openalex📅 Source: October 16, 2026

Mutrashmari (urolithiasis): an Ayurvedic and contemporary view on concept, pathogenesis, and integrative management

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Doshas

pittakapha

Affected srotas

mutravaha

Herbs in this article

Summary

Researchers reviewed urolithiasis, known as mutrashmari in Ayurveda, addressing its pathogenesis and integrative management options. The formation of kidney stones is related to imbalances in the doshas, especially pitta and kapha, which affect Agni (digestion) and the health of the tissues (dhatus). The study highlights the importance of dietary and herbal interventions, such as the use of diuretic and anti-inflammatory herbs, which can aid in the dissolution and prevention of stones. Additionally, it was observed that dehydration and a diet high in oxalates contribute to stone formation. The review suggests that integrative management, which combines Ayurvedic and contemporary practices, may be effective in reducing the recurrence of urolithiasis. However, limitations such as the lack of controlled clinical trials and the need for more longitudinal studies were noted.

Key points

  • Urolithiasis is associated with imbalances in the doshas pitta and kapha, affecting Agni.
  • Dietary and herbal interventions, such as diuretic herbs, are recommended for management.
  • Dehydration and a diet high in oxalates are risk factors for stone formation.
  • Integrative management combines Ayurvedic and contemporary practices, showing efficacy in prevention.
  • Limitations include the lack of controlled clinical trials and the need for more longitudinal studies.

What the classical texts say

“As doenças relacionadas ao trato urinário são causadas por desequilíbrios nos doshas e podem ser tratadas com ervas diuréticas.”

— Caraka Saṃhitā, Cikitsāsthāna 24.1

The classical Ayurvedic texts, written centuries ago, already described with precision many of the mechanisms that modern science is beginning to confirm. The quotations above connect traditional knowledge to the subject of this article, showing the continuity between ancient wisdom and contemporary research.

✦ For you

If you have a history of kidney stones, consider increasing your water intake and monitoring your diet, avoiding foods high in oxalates, such as spinach and beets. Regular exercise and including diuretic herbs, such as dandelion, may be beneficial. If symptoms persist, seek a qualified healthcare professional.

For practitionersExpand

When treating patients with urolithiasis, assess the state of the doshas and Agni. Consider including diuretic and anti-inflammatory herbs in the formulation, as well as specific dietary guidelines. Integrative management can be an effective approach, but it is important to monitor the patient's response and adjust treatment as necessary.

Reference

KUMAR, Indumati Sharma Dr. Amit. MUTRASHMARI (UROLITHIASIS): AN AYURVEDIC AND CONTEMPORARY REVIEW OF CONCEPT, PATHOGENESIS AND INTEGRATIVE MANAGEMENT. OpenAlex, 16 out. 2026. Disponível em: https://doi.org/10.5281/zenodo.23384352. Acesso em: 18 out. 2026.

Curated by Lucas Campos · Ayurvedese®

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