Introduction: Mutrashmari is a result of extensive processes that include a series of reactions that lead to the production of any urinary stone, i.e., a result of an unbalance of calculi producers and regulators in the kidney. The urinary calculi need surgical intervention and that may include side effects and recurrence. Aims and Objective: This study is having aim to find out the efficacy of herbal formulation in mutrashmari (urinary Calculi) Case Presentation: The patient of 26 years having Udarashoola (pain in abdomen) with mutrakruchata since 2 months and Saraktamutrata (red color urine) since 15 days. Material and methods: Classical textbooks, articles, online journals were referred. The raw material was taken from Institute level. Observation and Results: Results were obtained by Subjective and Objective Criteria on basis of signs and symptoms of mutrashmari. Discussion: The herbal formulation (Gokshura, Kulathha,Punarnava panchanga, Pashanabhed leaves) a unique combination was selected. This combination has Shoolagna (analgesic), Ashmari nashaka, Mutravardhaka (diuretics). In the case report, an attempt was taken to investigate the combined effects of herbal formulation, dietary modifications, and dietary regimen with regard to removal of urinary stone and prevention from any further complication. Results: This study shows effective result of herbal formulation in 8 mm urinary calculi within 1 month with no recurrence till one year.
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