E-ISSN:2456-3110

Case Report

Urinary Tract

Journal of Ayurveda and Integrated Medical Sciences

2024 Volume 9 Number 8 AUGUST
Publisherwww.maharshicharaka.in

A Case Study of Urinary Tract Infection and its Ayurveda Management

Bhandule A1*, Jain N2, Jain P3
DOI:10.21760/jaims.9.8.51

1* Aarti Bhandule, Post Graduate Scholar, Department of Kayachikitsa, Govt Dhanwantari Ayurvedic College and Hospital, Ujjain, Madhya Pradesh, India.

2 Naresh Jain, Associate Professor, Department of Kayachikitsa, Govt Dhanwantari Ayurvedic College and Hospital, Ujjain, Madhya Pradesh, India.

3 Preeti Jain, Assistant Professor and HOD, Department of Kayachikitsa, Govt Dhanwantari Ayurvedic College and Hospital, Ujjain, Madhya Pradesh, India.

A Urinary Tract Infection (UTI) is the most common bacterial infection encountered in daily medical practice. It is more prevalent in females than males due to the shorter urethra in females, which allows bacteria a quicker access to the bladder. One in five women develop UTI at least once in her lifetime. UTIs in men are uncommon, but when they do occur, they can be very serious. In Ayurveda, the symptoms of UTI closely resemble a condition known as Mutrakriccha. Acharya Charaka has explained eight types of Mutrakriccha in Charaka Chikitsa Sthana 26. In this condition, the aggravated Pitta Dosha, along with Apana Vayu, reaches the Vasti (bladder) and affects the Mutravaha Srotas, leading to painful and burning urination. In this case report, a 50-year-old male patient presented with symptoms of urinary urgency, increased frequency, and intermittent burning urination for the past 1-2 months. He was diagnosed with UTI and was effectively managed with Syp. Neeri, Chandraprabha Vati, Gokshuradi Guggulu, Shweta Parpati, and Hajaralyahud Bhasma. The treatment resulted in significant improvement in signs, symptoms, and urine examination results. During follow-up visits, there were no recurrences of UTI. Ayurvedic management offers a promising alternative for treating Mutrakriccha.

Keywords: Mutrakriccha, Urinary Tract Infection, Micturition, Ayurveda Medicines

Corresponding Author How to Cite this Article To Browse
Aarti Bhandule, Post Graduate Scholar, Department of Kayachikitsa, Govt Dhanwantari Ayurvedic College and Hospital, Ujjain, Madhya Pradesh, India.
Email: 		Bhandule A, Jain N, Jain P, A Case Study of Urinary Tract Infection and its Ayurveda Management. J Ayu Int Med Sci. 2024;9(8):322-325.
Available From
https://jaims.in/jaims/article/view/3750

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2024-07-01 2024-07-08 2024-07-15 2024-07-22 2024-08-01
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
None Nil yes 13.32

© 2024by Bhandule A, Jain N, Jain Pand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

J Ayu Int Med Sci 2024;9(8)322
Aarti B et al. Urinary Tract Infection and its Ayurveda Management

Introduction

UTI occurs more commonly in females than in males, although obstruction from prostatic hypertrophy causes > 50 year old to have an incidence of UTI comparable to that among women of the same age. 50 to 80% of women have at least UTI once during their lifetime, and 20 to 30 % have recurrent episodes.[1] UTI in men is not so common, but they can be very serious when they do occur.[2] Significant bacteriuria is defined as presence of 1,00,000 (105) or more colony forming units of bacteria per mm of midstream urine.[3] The symptoms of urinary tract infection are similar to Mutrakriccha.

In Ayurveda, Mutrakriccha Pt. have complaints of painful micturition, burning micturition, frequency, urgency, hesitancy of micturition and red yellow orange urine.[4] Despite the availability of numerous modern medications, some patients continue to suffer due to inadequate treatment outcomes. Current antibiotic treatments and other conventional approaches are primarily used to manage conditions by suppressing symptoms. However, limitations such as antibiotic resistance, side effects on metabolic and immune systems, require exploring alternative treatment methods. In this context, Ayurveda medicines have shown success in treating Mutrakriccha (Urinary Tract Infection).

Case Report

A Male Pt. aged 50 year came to the Kayachikitsa Opd no. 27 at Govt. Dhanwantari Ayurvedic Medical College and Hospital, Ujjain, (M.P.), India with complaints of urgency of micturition, painful micturition, burning micturition and weakness. He was unable to get proper sleep. Pt. was asymptomatic before 1 month and then he developed burning sensation while urination which gradually increased. After completing a course of Allopathic Medication Pt. did not had relief from the symptoms. So, Pt. came to Govt. Dhanwantari Ayurvedic Hospital. History of body ache, weakness, fever was present at the onset of the symptoms. No any previous history of Hypertension, Diabetes, Urinary or Renal calculi, Obstructive Uropathy, Haematuria. No personal or family history of any major systemic illness was present. Stress due to disease was present.

Clinical Findings

On physical examination Pt. was found Afebrile, Blood pressure - 118/76 mm of hg, Pulse - 78/min, RR -20/min. On systemic examination no abnormality was found in Respiratory, Cardiovascular and Central nervous system activity. The Pt. had Vata Pittaj Prakriti, Madhyama Koshtha, Madhyama Bala, Rasavaha, Raktavaha and Mutravaha Srotodushti Lakshana was observed.

Therapeutic Intervention

Patient was advised on OPD basis on 13/06/2024 had OPD no. 12300. Pt. was treated by Ayurvedic medicines : Chandraprabha Vati 2 tab BD, Gokshuradi Guggulu 2 tab BD, Capsule Bacticheck 1BD, Syrup Neeri 2 Tsf BD and combination of Gokshura Churna 3 gm, Shweta Parpati 250 mg, Hajaralyahud Bhasma 125 mg in twice a day.

Lab investigation details before and after treatment.

ParameterBeforeAfter
ColourPale YellowPale Yellow
ReactionAcidicAcidic
Specific Gravity1.0201.020
ProteinTraceNil
SugarNilNil
Epithelial Cells6-8 /Hpf1-2 / Hpf
Pus Cells10-12 /Hpf1-2 Hpf
Red Blood CellsNilNil
BacteriaPresent ++Nil

jaims_3750_01.JPG


J Ayu Int Med Sci 2024;9(8)323
Aarti B et al. Urinary Tract Infection and its Ayurveda Management

jaims_3750_02.JPG

Follow-Up and Outcomes

Assessment was done every 15 days. On 13/06/2024 Patient had mild relief in pain and burning sensation. Treatment was continued for 30 to 45 days and on follow up after 45 days on 31/07/2024, patient had sustained improvement in symptoms. Patient was happy and satisfied with management.

Discussion

The action of each drug is primarily determined by its dominant pharmacodynamic factors. In Ayurveda, treatment approaches are mainly based on Dosha Chikitsa (balancing the doshas). The condition Mutrakriccha (urinary tract infection) involves an imbalance of Pitta Dosha along with Vata Dosha. Chandraprabha Vati[5] and Gokshuradi Guggulu[6] are traditional medicines recommended for Mutrakriccha (urinary tract infection) in Ayurveda. The key ingredients of Syrup Neeri[7] includes Shuddha Shilajeet (Asphaltum), Shweta Parpati, Moolikshar (Radish ash extract), Sajjikshar, Punarnava (Boerhavia diffusa), Ikshumool (Saccharum officinarum), Gokshura (Tribulus terrestris), Varun (Crataeva nurvala), Pashan Bheda (Bergenia ligulata), and Kulatha (Dolichos biflorus). These ingredients are primarily alkaline and Dahashamak and act on Mutravaha Srotas (urinary system). Capsule Bacticheck contains Guduchi (Tinospora cordifolia), Neem (Azadirachta indica), Amla (Embelica officinalis), Manjishtha (Rubia cordifolia), Yashtimadhu (Glycyrrhiza glabra),

Shuddha Guggulu (Commiphora mukul), Somlata (Ephedra gerardiana), Haridra (Curcuma longa), Kushtha (Saussarea lapaa), Punarnava (Boerhavia diffusa), Tulsi (Ocimum sanctum), Shankh Bhasma these all contents act as a herbal antibiotic which reduces infections in body. Gokshura[8] (Tribulus terrestris) has Guru, Snigdh Guna, Sheeta Veerya, and Madhura Vipaka which acts as Vatapittashamak, or Vedanashamak. Shweta Parpati[9] also known as Kshar Parpati contains 16 part Suryakshar, 2 part Sphatika and 1 part Navsadar acts as Mutral, Swedal, and Vatanulomak. It is used in Amlapitta, Mutrakriccha. Hajaralyahud Bhasma[10] is Mutral and Pittashamak, used for retention of urine. The majority of the administered drugs had Madhura (sweet) and Tikta (bitter) taste. Therefore, the medicines exhibit properties that pacify Pitta (heat) and Vata (wind/air), along with diuretic (Mutravirechaniya) and digestive (Ama Pachana) effects. The diuretic action increases urine volume, makes the pH more alkaline, and reduces inflammation. The Daha Shamaka (cooling) properties of the medicine soothe the urinary tract lining. Additionally, the digestive property (Ama Pachana) helps break down the formation of Kleda (moisture or toxins).

Conclusion

There was considerable improvement in the case of the urinary tract infection. Although Mutrakriccha (urinary tract infection) is often difficult to manage, Ayurveda provides effective internal medicines for enhanced treatment and relief.

References

1. Text Book of Harrison’s Manual Medicine, 19th Edition by Casper, Fauci, Hauser, Longo, Jamson, Loscalzo, New york Chicago, Chapter 144 Page No. 795.
2. Wald Braun Eugene, Anthony S, Fauciet, Harrison, Principles of Internal Medicine, Vol-2nd, 6th Ed. Mc Graw Hill, 2005, Pp1715.
3. R Alagappan, Manual of Practical Medicine, Fourth Edition 2011, Jaypee Brothers Medical Publishers, Chapter 7 Nephrology Page No. 401.
4. Yadavji Trikramji, Commentary of Chakrapani On Charaka Samhita of Agnivesh, (Chikitsa Sthana 26/ 32-35): Varanasi: Chowkhambha Sanskrit Series, 2013; Page No- 599


J Ayu Int Med Sci 2024;9(8)324
Aarti B et al. Urinary Tract Infection and its Ayurveda Management

5. Murthy K, Sarangadhara Saṃhita, Varanasi: Choukhambha Orientalia (Madyamkhanda 7/ 40-44), 2009
6. Murthy K, Sarangadhara Saṃhita, Varanasi: Choukhambha Orientalia (Madyamkhanda 7/ 84-87), 2009.
7. Nayak B, Ayurvedline, Bangaluru, Ayurveda Kutiram, Proprietary Medicines Index, Page No. -584, 2017.
8. Dravyaguna Vijnana - Vegetable Drugs Of Prof. P.V. Sharma, Reprint 2017 Choukhmbha Bharti Academy Varanasi, Vol. 2nd Chapter 8 Mutravirechniya, Pg. No. 632.
9. Siddha Yoga Sangraha By Vaidya Yadavji Trikam Ji Acharya, Publication Shree Baidyanath Ayurveda Bhavan Nagpur, 2000, Chapter 18 Ashmari – Mutrakricchadhikar, Page 99.
10. Ayurvediya Rasashastra, Dr Chandrabhushan Jha, Publication Choukhabha Prakashan Varanasi, 2012, Sudha – Sikta Varga Page No. 449.


J Ayu Int Med Sci 2024;9(8)325