- Research Article
- 10.21760/jaims.11.2.62
Vatastheela in the Classics: An In-Depth Literary Review
- Mar 14, 2026
- Journal of Ayurveda and Integrated Medical Sciences
- Abhishek Jaiswal + 2 more +2
In Ayurvedic literature, common urinary disorders are categorized under names such as Mutrakricchra (Dysuria), Mutraghata (Obstructive Uropathy), and Ashmari (Urinary calculi). Among the thirteen types of Mutraghata, Vatastheela is a distinct condition characterized by suprapubic pain (Vasti Pradesha), urinary retention, and other lower urinary tract symptoms (LUTS). It primarily arises due to the vitiation of Apana Vayu, leading to the development of a firm, fixed glandular swelling in the pelvic region near the bladder. Vatastheela is a Vata-dominant disorder, marked by urinary obstruction, swelling, and pain. Its pathogenesis involves disturbed Apana Vata getting localized in the bladder region. Ayurvedic management includes Vata-pacifying treatments, Basti Karma (medicated enemas), and the use of diuretic (Mutrala) herbs, along with clinical practices such as Uttarbasti, Yoga, and Ashwini Mudra. This literary review aims to critically compile and analyze the classical and contemporary Ayurvedic perspectives on Vatastheela - covering its aetiology, pathophysiology, clinical features, and management. The review draws from extensive references found in ancient Ayurvedic texts including Sushruta Samhita, Charaka Samhita, Ashtanga Hridaya, Ashtanga Sangraha, and others. In modern medical science, Vatastheela like features seen in Benign Prostatic Hyperplasia (BPH). Understanding and exploring this ancient knowledge can help in structuring evidence-based clinical research and developing more integrative approaches for Ayurvedic scholars and practitioners in the future.
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