Shukravaha srotas-Role of panchakarma -Dr Kishore Mahindraker

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Role of panchakarma in disease related to shukravaha srotas.

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Shukravaha srotas-Role of panchakarma -Dr Kishore Mahindraker

  1. 1. 3/17/2014DR KISHORE MAHINDRAKER
  2. 2. DR.KISHORE MAHINDRAKER 2ND YR PG SCHOLAR ,DEPT. OF PANCHAKARMA GAMC, BANGALORE-09 3/17/2014DR KISHORE MAHINDRAKER
  3. 3. Introduction Panchakarma as detoxification Understanding Human Body-Conceptual Understanding shukra & Shukra vaha srotas Panchakarma in Shukra vaha sroto vikara – Klaibya(Erectile Dysfunction) Shukragata vata(Premature ejaculation) Na jayete garbha(Infertility) Conclusion 3/17/2014DR KISHORE MAHINDRAKER
  4. 4. In the present scenario of medicine , manifestation of many non communicable diseases which are categorised under the Idiopathic aeitiology have become difficult to treat radically in Western system of medicine. After lot of research work done till date ,Doctors & Scientist have failed to come out with fruitfull results in managing such non communicable disease. Male sexual dysfunction being one of the burning issue………. 3/17/2014DR KISHORE MAHINDRAKER
  5. 5. Ayurveda –The Science enriched with its unique modality of treatment i.e. PANCHAKARMA provides lot of hopes & near radical management in NCD , Specially in management of Male sexual dysfunct Considering one of the burning issue in society & its radical treatment by panchakarma , this topic is selected for the presentation & dissussion 3/17/2014DR KISHORE MAHINDRAKER
  6. 6. What is Panchakarma or Detoxification Therapy????? 3/17/2014DR KISHORE MAHINDRAKER
  7. 7. 3/17/2014DR KISHORE MAHINDRAKER
  8. 8. CAN BE DEFINED AS……………… “Controlled disturbance in the homeostasis of the body to activate some defence system which is beneficial to host ” 3/17/2014DR KISHORE MAHINDRAKER
  9. 9.  Modern view  Ancient view 3/17/2014DR KISHORE MAHINDRAKER
  10. 10. 3/17/2014DR KISHORE MAHINDRAKER
  11. 11. 3/17/2014DR KISHORE MAHINDRAKER
  12. 12. 3/17/2014DR KISHORE MAHINDRAKER
  13. 13. 3/17/2014DR KISHORE MAHINDRAKER
  14. 14. 3/17/2014DR KISHORE MAHINDRAKER
  15. 15. Panchamahabhuta Dosha Dhatu Mala Avayava Srotas 3/17/2014DR KISHORE MAHINDRAKER
  16. 16. 3/17/2014DR KISHORE MAHINDRAKER
  17. 17. Understanding shukra & shukra vaha srotas 3/17/2014DR KISHORE MAHINDRAKER
  18. 18.  It is seventh dhatu present in both sexes.  Shuklayati Tyajayati shuklam rajatam shuklam viryam (Amarkosha) A whitish or silvery discharge ejaculated during sexual act 3/17/2014DR KISHORE MAHINDRAKER
  19. 19. 3/17/2014DR KISHORE MAHINDRAKER
  20. 20.  oÉWûsÉÇqÉkÉÑUÇÎxlÉakÉqÉçAÌuÉxÉëÇaÉÑÂÌmÉͶÉsÉqÉç| zÉÑYsÉÇoÉWÒûŠrÉczÉÑ¢ÇüTüsÉuÉiÉçiÉSèAxÉÇzÉrÉqÉç|| cÉç.ÍcÉ.2/4/50  ÎxlÉakÉÇbÉlÉÇÌmÉͶÉsÉÇcÉqÉkÉÑUÇcÉÉÌuÉSÌWûcÉ| UåiÉ:zÉÑ®ÇÌuÉeÉlÉÏrÉÉiɵÉåiÉÇxTüÌiÉMüxÉͳÉpÉqÉç|| cÉç.ÍcÉ.30/145  xTüÌOûMüÉpÉÇSìuÉÇÎxlÉakÉÇqÉkÉÑUÇqÉkÉÑaÉÎlkÉcÉ| zÉÑ¢üÍqɶÉÎliÉMåüÍcÉiÉçiÉæsɤÉÉæSìÌlÉpÉÇiÉjÉÉ|| xÉÑ.zÉÉ.2/13 3/17/2014DR KISHORE MAHINDRAKER
  21. 21.  ÌmÉëlÉlÉÇeÉÏuÉlÉÇ-----------------| aÉpÉÉåïimÉÉSczÉkÉÉiÉÑlÉÉÇ´Éå¸MüqÉïÇ¢üqÉÉiÉxqÉ×iÉqÉç|| A.¾èû.xÉÑ.11/4  zÉÑ¢ÇükÉærÉïqÉçcrÉuÉlÉÇmÉëÏÌiÉÇSåWûoÉsÉÇ WûwÉïoÉÏeÉÉjÉïqÉçcÉ|| xÉÑ.xÉÔ.15/5 3/17/2014DR KISHORE MAHINDRAKER
  22. 22. cÉUMü-1/2AÇeÉÍsÉ pÉåsÉ-1AÇeÉÍsÉ 3/17/2014DR KISHORE MAHINDRAKER
  23. 23.  AÌiÉx§ÉÏMüqÉiÉÉÇuÉ×®ÇzÉÑ¢ÇüzÉÑ¢üzqÉUÏqÉçAÌmÉ| A.¾Òû.xÉÑ.11/12  SÉæoÉïsrÉÇqÉÑZÉzÉÉåwɶÉmÉlQÒûiuÉÇxÉSlÉÇ´ÉqÉ:| YsÉæorÉÇzÉÑ¢üÉÌuÉxÉaÉï¶Éç¤ÉÏhÉzÉÑ¢üxrÉsɤÉhÉqÉç|| cÉ.xÉÑ.17/69 3/17/2014DR KISHORE MAHINDRAKER
  24. 24. Shukravaha srotas= Reproductive system  Srotas- shukravaha  Avayava- Vrashna, shepha, stana and majja  Dhatu- Shukra  Dosha- Sleshma pradhana ,  Panchamabhuta- except Akasha  Shukra prasada bhaga- Garbha,Oja 3/17/2014DR KISHORE MAHINDRAKER
  25. 25.  zÉÑ¢üuÉWûlÉÉÇx§ÉÉåiÉxÉÉÇuÉ×wÉhÉÉæqÉÔsÉÇzÉåTü¶Éç| cÉ.ÌuÉ.5  zÉÑ¢üuÉWåû²å iÉrÉÉåqÉÔïsÉÇxiÉlÉÉæuÉ×wÉhÉÉæcÉ|iÉ§É ÌuÉkSxrÉÎYsÉoÉiÉÉÍcÉUÉimÉëxÉåMüÉåU£üzÉÑ¢üiÉÉcÉ|| xÉÑ.zÉÉ.9 3/17/2014DR KISHORE MAHINDRAKER
  26. 26.  AMüÉsÉrÉÉåÌlÉaÉqÉlÉÉiÉçÌlÉaÉëWûÉiÉçAÌiÉqÉæjÉÑlÉÉiÉç| zÉÑ¢üuÉÉÌWûÌlÉSÒzrÉÎliÉzÉx§É¤ÉUÉÎalÉÍpÉxiÉjÉÉ|| cÉ.ÌuÉ.5  zÉÑ¢üxrÉSÉåwÉÉiÉçYsÉåorÉqÉçAWûzÉïhÉqÉç| UÉåÌaÉuÉÉYsÉÏoÉqÉsmÉÉrÉÑÌuÉïÂmÉqÉçuÉÉmÉëeÉÉrÉiÉå|| lÉcÉÉxrÉeÉÉrÉiÉåaÉpÉïÈmÉiÉÌiÉmÉëx§ÉuÉirÉÌmÉ| zÉÑ¢ÇüÌWûSÒ¹ÇxÉÉmÉirÉÇxÉSÉUÇoÉÉkÉiÉålÉUqÉç|| cÉ.xÉÑ.28 3/17/2014DR KISHORE MAHINDRAKER
  27. 27.  Total of around 200 Thesis have been carried out on vajikarana so far . (M S Baghel, 2005)  Male Infertility : 32  Shukradushti: 24  Oligozoospermia: 56  On Male Sexual Dysfunction : 34  Shukragatavata: 7 3/17/2014DR KISHORE MAHINDRAKER
  28. 28.  Globally decreasing semen quality and increasing infertility is the matter of concern.  Panchakarma before Vajikarana is essential. Panchakarma can definitely help infertile couples in fullfiling their wishes.  Thorough understanding of use of panchakarma therapy & vajikarna in shukravaha srotas is in high demand. 3/17/2014DR KISHORE MAHINDRAKER
  29. 29.  Erectile dysfunction (Klaibya)  Premature ejaculation (Shukragata vata)  Infertility (Vandhya)  Lack of libido (Apraharsha)  Performance anxiety (Bhaya)  Night emission (Svapna skalana)  Spermatorrhea (Mutra shukra)  Failure to reach orgasm  Dhat syndrome 3/17/2014DR KISHORE MAHINDRAKER
  30. 30. Panchakarma in shukravaha sroto vikara- Klaibya w.r.s.t ED 3/17/2014DR KISHORE MAHINDRAKER
  31. 31.  Klaibya is a vikara of Karmendriya, with the involvement of Mana and Jnanendriya.  Erectile Dysfunction to which klaibya is co related is a multifactorial condition commonly observed in society.  Survery by India Today – One in every ten is impotent  Aggrevated vata dosha, sukraksaya, sukravahasrotodusti & Manodosha are prime factors involved in pathogenesis. 3/17/2014DR KISHORE MAHINDRAKER
  32. 32. 1)oÉÏeÉÉåmÉbÉÉiÉeÉ; 2)kuÉeÉÉåmÉbÉÉiÉeÉ; 3)eÉUÉeÉlrÉ; 4)zÉÑ¢ü¤ÉrÉeÉlrÉ; 3/17/2014DR KISHORE MAHINDRAKER
  33. 33.  xÉÉqÉÉlrÉsɤÉhÉ: xÉÇMüsmÉÉåmÉëuÉlÉÉåÌlÉirÉÇÌmÉërÉÉÇuÉzrÉÉqÉÌmÉÎx§ÉrÉ| lÉrÉÌiÉÍsÉÇaÉzÉæÍjÉsrÉÉiÉMüSÉÍcɱÉÌiÉuÉÉrÉÌS|| µÉÉxÉÉiÉïÈÎxuɳÉaÉɧÉxrÉqÉÉåbÉxÉÇMüsmÉcÉå̹iÉå:| qsÉÉlÉÍzÉzlÉcNûÌlÉoÉÏïeÉÈxrÉÉSåiÉiÉçYsÉæorÉsɤÉlÉqÉç|| cÉ.ÍcÉ.30/155 3/17/2014DR KISHORE MAHINDRAKER
  34. 34. General examintion-  Pt.. general appearance may suggest depression,anxiety,& other mental health problem  Question about illnesses or disabilities and surgeries  Previous medications  Sexual development as a boy Systemic examination- CVS,- Check BP & palpate peripheral pulse ,evidence of atrial disease ,such as absence of foot pulse ,suggests that ED might be because of arterial insufficiancy. CNS,- commonly lumbosacral system is assessed, the condition of perineal reflex may provide evidence of spinal cord dysfuction 3/17/2014DR KISHORE MAHINDRAKER
  35. 35. Testing of reflex  1.bulbocavernosus reflex (S2,S3)  Provokes contraction of the bulbocavernosus muscle located b/w scrotum & anal canal 3/17/2014DR KISHORE MAHINDRAKER
  36. 36.  2.Bulbo anal reflex (S3,S4)  Provokes contraction of anal spinchter 3/17/2014DR KISHORE MAHINDRAKER
  37. 37. Examination of genitals Testes- Vas deferens Epididymis 3/17/2014DR KISHORE MAHINDRAKER
  38. 38. Peyronies disease; 3/17/2014DR KISHORE MAHINDRAKER
  39. 39. Investigation in Klaibya; Blood & Urine –To R/o DM Hormone assasy- Sex hormone binding globulin(SHGP) Testosteron FSH LH Prolactine Penile doppler Nocturnal penile tumescence 3/17/2014DR KISHORE MAHINDRAKER
  40. 40. oÉÏeÉÉåmÉbÉÉiÉeÉ YsÉæorÉ ÍcÉÌMüixÉÉ: xÉÑÎxlÉakÉaÉɧÉxrÉxlÉåWûrÉÑ£ÇüÌuÉUåcÉlÉÇ| A³ÉzÉlÉÇiÉiÉÈMÑürÉÉïiÉçAjÉuÉÉAÉxjÉÉmÉlÉÇmÉÑlÉÈ|| --------- AlÉÑuÉÉxÉrÉåiÉç| mÉsÉÉwÉæUlQûqÉÑxiÉÉSæÈmÉcNûÉSlÉÑuÉÉxÉrÉåiÉç|| uÉeÉÏMüUlÉrÉÉåaÉczÉçmÉÔuÉåïrÉå xÉqÉÑSÉ̾ûiÉ:|cÉ.ÍcÉ.30/198 3/17/2014DR KISHORE MAHINDRAKER
  41. 41. Medicines used- Snehapana- amritaprasha ghrita, swadamstradi(gokshura) ghrita, jeevaniya ghrita Virechana-GH oil, Sukumara erandam,mishraka sneha Asthapana- Erandamooladi, Karma Mustadi yapana basti Basti Anuvasana-Same as for snehapana 3/17/2014DR KISHORE MAHINDRAKER
  42. 42. kuÉeÉÉåmÉbÉÉiÉeÉYsÉæorÉ ÍcÉÌMüixÉÉ mÉëSåWûÉlÉçmÉËUwÉåMüÉÇczÉMÑürÉÉïSèuÉÉU£üqÉÉå¤ÉhÉqÉç | xlÉåWûmÉÉlÉÇcÉMÑüÌuÉïiÉçxÉxlÉåWÇûcÉÌuÉUåcÉlÉqÉç|| AlÉÑuÉÉxÉlÉqÉçiÉiÉçMÑürÉÉïSjÉuÉÉÅÅxjÉÉmÉlÉqÉçmÉÑlÉÈ| uÉëhÉuÉŠÌ¢ürÉÉxÉuÉÉïxiɧÉMÑürÉÉï̲cɤÉhÉÈ||cÉ.ÍcÉ.30/201 3/17/2014DR KISHORE MAHINDRAKER
  43. 43. Medicine Used ; Pradeha-(Chakradatta)Kanaka rasa bhavit Ashwaganda Pradeha, Bhallatakadi lepa, Parisheka- Ashwagandha taila, Bhallatakadi taila Raktamokshana- Snehapana- Amritaprasha ghrita, Swadamstradi(gokshura) ghrita, Jeevaniya ghrita, Snigdha Virechana- GH oil, Sukumara erandam, Mishraka sneha Anuvasana- Same used for snehapana Asthapana Basti-Erandamooladi, Karma Mustadi yapana basti Basti 3/17/2014DR KISHORE MAHINDRAKER
  44. 44. eÉUÉeÉlrÉ-zÉÑ¢ü¤ÉrÉeÉlrÉ YsÉæorÉ ÍcÉÌMüixÉÉ eÉUxÉÇpÉuÉeÉåYsÉæorÉå¤ÉrÉeÉåcÉæuÉMüÉUrÉåiÉç| xlÉåWûxuÉåSÉåmÉmɳÉxrÉxÉxlÉåWÇûzÉÉåkÉlÉqÉçÌWûiÉÇ|| ¤ÉÏUxÉÌmÉïuÉ×wrÉrÉÉåaÉÉoÉxiÉrÉczÉæuÉrÉÉmÉlÉÉÈ| UxÉÉrÉlÉmÉërÉÉåaÉÉczÉçiÉrÉÉåpÉæwÉeÉqÉÑccrÉiÉå|| cÉ.ÍcÉ.30/203 3/17/2014DR KISHORE MAHINDRAKER
  45. 45. Medicine Used Rasayana- Abhayamalaki, pippali, guduchi, Loha rasayana ,shilajithu, triphala. Vrishya yoga- Ksheera sarpi, shastika,yava godhuma, ashwagandha, shatavari, mushli, kapikacchu, vidari, 3/17/2014DR KISHORE MAHINDRAKER
  46. 46. Panchakarma in shukravaha sroto vikara- Shukragata vata w.s.r.t. premature Ejaculation 3/17/2014DR KISHORE MAHINDRAKER
  47. 47. Premature ejaculation is a Psychosexual disorder charecterized by persistent or recurrent ejaculation by minimal sexual stimulation . In ayurveda this clinical condition is described under SHUKRA GATA VATA . Understanding Relation of shukra with vata and manas is very much essential in samprapti vighatana by means of ayurvedic management 3/17/2014DR KISHORE MAHINDRAKER
  48. 48. Treatment is ; Harsho annapana- Vrashya Balya Vatahara Shukra Sthambaka Medhya dravyas Yapana basti 3/17/2014DR KISHORE MAHINDRAKER
  49. 49. Panchakarma in shukravaha sroto vikara- Vandyatva w.s.r.t. Male infertility 3/17/2014DR KISHORE MAHINDRAKER
  50. 50. पुरुषस्य यदा बीजे बीजभागः, प्रदोषमापद्यते, तदा वन्ध्यं जनयतत II Cha.sha 4/31 Infertility is defined as a failure to concieve within one or more year of regular unprotected coitus. 3/17/2014DR KISHORE MAHINDRAKER
  51. 51.  Sperm count has fallen 50% lesser over last 50 years .  @ 2% every year.  Acc. To WHO In 1950 -over 113 million/ml  2012 -over 15 million/ml  "At this rate, there would be no fertile men left in the next 40-50 years“? courtesy: TOI 3/17/2014DR KISHORE MAHINDRAKER
  52. 52.  W.H.O estimates 8-10%  Worldwide incidence is 50-80 million  Incidence vary from region to region 3/17/2014DR KISHORE MAHINDRAKER
  53. 53.  Pre testicular causes  Testicular factors  Post testicular causes  Idiopathic 3/17/2014DR KISHORE MAHINDRAKER
  54. 54.  Hypogonadism due to various causes  Drugs, alcohol, smoking  Strenuous riding (bicycle riding, horseback riding)  Medications, including androgens. 3/17/2014DR KISHORE MAHINDRAKER
  55. 55.  Age  Genetic defects on the Y chromosome  Y chromosome microdeletions  Abnormal set of chromosomes  Klinefelter syndrome  Neoplasm 3/17/2014DR KISHORE MAHINDRAKER
  56. 56.  Cryptorchidism  Varicocele(upto14%)  Trauma  Hydrocele  Mumps  Malaria 3/17/2014DR KISHORE MAHINDRAKER
  57. 57.  Vas deferens obstruction  Lack of Vas deferens, often related to genetic markers for Cystic Fibrosis  Infection, e.g. prostatitis  Ejaculatory duct obstruction 3/17/2014DR KISHORE MAHINDRAKER
  58. 58.  Soumanasya Garbha Dharana !! -R/o it by proper Counselling  Shukra Garbham Prajayate!! -Further insvestigate into the Shukra dusti samprapti 3/17/2014DR KISHORE MAHINDRAKER
  59. 59.  Samanya karana- Cha.chi. 30/138 Maintuna Na cha Gachati Avisrambha = Avishwasat  Vishesha karana Shukra vaha sroto dusti nidana cha. vi. 5 AMüÉsÉrÉÉåÌlÉaÉqÉlÉÉiÉçÌlÉaÉëWûÉiÉçAÌiÉqÉæjÉÑlÉÉiÉç| zÉÑ¢üuÉÉÌWûÌlÉ SÒzrÉÎliÉ zÉx§É¤ÉUÉÎalÉÍpÉxiÉjÉÉ 3/17/2014DR KISHORE MAHINDRAKER
  60. 60. 3/17/2014DR KISHORE MAHINDRAKER
  61. 61. 3/17/2014DR KISHORE MAHINDRAKER
  62. 62. History- Duration of marriage – Previous marriage and proven fertility Medical h/o- Mumps orchities STD DM Recurrent chest infection Surgical h/o- herniorrhaphy Operation on testes Operation in genital area Occupational h/o- Exposure to heat, radiation. 3/17/2014DR KISHORE MAHINDRAKER
  63. 63.  Sexual history- frequency Full Penatration Position of male partner Social Habits- Particularly Alcohol, Smoking 3/17/2014DR KISHORE MAHINDRAKER
  64. 64.  General physical examination  Semen analysis  Hormonal assay  Scrotal ultrasound  Assess Shukra Kshaya Laxana-  Assessment of Rupa Dravya shukra – -Doshik Involvement in it, and treat accordingly or Use the semen Analysis to Infer Doshik Involment. 3/17/2014DR KISHORE MAHINDRAKER
  65. 65. oÉWûsÉÇqÉkÉÑUÇÎxlÉakÉqÉçAÌuÉxÉëÇaÉÑÂÌmÉͶÉsÉqÉç| zÉÑYsÉÇoÉWÒûŠrÉczÉÑ¢ÇüTüsÉuÉiÉçiÉSèAxÉÇzÉrÉqÉç|| cÉç.ÍcÉ.2/4/50 3/17/2014DR KISHORE MAHINDRAKER
  66. 66. SL. NO. STANDARD TEST NORMAL VALUES 1 Colour Greyish white 2 Liquefaction time < 60 min 3 Volume 2 ml or more 4 pH 7.2- 8.0 5 Sperm concentration 20 million/ml 6 Total sperm count 40 million/per ejaculate or more 7 Sperm motility >25% - Rapid motility > 50% - Slow motility 8 Sperm morphology > 30 % normal 9 Sperm vitality > 75% or more live.i.e. excluding dye 10 WBC < 1 million /ml 11 Agglutination > 20% agglutinated 12 HOS test > 60% spermatozoa with tail coiling3/17/2014DR KISHORE MAHINDRAKER
  67. 67. SL. NO. STANDARD TEST NORMAL VALUES 13 Acrosome intactness 50% of spermatozoa with halos having mean diameter of > 30micro meter 14 Seminal fructose .>1200 microgram/ml 15 Zinc > 75 microgram/ml ENDOCRINE EVALUATION 1 Testosterone Plasma concentration- 2.5- 10mg/dl 2 Serum FSH 5- 20 IU/litre 3 Serum LH 5- 20 IU/litre 3/17/2014DR KISHORE MAHINDRAKER
  68. 68. Vataja shukra dushti: Phenila- Frothy & Sperm Functional Integrity assessment. *Flagellar Integrity-hypo osmotic Swelling. - (Normal,>55% spermatozoa with tail coiling) - Decrease in HOS positive reaction indicates loss of viability, indicative of degenaration. *ARIC test(Acrosome reaction after ionopher challenge) -(Normal,>15% of spermatozoa with halos diamtr of 10mm) Decrease in ARIC +VE reaction indicates low/no fertilisation 3/17/2014DR KISHORE MAHINDRAKER
  69. 69. Vataja shukra dushti: Tanu- low count < 15million/ml Rooksha- Ph >8.5 Alpa- vol <1.5ml 3/17/2014DR KISHORE MAHINDRAKER
  70. 70. Pittaja shukra dushti: Puti- >8 pus cell/hpf Vivarna- yellowish Discoloured (normal is Greyish White) --------------------------------------------- Kaphaja Shukra Dushti: Picchilla-Increased viscosity 3/17/2014DR KISHORE MAHINDRAKER
  71. 71. Raktaja shukra dushti: Increased Rbc’s in Semen Sample, Foul Smelling Vata-kaphaja: Granthi Bhuta - Reduced Motility Avasadi (normal >25% RLP,>50%SLP >50% RLP+ SLP DNA fragment index (Good-<30% ,Fair- 30-45%,poor->45%) 3/17/2014DR KISHORE MAHINDRAKER
  72. 72. Vata-pittaja shukra dushti: Ksheena- Reduced Count + Low vol --------------------------------------- Pitta-kaphaja shukra dushti: Puti puya- >5 pus cells + Rbc Casts -------------------------------------- Anya dhatu samsrusta Shukra dusti: Presence of Macrophages,Mucus threads Epithelial cells, Amorphous matt. 3/17/2014DR KISHORE MAHINDRAKER
  73. 73. Acc. To cha.chi.28/146-152  Adopt the Shodana Chikitsa  Use of Vajikarna Yogas  Use of yogas mentioned in Raktapitta chikitsa  Use of yogas mentioned in yonivyapat chikitsa  Jeevaniya gana aushada siddha Ghrita,Chavanaprash,Girija as Rasayana  Sarpi,paya, shali, Godhuma  Follow respective treatment for each shukra dushti  “prashasta shukra dosheshu basti karma viheshata” 3/17/2014DR KISHORE MAHINDRAKER
  74. 74. Acc. To Shu.Sha.2/10 1.“Snigdha vaantam viriktam cha nirudamanuvasitam I Yojayet shukram doshat samyakuttarbastinaamII” 2.Follow the individual reto dushti chikitsa Shu.Sha.2/8-10 3/17/2014DR KISHORE MAHINDRAKER
  75. 75. SL.NO SHUKRA DUSTI PRAKARA PANCHAKARMA ADOPTED Ast.Sam. Sha.1/24-34 1 Vata Snehana- Vasuka,Saindava, Amla phala Siddha Ghrita (vasuka-romaka, Amla phala- Dadimadi Phala) Anuvasana- Madhuka, bhadradaru sidda taila Asthapana-Bilwa vidari siddam, Ksheera yuktam Uttarabasti- Ksheera,Kullira rasa sidda taila (kullira- Jalaja Prani vishesha) 2 Pitta Snehapana- Kandikshu, Swadamshtra,Guduchi sidda Ghrita (murva,maduka as prativapa) Virechana-Trivrit churna with Ghrita Asthapana-Sriparni sidda ksheera yukta Anuvasana & Uttar basti- Madhuka ,Mudgaparni siddam taila 3/17/2014DR KISHORE MAHINDRAKER
  76. 76. 3 Kapha Snehapana- Pashanabheda,Ashmantaka,Amalaka kwatha sidda ghrita (pippali, Madhuka churna – Avapa) Vamana-Madana phala kashaya Asthapana-Rajavriksha,madanaphala kashaya Pragadam Anuvasana & Uttara basti- Madhuka,pippali sidda taila 4 Rakta Snehapana- Dhataki pushpa ,Khadira,Arjuna,Dadima Sidda Ghrita 5 Vata-pitta Treat on the principle Nunya dhatu purayet, 6 Vata-kapha Snehapana-Pashana bheda, Palasha bhasma sidda ghrita 7 Pitta-kapha Snehapana- Parushakadi Nyagrodadi sidda ghrita 8 Anyadhatu Snehapana- Yava,Chitraka,Vittunaka,Priyangu,samanga, sidda ghrita (Ela,Mocha churna prativapa)3/17/2014DR KISHORE MAHINDRAKER
  77. 77. 3/17/2014DR KISHORE MAHINDRAKER
  78. 78.  Guda, Ghrita, Ikshu, Kharjura, Kshira, Mamsa, Madhu, Majja, Mamsarasa, Shati, Taila, Vilepi, Vasa  Certain Drugs Like Amalaki, Bala, Atmagupta, Amratakaphala, Amraphala,, Jivanti, Kushmanda, Lashuna, Meda, Narikela, Patola, Palandu, Shrngataka, Saliparni, Vidari 3/17/2014DR KISHORE MAHINDRAKER
  79. 79.  Katurasa, Ati-Amlarasa,Matsya, Mastu, Shaka, Tiktarasa, Takra  Drugs like Atasi, Akshota, Canaka, Gandhaka, Guggulu, Kalinda, Kuluttha, Katabhi, Marica, Moksha, ParasikaYavani 3/17/2014DR KISHORE MAHINDRAKER
  80. 80.  Abhyanga, Udavartana, Snana, PadaPrakshalana.  Streeis explained as best among Vajikaranas which augments Shukra in body (Ca Ci2: 1: 4-7). 3/17/2014DR KISHORE MAHINDRAKER
  81. 81.  Shukra Janaka – indicated in Vishushka Reto Dushti,oligospermia where there is need of proliferation of germ cells. Eg: Sharkara,Shatavari,Mamsa,Ghritha.  Shukra Pravartaka (Shukra srutikarana) Stimulates the production of androgens or modifies the action of androgens. Indicated in sthira shukra ( Androgen insensitivity) eg Sankalpa, Stri vichara mano balakarana which causes ejaculation of semen. Eg Uchchata, Brihati, Milk, Sugarcane juice. 3/17/2014DR KISHORE MAHINDRAKER
  82. 82.  Shukra janaka / pravartaka- Increases both mano and dehabala eg ksheera, ghrita, masha, bhallataka phala majja.  Shukra stambhaka – Drugs are meant to prolong the sexual act. Indicated in early ejaculation. Eg Akarakarabha, Jatiphala, Ahiphena, Bhanga, Puga, Dhattura.  Shukrashoshaka – Indicated in excessive secretion from bulbo urethral glands. Eg Hareetaki, Purana Guggulu, Suchi. 3/17/2014DR KISHORE MAHINDRAKER
  83. 83.  Shukra shodhaka – Katphala, Kushtha, Samudraphena. 3/17/2014DR KISHORE MAHINDRAKER
  84. 84. MADHURA OLIGOSPRMIA, MATURATION ARREST VIDARI SHATAVARI AMLA VISCOSITY DADIMA, AMALAKI LAVANA LIQUEFACTION SAINDHAVA KATU OLIGO-ASTHENOSPERMIA PIPPALI, SHUNTHI TIKTA ASA, IMMUNOLOGIC GUDUCHI KASHAYA PREMATURE EJACULATION JATIPHALA 3/17/2014DR KISHORE MAHINDRAKER
  85. 85. The Knowledge of the tradition (Shastra) & The technology (tantra) is required to pin point the diagnosis of shukra vaha sroto vikara.  xÉÇzÉÉåkÉlÉxrÉTüsÉ: LuÉÇÌuÉzÉÑ®MüÉå¸xrÉMürÉÎalÉUÍpÉuÉkÉïrÉåiÉç| urÉÉkÉrÉåczÉÉåmÉzÉqrÉÌiÉmÉëM×üÌiɶÉçAlÉÑuÉiÉïiÉå|| CÎlSìrÉÉÌlÉqÉlÉÉåoÉÑήuÉïhÉï¶ÉÉxrÉmÉëÍxÉSÌiÉ| oÉsÉÇmÉÑ̹UmÉirÉÇcÉ uÉ×wÉiÉÉcÉÉxrÉeÉÉrÉiÉå|| eÉUÉÇ M×ücNíåûhÉsÉpÉiÉåmÉUÇeÉÏuÉirÉÉlÉÉqÉrÉÉ| iÉxqÉÉiÉçxÉÇzÉÉåkÉlÉqÉçMüÉsÉårÉÑÌ£ürÉÑ£üÈÌmÉoÉå³ÉUÈ|| cÉ.xÉÑ.16/17 3/17/2014DR KISHORE MAHINDRAKER
  86. 86.  x§ÉÉåiÉÈxÉÑzÉÑ®åwuÉqÉsÉåzÉËUUå uÉ×wrÉÇrÉSÉlÉÉÍqÉiÉqĘ́ÉMüÉsÉå| uÉ×wÉÉrÉiÉåiÉålÉmÉUÇqÉlÉÑwrÉÇ xiɯØWûhÉÇcÉæuÉoÉsÉmÉëSÇcÉ|| iÉxqÉÉiÉçmÉÑUÉzÉÉåkÉlÉqÉåuÉMüÉrÉïÇ oÉsÉÉlÉÑÂmÉÇlÉÌWû uÉ×wrÉrÉÉåaÉÉÈ| ÍxÉkrÉÎliÉSåWåûqÉÍsÉlÉåmÉërÉÑ£üÉÈ ÎYsɹårÉjÉÉuÉÉxÉÍxÉUÉaÉrÉÉåaÉÉÈ||cÉ.ÍcÉ.2/2-51 3/17/2014DR KISHORE MAHINDRAKER
  87. 87. 3/17/2014DR KISHORE MAHINDRAKER

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