References:
C.Chi.26, S.Ni.3, S.Chi.17, A.H.Ni.9, M.N.32
Introduction:
अश्मरि means calculus. Though अश्मरि have Kapha dominance. They are formed due to all the three Dosha. Sus`hruta has mentioned Kapha dominance in all the types of the अश्मरि as Kapha itself is converted into अश्मरि.
Nirukti:
Tulyataam As`hmanaa Yaanti Tasmaat Taam As`hamri Viduh |
Sampraapti:
- In a person who consumes unwholesome diet, aggravated Kapha saturates the urine causing अश्मरि.
- Urine is dried along with the S`hukra, Pitta, Vaayu or Kapha, causing अश्मरि like the drying of the Pitta in the cow forming Gorochana.
- Dosha get saturated with the Mootra causing अश्मरि according to Upasnehana Nyaaya.
Types:
- Vaataja
- Pittaja
- Kaphaja
- S`hukraja
अश्मरि resembles Kadamba Pushpa. It is S`hlakshn`a. It may be tri-folded and soft. When it obstructs the path of urine, it causes pain in the Basti. There is pain in Sevanee, Mehana, Basti. Urination gets distorted. There is pain in the Med`hra (Mridgaati Med`hram). Also the person passes urine frequently. Due to irritation if there is wound in the urinary tract, then there is heamaturia.
When the अश्मरि gets broken, the gravel passes through the urine. This is Mootra S`harkaraa.
Vaataja As`hmaree
Aggravated Kapha enters into the Basti Mukha causing its obstruction.
Signs and Symptoms:
Daalana, Bhedana, Toda. Basti becomes heavy and cold. अश्मरि is S`hyaava, Rooksha in colour, having sharp edges.
Pittaja As`hmaree
Pitta along with the Kapha get saturated and enter into the Basti Mukha causing obstruction.
Signs and Symptoms:
Chosha, दाह, Paaka. Basti resembles the Ushn`a Vaata. अश्मरि resemble the Bhallaatakaasthi. It is Red or yellow or black.
Kaphaja As`hmaree
Kapha along with the Vaayu get saturated causing obstruction by residing into the Basti Mukha.
Signs and Symptoms:
Vedanaa, अश्मरि is large in size, S`hlakshn`a inappearance. It is white in colour.
All these three types of अश्मरि are seen in the children. In the older person S`hukraja type is seen.
S`hukraja As`hmaree
Due to Maithuna Vighaata or AtiMaithuna, S`hukra does not get ejaculated properly and gets saturated along with the Vaayu. It gets situated into the joining of Med`hra and Vrishan`a. After residing there it gets dried there. It obstructs the urinary tract.
Signs and Symptoms:
Mootra Krichchhra, Basti Vedanaa, Vrishan`a S`hotha. If अश्मरि is newly formed, then after Peed`ana it gets dissolved, but if it old, it does not get dissolved.
When अश्मरि enters into the urinary tract, it causes Daurbalya, Sadana, Kaars`hya, Kukshi S`hoola, अरोचक, Paan`d`utva, Ush`naVaata, Trishn`aa, Hritpeed`ana, छर्दि .
Saadhyasaadhyatva: Generally, अश्मरि is S`hastrasaadhya Vyaadhi.
Saadhya As`hmaree – Nava, Baala Rugn`a
Krichchhrasadhya Chirotthita
Asadhya – Sikataa S`harkaraanvita As`hmaree
Comparative study of अश्मरि types
| अश्मरि | Vaataja | Pittaja | Kaphaja | S`hukraja | |
| रोगमार्ग | |||||
| Vyaadhiclassification | Baala Vis`hishta Vyaadhi | Baala Vis`hishta Vyaadhi | Baala Vis`hishta Vyaadhi | ||
| Svabhaava | Ghora | ||||
| Avayava | Bastimukha,Basti, Mehana | Basti,Basti Mukha,Mehana | Vrishan`a Med`hrayh Antare | ||
| Upas`haya | Peed`ana Utpannamaatre Eva | ||||
| Dosha | Kapha Prakopa | Vaata Prakopa | Pitta Prakopa | Kapha Prakopa | |
| Dhaatu | शुक्र दुष्टि | ||||
| Mala | Mootra | ||||
| Srotas | Mootravaha Srotas Rodha | Mootravaha Srotas Rodha | Mootravaha Srotas Rodha | Mootravaha Srotas Rodha | Mootravaha Srotas RodhaS`hukravaha Srotas Dusht`i |
Last updated on March 25th, 2021 at 05:11 am