International Journal of Health Sciences & Research (www.ijhsr.org) 445 Vol.9; Issue: 5; May 2019 International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Case Study A Case Study on Matra Basti and Shiro Abhyanga in the Management of Shayya Mutra (Nocturnal Enuresis) in Children Lowkesh Chandravanshi 1* , Aparna Singh 2 , Sagar Sharma 3 1 Assistant Professor, Department of Kaumarabhritya, RLAMC & H Chandkhuri,Durg (Chhattisgarh) 2 Assistant Professor, Department of Kriya sharir RLAMC & H, Chandkhuri,Durg (Chhattisgarh) 3 Assistant Professor, Department of Swasthavrita RLAMC & H, Chandkhuri,Durg (Chhattisgarh) Corresponding Author: Lowkesh Chandravanshi ABSTRACT This case describes about a 10 year old male child with Enuresis. Result achieved by treatment approach through Ayurveda that includes oral herbal drug, matra basti and shiro abhyanga. Aim & Objective: To access the efficacy of Ayurvedic line of treatment in the management of Enuresis. Sitting: IPD of Rajiv- lochan Ayurved medical college & hospital Chandkhuri, Durg (Chhattisgarh) Method: Matra basti, shiro abhyanga was given with oral Ayurvedic medicines. Symptoms were recorded before and after treatment. Result: Patient relief from the symptoms of Enuresis after the 20 days of treatment. KEY WORDS: Enuresis, Herbal medicine, Matra basti and Shiro abhyanga. INTRODUCTION Enuresis is defined as normal nearly complete evacuation of the bladder at a wrong place and time at least twice a month after the fifth year of life. [1] The diagnosis of enuresis is made when urine is voided twice a week for at least 3 consecutive months or when clinically significant distress occurs in areas of the child’s life as a result of the wetting. The prevalence of enuresis at age 5 years is 7% in male and 3% in females and at age 18 year 1% in male and extremely rare in female. Evidence suggests different rates of bed wetting by ethnicity and culture. Enuresis may be divided into the persistent type (primary), in which the child has never been dry at night and the regressive (secondary) type I in which a child who has been continent for 6 month or longer then begins to wet the bed. [2] More than 85% children will have complete diurnal and nocturnal control by five years of age. The remaining 15% gain continence at a rate of approximately 15% per year. By adolescence, 0.5-1% children continue to have enuresis. Bed wetting at night is known as nocturnal enuresis. Less than 5% of children with nocturnal enuresis have an organic basis. In Ayurveda no any direct reference available about shayya mutra in Bruhatrayees. A few references are available regarding Shayya mutra. Sharangdhar has enumerated Shayya mutra under the 20 caption of Balaroga chapter. [3] Shayya mutra is also describe by Vangsen samhita in 70 th chapter. In this disease mainly Vata (Apan vata), Pitta (pachak pitta), Kapha (Tarpaka kapha), along with Manshika dosha tama are involved. [4] CASE REPORT A 10 year old male patient was brought to Rajiv-lochan Ayurvedic Hospital Chandkhuri, Durg (Chhattisgarh) with complaints of bedwetting at night since birth.