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Mutrashmari (Urolithiasis) is one of the most common disorders of the Mutravaha srotas (Urinary system). In the contemporary medical science, it is correlated with urolithiasis. It is a highly prevalent condition with a high recurrence rate that has a large impact on the quality of life of those affected. Paediatric urolithiasis is an important encountered kidney disorder in clinical practice. A 9-year-old patient approached the OPD with complaints of pain abdomen associated with nausea, vomiting and burning micturition. On interrogation, patient's parents gave the history of using borewell water for consumption. Ultrasound scan of the abdomen revealed the renal calculi measuring 6 mm in the vesico ureteric junction causing hydronephrosis and another 3.5 mm calculus in the upper pole of the right Kidney. It was diagnosed as vataaja ashmari (Type of Renal calculi) based on signs and symptoms and investigational reports. Most of the renal calculi in children comprise of either calcium oxalate or calcium phosphate. Based on Ayurvedic line of management, the patient was administered Chandraprabhavati, Gokshuradi guggulu and a polyherbal syrup containing diuretics. The calculi were expelled out within 7 days after the administration of oral Ayurvedic medicines relieving great pain and suffering. An attempt has been made to present the Ayurvedic management of mutrashmari (Urolithiasis) in paediatric age with successful emergency pain management. This case study intends to instill confidence among Ayurvedic physicians for the management of mutrashmari (Urolithiasis) by Ayurvedic means involving noninvasive procedure, avoiding surgical intervention and being cost effective.

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In the recent past, many claims have appeared regarding the safety/toxicity of Ayurvedic medicines in various contexts, as it trembles the faith of patients and value of Ayurveda. A need has raised for Ayurvedic researchers to ascertain the safety of the medicines and validate the utility of Ayurvedic treatment. The study was aimed at establishing the safety/toxicity of Ayurvedic herbo-mineral formulations by measuring serum urea and creatinine levels before and after the Ayurvedic intervention. An observational study was carried out at the out-patient department of the clinical section of National Ayurveda Dietetics Research Institute (NADRI), Bangalore. Patients availing uninterrupted Ayurvedic Herbo-mineral treatment for a period of four weeks and above were chosen. Out of 242 patients who were subjected to serum urea and creatinine to evaluate the renal safety profile, 20 patients were randomly selected in the age group between 30 -80 years, irrespective of the disease. The levels of serum urea and creatinine before and after Ayurvedic intervention were noted to be within the normal range. Statistical analysis has shown P value for serum urea <0.0006 and serum creatinine <0.0001. The study revealed that the consumption of Ayurvedic herbo-mineral formulation did not affect urea and creatinine values, when compared before and after Ayurvedic intervention. There were no adverse drug reactions or side effects reported during the study.

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