MUTRAGHATA

MUTRAGHATA Mutraghata :- Retention of urine or obstruction of urine.Aghata = Vitiation.Acharya sushrut has mentioned 12 types:-

vaatkuNDilak|YzIlaa vaatbaiststqaoOva ca|maU~atIt: sajazrao maU~ao%sa=ga: xayastqa||maU~aga`ainqa: maU~Sauk`mauYNavaatstqaOva ca|maU~aOksaadaO WaO caaip raogaa WadSa kIit-ta:||

(su.uttar.58/5-6)

1. Vatakundalika : -

2.VATASTHILA : -SakRnmaaga-sya bastoEca vaayaurntrmaaiEat: |AYzIlaavaad\GanaM ga`inqaM krao%yacalamaunnatma\||ivaNmaU~ainalasa=Eca t~aQmaanaM ca jaayato|vaodnaa ca pra bastaO vaataYzIlaoit taM ivadu|| ( sau.].58/ 7- 8)Vitiated vayu get localised in the region between rectum and urinary bladder. Causes dense,fixed &raised stone like glandular swelling.Leads to retention of faeces,urine & flatus.Distention & excruciating pain in urinary bladder

3. VATABASTI : -

4.MUTRATITA :-

Mutravegadharan for long time Pt fails to void the urine with normal speed Passing of urine with straining Mild pain Repeated flow of urine Small quantity

5.MUTRAJATHARA : -

6.MUTROTSANGA :-

Urine accumulated in urinary bladder or urethra or glans penis. On straining pt passes urine slowly. Pain may be present or absent.

7.MUTRAKSHAYA : -

8.MUTRAGRANTHI : -

A round, small, fixed & severely painful cyst obstructs the urinary passage. Causes pain while micturition.

9.MUTRASHUKRA :-

Person who indulges in sexual intercourse & suppressing the urge of urination. Urine get mixed with semen:-Appearance of urine= Ashy water.

10.USHNAVATA :-

Due to physical exercise, travelling on foot & exposure.

Pitta and vata get vitiated. Burning sensation in bladder, penis & anus during micturition.

Colour of urine : Deep yellow(Like Turmeric or Reddish).

11. Pittaja Mutrasada :-

Due to pitta dushti.

Urine is yellow & thick.

Burning sensation.

On drying it becomes like powdered Gorochan.

12.Kaphaja Mutrasada :-

Due to kaphaj dushti

Urine is slimy,concentrated,white.

Passed with difficulty.

On drying it appears like powdered conch shell.

TREATMENT : -

kYaayaklksapI-iYa Baxyaana\ laohana\ pyaaMisa ca|xaarmaVasavasvaodana\ bastIMEcaao<arsaMiHatana\||ivadQyaanmaaMst~ ivaiQaM caaSmairnaaSanama\| ( sau.].58/27)

Use of Decoctions, pastes, ghrita, edibles, milks, alkali, wine, asavas, sudation, urethrl douches & other procedures which remove calculus.

FORMULATIONS : - 1. For Dysuria : - (a) Paste of seeds of ervaru (10gm) + saindhav lavana + sour gruel.(b) Wine + sauvarchala or Wine made of honey or jaggery should be taken while eating meat.(c) Wine(made of flour) + dadima + ela + jiraka + sunthi + saindhav.(d) Roots of vidarigandhadi drugs + Gokshura should b cooked in half prastha water + 4 times of milk. cooked till milk remains & taken with sugar & honey.

2.For disorder of urine : - (a) 10gm Paste of musta,devdaru,murva & madhuka.(b) 5gm Paste of haritaki,amalaki,bibhitaki & saindhav taken with water.(c) 10gm Paste of draksha kept in water overnight & well cooked – Removes pain.(d) 160ml of kantakari juice.(e) 160ml of Amalaki juice.(f) Powder of ela + juice of amalak.(g) Nala,pashanbheda,darbha,ikshu,seeds of trapusa, ervaru boiled in milk & mixed with ghee. (h) Milk cooked with madhur dravya & mixed with ghee – destroys calculus.(i) Paste of Bala + gokshura + seeds of krauncha + kokilaksha + roots of shataparvaka + devdaru + chitrak + bibhitaki.

Panchakarma in mutraghata : -

-snaohsvaodaoppnnaanaaM ihtM toYau ivarocanama\|tt: saMSauwdohanaaM ihtaEcaao<arbastya|| ( sau.].58/50 )

Snehan Swedan Virechan Uttar Basti ( with cocks fat+ oil )

xat Salya samaudBaUtmaU~aGaat inavaR<aoya | p`vaoSayaonmaU~maagao- SalaakaM maU~ saairNaIma\ || ( BaO.r.) Vedanashamak aushada Avagaha sweda Mutra vistravan nadi yantra

SymptomsMutrotsanga Papilloma, Calculus,

Stricture urethra. Pain Haematuria

Mutragranthi Ca. of Bladder Haematuria Solid, fixed, nodular tumour Pain during micturition

Ushnavata Acute cystitis or gonorrhoel urethritis

Increased frequency Pain Pyuria Haematuria Urgency Burning sensation

Vatasthila BPH Retention of urine Glandular Swelling Pain Urgency Haematuria