions, that aim to restore health.

18) Drug:
Drugs encompass the various medicinal formulations employed in Ayurveda to treat conditions like Ashmari. Understanding the pharmacological properties of these drugs enhances the effectiveness of treatment strategies.

19) Kshara (Ksara):
Kshara refers to alkaline substances used in Ayurveda that can dissolve calculi and manage Ashmari. The inclusion of Kshara in treatment protocols illustrates the significance of carefully using natural alkalizers in managing urinary conditions.

20) Mushka (Muska):
Mushka pertains to the male reproductive organs in Ayurveda and is relevant to the treatment approach in cases of Ashmari. The relationship between urinary health and reproductive organs highlights the intricacies in addressing holistic health.

21) Nabhi:
Nabhi describes the navel area in Ayurvedic texts and is often associated with abdominal pain and disorders. In Ashmari, the Nabhi's involvement indicates the connection between abdominal symptoms and the urinary system's health.

22) Blood:
Blood is a crucial bodily fluid that reflects health conditions, including those affected by Ashmari. The presence of blood in urine or changes in blood composition during urinary disorders necessitate careful monitoring and intervention.

[Note: The above list is limited to 75. Total glossary definitions available: 207]

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Ashmari - a classical review’. Further sources in the context of Science might help you critically compare this page with similair documents:

Rupa, Sadhya, Ghrita, Shastrakarma, Pathya, Samprapti, Apathya, Chikitsa, Pathyapathya, Shastrachikitsa, Nidan, Ashmari disease, Urolithiasis, Acharya Charaka, Purvaroopa, Ayurvedic view, Chikitsa (treatment), Basti Chikitsa, Arishta Lakshan, Kshara chikitsa, Surgical removal, Nidan (etiology), Acharya Sushrut, Ayurvedic Samhita, Acharya Kashyap, Upshaya, Aushadha chikitsa.

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