In general, diseases of the bladder and urthera are called 'Mutraghata'
Mutraghata is essentially synonymous with urethritis, as a disease of the urinary track.
It can be divided into eight categories, with the characters of Vataja, Pittaja, Kaphaja, Sannipataja, Aghantuja, Purisaja, Shukraja and Asmarija.
Whatever may be the cause and condition of urethritis, dysuria is always a symptom. Plenty of water must be drunk by the patient. Drinking water stimulates mucous membrane secretion for protection of the urethra and also causes a natural diuretic action.
The general remedies for disorders of the urinary tract are diuretics (mutravirechana), which promote the flow of urine and correct the downward flow of Vata dosha. This chapter will make frequent reference to diuretics, some of which can be chosen from this list of useful remedies:
1.Gokshura fruit (Tribulus terrestris)
2.Pashanabheda root (rockfoil / Bergenia ligulata)
3.Pueraria tuber (vidari / Pueraria lobata)
4.Punarnava plant/root (Boerhavia difusa)
6.Shukti Bhasma (oyster shell ash /Ostrea gigas)
7.Soraka (Potassium chloride)
8.Yava seed (barley / Hordeum vulgare)
9.Yavakshara alkaline ash
There are some specific remedies against urethritis that can be prescribed in any condition. These include:
1.Gokshuradi guggulu, 2 pills twice daily
2.Shitarasa vati, 2 pills twice daily
3.Chandraprabha vati, 2 pills twice daily
Treatment of specific types:
Dysuria or dysuria with the character of Vata has symptoms of dryness of the urethra. It is treated with the regular Vata treatments along with diuretic remedies and urinary track enema made with greasy remedies. One useful remedy is a medicated oil prepared with equal parts Punarnava (Boerhavia difusa), Eranda root (Castor / Ricinus communis) and Shatavari (Asparagus racemosa) in a base of ghee or sesame oil that can be massaged over the lower pubic region.
Urethritis with the character of Pitta is related to an inflamed urethra. It is treated with the regular Pitta treatments along with diuretic remedies, enema through the urinary pipe and laxative remedies. One useful intervention is a cold fomentation applied topically to pubic region, prepared with 4 parts honey, 2 parts each Amalaki fruit (Indian gooseberry / amla / Phyllanthus emblica) and Madhukam root (licorice / Glycyrrhiza glabra) and one part Devadaru wood (Himalayan cedar / Cedrus deodara), prepared with rice water or cold water.
Kapha urethritis is concerned with swelling of the urethra. It is treated with the regular Kapha treatments along with diuretic remedies and enema through the urinary pipe. Useful therapies include Pravala Bhasma (purified coral oxide), taken with cold water, or a cooled decoction of Guduchi stem (Tinospora cordifolia) taken with honey.
Sannipataja Urethritis -Urethritis with the character of Sannipata presents with complicated urinary symptoms. It is very difficult to cure, however is can be treated with symptomatic treatments based on the treatments for Vataja, Pittaja and Kaphaja urethritis.
Agantuja Urethritis - Urethritis with the character of Agantuja is concerned with a traumatic injury causing urethritis. It is treated with the same remedies of urethritis with the character of Vata, along with remedies such as Chandraprabha vati (2 pills twice daily) and Gokshuradi guggulu vati (2 pills twice daily).
Purisaja Urethritis - Urethritis with the character of Purisaja is related to constipation. It is treated with the regular Vata treatments and laxative remedies.
Shukraja Urethritis - Urethritis with the character of Shukraja is related to prostatitis. It is treated with the same remedies used for prostatitis.
Asmarija Urethritis - Urethritis with the character of Asmarija is caused by urinary lithiasis. It is treated with the same remedies used for urinary lithiasis.