A PRE & POST-TEST CLINICAL STUDY TO EVALUATE THE COMBINED EFFECT OF YOGA BASTI & SHAMANA YOGA CHIKITSA IN ASHMARI (RENAL STONE) BASED ON SUSHRUT PROTOCOL

Background: Ayurveda is a life science that is a comprehensive system of healthcare based mainly on experiential knowledge. It also considers Ahitahara-vihara to be the cause of the majority of diseases. Ashmari (renal stone) is one of the most common diseases of Mutravaha srotas (urinary system). Presenting Ashmari (urolithiasis) is classified asan Ashtamahagada (major disease) in Ayurveda due to its high recurrence and the limitations of conventional medical management. This study evaluates the combined efficacy of Shodhana (purification) and Shamana (palliative) therapies in managing renal calculi based on Sushrut’s protocols. Aims: To assess the combined effect of Yoga Basti and Shamana Yoga on the subjective and objective parameters of Ashmari. Method: Patients with USG-confirmed renal stones were randomly selected from MIAER, Mandsaur. The treatment protocol included an 8-day Yoga Basti (Anuvasan with Sahacharadi Tail and Asthapan with Varunadi Kwatha) followed by 60 days of Shamana therapy (Varunadi Kwatha, Chandraprabha Vati, and Gokshuradi Guggulu). Outcomes were measured using Wilcoxon signed-rank and paired t-tests to analyze changes in pain, dysuria, hematuria, and stone size via USG and urine analysis. Results: The combined therapy showed statistically significant improvement (P < 0.05) across all criteria. Results included a 63% reduction in renal colic, 94% relief in burning micturition, and 86% relief in dysuria. Objective parameters showed an 89% reduction in RBCs, 91% reduction in pus cells, and a 47.67% mean reduction in stone size. Post-treatment USG confirmed reduced stone dimensions in all patients. Conclusion: The combined protocol of Yoga Basti and Shamana Yoga is an effective non-surgical approach for the management of Ashmari, significantly reducing both clinical symptoms and stone size.