ADD-ON EFFECT OF PALASH PUSHPA KSHARA WITH TAMSULOSIN HYDROCHLORIDE IN THE MANAGEMENT OF MUTRAGHAT WITH SPECIAL REFERENCE TO BENIGN PROSTATIC HYPERPLASIA
Main Article Content
Keywords
Benign Prostatic Hyperplasia, BPH, Mutraghat, Vatashtheela, Palash Pushpa Kshara, Tamsulosin Hydrochloride, Ayurveda.
Abstract
Benign Prostatic Hyperplasia (BPH) is one of the most common urological disorders affecting elderly men, characterized by enlargement of the prostate gland and lower urinary tract symptoms (LUTS). In Ayurveda, the clinical features of BPH closely resemble Mutraghat, particularly Vatashtheela, which is described as an obstruction to the normal flow of urine due to aggravated Vata Dosha. Tamsulosin hydrochloride, an α1-adrenergic receptor blocker, is widely used for symptomatic relief but does not reduce disease progression or recurrence. Ayurveda offers several therapeutic interventions, among which Palash Pushpa Kshara possesses Ksharana (scraping), Lekhana (debridement), Shodhana (purification), and Mutrala (diuretic) properties that may complement modern therapy. The combination of Palash Pushpa Kshara with Tamsulosin may provide better symptomatic relief, improve urinary flow, reduce residual urine, and enhance the quality of life while minimizing the need for surgical intervention. This review highlights the potential role of this integrative approach in the management of BPH.
References
2. Sushrut samhita, Acharya Priyavrat Sharma Bhag 1, Nidan Sthan 1 /90 reprint -2020 Page no. 472
3. Vd.Anandkumar Shekokar , Vd . Kanchan Shekokar shalyatantra bhag 2 reprint – 2014 Page no 401-404
4. Vaidya yadhvaji Trikamji Acharya Editor, SushrutaSamhita with commentary of Dalhana, Volume -2, Uttara sthana, Chapter 58 7,8, Chowkamba oriental publishers, Varanasi, reprint; c2008, p. 679, 824.
5. Shastri Ambika Dutta, Sushrut Samhita, Uttara Tantra, Edition: Reprint 2010, Chaukhambha publication, chapter, 58th Shloka 7-8
6. Sushrut Samhita of Maharshi Sushrut with Ayurved tatva Sandipika Hindi commentary by kaviraj Ambikadutta Shastri volume-2,Uttar sthan, chapter58/1 Mutraghatpratishedh. Forwarded by Dr. Pranjeevan Manikchand Mehta, Chowkhamba Sanskrit sansthan. Edition-Reprint 2019. Varanasi.
7. Sushrut Samhita of Maharshi Sushrut with Ayurved tatva Sandipika Hindi commentary by kaviraj Ambikadutta Shastri volume-2,Uttar sthan, chapter58/7,8 Mutraghatpratishedh. Forwarded by Dr. Pranjeevan Manikchand Mehta, Chowkhamba Sanskrit sansthan. Edition-Reprint 2019. Varanasi.
8. Madhav Nidan, pratham bhag, Mutraghat nidan adhyay30/31-32).
9. SRB’S Manual of Surgery by Sri Ram Bhat M, Forwarded by Prakash Rao, 7th edition 2023, published by Jaypee Brothers Medical Publishers, chapter No -49. Section no 3 Page no 1104.
10. Bailey and Loves Short Practice of Surgery Edited by Norman S. Williams, P. Ronan O’Connell 27th edition n published in 2018 by CRC Press Taylor & Francis Group Chapter NO 78 Page No 1458.
11. S.Das Aconcise textbook of surgery 10th edition reprint edition 2018 ,page 1271/1274
12. SRB’S Manual of Surgery by Sri Ram Bhat M, Forwarded by Prakash Rao, 5th edition 2023, published by Jaypee Brothers Medical Publishers, chapter No -49. Section no 3 Page no 1044.
13. Textbook of pathology by Harsh Mohan, 5th edition, page no 748.
14. Baily & Love's, Short Practice of Surgery, 24th edition;c2004 р. 1370.
15. Baily, Love's, Short Practice of Surgery, 24th edition;c2004. p. 1370.
16. SRB’S Manual of Surgery by Sri Ram Bhat M, Forwarded by Prakash Rao, 5th edition 2023,published by Jaypee Brothers Medical Publishers, chapter No -49 p.g No 1045
17. Indian medical plants by Kirtikar and B .P. Basu , Volume 1 , reprint in 2005 Page no. 785
18. Mandanpal Nighantu ,Vidya Dnyanendra Pandey , reprint in 2020 , Page no 421
19. Nighantu Adarsa ,Balalal G Vaidya volume 1 , reprint 2007 Page no. 355
20. Dryaguna Vigyan ,Acharya Priyavat Sharma vol. 2 reprint -2011 Page no. 506
21. Drayaguna Hastamalak , Vidya Banvarilal Mitra Trutiya sansakarn 1995 , Page no 240.
22. Dr.K.D.Tripathi,Essential of medical pharmacology, 8 th edition ,page no 156,15
23. National Library of Medicine, Asian Journal of Urology , published in 2021 PMCIDPMC 9051355
24. Drayaguna Hastamalak , Vidya Banvarilal Mitra Trutiya sansakarn 1995 , Page no 240
25. Innovation of Ksharaplota(medicated gauze)in the Management of Vrana(Ulcer) AV Shekokar ,KM Borkar International journal of Ayurveda and Pharma Research ,2013
26. Role of Agnikarma in the management of chronic planter fasciitis. AV Shekokar ,KM Borkar International journal ayurvedic Med 4 ,421-5,2013

