Mutra Shula Meaning, Causes, Symptoms, Treatment

By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Mutra Shula (shoola) is one among the different types of colic / pain in the abdomen mentioned by Master Sushruta. As the name suggests it is the pain caused in the abdomen by urine or retention of urine. Mutra = urine, Shula = colic / pain in the abdomen
Read – Shoola Types, Symptoms, Treatment, Medicines, Remedies

Table of Contents

Causes

Mithya Ahara Vihara / Vata Prakopaka Ahara Vihara – Incompatible foods and life activities or foods and activities which aggravate vata in the body are the main causes for obstruction of urine and the pain caused from the same.
Read – Symptoms Of Vata Dosha Increase And Imbalance – Vata Vruddhi Lakshana

Pathogenesis

Due to excessive consumption of unwholesome foods and life activities there occurs severe aggravation of vata
This aggravated vata causes obstruction of urine after having caused severe pain in the penis (urinary passage) and intestine / colon
Following this the patient experiences severe pain in the navel region, groins, both flanks (sides of the abdomen) and the entire abdomen
This painful condition caused by vitiated vata is called mootra shoola
Read – Dysuria: Causes, Remedies, Tips, Diet, Ayurvedic Treatment

Symptoms

Mutra avarana / avarodha – obstruction of urine
Nabhi shula – pain in and around the navel
Vankshana shula – pain in the groins
Parshva shula – pain in the flanks / sides of the abdomen
Kukshi shula – pain in the abdomen
Medhra shula / pida – pain in the penis

From the modern perspective

This type of pain may be caused due to many factors which include –

Urinary calculi
Enlargement of prostate gland / BPH
Stricture of urethra
Inflammation of urinary tract and passages
Infection

Treatment shall be in accordance to the cause.
Read – Urinary calculi – Home Remedies, Ayurvedic Treatment, Diet, Recipes

Sanskrit Verses

Treatment

Vatahara Chikitsa – Vata balancing measures is implemented on the first hand. Foods and activities which aggravate vata is avoided. Anti-vata therapies like oil and decoction enemas, enemas given through the urinary passages, therapeutic purgation etc will be helpful. Local therapies like herbal oil massage, sudation / fomentation, tub bath or showering with herbal decoctions / oils etc will help in relieving pain and balancing vata.

Other treatment –

Mutrakrichchra Chikitsa – treatment of dysuria
Mutraghata Chikitsa – treatment of obstruction of urine
Mutra Ashmari Chikitsa – treatment of urinary calculi
Shotha Chikitsa – treatment of inflammation / edema
Ashtila Chikitsa – treatment of enlargement of prostate gland
Mutravaha sroto dushti janya vikara chikitsa – treatment of contamination of channels carrying urine

Formulations for Mutra Shoola