1.Evaluation of the efficacy ofBaladi Yoga in the Management of MootrakrichraByDiwakar Papu JoshiDissertation submitted to theRajiv Gandhi University of Health Sciences, Karnataka, BangaloreIn partial fulfillment of the degree of Ayurveda Vachaspati M.D.In KayachikitsaUnder the Guidance of Dr. V. Varada Charyulu M.D. (Ayu) (Osm) Dr. R.V.Shettar M.D. (Ayu) Department of KayachikitsaPost Graduate Studies & Research CenterD.G. MELMALAGI AYURVEDIC MEDICAL COLLEGE, GADAG 2002-2005

2. D.G.M.AYURVEDIC MEDICAL COLLEGEPOST GRADUATE STUDIES AND RESEARCH CENTER GADAG, 582 103This is to certify that the dissertation entitled Evaluation of the efficacy of Baladi Yogain the Management of Mootrakrichra is a bonafide research work done by Diwakar PapuJoshi in partial fulfillment of the requirement for the post graduation degree of AyurvedaVachaspati M.D. (Kayachikitsa) Under Rajeev Gandhi University of Health Sciences, Bangalore,Karnataka.Dr. R V SHETTAR Dr. V. VARADA CHARYULUM.D. (Ayu)M.D. (Ayu) (Osm)Co- Guide GuideLECTURER IN KAYACHIKITSA Professor & HODDGMAMC, PGS&RC, GadagDept. of KayachikitsaDate: PGS&RCPlace: GadagDate:Place: Gadag 3. J.S.V.V. SAMSTHES D.G.M.AYURVEDIC MEDICAL COLLEGEPOST GRADUATE STUDIES AND RESEARCH CENTER GADAG, 582 103Endorsement by the H.O.D, Principal/ head of the institutionThis is to certify that the dissertation entitled Evaluation of the efficacy of BaladiYoga in the Management of Mootrakrichra is a bonafide research work done by DiwakarPapu Joshi under the guidance of Dr. V. VARADA CHARYULU, M.D. (Ayu) (Osm),Professor & HOD and Dr. R V SHETTAR, M.D. (Ayu), in partial fulfillment of the requirementfor the post graduation degree of Ayurveda Vachaspati M.D. (Kayachikitsa) Under RajeevGandhi University of Health Sciences, Bangalore, Karnataka..(Dr. V. Varada charyulu) (Dr. G. B. Patil) Professor & HODPrincipal, Dept. of Kayachikitsa DGM Ayurvedic Medical College,PGS&RC GadagDate: Date:Place: GadagPlace: 4. Declaration by the candidateI here by declare that this dissertation / thesis entitled Evaluation ofthe efficacy of Baladi Yoga in the Management of Mootrakrichra is abonafide and genuine research work carried out by me under the guidance ofDr.V. Varada Charyulu M.D.(Ayu) and Dr. R. V. Shettar, M.D. (Ayu), lecturerin Kayachikitsa, DGMAMC, PGS&RC, Gadag.DatePlace(Diwakar Papu Joshi) 5. Copy rightDeclaration by the candidateI here by declare that the Rajiv Gandhi University of Health Sciences,Karnataka shall have the rights to preserve, use and disseminate thisdissertation/ thesis in print or electronic format for the academic / researchpurpose.DatePlace (Diwakar Papu Joshi) Rajiv Gandhi University of Health Sciences, Karnataka 6. Table of contentsEvaluation of the efficacy ofBaladi Yoga in the Management of Mootrakrichra Heading Page number Chapter -1 Introduction 1 to 3 Chapter 2 Objectives 4 to 4 Chapter 3 Review of literature 5 to 46 Chapter 4 Methodology47 to 63 Chapter 5 Results64 to 92 Chapter 6 Discussion 93 to 111 Chapter 7 Conclusion 112 to 114 Chapter 8 Summary115 to 122Bibliographic References 123 to 131Annex Case sheet 1 to 11 7. List of tablesSnoTable Heading Page1 Mootrakrichra Classification according to different authors72 Showing Nidana of Mootrakrichra mentioned in classics93 Samprapti ghatakas 164 Showing visista Lakshana of vataja Mootrakrichra 185 Showing visista Lakshana of pittaja Mootrakrichra196 Showing visista Lakshana of kaphaja Mootrakrichra197 Showing the visista Lakshana of Sannipataja Mootrakrichra208 Showing the visista Lakshana of Asmari & sharkara janya Mootrakrichra209 Showing the visista Lakshana of Raktaja Mootrakrichra2110Showing the visista Lakshana of Shalyabhighata Mootrakrichra 2111Showing the visista Lakshana of Sukraja Mootrakrichra2112Showing the visista Lakshana of Pureeshaja Mootrakrichra 2113Showing the relationships of right and left kidney 3414According to modern anatomy the organs in association with the bladder 3615Grades of Muhrmutrapravritti as frequency of micturition 5016Grading of Subjective parameters 5217Grading of urine in UTI with reference to the presence of Pus cells5418Distribution of patients by Age6519Distribution of patients by Gender 6720Distribution of patients by religion 6821Distribution of patients by Occupation 7022Distribution of patients by Economic status7123Distribution of patients by Marital status 7324Distribution of patients by Mode of on set 7425Distribution of patients by Recurrent attacks7526Distribution of patients by Prakruti 7627Distribution of patients by Nidana 7828Distribution of patients by Upadrava 7929Distribution of patients by frequency of micturition by grades 8030Distribution of patients by frequency of attacks 8131Distribution of patients by colour of urine8232Distribution of patients by reaction of urine8433Distribution of patients by type of Mootrakrichra8534Distribution of patients by Vyasana8635Distribution of patients by Subjective Parameters8736Statistical analysis of the parameters after the treatment 8937Statistical analysis of the parameters after the follow-up 8938Result of the Baladi Yoga in Mootrakrichra 91 8. List of figuresSno Pictures heading Page1 Samprapti of Mootrakrichra 172 Ingredients of Baladi Yoga 57List of graphsSnoGraph heading Page1 Distribution of patients by Age 652 Distribution of patients by Gender673 Distribution of patients by religion694 Distribution of patients by Occupation705 Distribution of patients by Economic status 726 Distribution of patients by Marital status737 Distribution of patients by Mode of on set748 Distribution of patients by Recurrent attacks 759 Distribution of patients by Prakruti7710Distribution of patients by Nidana7911Distribution of patients by Upadrava8012Distribution of patients by frequency of attacks in a year8213Distribution of patients by colour of urine 8314Distribution of patients by reaction of urine 8415Distribution of patients by type of Mootrakrichra 8516Distribution of patients by Vyasana 8617Distribution of patients by Subjective Parameters 8818Showing the over all results of Baladi yoga on Mootrakrichra92 9. Evaluation of the efficacy of Baladi Yoga in the Management of Mootrakrichra ByDiwakar Papu Joshi The disease Mootrakrichra is documented in classical texts of Ayurveda. Withdifferent modalities for management of Mootrakrichra can be correlated to urinary tractinfection on theoretical and clinical symptomatology of diseases. The definition ofMootrakrichra is painful discharge of urine or strangury The present clinical trial shows the pittaja variety of Mootrakrichra as moreprevalent in comparison to other varieties. Unhygienic life style viz. Lack of frequentwashing, unhygienic sex, alcohol, self medication etc., will tend the person to have UTI. The young patients showed good response to treatment compared to old age.The study reveals the male female ratio as 5:7 and recurrent attacks are in females thanof males. The gradual onset is prevalent than acute. Patients of more severity infrequency of micturition are having lesser rate of relief. More poor and low middle class (95.8%) is reported. Ativyayam and vyavayaare the main causative factors of UTI. Dukhen mootra pravritti and mootra daha arecommon presenting complaints in the study. Fewer cases are observed withmootrasanga and kukshishoola. Arati, aruchi and thrisna are most frequent upadravasin the study observed. The effect of Baladi yoga show high significance in the results of subjectiveparameters, such as dukhen mootra pravritti, mootra daha, basti shoola, mootrendriyashoola, jwara and urine pus cell count as objective parameter with p value as 0.05.When we compare before to that of follow-up, all parameters show high significance. Inthe parameter mootradaha, basti shoola and mootrendriya shoola show still highsignificance. From the tables generated in the study when compared, the t-value asp=