Role of Uttaravasti in Mutrakrcchra (UTI) in Case of Paraplegia - A Case Study
DOI:
https://doi.org/10.55718/kja.58Abstract
“Spinal cord lesion” that paralyses the lower limbs is termed as “Paraplegia”. Bladder involvement is a common condition among paraplegic. In paraplegic patient due to constant catheterization and immobility is affected with chronic recurrent cystitis. Most common presentation of cystitis is urinary tract infection (UTI). In Ayurveda texts, UTI is classically correlated with Mutrakrcchra. UTI is usually caused by Escherichia bacteria and described under the disorders of Mutravaha srotas and mainly manifested as shoola (pain) and krcchrata (dysuria). A case of mutrakrcchra in a catheterized paraplegic male patient, 52-year-old admitted in IPD of Government Ayurveda Hospital, Kerala. During course of management, he developed heaviness in abdomen and both lower limbs, flank pain along with fever and chills. It was managed with Uttaravasti as Yogavasti krama with Drakshadi kashayam (100ml) and Dhanwantaram mezhupakam (30ml). It is observed that the case got relief for symptoms and change in biochemical parameters of UTI. To stabilize the positive response of this procedure, Samana chikitsa with relevant drugs was done as follow up.
References
Urinary Tract Infection (UTI) in the Catheterized Patient - Infec-tious Disease Advisor [Internet]. [cited 2022 May 29]. Available from: https://www.infectiousdiseaseadvisor.com/home/decision-support-in-medicine/infectious-diseases/urinary-tract-infection-uti-in-the-catheterized-patient/
Prof. Yadunandana Upadhyaya editor. Madhava Nidanam of Sri Madhavakara with the ‘Madhukosa’ Sanskrit Commentary by Srivijayaraksita and Srikanthadathta. Part-I, Ch.30. Chaukhambha Prakashan, Varanasi, 2008. p.551.
Ram Karan Sharma, Bhagwan Dash editor. Chikitsa Sthana, Cara-ka Samhita text with English Translation and Critical Exposition Based on Chakrapani Datta’s Ayurveda Dipika. Part-IV, Ch. 26. Chowkhambha Sanskrit Series office, Varanasi, 2010.
Vasant C. Patil, Rajeshwari N.M. editor. Uttara Sthana, Sushruta Samhita with English Translation of text and Dalhana’s Commen-tary. Part-III, Ch.59. Chowkhambha Publications, New Delhi, 2018. p.466.
Prof. K.R. Srikantha Murthy editor. Nidana Sthana, Astanga Hrdayam text, English translation. Part-II, Ch.9. Chowkhambha Krishna das Academy, Varanasi, 2018. p.84.
Kasinatha Sastri editor. Siddhi Sthana, Caraka Samhita with ‘Vidyotini’ Hindi Commentary. Part- II, Ch. 9. Chaukhambha San-skrit Sansthan, Varanasi, 2009. p. 983.
Ram Karan Sharma, Bhagwan Dash editor. Siddhi Sthana, Caraka Samhita text with English Translation and Critical Exposition Based on Chakrapani Datta’s Ayurveda Dipika. Part-VI, Ch. 9. Chowkhambha Sanskrit Series office, Varanasi, 2010.
The microbiome and host mucosal interactions in urinary tract diseases | Mucosal Immunology [Internet]. [cited 2022 May 29]. Available from: https://www.nature.com/articles/s41385-020-00372-5
Ram Karan Sharma, Bhagwan Dash editor. Vimana Sthana, Caraka Samhita text with English Translation and Critical Exposition Based on Chakrapani Datta’s Ayurveda Dipika. Part-II, Ch. 7. Chowkhambha Sanskrit Series office, Varanasi, 2010. P.203.
Prof. K.R. Srikantha Murthy editor. Chikitsa Sthana, Astanga Hrdayam text, English translation. Part-II, Ch.1. Chowkhambha Krishna das Academy, Varanasi, 2018. p.183.
Prof. K.R. Srikantha Murthy editor. Sarira Sthana, Astanga Hrdayam text, English translation. Part-II, Ch. 2. Chowkhambha Krishna das Academy, Varanasi, 2018.