Shukravaha srotas-Role of panchakarma -Dr Kishore Mahindraker
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Transcript of Shukravaha srotas-Role of panchakarma -Dr Kishore Mahindraker
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04/10/2023DR KISHORE MAHINDRAKER
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04/10/2023DR KISHORE MAHINDRAKER
PANCHAKARMA IN SHUKRAVAHA SROTO
VIKARA
DR.KISHORE MAHINDRAKER2ND YR PG SCHOLAR ,DEPT. OF
PANCHAKARMAGAMC, BANGALORE-09
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04/10/2023DR KISHORE MAHINDRAKER
CONTENTSIntroductionPanchakarma as detoxificationUnderstanding Human Body-ConceptualUnderstanding shukra & Shukra vaha srotasPanchakarma in Shukra vaha sroto vikara –
Klaibya(Erectile Dysfunction) Shukragata vata(Premature ejaculation) Na jayete garbha(Infertility)
Conclusion
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04/10/2023DR KISHORE MAHINDRAKER
INTRODUCTION 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……….
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04/10/2023DR KISHORE MAHINDRAKER
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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
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04/10/2023DR KISHORE MAHINDRAKER
PANCHAKARMA AS DETOXIFICATION THERAPY--
What is Panchakarma or Detoxification Therapy?????
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04/10/2023DR KISHORE MAHINDRAKER
PROBABLE CHANCE OF TOXIFICATION
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04/10/2023DR KISHORE MAHINDRAKER
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CAN BE DEFINED AS………………
“Controlled disturbance in the homeostasis of the body to activate some defence system which is beneficial to host ”
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04/10/2023DR KISHORE MAHINDRAKER
UNDERSTANDING HUMAN BODY
Modern view
Ancient view
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04/10/2023DR KISHORE MAHINDRAKER
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04/10/2023DR KISHORE MAHINDRAKER
MODERN VIEW
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04/10/2023DR KISHORE MAHINDRAKER
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04/10/2023DR KISHORE MAHINDRAKER
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04/10/2023DR KISHORE MAHINDRAKER
REPRODUCTIVE SYSTEM-
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04/10/2023DR KISHORE MAHINDRAKER
ANCIENT APPROACH Panchamahabhuta
Dosha
Dhatu Mala
Avayava
Srotas
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04/10/2023DR KISHORE MAHINDRAKER
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04/10/2023DR KISHORE MAHINDRAKER
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Understanding shukra & shukra vaha srotas
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04/10/2023DR KISHORE MAHINDRAKER
CONCEPT OF SHUKRA It is seventh dhatu present in both
sexes.
Shuklayati Tyajayati shuklam rajatam shuklam viryam
(Amarkosha) A whitish or silvery discharge ejaculated during sexual act
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04/10/2023DR KISHORE MAHINDRAKER
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04/10/2023DR KISHORE MAHINDRAKER
. SWAROOPA OF SHUKRA;
oÉWûsÉÇ qÉkÉÑUÇ ÎxlÉakÉqÉç AÌuÉxÉëÇ aÉÑ ÌmÉͶÉsÉqÉç |
zÉÑYsÉÇ oÉWÒûŠ rÉczÉÑ¢Çü TüsÉuÉiÉç iÉSè AxÉÇzÉrÉqÉç || cÉç.ÍcÉ.2/4/50 ÎxlÉakÉÇ bÉlÉÇ ÌmÉͶÉsÉÇ cÉ qÉkÉÑUÇ
cÉÉÌuÉSÌWû cÉ | UåiÉ: zÉÑ®Ç ÌuÉeÉlÉÏrÉÉiÉ µÉåiÉÇ xTüÌiÉMü xÉͳÉpÉqÉç || cÉç.ÍcÉ.30/145 xTüÌOûMüÉpÉÇ SìuÉÇ ÎxlÉakÉÇ qÉkÉÑUÇ
qÉkÉÑaÉÎlkÉ cÉ | zÉÑ¢üÍqɶÉÎliÉ MåüÍcÉiÉç iÉæsɤÉÉæSìÌlÉpÉÇ iÉjÉÉ || xÉÑ.zÉÉ.2/13
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04/10/2023DR KISHORE MAHINDRAKER
SHUKRA KARMA ÌmÉëlÉlÉÇ eÉÏuÉlÉÇ-----------------| aÉpÉÉåïimÉÉSczÉ kÉÉiÉÑlÉÉÇ ´Éå¸ MüqÉïÇ ¢üqÉÉiÉ xqÉ×iÉqÉç|| A.¾èû.xÉÑ.11/4
zÉÑ¢Çü kÉærÉïqÉç crÉuÉlÉÇ mÉëÏÌiÉÇ SåWûoÉsÉÇ WûwÉïoÉÏeÉÉjÉïqÉç cÉ ||
xÉÑ.xÉÔ.15/5
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04/10/2023DR KISHORE MAHINDRAKER
SHUKRA PRAMANA cÉUMü-1/2 AÇeÉÍsÉ pÉåsÉ- 1 AÇeÉÍsÉ
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04/10/2023DR KISHORE MAHINDRAKER
SHUKRA VIKRUTHI (VRIDDHI & KSHAYA) AÌiÉx§ÉÏMüqÉiÉÉÇ uÉ×®Ç zÉÑ¢Çü zÉÑ
¢üzqÉUÏqÉç AÌmÉ | A.¾Òû.xÉÑ.11/12 SÉæoÉïsrÉÇ qÉÑZÉzÉÉåwɶÉ
mÉlQÒûiuÉÇ xÉSlÉÇ ´ÉqÉ: | YsÉæorÉÇ zÉÑ¢üÉÌuÉxÉaÉï¶Éç ¤ÉÏhÉzÉÑ¢üxrÉ sɤÉhÉqÉç || cÉ.xÉÑ.17/69
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04/10/2023DR KISHORE MAHINDRAKER
SHUKRA VAHA SROTAS 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
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04/10/2023DR KISHORE MAHINDRAKER
SHUKRA VAHA SROTO zÉÑ¢üuÉWûlÉÉÇ x§ÉÉåiÉxÉÉÇ
uÉ×wÉhÉÉæ qÉÔsÉÇ zÉåTü¶Éç | cÉ.ÌuÉ.5
zÉÑ¢üuÉWåû ²å iÉrÉÉåqÉÔïsÉÇ xiÉlÉÉæ uÉ×wÉhÉÉæ cÉ | iÉ§É ÌuÉkSxrÉ ÎYsÉoÉiÉÉ ÍcÉUÉimÉëxÉåMüÉå U£üzÉÑ¢üiÉÉ cÉ || xÉÑ.zÉÉ.9
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04/10/2023DR KISHORE MAHINDRAKER
SHUKRA VAHA SROTO VIKARA AMüÉsÉrÉÉåÌlÉaÉqÉlÉÉiÉç ÌlÉaÉëWûÉiÉç
AÌiÉqÉæjÉÑlÉÉiÉç | zÉÑ¢üuÉÉÌWûÌlÉ SÒzrÉÎliÉ zÉx§É¤ÉUÉÎalÉÍpÉxiÉjÉÉ || cÉ.ÌuÉ.5
zÉÑ¢üxrÉ SÉåwÉÉiÉç YsÉåorÉqÉç AWûzÉïhÉqÉç |
UÉåÌaÉ uÉÉ YsÉÏoÉqÉsmÉÉrÉÑÌuÉïÂmÉqÉç uÉÉ mÉëeÉÉrÉiÉå || lÉ cÉÉxrÉ eÉÉrÉiÉå aÉpÉïÈ mÉiÉÌiÉ mÉëx§ÉuÉirÉÌmÉ | zÉÑ¢Çü ÌWû SÒ¹Ç xÉÉmÉirÉÇ xÉSÉUÇ oÉÉkÉiÉå lÉUqÉç || cÉ.xÉÑ.28
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04/10/2023DR KISHORE MAHINDRAKER
RESEARCH WORKS..
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
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04/10/2023DR KISHORE MAHINDRAKER
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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.
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04/10/2023DR KISHORE MAHINDRAKER
THE MOST COMMON CONDITIONS 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
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04/10/2023DR KISHORE MAHINDRAKER
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Panchakarma in shukravaha sroto vikara- Klaibya w.r.s.t ED
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04/10/2023DR KISHORE MAHINDRAKER
KLAIBYA / ERECTILE DYSFUNCTION 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.
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04/10/2023DR KISHORE MAHINDRAKER
KLAIBYA BHEDA
1)oÉÏeÉÉåmÉbÉÉiÉeÉ ; 2)kuÉeÉÉåmÉbÉÉiÉeÉ;
3)eÉUÉeÉlrÉ ; 4)zÉÑ¢ü¤ÉrÉeÉlrÉ ;
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04/10/2023DR KISHORE MAHINDRAKER
KLAIBYA SAMANYA LAXANA xÉÉqÉÉlrÉ sɤÉhÉ:
xÉÇMüsmÉÉåmÉëuÉlÉÉå ÌlÉirÉÇ ÌmÉërÉÉÇ uÉzrÉÉqÉÌmÉ Îx§ÉrÉ | lÉ rÉÌiÉ ÍsÉÇaÉzÉæÍjÉsrÉÉiÉ MüSÉÍcɱÉÌiÉ uÉÉ rÉÌS || µÉÉxÉÉiÉïÈ ÎxuɳÉaÉɧÉxrÉ qÉÉåbÉxÉÇMüsmÉcÉå̹iÉå: | qsÉÉlÉÍzÉzlÉcNû ÌlÉoÉÏïeÉÈxrÉÉSåiÉiÉç YsÉæorÉsɤÉlÉqÉç ||
cÉ.ÍcÉ.30/155
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04/10/2023DR KISHORE MAHINDRAKER
HISTORY AND EXAMINATION OF PATIENTGeneral 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
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04/10/2023DR KISHORE MAHINDRAKER
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Testing of reflex 1.bulbocavernosus reflex (S2,S3)
Provokes contraction of the bulbocavernosus muscle located b/w scrotum & anal canal
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04/10/2023DR KISHORE MAHINDRAKER
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2.Bulbo anal reflex (S3,S4)
Provokes contraction of anal spinchter
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04/10/2023DR KISHORE MAHINDRAKER
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Examination of genitals Testes- Vas deferens Epididymis
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04/10/2023DR KISHORE MAHINDRAKER
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Peyronies disease;
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04/10/2023DR KISHORE MAHINDRAKER
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Investigation in Klaibya;
Blood & Urine –To R/o DM Hormone assasy- Sex hormone binding globulin(SHGP) Testosteron FSH LH ProlactinePenile dopplerNocturnal penile tumescence
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04/10/2023DR KISHORE MAHINDRAKER
PANCHAKARMA IN KLAIBYA oÉÏeÉÉåmÉbÉÉiÉeÉ YsÉæorÉ ÍcÉÌMüixÉÉ:
xÉÑÎxlÉakÉaÉɧÉxrÉ xlÉåWûrÉÑ£Çü ÌuÉUåcÉlÉÇ |A³ÉzÉlÉÇ iÉiÉÈ MÑürÉÉïiÉç AjÉuÉÉ AÉxjÉÉmÉlÉÇ mÉÑlÉÈ ||--------- AlÉÑuÉÉxÉrÉåiÉç |mÉsÉÉwÉæUlQûqÉÑxiÉÉSæÈ mÉcNûÉSlÉÑuÉÉxÉrÉåiÉç ||uÉeÉÏMüUlÉ rÉÉåaÉczÉç mÉÔuÉåï rÉå xÉqÉÑSÉ̾ûiÉ:| cÉ.ÍcÉ.30/198
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04/10/2023DR KISHORE MAHINDRAKER
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Medicines used- Snehapana- amritaprasha ghrita, swadamstradi(gokshura) ghrita, jeevaniya ghrita
Virechana-GH oil, Sukumara erandam,mishraka sneha
Asthapana- Erandamooladi, Karma Mustadi yapana basti BastiAnuvasana-Same as for snehapana
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04/10/2023DR KISHORE MAHINDRAKER
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kuÉeÉÉåmÉbÉÉiÉeÉ YsÉæorÉ ÍcÉÌMüixÉÉ
mÉëSåWûÉlÉç mÉËUwÉåMüÉÇczÉ MÑürÉÉïSè uÉÉ U£üqÉÉå¤ÉhÉqÉç | xlÉåWûmÉÉlÉÇ cÉ MÑüÌuÉïiÉç xÉxlÉåWÇû cÉ ÌuÉUåcÉlÉqÉç || AlÉÑuÉÉxÉlÉqÉç iÉiÉç MÑürÉÉïSjÉuÉÉÅÅxjÉÉmÉlÉqÉç mÉÑlÉÈ | uÉëhÉuÉŠ Ì¢ürÉÉ xÉuÉÉïxiÉ§É MÑürÉÉï̲cɤÉhÉÈ || cÉ.ÍcÉ.30/201
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04/10/2023DR KISHORE MAHINDRAKER
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Medicine Used ;
Pradeha-(Chakradatta)Kanaka rasa bhavit Ashwaganda Pradeha, Bhallatakadi lepa,Parisheka- Ashwagandha taila, Bhallatakadi tailaRaktamokshana-Snehapana- Amritaprasha ghrita, Swadamstradi(gokshura) ghrita, Jeevaniya ghrita,
Snigdha Virechana- GH oil, Sukumara erandam, Mishraka sneha
Anuvasana- Same used for snehapanaAsthapana Basti-Erandamooladi, Karma Mustadi yapana basti Basti
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04/10/2023DR KISHORE MAHINDRAKER
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eÉUÉeÉlrÉ-zÉÑ¢ü¤ÉrÉeÉlrÉ YsÉæorÉ ÍcÉÌMüixÉÉ
eÉUxÉÇpÉuÉeÉå YsÉæorÉå ¤ÉrÉeÉå cÉæuÉ MüÉUrÉåiÉç | xlÉåWûxuÉåSÉåmÉmɳÉxrÉ xÉxlÉåWÇû zÉÉåkÉlÉqÉç ÌWûiÉÇ || ¤ÉÏUxÉÌmÉïuÉ×wrÉrÉÉåaÉÉ oÉxiÉrÉczÉæuÉ rÉÉmÉlÉÉÈ | UxÉÉrÉlÉmÉërÉÉåaÉÉczÉç iÉrÉÉå pÉæwÉeÉqÉÑccrÉiÉå || cÉ.ÍcÉ.30/203
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04/10/2023DR KISHORE MAHINDRAKER
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Medicine Used
Rasayana- Abhayamalaki, pippali, guduchi,Loha rasayana ,shilajithu, triphala.
Vrishya yoga- Ksheera sarpi, shastika,yava godhuma, ashwagandha, shatavari, mushli, kapikacchu, vidari,
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04/10/2023DR KISHORE MAHINDRAKER
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Panchakarma in shukravaha sroto vikara- Shukragata vata w.s.r.t. premature Ejaculation
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04/10/2023DR KISHORE MAHINDRAKER
PREMATURE EJACULATIONPremature 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
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04/10/2023DR KISHORE MAHINDRAKER
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Treatment is ; Harsho annapana- Vrashya Balya Vatahara Shukra Sthambaka Medhya dravyas Yapana basti
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04/10/2023DR KISHORE MAHINDRAKER
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Panchakarma in shukravaha sroto vikara- Vandyatva w.s.r.t. Male infertility
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04/10/2023DR KISHORE MAHINDRAKER
VANDYATVA-MALE INFERTILITY पु�रुषस्य यदा बी�जे बी�जेभागः�, प्रदा�षमापुद्यते , तेदा वन्ध्य� जेनयतिते II Cha.sha 4/31 Infertility is defined as a failure to concieve within one or more year of regular unprotected coitus.
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04/10/2023DR KISHORE MAHINDRAKER
INCIDENCE AND SURVEYS 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
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04/10/2023DR KISHORE MAHINDRAKER
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W.H.O estimates 8-10%
Worldwide incidence is 50-80 million Incidence vary from region to region
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04/10/2023DR KISHORE MAHINDRAKER
CAUSES
Pre testicular causes
Testicular factors
Post testicular causes
Idiopathic
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04/10/2023DR KISHORE MAHINDRAKER
PRE-TESTICULAR CAUSES
Hypogonadism due to various causes
Drugs, alcohol, smoking
Strenuous riding (bicycle riding, horseback riding)
Medications, including androgens.
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04/10/2023DR KISHORE MAHINDRAKER
TESTICULAR FACTORS
Age Genetic defects on the Y chromosome Y chromosome microdeletions Abnormal set of chromosomes Klinefelter syndrome Neoplasm
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04/10/2023DR KISHORE MAHINDRAKER
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Cryptorchidism Varicocele(upto14%) Trauma Hydrocele Mumps Malaria
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04/10/2023DR KISHORE MAHINDRAKER
POST-TESTICULAR CAUSES
Vas deferens obstruction
Lack of Vas deferens, often related to genetic markers for Cystic Fibrosis
Infection, e.g. prostatitis
Ejaculatory duct obstruction
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04/10/2023DR KISHORE MAHINDRAKER
AYURVEDIC APPROACH IN MALE INFERTILITY Soumanasya Garbha Dharana !!
-R/o it by proper Counselling Shukra Garbham Prajayate!!
-Further insvestigate into the Shukra dusti samprapti
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04/10/2023DR KISHORE MAHINDRAKER
SHUKRA DUSHTI KARANA- Samanya karana- Cha.chi. 30/138
Maintuna Na cha Gachati Avisrambha = Avishwasat
Vishesha karana Shukra vaha sroto dusti nidana cha. vi. 5
AMüÉsÉrÉÉåÌlÉaÉqÉlÉÉiÉç ÌlÉaÉëWûÉiÉç AÌiÉqÉæjÉÑlÉÉiÉç | zÉÑ¢üuÉÉÌWûÌlÉ SÒzrÉÎliÉ zÉx§É¤ÉUÉÎalÉÍpÉxiÉjÉÉ
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04/10/2023DR KISHORE MAHINDRAKER
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04/10/2023DR KISHORE MAHINDRAKER
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04/10/2023DR KISHORE MAHINDRAKER
CLINICAL APPROACH TO INVESTIGATE MALE INFERTILITY
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 areaOccupational h/o- Exposure to heat, radiation.
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04/10/2023DR KISHORE MAHINDRAKER
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Sexual history- frequency Full Penatration Position of male partner
Social Habits- Particularly Alcohol, Smoking
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04/10/2023DR KISHORE MAHINDRAKER
EXAMINATION OF PATIENT-
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.
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04/10/2023DR KISHORE MAHINDRAKER
SEMEN ANALYSIS
oÉWûsÉÇ qÉkÉÑUÇ ÎxlÉakÉqÉç AÌuÉxÉëÇ aÉÑ ÌmÉͶÉsÉqÉç |
zÉÑYsÉÇ oÉWÒûŠ rÉczÉÑ¢Çü TüsÉuÉiÉç iÉSè AxÉÇzÉrÉqÉç || cÉç.ÍcÉ.2/4/50
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04/10/2023DR KISHORE MAHINDRAKER
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 coiling
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04/10/2023DR KISHORE MAHINDRAKER
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
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04/10/2023DR KISHORE MAHINDRAKER
USING SEMEN ANALYSIS AND ASSESSING DOSHA
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
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04/10/2023DR KISHORE MAHINDRAKER
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Vataja shukra dushti:
Tanu- low count < 15million/ml
Rooksha- Ph >8.5
Alpa- vol <1.5ml
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04/10/2023DR KISHORE MAHINDRAKER
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Pittaja shukra dushti: Puti- >8 pus cell/hpf
Vivarna- yellowish Discoloured (normal is Greyish White) --------------------------------------------- Kaphaja Shukra Dushti: Picchilla-Increased viscosity
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04/10/2023DR KISHORE MAHINDRAKER
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Raktaja shukra dushti: Increased Rbc’s in Semen Sample, Foul Smelling
Vata-kaphaja: Granthi Bhuta - Reduced MotilityAvasadi (normal >25% RLP,>50%SLP >50% RLP+ SLP DNA fragment index (Good-<30% ,Fair- 30-45%,poor->45%)
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04/10/2023DR KISHORE MAHINDRAKER
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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.
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04/10/2023DR KISHORE MAHINDRAKER
PRINCIPLES IN MANAGEMENT OF VANDHYATVA 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”
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04/10/2023DR KISHORE MAHINDRAKER
PRINCIPLES IN MANAGEMENT OF VANDHYATVA Acc. To Shu.Sha.2/101.“Snigdha vaantam viriktam cha nirudamanuvasitam IYojayet shukram doshat samyakuttarbastinaamII”
2.Follow the individual reto dushti chikitsa Shu.Sha.2/8-10
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04/10/2023DR KISHORE MAHINDRAKER
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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
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04/10/2023DR KISHORE MAHINDRAKER
.3 Kapha Snehapana-
Pashanabheda,Ashmantaka,Amalaka kwatha sidda ghrita (pippali, Madhuka churna –Avapa)Vamana-Madana phala kashayaAsthapana-Rajavriksha,madanaphala kashaya PragadamAnuvasana & 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)
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04/10/2023DR KISHORE MAHINDRAKER
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04/10/2023DR KISHORE MAHINDRAKER
. PATHYA
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
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04/10/2023DR KISHORE MAHINDRAKER
APATHYA
Katurasa, Ati-Amlarasa,Matsya, Mastu, Shaka,
Tiktarasa, Takra
Drugs like Atasi, Akshota, Canaka, Gandhaka,
Guggulu, Kalinda, Kuluttha, Katabhi, Marica, Moksha, ParasikaYavani
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04/10/2023DR KISHORE MAHINDRAKER
VIHARA Abhyanga, Udavartana, Snana, PadaPrakshalana. Streeis explained as best among
Vajikaranas which augments Shukra in body (Ca Ci2: 1: 4-7).
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04/10/2023DR KISHORE MAHINDRAKER
UNDERSTANDING VAJIKARNA DRAVYAS 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.
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04/10/2023DR KISHORE MAHINDRAKER
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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.
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04/10/2023DR KISHORE MAHINDRAKER
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Shukra shodhaka – Katphala, Kushtha, Samudraphena.
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04/10/2023DR KISHORE MAHINDRAKER
ROLE OF RASAMADHUR
AOLIGOSPRMIA,
MATURATION ARRESTVIDARI
SHATAVARI
AMLA VISCOSITY DADIMA, AMALAKI
LAVANA LIQUEFACTION SAINDHAVA
KATU OLIGO-ASTHENOSPERMIA
PIPPALI, SHUNTHI
TIKTA ASA, IMMUNOLOGIC GUDUCHI
KASHAYA PREMATURE EJACULATION
JATIPHALA
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04/10/2023DR KISHORE MAHINDRAKER
CONCLUSIONThe Knowledge of the tradition (Shastra) & The technology (tantra) is required to pin point the diagnosis of shukra vaha sroto vikara.
xÉÇzÉÉåkÉlÉxrÉ TüsÉ:
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04/10/2023DR KISHORE MAHINDRAKER
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