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International Journal of Health Sciences & Research (www.ijhsr.org) 347
Vol.7; Issue: 9; September 2017
International Journal of Health Sciences and Research
www.ijhsr.org ISSN: 2249-9571
Case Study
Management of Urinary Tract Infection with Certain Ayurveda Medicines:
A Case Study
Dr. Nirmal Bhusal1, Dr. Sangeeta Sharma1, Dr. Gopesh Mangal2
1PhD Scholar, Department of Panchkarma, NIA, Jaipur, India.
2Assistant Professor, Department of Panchkarma, NIA, Jaipur, India.
Corresponding Author: Dr. Nirmal Bhusal
ABSTRACT
Urinary tract infection is the most common infection managed in general medical practice and
accounts for 1-3% of consultations. Women are especially prone to UTIs. One woman in five
develops UTI (Urinary Tract Infection) at least once during her life time. UTIs in men are not so
common, but they can be very serious when they do occur. The symptoms of Urinary tract infection
are similar to Mutrakriccha as described in Ayurveda. A male patient aged 24 years came with
complaint of burning micturition, painfull micturition, weakness and mild vertigo. He was unable to
get proper sleep. Patient was treated by certain Ayurveda drugs Chandraprabhavati, Gokshuradi
Guggulu, Gokshura (Tribulus terresteris) Churna, Shatavari (Asparagus recemosus), Syrup Neeri,
Syrup Shita Sudha and Pathya Aahar (dietetic regimen). Patient had marked relief in pain and burning
sensation. On follow up after 15 days patient had sustained improvement in symptoms. Patient was
very happy and satisfied with the management. There was significant improvement in the case of
Mutrakriccha. Mutrakriccha (urinary tract infection) though is difficult to manage, but Ayurveda
internal medicines can be good option for better management.
Key words: Urinary tract infection, Mutrakricchra, micturition, Ayurveda.
INTRODUCTION
Urinary Tract Infection is the most
common infection managed in general
medical practice and accounts for 1-3% of
consultations. [1] Women are especially
prone to UTIs. One woman in five develops
UTI (urinary tract infection) at least once
during her life time. UTIs in men are not so
common, but they can be very serious when
they do occur. [2] Urinary tract infection is
defined as multiplication of organisms in the
urinary tract. It is usually associated with
the presence of neutrophils and > 105
organisms/ml in a midstream sample of
urine (MSU). [3] The symptoms of Urinary
tract infection are similar to Mutrakriccha
as described in Ayurveda. [4] In
Mutrakricchra patients have complaints of
increased frequency, urgency, hesitancy,
burning micturition, painful micturition and
red-yellow-orange urine. [5] Although
modern medical system has many modern
drugs but there are cases where patients
suffer due to lack of desired results. The
current available antibiotics drugs and other
conservative measures are in practice to
combat the condition in suppressing the
symptoms. Limitation of antibiotics, drug
resistance of micro-organisms, side effects
of the drug in metabolic systems, immune
system make think for alternative modalities
of management. In this case Ayurveda
medicines were selected and success was
achieved in treating Mutrakricchra (urinary
tract infection).
Nirmal Bhusal et al. Management of Urinary Tract Infection with Certain Ayurveda Medicines – A Case Study
International Journal of Health Sciences & Research (www.ijhsr.org) 348
Vol.7; Issue: 9; September 2017
PATIENT INFORMATION
A male patient aged 24 years came
to the Panchkarma OPD at National
Institute of Ayurveda Jaipur, India with
complaint of burning micturition, painful
micturition, weakness and mild vertigo. He
was unable to get proper sleep. The patient
was asymptomatic before 20 days and then
he developed burning sensation while
urination which gradually increased. Patient
did not get satisfactory relief in last 20 days.
After completing a course of Allopathic
treatments also the symptoms of burning
micturition was present. So patient came to
National Institute of Ayurveda for Ayurveda
management. History of fever was present
at the onset of the symptoms. No any
previous history of obstructive uropathy,
haematuria, urinary and renal calculi was
present. No personal and family history of
any major systemic illness was present.
Stress regarding the disease was present.
CLINICAL FINDINGS
On physical examinations patient was found
afebrile with Blood pressure - 116/70 mm of
Hg, Pulse rate - 74/minute, R.R. -
20/minute. On Systemic examination no
abnormality was found in respiratory,
cardiovascular and central nervous system
activity. The patient was Kapha
Vataprakruti, having Madhyam Koshtha
and Madhyam Bala. Rasavaha, Raktavaha,
Mutravaha Srotodushti Lakshanas were
observed.
THERAPEUTIC INTERVENTION
Patient was advised on OPD basis on
29/5/17 having O.P.D. NO. 34120052017.
Patient was treated by Ayurveda medicines:-
Chandraprabhavati 2 tab BD, Gokshuradi
Guggulu 2 tab BD, Syrup Neeri 2TSF TDS,
Shita Sudha 2TSF TDS & Combination of
Gokshura (Tribulus terresteris) churna 4
gms and Shatavari (Asparagus recemosus)
churna 2 gms twice a day.
Lab Investigation details before and after
treatment
Parameter
Before
After
App/ colour
Amber
Clear
Ph
5.5
6.5
Specific gravity
1.024
1.030
Sugar
Negative
Negative
Protein
Negative
Negative
Ep cells
0.00 p/hpf
0-1 p/hpf
WBC
1.05 p/hpf
Nil
RBC
0.60 p/hpf
Nil
Bacteria
219.7 p/hpf
Nil
FOLLOW UP & OUTCOMES
Assessment was done every 7 days.
Till time of treatment on 12/05 Patient had
marked relief in pain and burning sensation.
On follow up after 15 days on 27/05, Patient
had sustained improvement in symptoms.
Patient was happy and satisfied with the
management.
DISCUSSION
The action of every drug is
determined by the dominant
pharmacodynamic factors. The line of
treatment in Ayurveda is mainly based on
Dosha Chikitsa (treatment). The disease
Mutrakriccha (urinary tract infection) has
involvement of vitiation of Pitta Dosha
along with vitiation of Vata Dosha.
Chandraprabhavati [6] and Gokshuradi
Guggulu [7] are classically indicated
medicines for Mutrakriccha (urinary tract
infection). The major ingredients of syrup
Neeri [8] are Sudh Shilajeet (Asphaltum),
Swet Parpati, Moolikshar (extract of the
ashes of radish), Sajjikshar, Punarnava
(Boerhavia diffusa), Ikshumool (Saccharum
officinarum), Gokshura (Tribulus
terresteris), Varun (Crataeva nurvala),
Pashan Bheda (Bergenia ligulata), Kulatha
(Dolichos biflorus) which are mainly
alkaline and working on Mutravaha Srotas.
The ingredient of Shita Shuda [9] are Khas
(Vetiveria zizaniodes) and sugar which are
highly beneficial in Mutrakriccha.
Shatavari [10] (Asparagus recemosus) is
having Madhur (sweat), Tikta (bitter) Rasa
(taste), Guru (heaviness), Snigdha
(unctuousness) in Guna (property), Sita
Virya (cold in potency) and
Vatapittasamaka (Vatapitta pacifying)
property. Gokshura [11] (Tribulus terresteris)
is Madhur (sweat) in Rasa(taste), Guru
Nirmal Bhusal et al. Management of Urinary Tract Infection with Certain Ayurveda Medicines – A Case Study
International Journal of Health Sciences & Research (www.ijhsr.org) 349
Vol.7; Issue: 9; September 2017
(heaviness), Snigdha (unctuousness) Guna
(property), Sita Virya (cold in potency) and
Vatapittasamaka (Vatapitta pacifying
nature). Most of drugs given were Madhura
and Tikta Rasa. So Aushada (medicine) is
having Pittashamaka (Pitta pacifying) as
well as Vatashamaka (Vata pacifying)
properties along with Mutravirechaniya
(diuretic) and Ama Pachana (digestive)
properties. By Mutravirechaniya (diuretic)
action, urine volume is increased, pH
becomes alkaline and inflammation is
reduced with the Daha Shamaka (pacifying
burning sensation) properties medicine
soothes the epithelium of urinary tract and
with Ama Pachana (digestive) property
medicines breaks down the process of Kleda
formation.
CONCLUSION
There was significant improvement
in the case of Urinary tract infection.
Mutrakriccha (urinary tract infection)
though is difficult to manage, but Ayurveda
internal medicines can be good option for
better management.
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How to cite this article: Bhusal N, Sharma S, Mangal G. Management of urinary tract infection
with certain ayurveda medicines - a case study. Int J Health Sci Res. 2017; 7(9):347-349.