Scope for management of big ureteric stones using classical Ayurveda medicines - A Single Case Study

Abstract

Big Ureteric calculi presenting with acute renal colic have always been a condition to be managed by newer endoscopic techniques like Ureteroscopy (URS) and Shock Wave Lithotripsy (SWL). Though open surgeries have been replaced by these newer sophisticated techniques, yet their affordability and future complications are a matter of concern. Complications of anaesthesia and the procedure drive the patients to subsequent OPDs. In patients with normal kidney functioning, big ureteric calculi could be managed medically. This is the case of a 40- year- old lady diagnosed with a case of two calculi in right kidney - a lower pole tiny calculus (2.2mm) and a mid-ureteric calculus (13mm) in right side causing moderate hydroureteronephrosis with severe lower abdominal and flank pain. After conservative management with Tila-Dhatrikshara and Gokshurakashaya for 06 weeks, her symptoms vanished, lower pole calculus expelled out, ureteric calculus size reduced considerably by 4mm and the degree of hydroureteronephrosis reduced from moderate to mild.