🔺CASE STUDY NO : 43 🔺PART NO :2 🔺MUTRAGHATA 🔺 DIFFERENTIAL DIAGNOSIS (MODERN CONDITIONS COMPARABLE TO MUTRAGHATA) -Urolithiasis (bladder/kidney stones) -Neurogenic bladder - Retrograde ejaculation -obstructive uropathy -Benign Prostatic Hyperplasia (BPH) - Prostate Cancer -Bladder outlet obstruction (BOO) - chronic urinary retention -General Anuria/Oliguria -Acute Kidney Injury (AKI) 🔺 SAMPRAPTI (PATHOGENESIS) -Vitiated Vata gets localized in the Basti (urinary bladder), causing Sanga (obstruction) of Mutravaha Srotas. -This leads to retention of urine, pain, and systemic complications. -Dosha: Predominantly Vata -Dushya: Mutra, Basti, Medhra, Guda -Srotas involved: Mutravaha Srotas -Roga Marga: Abhyantara (internal pathway) -Udbhava Sthana: Pakwashaya Vyakta Sthana: Basti 🔺 UPASHAYA (PALLIATIVE MEASURES) -Snigdha Ahara – Oily and warm food -Snehana, Swedana – Internal oleation and sudation -Basti Karma – Oil-based enemas relieve retention -Ushna Jala Sevanam – Intake of warm water improves flow 🔺ANUPASHAYA (AGGRAVATING FACTORS) -Ruksha, Sheeta Ahara – Dry, cold food -Vega Dharana – Urge suppression -Exposure to cold weather -Strenuous exercise 🔺 SAMANYA CHIKITSA (GENERAL LINE OF TREATMENT) -Snehana – Internal and external oleation -Swedana – Sudation therapies -Mridu Virechana – Mild purgation -Basti Chikitsa – Medicated enemas (e.g., Anuvasana and Niruha) -Mutrajanana Dravyas – Diuretic herbs like Punarnava, Gokshura, Varuna(Classical Reference: Ashtanga Hridaya Chikitsa Sthana 9/20-30 Charaka Chikitsa 26) 🔺 VISHESHA CHIKITSA (SPECIFIC TREATMENT BASED ON TYPE) -Vataja Mutraghata : Sneha Basti, Anuvasana Basti, oil massage, warm fomentation -Ashmarighata : Use of Pashanabheda, Varuna, Kulatha Yusha, surgical intervention if needed -Mutrashukraghata : Snehana, Vrishya Chikitsa, Bastis with Shukrajanana dravyas -Mutrajatharaghatam : Vatahara Chikitsa with special attention to bowel clearance -Vastibandha : Strong Niruha and Anuvasana Bastis with Vatahara oils (e.g., Bala Taila) 🔺 Important Formulations: -Varunadi Kashayam(90ml -0 -90ml) -Punarnavasava(20 ml -0- 20 ml) -Varunadi Kwath:15–30 ml twice daily -Chandraprabha Vati :250–500 mg, 1–2 tabs twice daily -Gokshuradi Guggulu :1–2 tablets twice daily -Punarnavadi Mandoor :250–500 mg twice daily -Trivrit Lehyam or Abhayarishta 10–15 ml twice daily -Dashamoolarishta :15–30 ml twice daily 🛑https://chat.whatsapp.com/JtHGdxv7A5SA9bAe8ZNIS2