ABSTRACT

Mutrashmari, recognized as one of the Ashtamahagada, continues to pose diagnostic and therapeutic challenges due to its recurrent nature and complex pathogenesis.[1] Ayurveda describes three clinically relevant types—Vataja, Pittaja, and Kaphaja Ashmari—which correspond to urinary calculi, whereas Shukraja Ashmari represents spermolith formation. [2] Although modern urology has advanced significantly with the development of ultrasonography, radiology, and biochemical urine analysis, the precise etiology and recurrence of urolithiasis remain incompletely understood[3]. Classical Ayurvedic texts advocate early diagnosis and management during the Purvarupa Avastha, yet dosha-specific identification at this stage is difficult because morphological stone characteristics are not visible without imaging.This observational and analytical study aimed to bridge this diagnostic gap by correlating Purvarupa and Rupa of Mutrashmari with findings from sonology, radiology, and urine analysis in 60 patients. The study evaluated whether modern diagnostic parameters—such as stone size, site, radiodensity, urine pH, turbidity, RBC count, and crystal presence—could assist in identifying the underlying doshik predominance before stone expulsion. Results demonstrated a consistent association between imaging characteristics and classical doshik features, suggesting that integrated assessment enhances early diagnosis and enables dosha-specific intervention in the Purvarupa stage.This study highlights the potential of combining Ayurvedic clinical understanding with contemporary diagnostic tools to improve accuracy, facilitate early treatment, and reduce recurrence of Mutrashmari. The findings open avenues for a refined integrative approach to urinary stone disease. Keywords – Mutrashmari, Ashmari, urolithiasis, sonology, radiology, urine analysis, Purvarupa, doshik assessment, Ayurveda.