Successful Ayurvedic Management of Left Renal Microcalculi With Complete Ultrasonographic Resolution: A Case Report

The Ayurvedic text compares Ashmari, a common condition of the Mutravaha Srotas, with renal calculi or urolithiasis as defined by modern medicine. The classical symptoms of renal calculi include flank pain, dysuria, increased frequency of urination, nocturia, and recurring episodes of pain. Modern medicine has developed a number of different treatments for renal calculi; however, the recurrence of this disease remains a challenge. Ayurvedic medicine offers a safe and effective method of managing renal stones using the approaches of Ashmaribhedana, Mutrala, Lekhana, and Shothahara. A 55-year-old man had intermittent left flank pain and complaints of burning during urination (dysuria), increasing frequency of urination during the day, and nocturia (4-5 times at night). Ultrasonography performed on 21 August 2025 showed left renal microcalculi between 2-3 mm located at the upper and lower poles of the left kidney. The patient received Ayurvedic treatment consisting of Hajrool Yahood Bhasma, Shweta Parpati, Sajji Kshara, Yava Kshara, Gokshura Churna, Kanchanar Guggulu. As treatment progressed, the patient continued to show improvement in symptoms. By ultrasonography on 13 May 2026, the patient had no evidence of renal calculi. Flank pain, burning during urination, increased frequency of urination, and nocturia were significantly reduced. This case demonstrates that Ayurvedic treatment is a safe, effective and non-invasive alternative to managing small renal calculi. Further controlled studies are needed to better define Ayurvedic treatment of renal calculi.