Abstract

MANAGING MUTRASHMARI THROUGH AYURVEDIC DRUGS - IV: COMPARATIVE EFFICACY OF KULATTHA, SHWET PARPATI & THEIR COMBINATION

Akshay Suden*

Abstract

There were 38 calculi, 12 in the Kulattha (K) group, 14 in the Shwet Parpati (SP) group and 12 in the K+SP group, 24 were in the Kidney and 14 in the Ureter. On calculi cure, K+SP out performed with of 41.6 % as against 33.3% in Kulattha and 28.6% in Shwet Parpati alone. The Shwet Parpati, however performed better in markedly improving, followed by Kulattha and K+SP. On overall rating K+SP was the best with 2.0, Kulattha with 1.9 and SP with 1.8. On Kidney stones, the K+SP proved more efficacious followed by Kulattha and Shwet Parpati in completely curing. K+SP responded significantly to each and every Kidney stone. Overall rating for K+SP was 2.1 as against 1.9 in Kulattha and 1.8 in Shwet Parpati. The K+SP therapy resulted in ahigher percentage of cured cases in comparison to Kulattha and Shwet Parpati. On Ureter stones, the Kulattha showed higher improved percentage in comparison to the other two. It resulted in a higher overall rating of 2.0 in comparison to 1.8 in each of the other two. All the three types of Ashmari viz. Kaphaja, Pittaja and Vataja were present in the study. There were 21 stones in Kaphaja Ashmari patients, 8 in Kulattha group, 7 in Shwet Parpati group and 6 in K+SP therapy group. K+ SP was the most effective therapy in the complete cure category followed by Kulattha and Shwet Parpati. Overall rating in favour of Kulattha was 2.3 and 2.0 in the other two. There were only 7 stones in Pittaja Ashmari cases, 1 with Kulattha, 3 with Shwet Parpati and 3 with K+SP. No complete cure could take place with any of the therapies. Overall rating was 2.0 in favour of K+SP therapy and 1.7 in favour of Shwet Parpati while 0 for Kulattha. There were 10 stones with Vataja Ashmari, out of which 3 with Kulattha, 4 with Shwet Parpati and 3 with K+SP. Complete cure of 2 stones was achieved with K+SP, 2 with Shwet Parpati and 1 with Kulattha. Overall rating was 2.0 with K+SP, 1.7 with Kulattha and only 1.5 with Shwet Parpati. The effect of Kulattha, Shwet Parpati and K+SP was significant on most of the Ayurvedic and modern system parameters of Mutrashmari. Cosistently significant effect was recorded on Nabhi Vedana and Mehan Vedana. These two parameters are thus, important in Mutrashmari studies. The K+SP therapy showed highly significant effects on all the modern complaints. Pain, Dysuria, Burning Micturition, Tenderness in Renal angle showed significant effect across the therapies Overall success rates of 63.3 %, 60.0 % and 66.7 % in mitigating the problems of Mutrashmari and removal/disintegration of calculi. K+SP therapy was the most efficacious against Mutashmari followed by K and SP therapies.

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