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International Journal of Pharmaceutical  Biological Archives 2018; 9(4):197-203
ISSN 2581 – 4303
REVIEW ARTICLE
Application of Cow and Goat Urine in Traditional Systems of Medicines: A Brief
Review
Suman Hazarika1
, Sagarika Das1
, Himangshu Sarma2
, Hemanta Kumar Sharma2
*
1
Centre for Studies in Biotechnology and Bioinformatics, Dibrugarh University, Dibrugarh, Assam, India,
2
Department of Pharmaceutical Sciences, Dibrugarh University, Dibrugarh, Assam, India
Received: 10 August 2018, Revised: 01 September 2018, Accepted: 01 October 2018
ABSTRACT
In spite of the progresses in science and technology, India is well-known for its traditional system of
medicine. Traditional use of medicine is practiced since the era of vedic. The Indian traditional system of
medicine such as Ayurveda, Siddha, and Unani has a very rich history of their effectiveness. As India is
a rich repository of herbal and medicinal plants, these traditional systems of medicine use herbal plants
and minerals as the vital source for drugs. Along with the use of herbal plants, the Indian traditional
system of medicine, especially Ayurvedic system, uses animal urine as a source of drug. In Ayurveda,
the properties of the urine of eight different animals along with the human urine and also its uses are
described. Basically, cow’s urine (CU) is used mainly for the treatment of various diseases in Ayurveda.
Apart from CU, urine of the other animals such as goat, sheep, buffalo, elephant, horse, camel, and
donkey were also used as remedies for the treatment of different diseases. An attempt has been made
in this article to bring forth the traditional and therapeutic use of cow and goat urine (GU) and also
highlights its efficacy. This article will provide brief information on cow and GU and their application in
traditional practice of medicine which may help people working in this area.
Keywords: Ajamutra, ayurvedic system, ethnomedical, gomutra, panchagavya, siddha system,
unani system
INTRODUCTION
The traditional system of medicine is utilized
such as Ayurveda, Unani, and Siddha medicine.[1]
It is considered as a major health-care provider
around the globe particularly in rural areas. India
is known for its traditional practices of medicine
since time immemorial. Medicinal plants based
on traditional systems of medicines are playing
an important role in providing health care to large
section of population, especially in developing
countries. India is a land of different groups of
people who have their own religion, beliefs,
culture, language, and dialects. Thus, diverse
medicinal systems have developed in this region.
A number of medicinal systems also introduced
here from outside and enriched in India.[2]
Among
ancient civilizations, India has been known to have
diversified varieties of medicinal plants as well as
aromatic plants. These medicinal and aromatic
plants are collected as raw materials for traditional
medicine. As per the record, currently, there are
about 20,000 medicinal plants, among them
only 7000–7500 plants are used by traditional
practitioners. However, Ayurvedic system of
medicine uses about 2000 plants, Siddha system
of medicine uses about 1300 plants, and Unani
system of medicine uses about 1000 plants. In
India, around 25,000 plant-based formulations
of traditional folk medicine are effectively use.[3]
Along with herbs, other ingredients are also used
for traditional practices of medicine. Among
them, animal urine is also used for the treatment
of various diseases. In general, cow urine (CU)
is considered as a remedy of all diseases. It is an
element of “Panchagavya” which is a concentrated
preparation of five products of cow. It has been
extensively used in the preparations of many
formulations of Ayurveda for treating curable as
well as incurable diseases.
The CU has an indelible placed in Vedic literature
for instance “Chakra Samhita,” “Ashtanga
*Corresponding Author:
Dr. Hemanta Kumar Sharma
E-mail: hemantasharma123@yahoo.co.in
Hazarika, et al.: Cow and goat urine traditional medicine
IJPBA/Oct-Dec-2018/Vol 9/Issue 4 198
Samgraha,” and “Atharva veda” science ancient
time in India. It has been considered as the most
valuable animal secretion having therapeutic
activities. In ancient time, CU therapy was used by
a large number of people for the treatment of many
diseases using Panchagavya or Panchakavyam.
The Panchagavya is a mixture of cow milk, ghee,
curd, dung, and urine.[4]
In Ayurveda, CU has been
referred for use more commonly because of the
special sanctity attached to the cow in India.. The
urine of other animals such as goat, sheep, buffalo,
elephant, horse, camel, and donkey, are also very
much used as remedies for the treatment of worms,
dropsy, abdominal enlargements, flatulence,
colic, anemia, abdominal tumor, loss of appetite,
tuberculosis, poison, hemorrhoids, amenorrhea,
leukoderma, leprosy, and aggravation of kapha
and vata and in several other mental diseases.[5]
In this context, this article aims to highlight the
characteristics, traditional as well as therapeutic
utility and future prospect of cow and goat urine
(GU).
CHARACTERISTICS OF URINE
The urine of both cow and goat is sharp, hot,
pungent, astringent in taste, and light in nature.[5]
The biochemical estimation of CU demonstrated
that it contains 95% water, 2.5% urea, minerals,
2.5% enzymes, 24 types of salts, minerals
including nitrogen, sodium, manganese, iron,
silicon, chlorine, magnesium, sulfur, calcium,
phosphate, citric, succinic, lactose, carbolic acid,
and creatinine, hormones, urea Vitamins A, B, C,
D, and E, and gold acids.[6,7]
Biochemical analysis of normal GU constitute
of nitrogenous constituents such as nitrogen,
urea, uric acid, allantoin, creatinine, creatine, and
ammonia. Non-nitrogenous constituents include
carbonates and bicarbonates; total phosphates and
sulfates; and chlorides, calcium, and magnesium.[8]
APPLICATION OF COW AND GU
Traditional applications
Cow is considered to be similar to mother (mata
and gaumata) in the Indian tradition and is
worshipped as goddess from ancient times, for
which every product of cow including its excreta
has a diversified use in Ayurveda. Gomutra was
compared to nectar and considered as potent
medicine in Veda. In the ancient holy literature
Sushruta Samhita, the properties of gomutra CU
have been elucidated. It states that the gomutra
is pungent, penetrating, hot in potency, easily
digestible, kindles digestion, and is alkaline in
nature.[5]
Conventionally, Gomutra has been considered
many holy purposes in India from ancient time. It is
sprayed in around the home and courtyards. People
are believed that it brings all happiness, purity,
peace, good health, and wealth.[9]
Eventually, CU
is used as disinfectant and natural insecticide.[10]
It
is utilized as an antiseptic agent for the treatment
of wound and skin diseases effectively since time
immemorial in the rural areas. CU is also used for
bathing as it is believed to be a disinfectant.[11]
Conventionally, a mixture of CU with curd, pepper,
and ghee is utilized in the treatment of fever. In
the treatment if leprosy, CU is utilized along with
dhruhardi. It is mixed with Nimbuchal use in
deformities related with leprosy. Mohanty et al.
mentioned about a combined formulation of CU
with the leaves of Kaner, leaves of Vasaka, bark
of Neem and leaves of Kuraila for the treatment
of chronic leprosy. The bark of Neem, Somapada,
and Mustard oil is mixed with CU which can
be used to treat epilepsy. To treat anemia, CU is
mixed with either mixture of cow milk, triphala,
or mixture of milk, lohabhasma.[12]
In Mandsaur,
it prescribes in worm infestations, to improve
immunity and to prevent aging effect.[13]
The use of GU and fermented CU is practiced
as a traditional pest management system and
crop production in India and Ethiopia. Goat and
fermented cattle urine, sand, ash, and practices such
as intercropping, border cropping, crop rotation,
and use if botanicals are some of weapons against
field and storage pests. The natural products such
as urine of goats and cattle, whey, sand, and ash are
oftenusedinthedevelopingcountriestocontrolpest
in the farm and storage where economic conditions
limit the usage of conventional pesticides as well
as protectants.[14]
The CU destroyed parasitic infections and skin
diseases including leprosy and removes itching. It
is beneficial for various problems that might occur
in the digestive system if taken internally. The urine
of both cow and goat are believed to alleviate the
Tridoshas in Ayurveda, which increases Pitta (that
represents metabolism, uses bile to direct digestion,
Hazarika, et al.: Cow and goat urine traditional medicine
IJPBA/Oct-Dec-2018/Vol 9/Issue 4 199
and enhances metabolism) while decreases Kapha
(plays an important role in the perception of taste,
together with nourishment and lubrication) and
Vata (all movements in the body are due to the
properties of Vata. Pain is characteristic feature
of deranged Vata). GU is beneficial for cough,
dyspnea, edema, jaundice, and anemia.[10]
Therapeutic use
The cow has been considered as fundamental to
Indian economy and culture life since millennia.
According to Ayurveda, the application of cow
products wrote in many Vedic literatures for
positive health, pharmaceutical processes, and
in therapeutics. However, it has been quite a few
studies on the activity, efficacy, acceptability,
and safety of Panchagavya as well as other
cow products.[15]
CU is believed to have great
pharmacological significance.
In Ayurveda, CU holds a distinctive position
and considered one of the most vital secretions
of animal origin possessing innumerable
therapeutic values. CU has been described in the
ancient holy literature “Sushrita Samhita” and
“Ashtanga Sangraha” that Gomutra contains all
the substances that are naturally present in the
human body and are believed that it balances all
these substances on consumption of the urine
and also helps in the treatment of many curable
and incurable diseases. Drinking of CU has
been practiced for thousands of years. CU and
it products possess many medicinal properties.
Therefore, these are taken alone or in combination
with some other medicinal plants to treat many
diseases, even those are not curable by allopathic
system. The “panchgavya therapy” or “cowpathy”
is mainly utilized in these kind of treatment.[16]
As per Ayurvedic literature, gomutra is beneficial
for the treatment of number of diseases particularly
abdominal tumor, filariasis, skin diseases,
cancer, etc. CU is used along with herbs to treat
various diseases such as abdominal pain, anemia,
constipation, epilepsy, and fever.[17]
Practitioners of Ayurvedic medicine from India
have shown and reported that taking CU routinely
is very useful and has cured many diseases such
as flu, colds, asthma, cough, and allergies. It is
also reported to cure parasitic infections, skin
diseases including leprosy, rheumatoid arthritis,
tuberculosis, chicken pox, hepatitis, leucorrhoea,
abdominal tumors, ulcer, heart disease, and
chemical intoxication.[16]
CU is taken on a daily basis to boost immunity.
It is a potent antibiotic and is able to destroy
pathogenic organisms. Diseases that are proven
to be cured by CU are cough, dysmenorrhea,
diabetes, blood pressure, asthma, eczema, heart
disorders, blockage in arteries, cancer, migraine,
thyroid, constipation, gynecological disorders,
respiratory disorders, and endocrine disorders.[12]
The GU “Ajamutra” is referred with great
importance from ancient period of time as well
as it also has a great significance in Ayurvedic
treaties. Ajamutra is said to be beneficial for all
channels and alleviates in all the three Dosha. GU
is pungent (Katu), hot (Ushna), and dry (Rooksha).
It is useful in treating deep sinuses (Nadi) and
relieves pain (Artijit); spleen-related disorders,
splenomegaly (Pleeha); Ascites (Udara); Kapha
disorders such as obesity; Asthma, respiratory
disorders involving difficulty in breathing
(Shwasa); abdominal tumor, ditention (Gulma);
and edema (Shopha).[8]
The urine of male and female goat is referred to
have different effects in curing disease. The urine
of he-goat and she-goat are used to be prescribed
separately for alleviating different diseases. The
usage of he-GU has been recommended both
externally and internally. Externally, it has been
prescribed in ointment for alleviating epilepsy,
toxicosis, etc., also in nasal medication as snuff
for curing insanity and in eye ointment for curing
dimness of vision, infection, and discharge of
pus. Internally, he-GU has been prescribed to be
taken in medicated ghee in complaints of cardiac
seizures. The urine of she-goat has been prescribed
extensively in the complaints of gynecological
diseases such as vaginitis and cervicitis.[5]
The
Ayurvedic treatise mentions the efficacy of he-GU
for the treatment of menometrorrhagia, cervical
erosion (karnini). It has a major ingredient of a
paste efficacious for treating piles.[5]
In Astanga Samgraha of Vagbhata, the GU has
also been referred as having the curing properties
in ailment of cough, respiratory difficulties, and
earache. GU slightly reduces and relieves cough,
dyspnea, edema, jaundice and anemia. Externally,
GUisusedtotreatitchingskindiseases,ringworms,
dermatophytosis or tinea infection and herpes.[8]
In Ayurveda, for the treatment for Psychosomatic
disorder such as “Apasmara,” the oil of Brassica
Hazarika, et al.: Cow and goat urine traditional medicine
IJPBA/Oct-Dec-2018/Vol 9/Issue 4 200
campestris Linn. Var. sarson Prain is prepared in
4 times of GU by tailaPaka method. The whole
body of the patient is massaged with it.[18]
ThemixtureofthepastesofNeelleaves(Indigofera
tinctori) and Triphala paste [a paste prepared from
Haleela (Terminalia chebula), Balela (Terminalia
bellirica), and Amla (Phyllanthus emblica)]; and
Bhangra (Eclipta prostrata) with an equal amount
of GU is prepared and applied on white hairs to
make hairs black.[19]
The powder/paste of Shireesha (Albizia lebbeck),
asafoetida (Ferula assa-foetida), garlic (Allium
sativum), tagara (Valeriana wallichii), vacha
(Acorus calamus), and kushta (Saussurea lappa) is
triturated by adding GU. This paste after dilution
is used for inhalation therapy and collyrium.[8]
Varti (medicated bougie) is prepared of Kushta
(Saussurea lappa), Pippali (Piper longum), buds
of Arka (Calotropis gigantea), and rock salt by
triturating with GU. It is inserted into the vagina
which cures Karnini type of uterine diseases.
All the therapeutic measures prescribed for the
treatment of diseases cause by Kapha are also
beneficial for the cure of this ailment.[8]
Patient suffering from epilepsy should massage its
body with a mixture made of mustard oil cooked
with 4 times of GU that helps the patient to get
relief from pain.[8]
The patients suffering from
Kshaya, i.e. synonym of Rajayakshma (pulmonary
tuberculosis) should stay in the company of goats
in the same room, drink goats milk, and use ghrita
prepared from goat’s milk in the ahara. The room
in which the patient and goats stay, should be
painted and tiled with goat’s faeces and urine.[20]
Tribal people of Attappady hills of Western Ghats
use GU orally for the treatment of tuberculosis
and uses goat milk externally for treating eye
problems.[21]
As antimicrobial
As antibacterial
A number of study report said that CU has act
as an antimicrobial agent against pathogenic
microorganisms such as Aeromonas hydrophila,
Bacillus cereus, Bacillus subtilis, Enterobacter
aerogenes, Escherichia coli, Salmonella typhi,
Proteus vulgaris, Staphylococcus aureus,
Klebsiellapneumoniae,Lactobacillusacidophilus,
Micrococcus luteus, Pseudomonas aeruginosa,
Pseudomonas fragi, Streptococcus agalactiae,
Staphylococcus epidermidis, Streptomyces
aureofaciens, Streptococcus pyogenes, and
Leishmania donovani. The antimicrobial property
of CU was detected as similar with ampicillin,
Cefpodoxime, chloramphenicol, ciprofloxacin,
gentamycin, nalidixic acid, ofloxacin, rifampicin,
tetracycline, and streptomycin in experiment.[22,23]
Rana and De found that CU collect from Gir cow
has a potential activity against Gram-positive
compared to Gram-negative bacteria.[24]
Sarsar
and co-workers demonstrated that photoactivated
urine has potential antimicrobial action against
Gram-positive B. cereus and Gram-negative A.
hydrophila.Thebactericidalactivitywasdepended
on the type of bacteria and the concentration of
photoactivated urine.[25]
The urinary proteins of GU have a potential
in vitro antibacterial activity. The goat urinary
cationic proteins have exhibited a significant zone
of inhibition against S. aureus and E. coli. It can
be applied to control infectious diseases.[26]
TheCUhasanantimicrobialandgermicidalfunction
due to the presence of elements, for instance,
urea, creatinine, swarn kshar (aurum hydroxide),
carbolic acid, phenols, calcium, and manganese.[27]
The antibacterial efficacy can increase due to the
presence of amino acids and urinary peptides
which can enhance the hydrophobicity of bacterial
cell wall. Moreover, CU may raise the phagocytic
action of macrophages. The antimicrobial
efficacy of fresh CU has enhanced due to the
higher quantities of phenol presence compared to
distillate CU distillate (CUD). Essential volatile
organic-inorganic and inorganic elements, for
instance, acetone, methanol, propanol, ammonia,
carbon dioxide, methane, and many secondary
nitrogenous metabolite are generated in CU during
photoactivation process.[28]
The photoactivated CU
(PhCU) has extremely acidic in nature than CU.
The bactericidal activity may be enhanced due
to the significant reduction in pH of PhCU. The
presence of inorganic phosphorus, chloride, and
dimethylamine synthesis of reactive substances
such as formaldehyde, sulfinol, ketones, and some
amines in the photoactivation process and long-
term storage.[29]
The development of antibacterial
resistance of CU can be prevented by blocking the
R-factor of plasmid genome of bacteria.[30]
The presence of swarn kshar in CU improves
immunity after day-by-day consumption. The
presence of allantoin raises the wound healing
Hazarika, et al.: Cow and goat urine traditional medicine
IJPBA/Oct-Dec-2018/Vol 9/Issue 4 201
activity.[31]
It improves the immunocompetence by
alleviating the release of interleukin-1 and -2 level,
augments B 
- 
and T-lymphocyte activities, and
concentration of IgA, IgM, and IgG antibody.[32,33]
As antifungal
Raw and CU distillate have been reported to
exhibit antifungal property against Aspergillus
fumigatus, Aspergillus flavus, Aspergillus niger
and A. flavus Aspergillus malassezia, C. tropicalis
and C. glabrata. CU inhibits 90–95% growth of
the Malassezia fungi, which is responsible for
causing dandruff.[4,34,35]
The urine collected from
outdoor feeding cow (OCU) has more effective to
inhibit the growth of fungi in an in vitro experiment
compared to indoor feeding CU (ICU). It was
observed that 10% OCU has completely inhibited
the growth of Penicillium notatum, Trichoderma
viride, and Alternaria solani as compared to
20% ICU. However, the growth of Rhizopus
oligosporius, Claviceps purpurea, A. candidus,
and C. albicans was detected at 20% of OCU.
[7]
Gotora et al. reported that CU has inhibited
the growth of Fusarium lateritium that cause
Fusarium bark disease in coffee.[36]
Antiseptic
Sanganal and co-worker noticed that CU has
significant wound healing property in Wistar
albino rats. They were reported that topical use
of CU on rats has progressively enhanced on the
4th
 day of application in wound healing compared
to 1% w/w nitrofurazone ointment.[37]
As anthelmintic
Concentrated CU was observed more efficient
compared to piperazine citrate as anthelmintic
action. The anthelmintic activity was carried
on Pheretima posthuma (Indian earthworm).
Because, the physiology and anatomy of P.
posthuma is similar with the roundworm present
in human intestines.[38]
Various compositions of Panchgavya and mixture
of 10%, 50%, and 75% of Panchgavya with the
ethanolic extract of Bauhinia variegata Linn
were detected to be good anthelmintic activity
against P. posthuma compared to piperazine. In
this experiment, combined mixture produced
synergistic activity with increasing doses.[39]
Antioxidant activity
An antioxidant prohibits the oxidation of other
substances and the releases of free reactive
oxidative species (ROS) or radicals. The ROS are
naturally generated in a living system from cell
metabolism as by-products. They can damage key
cell components. Thus, antioxidant preserved the
essential cell elements from ROS effects. The ROS
or free radicals are the critical intermediated for a
wide range of diseases such as aging, cancer, and
diabetes.[40]
The antioxidant property of CU was
elucidated by superoxide scavenging activity and
2, 2-diphenyl-1-picrylhydrazyl radical scavenging
activity in vitro models using ascorbic acid as
standard. Relatively fresh CU was observed
more free radical scavenging activity than its
distillate.[17]
The CU elements can prevent the
process of aging.
Anticancer activity
The CU has a potential of anticancer activity.
It rises the immunocompetence of people. It
has a free radical scavenging and antioxidant
function. Therefore, CU scavenges the ROS. The
researchers were demonstrated that apoptosis
occurred in lymphocytes at very low doses of
pesticides. It was also caused DNA fragmentation
in tissues. Thus, CU inhibits apoptosis of the
lymphocytes by preventing the formation of free
ROS. It efficiently regenerated the damage tissue
DNA. By this mechanism of action, CU has
carried anticancer therapy.[41]
Through an experiment, it has been demonstrated
that the urine of the Indian cow is the most efficient
among all kind of urine. The anticancer efficacy of
CU was measured by two phases in Swiss albino
mice. The carcinogenesis was induced on the skin
by applying of 7, 12-dimethyabenz[a]anthracene
(DMBA) topically. They reported that CU has the
potential chemopreventive activity on DMBA-
induced skin carcinogenesis in Swiss albino
mice.[42]
TOXICITY OF CU
Sachdev and coworkers analyzed the acute and
chronic toxicity of CU on male Wistar rats. They
reported that CU has no any toxicity after 32 times
of the experimental doses. Therefore, CU is
Hazarika, et al.: Cow and goat urine traditional medicine
IJPBA/Oct-Dec-2018/Vol 9/Issue 4 202
possessing excellent therapeutic index. Moreover,
they did not examined the histopathology of
rats.[43]
CHALLENGES, OPPORTUNITIES, AND
FUTURE PERSPECTIVES
Scientific researchers found that CU has many
beneficial properties, especially in the field of
agriculture and therapeutics.[44]
Therefore, many
researches were carried out using CU to cure
several diseases. Recent researches proved that
the distillate of CU is an efficient bioactivity
enhancer and availability facilitator for bioactive
molecules.[16]
The CUD was granted U.S. Patent
(No: US006410059B1) for its antimicrobial and
antifungal effect.[45]
The experiment demonstrated
that purified PhCU has been effective against many
drug-resistant bacterial strains including S. aureus,
P.fragi,E.coli,S.agalactiae,andB.subtilis.[46]
The
antioxidant property of CU and its distillate will be
very beneficial in modern sciences and will able to
provide potential therapeutic intervention against
oxidative threats that will help to cure certain
diseases.[17]
Extracts of Zingiber officinale Rose.
exhibit anthelmintic, larvicidal, and antimicrobial
activities after extracting with CU and PhCU as a
menstruum. However, antimicrobial, anthelmintic,
and larvicidal activity of Z. officinale Rose. raised
with PhCU.[6]
CONCLUSION
Cow and GU have a lot of application in
traditional and therapeutic uses. CU has a huge
potential of being used as an immunomodulator
particularly along with antibiotics and/or vaccines
to ameliorate their activity. CU, nowadays, has
been widely accepted as traditional medicine for
curing innumerable diseases. But, some may find
it difficult to consume the urine in raw form or
consumption of it may not be accepted in some
societies. Therefore, several organizations have
come forward to modify the palatability of the
crude CU and started marketing. Efforts are being
made to prepare the dry form of CU without
losing its activity.Along with CU, GU has also got
a diversified application in therapy. Both Gomutra
and Ajamutra in the near future will be able to
get a great position in modern pharmacology.
Since both Gomutra and Ajamutra are available
everywhere especially in rural areas, therefore, the
drugs produced by them will be of low production
cost compared to other drugs. However, more
investigation is necessitated for both cow and
GU to treat various diseases. The therapeutic
and traditional use of GU is not mentioned in a
systemic manner in Ayurveda. However, scattered
references are available to therapeutic and
traditional use of urine. The information available
in this review could be helpful to scientist, drug
designers, forensic experts, and other scientific
bodies related to Ayurvedic or ethnomedical
research. Further, more research is needed on both
cow and GU to establish their claimed therapeutic
potential.
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Application of Cow and Goat Urine in Traditional Systems of Medicines: A Brief Review

  • 1. © 2018, IJPBA. All Rights Reserved 197 Available Online at www.ijpba.info International Journal of Pharmaceutical Biological Archives 2018; 9(4):197-203 ISSN 2581 – 4303 REVIEW ARTICLE Application of Cow and Goat Urine in Traditional Systems of Medicines: A Brief Review Suman Hazarika1 , Sagarika Das1 , Himangshu Sarma2 , Hemanta Kumar Sharma2 * 1 Centre for Studies in Biotechnology and Bioinformatics, Dibrugarh University, Dibrugarh, Assam, India, 2 Department of Pharmaceutical Sciences, Dibrugarh University, Dibrugarh, Assam, India Received: 10 August 2018, Revised: 01 September 2018, Accepted: 01 October 2018 ABSTRACT In spite of the progresses in science and technology, India is well-known for its traditional system of medicine. Traditional use of medicine is practiced since the era of vedic. The Indian traditional system of medicine such as Ayurveda, Siddha, and Unani has a very rich history of their effectiveness. As India is a rich repository of herbal and medicinal plants, these traditional systems of medicine use herbal plants and minerals as the vital source for drugs. Along with the use of herbal plants, the Indian traditional system of medicine, especially Ayurvedic system, uses animal urine as a source of drug. In Ayurveda, the properties of the urine of eight different animals along with the human urine and also its uses are described. Basically, cow’s urine (CU) is used mainly for the treatment of various diseases in Ayurveda. Apart from CU, urine of the other animals such as goat, sheep, buffalo, elephant, horse, camel, and donkey were also used as remedies for the treatment of different diseases. An attempt has been made in this article to bring forth the traditional and therapeutic use of cow and goat urine (GU) and also highlights its efficacy. This article will provide brief information on cow and GU and their application in traditional practice of medicine which may help people working in this area. Keywords: Ajamutra, ayurvedic system, ethnomedical, gomutra, panchagavya, siddha system, unani system INTRODUCTION The traditional system of medicine is utilized such as Ayurveda, Unani, and Siddha medicine.[1] It is considered as a major health-care provider around the globe particularly in rural areas. India is known for its traditional practices of medicine since time immemorial. Medicinal plants based on traditional systems of medicines are playing an important role in providing health care to large section of population, especially in developing countries. India is a land of different groups of people who have their own religion, beliefs, culture, language, and dialects. Thus, diverse medicinal systems have developed in this region. A number of medicinal systems also introduced here from outside and enriched in India.[2] Among ancient civilizations, India has been known to have diversified varieties of medicinal plants as well as aromatic plants. These medicinal and aromatic plants are collected as raw materials for traditional medicine. As per the record, currently, there are about 20,000 medicinal plants, among them only 7000–7500 plants are used by traditional practitioners. However, Ayurvedic system of medicine uses about 2000 plants, Siddha system of medicine uses about 1300 plants, and Unani system of medicine uses about 1000 plants. In India, around 25,000 plant-based formulations of traditional folk medicine are effectively use.[3] Along with herbs, other ingredients are also used for traditional practices of medicine. Among them, animal urine is also used for the treatment of various diseases. In general, cow urine (CU) is considered as a remedy of all diseases. It is an element of “Panchagavya” which is a concentrated preparation of five products of cow. It has been extensively used in the preparations of many formulations of Ayurveda for treating curable as well as incurable diseases. The CU has an indelible placed in Vedic literature for instance “Chakra Samhita,” “Ashtanga *Corresponding Author: Dr. Hemanta Kumar Sharma E-mail: hemantasharma123@yahoo.co.in
  • 2. Hazarika, et al.: Cow and goat urine traditional medicine IJPBA/Oct-Dec-2018/Vol 9/Issue 4 198 Samgraha,” and “Atharva veda” science ancient time in India. It has been considered as the most valuable animal secretion having therapeutic activities. In ancient time, CU therapy was used by a large number of people for the treatment of many diseases using Panchagavya or Panchakavyam. The Panchagavya is a mixture of cow milk, ghee, curd, dung, and urine.[4] In Ayurveda, CU has been referred for use more commonly because of the special sanctity attached to the cow in India.. The urine of other animals such as goat, sheep, buffalo, elephant, horse, camel, and donkey, are also very much used as remedies for the treatment of worms, dropsy, abdominal enlargements, flatulence, colic, anemia, abdominal tumor, loss of appetite, tuberculosis, poison, hemorrhoids, amenorrhea, leukoderma, leprosy, and aggravation of kapha and vata and in several other mental diseases.[5] In this context, this article aims to highlight the characteristics, traditional as well as therapeutic utility and future prospect of cow and goat urine (GU). CHARACTERISTICS OF URINE The urine of both cow and goat is sharp, hot, pungent, astringent in taste, and light in nature.[5] The biochemical estimation of CU demonstrated that it contains 95% water, 2.5% urea, minerals, 2.5% enzymes, 24 types of salts, minerals including nitrogen, sodium, manganese, iron, silicon, chlorine, magnesium, sulfur, calcium, phosphate, citric, succinic, lactose, carbolic acid, and creatinine, hormones, urea Vitamins A, B, C, D, and E, and gold acids.[6,7] Biochemical analysis of normal GU constitute of nitrogenous constituents such as nitrogen, urea, uric acid, allantoin, creatinine, creatine, and ammonia. Non-nitrogenous constituents include carbonates and bicarbonates; total phosphates and sulfates; and chlorides, calcium, and magnesium.[8] APPLICATION OF COW AND GU Traditional applications Cow is considered to be similar to mother (mata and gaumata) in the Indian tradition and is worshipped as goddess from ancient times, for which every product of cow including its excreta has a diversified use in Ayurveda. Gomutra was compared to nectar and considered as potent medicine in Veda. In the ancient holy literature Sushruta Samhita, the properties of gomutra CU have been elucidated. It states that the gomutra is pungent, penetrating, hot in potency, easily digestible, kindles digestion, and is alkaline in nature.[5] Conventionally, Gomutra has been considered many holy purposes in India from ancient time. It is sprayed in around the home and courtyards. People are believed that it brings all happiness, purity, peace, good health, and wealth.[9] Eventually, CU is used as disinfectant and natural insecticide.[10] It is utilized as an antiseptic agent for the treatment of wound and skin diseases effectively since time immemorial in the rural areas. CU is also used for bathing as it is believed to be a disinfectant.[11] Conventionally, a mixture of CU with curd, pepper, and ghee is utilized in the treatment of fever. In the treatment if leprosy, CU is utilized along with dhruhardi. It is mixed with Nimbuchal use in deformities related with leprosy. Mohanty et al. mentioned about a combined formulation of CU with the leaves of Kaner, leaves of Vasaka, bark of Neem and leaves of Kuraila for the treatment of chronic leprosy. The bark of Neem, Somapada, and Mustard oil is mixed with CU which can be used to treat epilepsy. To treat anemia, CU is mixed with either mixture of cow milk, triphala, or mixture of milk, lohabhasma.[12] In Mandsaur, it prescribes in worm infestations, to improve immunity and to prevent aging effect.[13] The use of GU and fermented CU is practiced as a traditional pest management system and crop production in India and Ethiopia. Goat and fermented cattle urine, sand, ash, and practices such as intercropping, border cropping, crop rotation, and use if botanicals are some of weapons against field and storage pests. The natural products such as urine of goats and cattle, whey, sand, and ash are oftenusedinthedevelopingcountriestocontrolpest in the farm and storage where economic conditions limit the usage of conventional pesticides as well as protectants.[14] The CU destroyed parasitic infections and skin diseases including leprosy and removes itching. It is beneficial for various problems that might occur in the digestive system if taken internally. The urine of both cow and goat are believed to alleviate the Tridoshas in Ayurveda, which increases Pitta (that represents metabolism, uses bile to direct digestion,
  • 3. Hazarika, et al.: Cow and goat urine traditional medicine IJPBA/Oct-Dec-2018/Vol 9/Issue 4 199 and enhances metabolism) while decreases Kapha (plays an important role in the perception of taste, together with nourishment and lubrication) and Vata (all movements in the body are due to the properties of Vata. Pain is characteristic feature of deranged Vata). GU is beneficial for cough, dyspnea, edema, jaundice, and anemia.[10] Therapeutic use The cow has been considered as fundamental to Indian economy and culture life since millennia. According to Ayurveda, the application of cow products wrote in many Vedic literatures for positive health, pharmaceutical processes, and in therapeutics. However, it has been quite a few studies on the activity, efficacy, acceptability, and safety of Panchagavya as well as other cow products.[15] CU is believed to have great pharmacological significance. In Ayurveda, CU holds a distinctive position and considered one of the most vital secretions of animal origin possessing innumerable therapeutic values. CU has been described in the ancient holy literature “Sushrita Samhita” and “Ashtanga Sangraha” that Gomutra contains all the substances that are naturally present in the human body and are believed that it balances all these substances on consumption of the urine and also helps in the treatment of many curable and incurable diseases. Drinking of CU has been practiced for thousands of years. CU and it products possess many medicinal properties. Therefore, these are taken alone or in combination with some other medicinal plants to treat many diseases, even those are not curable by allopathic system. The “panchgavya therapy” or “cowpathy” is mainly utilized in these kind of treatment.[16] As per Ayurvedic literature, gomutra is beneficial for the treatment of number of diseases particularly abdominal tumor, filariasis, skin diseases, cancer, etc. CU is used along with herbs to treat various diseases such as abdominal pain, anemia, constipation, epilepsy, and fever.[17] Practitioners of Ayurvedic medicine from India have shown and reported that taking CU routinely is very useful and has cured many diseases such as flu, colds, asthma, cough, and allergies. It is also reported to cure parasitic infections, skin diseases including leprosy, rheumatoid arthritis, tuberculosis, chicken pox, hepatitis, leucorrhoea, abdominal tumors, ulcer, heart disease, and chemical intoxication.[16] CU is taken on a daily basis to boost immunity. It is a potent antibiotic and is able to destroy pathogenic organisms. Diseases that are proven to be cured by CU are cough, dysmenorrhea, diabetes, blood pressure, asthma, eczema, heart disorders, blockage in arteries, cancer, migraine, thyroid, constipation, gynecological disorders, respiratory disorders, and endocrine disorders.[12] The GU “Ajamutra” is referred with great importance from ancient period of time as well as it also has a great significance in Ayurvedic treaties. Ajamutra is said to be beneficial for all channels and alleviates in all the three Dosha. GU is pungent (Katu), hot (Ushna), and dry (Rooksha). It is useful in treating deep sinuses (Nadi) and relieves pain (Artijit); spleen-related disorders, splenomegaly (Pleeha); Ascites (Udara); Kapha disorders such as obesity; Asthma, respiratory disorders involving difficulty in breathing (Shwasa); abdominal tumor, ditention (Gulma); and edema (Shopha).[8] The urine of male and female goat is referred to have different effects in curing disease. The urine of he-goat and she-goat are used to be prescribed separately for alleviating different diseases. The usage of he-GU has been recommended both externally and internally. Externally, it has been prescribed in ointment for alleviating epilepsy, toxicosis, etc., also in nasal medication as snuff for curing insanity and in eye ointment for curing dimness of vision, infection, and discharge of pus. Internally, he-GU has been prescribed to be taken in medicated ghee in complaints of cardiac seizures. The urine of she-goat has been prescribed extensively in the complaints of gynecological diseases such as vaginitis and cervicitis.[5] The Ayurvedic treatise mentions the efficacy of he-GU for the treatment of menometrorrhagia, cervical erosion (karnini). It has a major ingredient of a paste efficacious for treating piles.[5] In Astanga Samgraha of Vagbhata, the GU has also been referred as having the curing properties in ailment of cough, respiratory difficulties, and earache. GU slightly reduces and relieves cough, dyspnea, edema, jaundice and anemia. Externally, GUisusedtotreatitchingskindiseases,ringworms, dermatophytosis or tinea infection and herpes.[8] In Ayurveda, for the treatment for Psychosomatic disorder such as “Apasmara,” the oil of Brassica
  • 4. Hazarika, et al.: Cow and goat urine traditional medicine IJPBA/Oct-Dec-2018/Vol 9/Issue 4 200 campestris Linn. Var. sarson Prain is prepared in 4 times of GU by tailaPaka method. The whole body of the patient is massaged with it.[18] ThemixtureofthepastesofNeelleaves(Indigofera tinctori) and Triphala paste [a paste prepared from Haleela (Terminalia chebula), Balela (Terminalia bellirica), and Amla (Phyllanthus emblica)]; and Bhangra (Eclipta prostrata) with an equal amount of GU is prepared and applied on white hairs to make hairs black.[19] The powder/paste of Shireesha (Albizia lebbeck), asafoetida (Ferula assa-foetida), garlic (Allium sativum), tagara (Valeriana wallichii), vacha (Acorus calamus), and kushta (Saussurea lappa) is triturated by adding GU. This paste after dilution is used for inhalation therapy and collyrium.[8] Varti (medicated bougie) is prepared of Kushta (Saussurea lappa), Pippali (Piper longum), buds of Arka (Calotropis gigantea), and rock salt by triturating with GU. It is inserted into the vagina which cures Karnini type of uterine diseases. All the therapeutic measures prescribed for the treatment of diseases cause by Kapha are also beneficial for the cure of this ailment.[8] Patient suffering from epilepsy should massage its body with a mixture made of mustard oil cooked with 4 times of GU that helps the patient to get relief from pain.[8] The patients suffering from Kshaya, i.e. synonym of Rajayakshma (pulmonary tuberculosis) should stay in the company of goats in the same room, drink goats milk, and use ghrita prepared from goat’s milk in the ahara. The room in which the patient and goats stay, should be painted and tiled with goat’s faeces and urine.[20] Tribal people of Attappady hills of Western Ghats use GU orally for the treatment of tuberculosis and uses goat milk externally for treating eye problems.[21] As antimicrobial As antibacterial A number of study report said that CU has act as an antimicrobial agent against pathogenic microorganisms such as Aeromonas hydrophila, Bacillus cereus, Bacillus subtilis, Enterobacter aerogenes, Escherichia coli, Salmonella typhi, Proteus vulgaris, Staphylococcus aureus, Klebsiellapneumoniae,Lactobacillusacidophilus, Micrococcus luteus, Pseudomonas aeruginosa, Pseudomonas fragi, Streptococcus agalactiae, Staphylococcus epidermidis, Streptomyces aureofaciens, Streptococcus pyogenes, and Leishmania donovani. The antimicrobial property of CU was detected as similar with ampicillin, Cefpodoxime, chloramphenicol, ciprofloxacin, gentamycin, nalidixic acid, ofloxacin, rifampicin, tetracycline, and streptomycin in experiment.[22,23] Rana and De found that CU collect from Gir cow has a potential activity against Gram-positive compared to Gram-negative bacteria.[24] Sarsar and co-workers demonstrated that photoactivated urine has potential antimicrobial action against Gram-positive B. cereus and Gram-negative A. hydrophila.Thebactericidalactivitywasdepended on the type of bacteria and the concentration of photoactivated urine.[25] The urinary proteins of GU have a potential in vitro antibacterial activity. The goat urinary cationic proteins have exhibited a significant zone of inhibition against S. aureus and E. coli. It can be applied to control infectious diseases.[26] TheCUhasanantimicrobialandgermicidalfunction due to the presence of elements, for instance, urea, creatinine, swarn kshar (aurum hydroxide), carbolic acid, phenols, calcium, and manganese.[27] The antibacterial efficacy can increase due to the presence of amino acids and urinary peptides which can enhance the hydrophobicity of bacterial cell wall. Moreover, CU may raise the phagocytic action of macrophages. The antimicrobial efficacy of fresh CU has enhanced due to the higher quantities of phenol presence compared to distillate CU distillate (CUD). Essential volatile organic-inorganic and inorganic elements, for instance, acetone, methanol, propanol, ammonia, carbon dioxide, methane, and many secondary nitrogenous metabolite are generated in CU during photoactivation process.[28] The photoactivated CU (PhCU) has extremely acidic in nature than CU. The bactericidal activity may be enhanced due to the significant reduction in pH of PhCU. The presence of inorganic phosphorus, chloride, and dimethylamine synthesis of reactive substances such as formaldehyde, sulfinol, ketones, and some amines in the photoactivation process and long- term storage.[29] The development of antibacterial resistance of CU can be prevented by blocking the R-factor of plasmid genome of bacteria.[30] The presence of swarn kshar in CU improves immunity after day-by-day consumption. The presence of allantoin raises the wound healing
  • 5. Hazarika, et al.: Cow and goat urine traditional medicine IJPBA/Oct-Dec-2018/Vol 9/Issue 4 201 activity.[31] It improves the immunocompetence by alleviating the release of interleukin-1 and -2 level, augments B  -  and T-lymphocyte activities, and concentration of IgA, IgM, and IgG antibody.[32,33] As antifungal Raw and CU distillate have been reported to exhibit antifungal property against Aspergillus fumigatus, Aspergillus flavus, Aspergillus niger and A. flavus Aspergillus malassezia, C. tropicalis and C. glabrata. CU inhibits 90–95% growth of the Malassezia fungi, which is responsible for causing dandruff.[4,34,35] The urine collected from outdoor feeding cow (OCU) has more effective to inhibit the growth of fungi in an in vitro experiment compared to indoor feeding CU (ICU). It was observed that 10% OCU has completely inhibited the growth of Penicillium notatum, Trichoderma viride, and Alternaria solani as compared to 20% ICU. However, the growth of Rhizopus oligosporius, Claviceps purpurea, A. candidus, and C. albicans was detected at 20% of OCU. [7] Gotora et al. reported that CU has inhibited the growth of Fusarium lateritium that cause Fusarium bark disease in coffee.[36] Antiseptic Sanganal and co-worker noticed that CU has significant wound healing property in Wistar albino rats. They were reported that topical use of CU on rats has progressively enhanced on the 4th  day of application in wound healing compared to 1% w/w nitrofurazone ointment.[37] As anthelmintic Concentrated CU was observed more efficient compared to piperazine citrate as anthelmintic action. The anthelmintic activity was carried on Pheretima posthuma (Indian earthworm). Because, the physiology and anatomy of P. posthuma is similar with the roundworm present in human intestines.[38] Various compositions of Panchgavya and mixture of 10%, 50%, and 75% of Panchgavya with the ethanolic extract of Bauhinia variegata Linn were detected to be good anthelmintic activity against P. posthuma compared to piperazine. In this experiment, combined mixture produced synergistic activity with increasing doses.[39] Antioxidant activity An antioxidant prohibits the oxidation of other substances and the releases of free reactive oxidative species (ROS) or radicals. The ROS are naturally generated in a living system from cell metabolism as by-products. They can damage key cell components. Thus, antioxidant preserved the essential cell elements from ROS effects. The ROS or free radicals are the critical intermediated for a wide range of diseases such as aging, cancer, and diabetes.[40] The antioxidant property of CU was elucidated by superoxide scavenging activity and 2, 2-diphenyl-1-picrylhydrazyl radical scavenging activity in vitro models using ascorbic acid as standard. Relatively fresh CU was observed more free radical scavenging activity than its distillate.[17] The CU elements can prevent the process of aging. Anticancer activity The CU has a potential of anticancer activity. It rises the immunocompetence of people. It has a free radical scavenging and antioxidant function. Therefore, CU scavenges the ROS. The researchers were demonstrated that apoptosis occurred in lymphocytes at very low doses of pesticides. It was also caused DNA fragmentation in tissues. Thus, CU inhibits apoptosis of the lymphocytes by preventing the formation of free ROS. It efficiently regenerated the damage tissue DNA. By this mechanism of action, CU has carried anticancer therapy.[41] Through an experiment, it has been demonstrated that the urine of the Indian cow is the most efficient among all kind of urine. The anticancer efficacy of CU was measured by two phases in Swiss albino mice. The carcinogenesis was induced on the skin by applying of 7, 12-dimethyabenz[a]anthracene (DMBA) topically. They reported that CU has the potential chemopreventive activity on DMBA- induced skin carcinogenesis in Swiss albino mice.[42] TOXICITY OF CU Sachdev and coworkers analyzed the acute and chronic toxicity of CU on male Wistar rats. They reported that CU has no any toxicity after 32 times of the experimental doses. Therefore, CU is
  • 6. Hazarika, et al.: Cow and goat urine traditional medicine IJPBA/Oct-Dec-2018/Vol 9/Issue 4 202 possessing excellent therapeutic index. Moreover, they did not examined the histopathology of rats.[43] CHALLENGES, OPPORTUNITIES, AND FUTURE PERSPECTIVES Scientific researchers found that CU has many beneficial properties, especially in the field of agriculture and therapeutics.[44] Therefore, many researches were carried out using CU to cure several diseases. Recent researches proved that the distillate of CU is an efficient bioactivity enhancer and availability facilitator for bioactive molecules.[16] The CUD was granted U.S. Patent (No: US006410059B1) for its antimicrobial and antifungal effect.[45] The experiment demonstrated that purified PhCU has been effective against many drug-resistant bacterial strains including S. aureus, P.fragi,E.coli,S.agalactiae,andB.subtilis.[46] The antioxidant property of CU and its distillate will be very beneficial in modern sciences and will able to provide potential therapeutic intervention against oxidative threats that will help to cure certain diseases.[17] Extracts of Zingiber officinale Rose. exhibit anthelmintic, larvicidal, and antimicrobial activities after extracting with CU and PhCU as a menstruum. However, antimicrobial, anthelmintic, and larvicidal activity of Z. officinale Rose. raised with PhCU.[6] CONCLUSION Cow and GU have a lot of application in traditional and therapeutic uses. CU has a huge potential of being used as an immunomodulator particularly along with antibiotics and/or vaccines to ameliorate their activity. CU, nowadays, has been widely accepted as traditional medicine for curing innumerable diseases. But, some may find it difficult to consume the urine in raw form or consumption of it may not be accepted in some societies. Therefore, several organizations have come forward to modify the palatability of the crude CU and started marketing. Efforts are being made to prepare the dry form of CU without losing its activity.Along with CU, GU has also got a diversified application in therapy. Both Gomutra and Ajamutra in the near future will be able to get a great position in modern pharmacology. Since both Gomutra and Ajamutra are available everywhere especially in rural areas, therefore, the drugs produced by them will be of low production cost compared to other drugs. However, more investigation is necessitated for both cow and GU to treat various diseases. The therapeutic and traditional use of GU is not mentioned in a systemic manner in Ayurveda. However, scattered references are available to therapeutic and traditional use of urine. The information available in this review could be helpful to scientist, drug designers, forensic experts, and other scientific bodies related to Ayurvedic or ethnomedical research. Further, more research is needed on both cow and GU to establish their claimed therapeutic potential. REFERENCES 1. Paul R, Gogoi B, Zaman K, Sharma HK. Comparison of curcumin content of some turmeric samples collected from different places of Northeast India. Eur J Biomed Pharm Sci 2016;3:440-5. 2. Sen S, Chakraborty R. Revival, modernization and integration of Indian traditional herbal medicine in clinical practice: Importance, challenges and future. J Tradit Complement Med 2017;7:234-44. 3. Pandey MM, Rastogi S, Rawat AK. Indian traditional ayurvedic system of medicine and nutritional supplementation. Evid Based Complement Alternat Med 2013;2013:376327. 4. Hoh JM, Dhanashree B. Antifungal effect of cow’s urine distillate on candida species. J Ayurveda Integr Med 2017;8:233-7. 5. Thakur AN. Therapeutic uses of urine in early Indian medicine. Int J Hist Sci 2004;39:415-27. 6. Dhiman A. Comparison of antimicrobial, larvicidal and anthelmintic activity of Zingiber officinale Rose. Cow urine extract. Int J Green Pharm 2017;11:S280-4. 7. Randhawa GK, Sharma R. Chemotherapeutic potential of cow urine: A  review. J  Intercult Ethnopharmacol 2015;4:180-6. 8. Goaut Urine Benefits, UsageAs PerAyurveda.Available from: https://www.easyayurveda.com/2015/09/17/goat- urine. [Last accessed on 2018 Nov 14]. 9. Importance of Gomutra (Cow Urine). In: Ayurveda with Additional Reference of Panchagavya Kannadiga World. Available from: https://www.kannadigaworld. com/news/karavali/265403.html. [Last accessed on 2018 Dec 02]. 10. Kumar B, Singh J. Concept of urine in brihhatrayi. Int J Ayurveda Pharm Res 2017;5:70-5. 11. Kumar S. Analysis of cow’s urine for detection of lipase activity and anti-microbial properties. J Pharm Biol Sci 2013;7:1-8. 12. Mohanty I, Senapati R, Jena D, Palai S. Diversified uses of cow urine. Int J Pharm Pharm Sci 2014;6:20-2. 13. Jain NK, Gupta VB, Garg R, Silawat N. Efficacy of cow
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