Holistic management of Gallbladder Stones (Pittashmari): A Case Study

Cholelithiasis, commonly known as gallstone disease, affects a significant portion of the global population, often leading to debilitating symptoms like biliary colic and digestive discomfort. This condition is caused by an imbalance in bile composition, stasis and infection within the biliary system. In Ayurveda, cholelithiasis is referred as "Pittashmari," with an imbalance of Pitta and Kapha Doshas leading to the formation of stones in the gallbladder. The aim of this case study was to explore the effectiveness of Ayurvedic treatment in managing cholelithiasis by addressing its root cause through Dosha - balancing therapies. A 23-year-old male patient with a solitary intraluminal gallstone, underwent two and a half-month Ayurvedic treatment protocol consisting of Ayurvedic formulations, including GBS Powder, Stoni Cap, Amla Pittanashak Powder and Yakrit Shothhar Vati. Pre and post-treatment evaluations using ultrasonography and subjective pain assessments revealed significant improvement. The gallstone size reduced, with no stones detected on follow-up ultrasound and the patient reported the complete relief from biliary colic and digestive symptoms. These findings suggests that Ayurvedic therapies targeting Pitta and Kapha imbalances, along with lifestyle modifications, offers an effective and holistic approach to manage gallstones. This integrated treatment strategy aligns with Ayurvedic principles of detoxification, digestion and systemic balance.