Urinary disorders have a specific identity both in modern and Ayurvedic system of medicine. The oldest written reference of this disease is seen in samhitha. The improper purificatory procedure results in residual accumulation of kapha and pitta Prakopa in mootravah srotas. Hence all the doshas collectively result in formation of Ashmari. Ashmari (urolithiasis) is a frequent clinical problem with an incidence of 0.1% to 6% in general population. The disease is prevalent irrespective of their socio-economic and cultural background. It is estimated that about 5-7 million patients are suffering from urinary calculus in India with male to female ratio of 2:1. The peak incidence is observed in 2nd to 3rd decades of life. There are different treatment lines for the management of Ashmari in modern system. In spite of all these techniques, surgical management remains as a treatment of choice. Recurrence is inevitable in 60% of cases. But these techniques can develop complications and are not affordable to an average Indian patient. So there is a need to find out an alternative management. Management of urinary disease occupies an important place in Ayurveda. Even though a lot of research has been done in Ashmari management, there is still a vast scope to explore new avenues. Hence the proper, cost effective, simple, safe, conservative i.e. Shigrumula kwatha is advised.
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