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@article{184976,
        author = {Dr. MINHAZ UL ARBIA and Dr. Srinivas Masalekar},
        title = {CLINICAL OUTCOME OF ARDRAKA KSHARA IN THE NON-SURGICAL MANAGEMENT OF PITTASHAYA ASHMARI WRT GALLSTONES – A SINGLE CASE REPORT},
        journal = {International Journal of Innovative Research in Technology},
        year = {2025},
        volume = {12},
        number = {4},
        pages = {4277-4281},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=184976},
        abstract = {Gallstones are solid concretions formed within the gallbladder or biliary tree due to an imbalance in the solubility of cholesterol, bile salts, and phospholipids. Clinically, they often present with right upper quadrant pain, nausea, and dyspeptic symptoms, particularly after fatty meals. While laparoscopic cholecystectomy remains the standard treatment in modern practice, conservative management is required for patients who are unfit for surgery or unwilling to undergo operative intervention.
In Ayurvedic literature, diseases not directly described are termed Anukta Vyadhi and are managed based on Nidana Panchaka. Cholelithiasis can thus be correlated with Pittashaya Ashmari. Acharya Sushruta recommends measures such as Ksharayavagu, Yusha, and Kashaya in such conditions. Internal therapies including Paneeya Kshara, with its Lekhana (scraping) and Bhedana (penetrating) properties, hold therapeutic potential in the management of gallstones.
This case report presents the outcome of Ardraka Kshara in management of cholelithiasis. A 39-year-old female with multiple gallstones (largest 10mm) presented with right upper quadrant pain, nausea, and fatty dyspepsia. She was administered Ardraka Kshara along with dietary modifications for three months. Within one month of starting the treatment, she reported complete relief from symptoms, had improved digestion, and absence of abdominal pain and tenderness. She remained symptom-free during follow-up, with no recurrence.
This case highlights the effectiveness of Ardraka Kshara in uncomplicated gallstone disease, offering a non-invasive and holistic alternative. Conservative management may thus serve as a safe and effective option for patients who are unwilling or unsuitable for surgery},
        keywords = {Ardraka kshara, cholelithiasis, pittashmari},
        month = {September},
        }