Integrating Agni Karma and Viddha Karma for the management of Shayyamutra w.s.r to Nocturnal enuresis in children- A case report

Shayyamutra is one of the quite common obstinate problems, which are behavioral and urological. Yet the causes are unknown. It was one of the most disabling problems during development. This is also called night wetting or bed wetting. The word meaning of Shayyamutra is urination (Mutra)- during the night while lying in bed (Shayya means to sleep or lying down). The cause of enuresis or Shayyamutra is genetic, physiological, functional, and psychological. Very limited references about this disease are available in various Ayurvedic texts. A nine-year-old female child visited the outdoor patient department of Kaumarbhritya, Rishikul Campus, Haridwar (Uttarakhand) with the complaint of bed wetting, she had never achieved a consistent period of nighttime dryness as per her developmental age. After getting various modern and ayurvedic medicines she got no relief. Therefore, Agnikarma and Viddha Karma were the primary interventions selected for the present case study to resolve the nocturnal enuresis of the child. Ayurveda is a system of medicine that has been practiced for thousands of years. In Bruhatrayee, a direct reference to the Shayyamutra is fully detailed, but there are few references available. As a result, attempt to assemble all available information on this condition and its treatment by using Swarna Shalaka for Agnikarma and Viddha Karma so that one can gain a better management of the disease.