Urolithiasis, commonly known as renal stone disease, is a prevalent condition of the urinary system characterized by the formation of crystalline deposits within the urinary tract. It commonly presents with severe colicky pain, dysuria, hematuria, nausea, and urinary discomfort, and may significantly affect the quality of life.

In Ayurveda, renal calculi can be correlated with Ashmari, which is described under Mutravaha Srotas Vikara. The formation of Ashmari is primarily associated with vitiation of Vata Dosha, along with the involvement of Kapha, Mutra and Meda, leading to crystallization and stone formation. Ayurveda emphasizes Nidana Parivarjana, Dosha-Samprapti, Mutrala, Ashmarighna and Shothahara therapeutic approaches for the management of Ashmari. Various classical formulations and Panchakarma procedures have been described to facilitate dissolution or expulsion of calculi and to reduce recurrence.

The present case study highlights the Ayurvedic approach in the management of renal stone, focusing on the clinical presentation, Ayurvedic diagnosis, Samprapti, treatment protocol, and outcome. This case provides an opportunity to understand the potential role of Ayurvedic principles as a supportive approach in the management of urolithiasis.

A 28 year old patient with complaints of burning micturition,pain at abdomen radiating from loin to groin with CT scan KUB report suggestive of kidney stone was treated successfully with mutral, Bhedan, Shothahar Ayurvedic drugs like Pashanbheda, Gokshur, Punarnava. The usg report after treatment shows removal of renal stoneand symptoms also get subsided after treatment. So Ayurvedic medicine plays important role in treatment of kidney stones.