Effectiveness of powder of Tribulus Teristrus in the management of urinary calculi 

International Journal of Research and Innovation in Applied Science (IJRIAS) | Volume V, Issue III, January 2020 | ISSN 2454–6186

Effectiveness of powder of Tribulus Teristrus in the management of urinary calculi 

N.S.Abegunasekara^1*, K.D.G.Damintha^2
1Dept.of Ayurveda Basic Principles, Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Yakkala,Western Province, Sri Lanka
²National Ayurveda Teaching Hospital, Borella, Western Province,Sri Lanka.
*Corresponding author

Abstract: Urinary calculi is a common genito-urinary disorder in the modern era. They may cause pain, nausea, vomiting, hematuria and possibly chills and fever due to secondary infection. Diagnosis is based on urinalysis and radiological imaging usually non-contrast helical CT imaging. In Ayurveda, urinary calculi are known as Mutrāshmari. This study was aimed to evaluate the efficacy of Gokshurabija choorna (GBC) comparatively with Cystone® in the management of Mutrāshmari. The formula was prescribed in Bhaishajya Rathnāvali under the chapter of Mutrāshmari chikitsa. Twenty patients with urinary calculi were randomly selected from Gampaha Wickramarachchi Ayurveda (Teaching) hospital, Yakkala and D. B. Welagedara Ayurveda (Provincial) hospital, Kurunegala. They were divided into two groups (Control and Test) using the simple random sampling method. Test group was treated with 10g of GBC with hot water twice daily for a period of seven days. Two tablets of Cystone® was recommended twice daily for a period of seven days to the control group. Appropriate patyāpatya were instructed to follow during the period. Data was collected before treatment, after treatment and after seven days follow-up period using USG (for objective parameters) and self-prepared questionnaire (for subjective parameters). Results were analyzed by using IBM SPSS v22 statistical software. After fourteen days of treatment, both groups showed a significant effect to some clinical symptoms. But calculated p values of GBC were less significant than Cystone® comparatively. It was concluded that GBC has got effectiveness as a treatment of Mutrāshmari. No adverse reaction was observed during treatment, proving the formulation is safe and effectiv,
Key-words: urinary calculi, Mutrāshmari, Gokshurabija choorna
I. INTRODUCTION
Urinary stone is a rock particle or a crystal in the urinary tract formed by substances in urine (Robbins & Cotran, 2005). Monotonous diet based on rice, water quality and hot climate which contribute to this high incidence are curable in Sri Lanka too, making it likely to be a part of the stone belt. Stones are commoner in the young and the effects of absenteeism from work due to stones on economy and family is great. Furthermore, urinary calculi are the commonest cause of obstructive uropathy and renal impairment in Sri Lanka (Abeygunasekera, 2004). Therefore, it is essential to know the pattern of calculi in a country and region when planning treatment. A study done in Sri Lanka has shown that the stone composition of Sri Lankan staghorn calculi is likely to be different to that described in literature which are based on studies done in the western world. However, there is a paucity

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