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P
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DOI
: 10.5281/zenodo.21370955
Reg. No. : MAHA-703/16(NAG)
Year of Establishment – 2016
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH
Corresponding Author: Dr.Sharma Kushagra
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ISI Impact Factor (2025-26): 1.345
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Article Info: Article Received on : 09/06/2026 Article Reviewed on: 08/07/2026 Article Published on : 15/07/2026
Cite this article as: - Sharma, K.& Chaturvedi, P. (2026). Clinical Evaluation of Apamarg Kshara Taila Uttarbasti in the
Management of Cystitis. International Journal of Diagnostics And Research, 3(4), 57–61. https://doi.org/10.5281/zenodo.21370955
Abstract
Mutrakrichha is classified as a disorder of the Mutravaha Srotas and is primarily characterised by shoola (pain) and
kricchrata (dysuria). Acharya Charaka has described eight distinct types of Mutrakrichha, along with eight types of
Mutragatha. In Mutrakrichha, the vitiated Pitta Dosha, in association with Vata (particularly Apana Vayu), reaches
the Vasti (urinary bladder) and afflicts the Mutravaha Srotas, resulting in difficulty with micturition. The clinical
features described in Ayurvedic texts closely resemble urinary tract infections (UTIs) in modern medicine, particularly
lower UTIs such as urethritis and cystitis. Cystitis refers to an inflammatory condition of the urinary bladder that may
arise from infectious or non-infectious etiologies, often leading to bleeding from the bladder mucosa.
In this paper, we present a case of Mutrakrichha (chronic cystitis) in a 51-year-old male patient who reported
increased frequency of micturition and incomplete bladder emptying, burning micturition. The condition was
managed with Shodhana Basti, followed by three sittings of Uttar Basti using Apamarg Kshara Taila and Kasisadi
Taila. After a rest period of three days, the therapy was continued with three additional sittings of Uttar Basti using
Apamarg Kshara Taila.
Keywords- Mutrakriccha, Uttarbasti, Cystitis, Apamarg kshara taila, Kasisadi taila
Clinical Evaluation of Apamarg Kshara Taila Uttarbasti in the Management of Cystitis
Dr.Sharma Kushagra
1
, Dr. Chaturvedi Preeti
2
1
P,G, Scholar, Department of Panchakarma, Pt. Khushilal Sharma, govt. (Auto) Ayurveda College and
Institute, Bhopal, Madhya Pradesh, India.
2
Reader, PG department Panchakarma, pt. Khushilal Sharma govt. (Auto) Ayurveda College and Institute,
Bhopal, Madhya Pradesh, India.
G
A
R
V
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Introduction :
Cystitis is defined as an inflammatory condition of
the bladder that has a wide range of symptoms and
clinical features, which include a robust and
persistent urge to urinate, burning sensation while
urinating, passing frequent, small amounts of urine,
hematuria, passing cloudy or strong-smelling urine,
pelvic discomfort, feeling of pressure in the lower
abdomen, etc.
[1,2]
Mutra is the end product of digestion and
metabolism; it passes through the urethra. In both
Mutraghata and Mutrakrichha, Krichhrata
(dysuria) and Mutra-vibandhta are simultaneously
present, but in Mutrakrichha, there is predominance
of Krichhrata (dysuria). In Ayurvedic texts, urinary
disorders are described as 8 types of Mutrakrichha,
8 types of Mutraghatas, 4 types of Ashmaris, and
20 types of Prameha.
[3]
Acharya Kashyapa had
also described the signs and symptoms of
Mutrakriccha in Vednaadhyaya. Acharya Susrut
has described eight types of Mutrakrichha.
[4]
In
Mutrakrichha, the vitiated Pitta Dosha, along with
Vata (mainly Apana Vayu), on reaching the Basti
(bladder), afflicts the Mutravaha Srotas, leading to
difficulty in micturition.
Case Report:
A 51-year-old male patient visited Pandit Khushilal
Sharma Government Ayurveda Hospital, Nehru
Nagar, Bhopal, Madhya Pradesh, presenting with
increased frequency of micturition, unsatisfactory
bladder emptying, and a burning sensation during
micturition since April 2023. He also complained
of gaseous trouble, with tightness, pain, and a
burning sensation in the lower back.
History: No H/O Diabetes Mellitus, Hypertension
Family history: Nothing relevant
The study was carried out per the International
Conference of Harmonisation-Good Clinical
Practices guidelines (ICH-GCP) or The Declaration
of Helsinki guidelines.
Declaration of the patient consent: The authors
certify that they have obtained all patient consent
forms.
Table 1: Personal History:
Name: xyz
Bala –
Madhyam
(Average)
Prakriti – Pitta
Vata
Age-51 years
Sleep – Sound
BP – 110/70
mmHg
Sex – male
Addiction –
None
Appetite – Good
Marital
Status –
Married
Bowel Habit –
Regular
Occupation –
Teacher
Table 2: Ashtavidha Pariksha:
Nadi (Pulse): 80/min
Shabda (Speech):
Clear
Mala (Stool): regular
Sparsha (Touch):
Normal
Mutra (Urine): Burning
sensation, increased
frequency.
Druka (Eyes):
Normal
Jivha: Nirama(Uncoated)
Akruti (Built):
Madhyama
Lab investigations:- Bacterial culture and
sensitivity test, Aerobic, Urine
Organism isolated:- E.COLI
Urine Routine/ Microscopic Examination:-
1. Physical Examination:- NAD
2. Chemical Examination:- 1. Protein- Absent
2. Sugar-Absent
3. Microscopic Examinations:-Pus Cells- 3-4/hpf
4. Alkaline Phosphatase:- 210 IU\L
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Treatment Plan :
Treatment
Drugs
Days
Dose
Shodhan
Triphala
kwath
3
consecutive
days
350 ml
Uttar Basti
Apamarg
Kshar
Taila and
Kasisadi
Taila
3
consecutive
days
Increasing
dose.
1.15ml
2.20ml
3.25ml
Rest Days
-
3
consecutive
days
-
Uttar Basti
Apamarg
Kshara
Taila
3
consecutive
days
Increasing
dose.
1.15ml
2.20ml
3.25ml
Cha. si (chapter 9 verse 69)
[5]
Discussion :
Cystitis, characterised by dysuria, increased
frequency, urgency, suprapubic pain, and
sometimes hematuria, can be correlated with
Mutrakricchra and Mutraghata, as described in
Ayurvedic classics. The condition primarily
involves Vata–Pitta vitiation with Rakta and
Mutravaha srotas dushti, leading to inflammation
and irritation of the urinary bladder. Modern
management mainly relies on antibiotics, which
may provide temporary relief but are associated
with recurrence and drug resistance. Hence,
Ayurvedic interventions targeting the root cause
and local pathology are clinically relevant.
Uttar Basti is considered the treatment of choice for
disorders of the urinary tract as described by
Acharya Charaka and Sushruta. It allows direct
delivery of medicated substances to the bladder,
ensuring localised action with minimal systemic
side effects. In the present case, Apamarga Kshara
Taila and Kasisadi Taila were selected due to their
complementary pharmacological actions.
Apamarga Kshara possesses Ksharana, Lekhana,
Shodhana, and Mutrala properties. The Kshara
component helps reduce inflammatory debris,
microbial load, and mucosal thickening, thereby
clearing the obstruction and relieving dysuria. Its
Ushna and Tikshna guna counteract Kapha-induced
Srotorodha, while its Taila base pacifies aggravated
Vata, a key factor in pain and urinary frequency.
Kasisadi Taila, containing Kasis (Ferrous sulphate)
and other potent drugs, exhibits Krimighna,
Ropana, and Shothahara properties. It helps in
reducing local infection and inflammation and
promotes healing of the bladder mucosa. The
astringent and antimicrobial actions contribute to
decreased burning micturition and hematuria. The
Snigdha quality of the Taila also helps restore
mucosal integrity and reduce irritation.
The combined use of these two Tailas in Uttar
Basti addresses both Shodhana (cleansing) and
Shamana (pacification) aspects of treatment. The
observed clinical improvement—such as reduced
burning micturition, decreased urinary frequency,
and normalisation of urine parameters—supports
the efficacy of this approach. The localised mode of
drug administration enhances bioavailability at the
target site, which may explain the rapid
symptomatic relief.
Thus, Uttar Basti with Apamarga Kshara Taila and
Kasisadi Taila appears to be a safe and effective
modality in the management of cystitis, especially
in recurrent or chronic cases. However, larger
clinical studies are required to validate these
findings further and establish standardised
protocols.
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Results:
After administration of Uttar Basti with Apamarga
Kshara Taila with Kasisadi Taila, in increasing
order. The patient showed significant clinical
improvement in subjective parameters of cystitis.
Subjective Improvement
Burning micturition (Mutra Daha):
Markedly reduced within 5–7 days
Frequency of micturition (Muhurmuhu
Mutrapravritti): Reduced from frequent
episodes to near-normal intervals
Pain during micturition (Mutra Shoola):
Completely relieved by the end of therapy
Urgency and discomfort: Significantly
decreased
Overall, the patient reported substantial
symptomatic relief and improved quality of life.
Conclusion :
The present case study demonstrates that Uttar
Basti with Apamarg Kshara Taila, followed by
Kasisadi Taila, was effective in the management of
cystitis. The intervention resulted in significant
relief from classic symptoms such as dysuria,
increased frequency and urgency of micturition,
and burning sensation during urination. The
therapeutic action of Apamarg Kshara Taila, with
its Lekhana, Shodhana, and Mutravirechaniya
properties, helped clear obstructions and reduce
inflammation of the urinary tract. Subsequent
administration of Kasisadi Taila, known for its
Shothahara, Krimighna, and Ropana effects,
promoted healing of the bladder mucosa and
prevented recurrence. Overall, Uttar Basti proved
to be a safe and effective localised treatment
modality for cystitis, addressing both symptom
relief and underlying pathology in line with
Ayurvedic principles. This case highlights the
potential role of classical Ayurvedic interventions
in the management of urinary tract disorders.
However, larger clinical studies are recommended
to validate these findings further and establish
standardized treatment protocols.
References:
1. Li R, Leslie SW. Cystitis. [Updated 2021
Aug 12]. In: StatPearls [Internet]. Treasure
Island (FL): StatPearls Publishing; 2022
Jan. Available from: https://www.ncbi.nlm.
nih.gov/books/NBK482435/
2. Hematuria, Editor(s): David A. Wilson,
Clinical Veterinary Advisor, W.B.
Saunders, 2012, p.937-938, ISBN
9781416099796,https://doi.org/10.1016/B9
78-1-4160-9979-6.00402-5.
3. Singh RH. Caraka Samhita. Ch.ch.19/1.
Chaukhambha Surbharati Prakashan.
Vranasi:2016. P.109.
4. Satyapala Bhishgacharya. Kashyapa
Samhita “Vidyotini” Hindi commentary.
Ka.Su.25/21. Chaukhambha Sanskrit
Sansthan. Varanasi: 2009. P.34.
5. Charak Samhita of Agnivesha, revised by
Charak and Dridhabala, elaborated
Vidhyotini Hindi commentary by Pt.
Kashinath Shastri. Choukambha Bharti
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Academy, Varanasi, reprint edition 2019,
Siddhi Sthan, chapter 9, sloka 69. Pp 978
Declaration :
Conflict of Interest : None
ISSN: 2584-2757
DOI : 10.5281/zenodo.21370955
Dr.Sharma Kushagra Inter. J.Digno. and Research
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