Benign Prostatic Hyperplasia (BPH) is essentially a disease of old age in males, with the prevalence of around 50% by the age of 60 years. It is a condition with increase in size of the prostate, which exerts pressure on the urethra leading to obstruction to flow of urine. Acharya Sushrutha has explained in detail about obstructive and irritative symptoms of the Urinary bladder under the heading of Mutraghata in Uttaratantra.[1] Vatashteela is one among the 12 types of Mutraghata, where aggravated Vata gets localised in between Basti and Shakritmarga, producing a dense fixed stone like glandular swelling leading to obstruction of Vit, Mutra and Anila with Adhmana and Teevra Ruja in Basti Pradesha.[2] Acharya Vangasena has indicated Ksharapippali[3] in Vatashteela in Chikitsasaara Sangraha which has got many drugs with mutrala properties. Hence this study has been taken up to assess the efficacy of Ksharapippali in Vatashteela with emphasis on its probable mode of action
