Ayurveda is ancient science of life and is wealth and pride to India.It is supposed to be dealt only with chronic diseases and cannot treat the emergency conditions. But it is totally a wrong belief.In various Ayurvedic texts, many ashukari vyadhies are described as well as their detail management. For eg. visarpa, vishchikitsa, shwas hikka vegavastha, hridroga, murcha, sanyas etc. In this article, review of murashari is done.

Why mutrashmari? Now a days several patients of different mutravah srotas diseases are reported. Ashmari is one of them.

So it is an emergengy condition.

Nirukti: It means presence of stone like structure.

Nidan: According to sushrut, those who neglect samshodhana, who are engaged with unwholesome dietary habits are affected by Ashmari. Persons doing excess exercise, strong medicines, ruksha madyapana, intake of Anupmansa, Adhyashana, Ajeerna Bhojan, Matsya sevan

Purvarupas: According to diff. Acharyas

Rupa

Samprapti: A/c to sushruta:

Apathyasevan and asanshodhanshilata aggrevates kapha which mixes with mutra.Sthansanshray at Basti and turned in the form of gravels.As like new mud pot filled with clear water can also show settling down the mud particles in some duration of time.

A/c to Charaka:

Due to Vatkar Ahara-vihara, Vata aggrevates and dries up Mutra, entred into bladder along with Pitta, Kapha and Shukra respectively or collectively. And gradually this dried elements form the Asmari. Here Charaka gives example of Gorochana in Pittashaya of cows .(gallstones founded in gall bladder of cows). Vagbhata accepts the view of Charaka and also further states that increase or decrease in Medodhatu is directly related to size of Ashmari.

Sadhyasadhyata: Ashmari metioned in Ashtau Mahagada which means it is difficult to treat. Also called as a Darun Vyadhi. So it needs greater attention to cure. In children due to smaller size and less perinephric and subcutanios fat, it can be treated easily. Newly diagnosed, with no complications are treated with medicines. Long term ashmaries need surgical treatment.

Chikitsa:

1. Aushadha chikitsa
2. Basti
3. Kshara Chikitsa
4. Shastra Chikitsa

Also Nidan Parivarjan is as much important as above chikitsa. As Ashmari is Kapha predominant condition, avoiding kaphvardhak Ahar vihar is necessary.

Aushadh Chikitsa: Early diagnosis and early treatment is necessary because it is difficult to treat.so Sushruta even mentioned chikitsa during Purvaroopa stage.

Sushruta described Doshanusar Aushadh chikitsa as follows:

Vataj: Pashanbheda, Vasuka, Vashir, Ashmantak, Shatavari, Gokshur, Brihati, Kantakari, Kapotvanka, Khasa, Gunja, shyonak, Varun, Yava, kulattha, Badar.

Pittaj: Kusha, kasha, Ikshumula, pashanbheda, shatavari, Vidari, Dhanyaka, patala, Shyonak, Gokshur. Varunadi Gana, Guggulu, Kutha. Devadaru, Ela, Haridra. Marich, Chitrak.

2. Basti: Uttarbasti made by Decotion of Ksheeri Vriksha, flushes out the stone and collected blood from bladder and gives instant relief.

3. Kshar Chikitsa:

     1. kshara prepared from Varunadi Gana dravyas is useful in Ashmari.
     2. Tilakalk, Apamarga, Kadali, Palasha and Yava kshar should use with Avimutra.
     3. Patol and Karaveera kshara as above also useful in Ashmari.

4. Shastra karma: There Are many solutions mentioned like Yansevan for Ashmari patana. Finally he described the Detailed Shastrakarma of Ashmari Nirharan. If we Read the text and the descripition of surgery, its really fascinating by the versatile and deep view of Acharyas towards a disese.

Pathyapathya: