CRITICAL REVIEW OF PASHANBHINNA RASA ON ASHMARI WITH SPECIAL REFERENCE TO UROLITHIASIS

Abstract

Ayurveda, an ancient system of medicine, addresses numerous disorders related to the Mutravaha Srotas (uri-nary system), such as Mutrakricchra (dysuria), Mutraghata (obstructive uropathy), and Mutrashmari (urinary calculi). Among these, Mutrashmari, corresponding to urolithiasis in modern medicine, is one of the most com-mon and distressing conditions, characterised by the formation of stones within the urinary tract. Sushruta iden-tifies two primary mechanisms of stone formation: urine stagnation and supersaturation and crystallisation of urinary crystalloids. Urolithiasis affects approximately 12% of the global population, with a high recurrence rate, especially in males. This review aims to provide a comprehensive analysis of Pashanbhinna Rasa, a herbo-mineral formulation from the Bhaishajya Ratnavali, Ashmari Prakaran, assessing its efficacy in treating Ash-mari (urolithiasis)—the study endeavours to bridge the knowledge gap in contemporary literature regarding this formulation. A thorough literature review focused on references to Pashanbhinna Rasa in classical Ayurvedic texts and modern scientific studies. The review highlights Pashanbhinna Rasa's multifaceted approach to man-aging urolithiasis. The herbo-mineral components of Pashanbhinna Rasa are believed to exert a synergistic ef-fect, potentially dissolving stones, preventing their formation, and providing symptomatic relief. This critical review elucidates the potential of Pashanbhinna Rasa as an effective treatment for urolithiasis. While traditional Ayurvedic formulations offer promising therapeutic benefits, further clinical studies are necessary to validate their efficacy scientifically. Establishing Pashanbhinna Rasa as a standardised treatment could integrate Ayur-vedic wisdom with modern medical practice, offering a holistic approach to managing urolithiasis.