Atonic bladder And Ayurveda

  • A large dilated urinary bladder that does not empty, usually due to disturbance of innervations or chronic obstruction.
  • It occurs due to a nerve signaling problem that may occur after a stroke, spinal injury, or tumor. This condition causes the bladder to be in one of three states: flaccid, spastic, or a mix of the two.


  • Flaccid –bladder unble to contract, which causes urinary overflow.
  • Spastic – involuntary contractions of bladder which causes produces feelings of wanting to urinate despite not having a full bladder.
  • Mixed refers to having a combination of both flaccid and spastic bladder.


  • Atonic bladder often requires catherterisation due to loss of urine control.
  • Causes-

Neurological destruction-

  • Birth defects like spina bifida, which occurs when the fetus’s spine does not completely develop during early pregnancy.
  • Spine surgery
  • Paralysis
  • Parkinson’s disease
  • Multiple sclerosis
  • Central nervous system tumors
  • Heavy metal poisoning
  • Trauma due to accidents
  • Stroke
  • Spinal cord injuries
  • Erectile dysfunction
  • Diabetes mellitus
  • Obstruction of urinary tract
  • Bladder prostate
  • Skin occupying lesion (SQL)



  • Dilated bladder leading to overflow leakage and damage to the bladder walls.
  • UTI because of urine pooling and bacterical growth in the atonic bladder.
  • Sometimes bladder become overactive or sometime underactive,
  • Retension of urine (in some cases)
  • Dribbling micturation
  • Other signs like back weakness, elbow cramps or weakness, wrist weakness, retention of urine, and emotional symptoms.


  • Here vatakaphaharam usnaviryam srotosodanam and gulma cikitsa should be done.


  • Dashmularishta
  • Dashmool Ghan
  • Sapthasaram kasayam –.
  • Ciravilvadi kasayam –
  • Varanadi kasayam –
  • Virataradi kasayam –
  • Citraka granrtiyadi kasayam –
  • Vatyadi kasayam –
  • Hinguvacadi curnam
  • Hutabhukadi curnam
  • Vaisvanara curnam –
  • Dhanvantara gulika (muhur – muhur ) after food.
  • Candraprabha vati –
  • Siva gulika
  • Dasamulaharitaki
  • Danti haritaki

Ghrtam (Avapidaka snehapanam)

  • Dhanvantara ghrtam
  • Vastyamayanthaka ghrtam
  • Trikanartaka ghrtam

Rasa ousadas

  • Abhraka bhasmam – 25 mg to 400 mg with milk morning and night after food.
  • Kanmadha bhasmam – 200 to 500 mg with trphala kasayam morning and night after food.


  • Picu-Done with Dhanvantaram tailam around naval area.
  • Sneha vasti
  • Pippalyadi anuvasana vasti 75 ml noon after food.
  • Kashaya basti-Mutrasangrahniya dravya and mutravirajaniya drava
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