Changes

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Mutrashmari (urinary calculus), mutra sharkara (gravel) and shukrashmari (calculi of dried up semen):

====== ''Mutrashmari'' (urinary calculus), ''mutra sharkara'' (gravel) and ''shukrashmari'' (calculi of dried up semen) ======

The calculus is formed due to drying of urine or semen by vitiated doshas. This causes obstruc-tion in urination or ejaculation respectively. The clinical features mainly include abdominal pain in lumbar region radiating to back, painful and burning micturition with decreased quanti-ty. In case of semen calculi, painful ejaculation is observed.   

 

Examination: On palpation, tenderness in lumbar region based upon site of ashmari is ob-served.  

The calculus is formed due to drying of urine or semen by vitiated ''doshas''. This causes obstruction in urination or ejaculation respectively. The clinical features mainly include abdominal pain in lumbar region radiating to back, painful and burning micturition with decreased quantity. In case of semen calculi, painful ejaculation is observed.  

Investigation: Microscopic examination of urine is done for presence of crystals of calculi and red blood cells. The types of calculi are also asessed . Radiological screening like X-ray and ultra-sonography is done to assess the size, shape and exact location of calculi in urinary sys-tem.  

   

Treatment: 4

'''Examination''': On palpation, tenderness in lumbar region based upon site of ''ashmari'' is observed.  

1. Mutra kricchra (dysuria):

 

'''Investigation''': Microscopic examination of urine is done for presence of crystals of calculi and red blood cells. The types of calculi are also assessed. Radiological screening like X-ray and ultra-sonography is done to assess the size, shape and exact location of calculi in urinary system.  

 

===== Treatment =====

 

====== 1. ''Mutrakricchra'' (dysuria) ======

Disease specific therapies: 1.Sudation 2. Mutra virechana (diuretics) 3. Anulomana (carmina-tives)  

Disease specific therapies: 1.Sudation 2. Mutra virechana (diuretics) 3. Anulomana (carmina-tives)  

Important medicines: 1. Gokshura 2. Shilajatu 3. Parasika yavani 4. Pashanabheda  

Important medicines: 1. Gokshura 2. Shilajatu 3. Parasika yavani 4. Pashanabheda