Year - 2026Volume - 4Issue - 2Pages - 115-123
“Clinical Evaluation of Shamana Chikitsa in Pittashmari w.s.r. to Cholelithiasis: A Case Study”
19 Jun 2026
12
About Author
Saste D1,Jamdhade D2,Jamdhade D3,Polawar D4,
1 PG Scholar , D.M.M.AYURVED COLLEGE YAVATMAL
2 HOD.AND PROFESSOR, KAYACHIKITSA , D.M.M.AYURVED COLLEGE YAVATMAL
3 Assistant professor,Department of Dravyaguna, D.M.M.AYURVED COLLEGE YAVATMAL
4 Professor , Kayachikitsa Department, MUP Ayurved college,Risod.
Correspondence Address
D.M.M.AYURVED COLLEGE,ARNI ROAD, SHIVAJINAGAR, YAVATMAL.
Contact No. : 9834670385, Email : nandsaste2000@gmail.com
Date of Acceptance : 28 Jun 2026
Date of Publication : 30 Jun 2026
Article ID : SD-IJAY_186
How to cite this article : http://doi.org/10.55552/SDNJAY.2026.4213
Abstract
Background: Cholelithiasis is a common hepatobiliary disorder characterized by the formation of gallstones and is a frequent cause of abdominal pain and dyspeptic symptoms. In Ayurveda, it can be correlated with Pittashmari based on its clinical features and pathogenesis. Ayurvedic management aims to restore the balance of Doshas, improve Agni, and facilitate the resolution of pathological processes responsible for stone formation.
Aim: To evaluate the clinical outcome of Ayurvedic management in a case of Pittashmari w.s.r. cholelithiasis. Materials and Methods: A 35-year-old male patient presented with intermittent right hypochondriac pain, nausea, occasional vomiting, indigestion, loss of appetite, and burning sensation after intake of oily and spicy food. Ultrasonography revealed mobile gallbladder calculi measuring 3.7 mm and 3.3 mm without evidence of cholecystitis. The patient was managed with Aarogyavardhini Vati, Punarnava Mandura, Sutshekhar Rasa, Punarnavasava, a combination of Punarnava Guggulu, Kutaki Churna, Punarnava Churna, Hajral Yahud Bhasma, and Sukhvirechan Churna. Clinical symptoms and ultrasonographic findings were assessed before and after treatment.Results: The patient showed marked improvement in abdominal pain, nausea, indigestion, burning sensation, and appetite. Follow-up ultrasonography demonstrated complete resolution of the previously detected gallbladder calculi with no significant diagnostic abnormality. Conclusion: The present case indicates that Ayurvedic management may provide significant symptomatic relief and may facilitate the resolution of small gallbladder calculi in uncomplicated cases. Further well-designed clinical studies with larger sample sizes are required to validate these findings.