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