Background: Mutrashmari is one of the important diseases of Mutravaha Srotas described in Ayurveda and is included among the Astamahagada due to its severe nature and tendency for recurrence. It can be correlated with urolithiasis (renal calculi) in modern medicine. The condition is characterized by symptoms such as flank pain, dysuria, haematuria, burning micturition, and difficulty in urination. Urolithiasis is one of the most common diseases of the urinary tract. Kidney stones are common across the world, with a prevalence of about 12% worldwide. It occurs more frequently in men than in women in a ratio of 2:1, peak incidence is observed between 30-50 years of age. Case Presentation: A 35-year-old male patient presented to the OPD of Shri Siddharoodh Charitable Hospital, Bidar, on 17 March 2026 with complaints of pain in the right flank region, pain radiating from the right loin to the groin, burning micturiti on, and orange-colored urine for two days. After clinical and radiological evaluation, the patient was diagnosed with urolithiasis and was advised surgical intervention. However, the patient sought Ayurvedic treatment to avoid surgery. Intervention: The patient was treated with Gavakshi Churna for 10 days along with appropriate dietary and lifestyle modifications. Results: Significant improvement was observed in the clinical symptoms, 3rd day reduction in flank pain, burning micturition, and urinary discomfort and on the 5th days stone also passout. Follow-up assessment demonstrated satisfactory clinical recovery and improvement in the patient's overall condition. Conclusion: Gavakshi Churna showed promising results in the management of Mutrashmari (urolithiasis) in this case. The treatment was found to be safe, effective, and may offer a non-surgical approach for selected patients. Further clinical studies with larger sample sizes are required to validate these findings.
1*Dr. Mohammad Izhar Ali, 2Dr. Ashok Naikar, 3Dr. Varun Kumar J. (Wed,) studied this question.