E-ISSN:2456-3110

Case Report

Crystal Morphology

Journal of Ayurveda and Integrated Medical Sciences

2025 Volume 10 Number 3 MARCH
Publisherwww.maharshicharaka.in

An Ayurvedic perspective of Mutrashmari - Urinary Calculi along with Crystal Morphology

Solanki NV1, Mane P2*, Joshi V3
DOI:10.21760/jaims.10.3.63

1 Nivedita Vijay Solanki, Post Graduate Scholar, Department of Rog Nidan, Dr DY Patil College of Ayurved and Research Centre, Pimpri, Pune, Dr DY Patil Vidyapeeth, Pune (Deemed to be University), Maharashtra, India.

2* Prakash Mane, Professor, Department of Rog Nidan, Dr DY Patil College of Ayurved and Research Centre, Pimpri, Pune, Dr DY Patil Vidyapeeth, Pune (Deemed to be University), Maharashtra, India.

3 Vinayak Joshi, Professor and HOD, Department of Rog Nidan, Dr DY Patil College of Ayurved and Research Centre, Pimpri, Pune, Dr DY Patil Vidyapeeth, Pune (Deemed to be University), Maharashtra, India.

Background: Microscopic evidence based Urinary Crystal Morphology would help Ayurveda physicians to give appropriate Ayurvedic treatment to Mutrashmari patients. Urinary calculi affected 22.1 million people in 2015 with 16,100 deaths worldwide.

Aim: To study the correlation of Urinary calculi with Mutrashmari along with Crystal Morphology.

Objective: To observe the correlation of Urinary calculi with Mutrashmari along with Crystal Morphology.

Material and Methods: It includes Literature Review, Initial assessment & enrollment of patients, Microscopic observational changes to correlate Urinary Calculi with Mutrashmari, Observation & Interpretation.

Results: It shows the correlation of Urinary Calculi with Mutrashmari along with Crystal Morphology.

Conclusion: This study finds the correlation of Urinary Calculi with Mutrashmari along with Crystal Morphology. This study would help Ayurveda physicians to give appropriate Ayurvedic treatment to Urinary Calculi patients on the basis of evidence based Crystal Morphology.

Keywords: Lakshana, Samprapti, Mutrashmari, Calculi

Corresponding Author How to Cite this Article To Browse
Prakash Mane, Professor, Department of Rog Nidan, Dr DY Patil College of Ayurved and Research Centre, Pimpri, Pune, Dr DY Patil Vidyapeeth, Pune (Deemed to be University), Maharashtra, India.
Email: 		Solanki NV, Mane P, Joshi V, An Ayurvedic perspective of Mutrashmari - Urinary Calculi along with Crystal Morphology. J Ayu Int Med Sci. 2025;10(3):407-411.
Available From
https://jaims.in/jaims/article/view/4183/

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2025-02-11 2025-02-27 2025-03-07 2025-03-17 2025-03-27
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
None Nil Not required 11.64

© 2025 by Solanki NV, Mane P, Joshi V and 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 2025;10(3)407
Download PDFBack To ArticleIntroductionMaterial and
MethodsObservationsResultsConclusionReferences
Nivedita VS et al. An Ayurvedic perspective of Mutrashmari

Introduction

Kidney stone disease is a crystallopathy and occurs when there are too many minerals in the urine and not enough liquid or hydration. This imbalance causes tiny pieces of crystal to aggregate and form hard masses or calculi in upper urinary tract.

Because renal calculi typically form in the kidney, if small enough, they are able to leave the urinary tract via urine stream. A small calculus may pass without causing symptoms.

However, if stone grows to more than 5mm it can cause blockage of ureter resulting in excruciating intermittent pain that radiates from the flank to the groin or to the inner thigh. This is due to transfer of referred pain signals from lower thoracic splanchicn nerves to lumbar splanchic nerves as stone passes down from kidney or proximal ureter to distal ureter.

Between 1% and 15% of people globally are affected by renal calculi at some point in the liver. In 2015,22.1 million cases occurred resulting in about 16,100 deaths. They have become more common in western world since the 1970’s. Generally more men are affected than women.

The prevalence and incidence of the disease rises worldwide and continues to be challenging for patients, physicians and healthcare systems. Renal colic caused by kidney stones is commonly accompanied by urine urgency, restlessness, haematuria, sweating, nausea and vomiting.

It typically comes in waves lasting 20 to 60 min caused by peristaltic contraction of ureter as it attempts to expel stone. Risk factors include dehydration from low fluid intake, warm climate, obesity, immobility, sedentary lifestyle, high dietary intake of animal protein, sodium, sugar including honey, refined sugar, high fructose, corn syrup, excessive consumption of fruit juices etc.

According to Ayurveda Mutrashmari is तुल्यताश्मणा यांती तस्मात्ताश्मरि विदु: I

In Ayurveda there are 4 types of Mutrashmari explained i.e., Vataj, Pittaj, Kaphaj & Shukraj.

According to Sushruta Hetus of Mutrashmari include Divaswaap, Samashan, Adhyashan, Shita, Snigdha, Guru, Madhur Aahaar Sevan.

According to Madhav Nidan Lakshana includes Mutrakruchrataa, Jwar, Aruchi, Ashmatulya Vedana, Mutra Rujaa, Basti Shool, Vishirnadhaaryukta Mutra, Medhra Pradeshi Vedana, Mutra Margaavarodh, Sarakta Mutrapravrutti, Bastidaha, Bastitod Shaitya and Gurutva, Vrushan Shotha.

According to Charak Samprapti of Mutrashmari is described as:

विशोषयदबास्तीगतं सशुक्रम् मूत्रम् स पित्तम् पवन: कफम् वा I
यदा तदाष्मऱ्यूपजायते तु क्रमेण पित्तेषविव रोचना गो: II (च.चि.२६/३६)

Material and Methods

Initial assessment & Enrollment with written consent
↓
Microscopic observational changes to correlate Urinary Calculi with Mutrashmari
↓
Assessment criteria along with Crystal Morphology
↓
Observation, Interpretation & Statical Analysis

Total 5 number of patients are enrolled in this study and correlated with Urinary Calculi i.e., Mutrashmari along with Crystal Morphology.

Microscopic observational changes to correlate Urinary Calculi with Mutrashmari along with Crystal Morphology as follows :-

jaims_4183_01.jpg
Calcium Oxalate Crystals


J Ayu Int Med Sci 2025;10(3)408
Nivedita VS et al. An Ayurvedic perspective of Mutrashmari

jaims_4183_02.jpg
Focused Calcium Oxalate Crystals

jaims_4183_03.jpg
Calcium Oxalate Mature & Immature forms

jaims_4183_04.jpg
Calcium Carbonate Crystals

jaims_4183_05.jpg
Calcium Oxalate & Carbonate Crystals

jaims_4183_06.jpg
Uric Acid Crystals

jaims_4183_07.jpg
Focused Uric Acid Crystals


J Ayu Int Med Sci 2025;10(3)409
Nivedita VS et al. An Ayurvedic perspective of Mutrashmari

jaims_4183_08.jpg
Triple Phosphate Crystals

jaims_4183_09.jpg
Tyrosine Needles

jaims_4183_10.jpg
Tyrosine Needles

Observations

It is observed that Mutrashmari can be correlated with Urinary Calculi along with Crystal Morphology with the help of Patient’s Data as follows:

Total 5 number of patients are enrolled and all of them shows various crystal morphologies shown above.

Results

This study shows the correlation of Urinary Crystals with Mutrashmari along with Crystal Morphology.

Conclusion

This study finds correlation of Urinary Crystal with Mutrashmari along with Crystal Morphology. This study would help Ayurveda physicians to give appro. Ayurvedic treatment to Urinary Calculi patients on basis of evidence based Crystal Morphology.

References

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Nivedita VS et al. An Ayurvedic perspective of Mutrashmari

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