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Impotency
lntroduction:

           ewly wedded couple with more ambitions in
           the mind undergoes into conjugation on the
           first night, Groom fails and bride will impose
                                                                          tr
impotency on him. The saga of ineffective sex act starts
and leads into a broken family. Another case of middle
                                                                          W
                                                                          gM
aged person comes for consultation states that he is
unable to satis$ his wife in sex acts. Both ofthe above
examples are said to be erectile dysfunction (ED),                        ffi3
claimed in general as lmpotency. The ED and impotency
goes always hand in hand.

The word Impotency is heard in many areas at present
                                                                          ffi   4
day living style as a serious problem. Because of it, the
family life is disturbed and in further leading to
separation or divorce, ultimately causing distress with
                                                                          ffi
psychological disturbance, which may even lead to
                                                                          ffiT
                                                                          4
suicidal attempts. In many occasions it is observed
stress and strainful life in urban India are the causes
for such condition to develop. What is lmpotence?
How it can be managed?
                                                                          m
Impotency literally means powerless and unable to
achieve an erection or orgasm for male . It is further
said as partial or complete inability of the person to
perform the sexual act or to achieve orgasms. It has
                                                                          q
                                                                          ffi
two parts.

l.    Unable to perform sexual act as no erection and
                                                                          ffiT
2.    Unable to achieve orgasm because ofpsychological
      interference.

The erection is of physical and orgasm is
                                                                          ffi
                                                              r Dr. Sivaramprasad
psychological, unless both are synchronized the                      Kethamakka
u   ltimate pleasure is not going to be perceived, which is


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Coaer Story


hypothesis suggests that the X              lfthe pregnant mother consumes
chromosome carry genes that control         more katu rasa, she delivers to an
the production of many enzymes that         Impotent or weak personality. That
govern the chemistry of the body,           was the reason behind following the
such as Nitric Oxide, cGMP and              regimens during pregnency. Either
PDE5. Ayurveda acharyas affirmed            the sukra or sonitha, which ever is
the influence and importance of             predominant influences basic sex
female from the point of attaining          characteristic features of male and
perfect erection till to the end of         female respectively. At present it is
formation of kalala (zygote) in             well known fact for us, the presence
Uterus. All the disorders are               of XX chromosomes gives a female
commoner in male, and are often             and XY to male child. If the
transmitted by the male, including          configuration of chromosomes are

     The Gendermap is defined as a developmental representation or
     template synchronously in the rnind and brain depicting the details
     of one's gender/identity role, where as Lovemap is depicting the
     idealized lover, the idealized love affair, and the idealized program
     of sexoerotic activity projected in imagery or actually engaged in
ED orlmpotency. The determination                    XXY or multiples it is
                                            altered as
of genetic body is important           as   conveyed as shanda or Triteeya
psyche body is based on it.                 prakriti, who is claimed           as
                                            Napumsaka.
The physical or somatic body is
considered for gender identity, which       Psyche body, is the feeling of an
is going to develop in the Uterus after     individual by mind (manas). Mana
the formation of zygote by semen            is under the control of vata and its
and ova. The influence ofsemen and          vitation leads to psychological
ovum in generating the impotent is          disturbance. Apart from prakriti of
important. The physical body other          body even Manasika Prakriti
wise Karmendriya based body, even           (psychological) also responsible for
though develops from sukra sonita           the development of Impotency   orED
samyoga (semen and ova)           it   is   as the orgasm is totally depending
nourished and altered by the Rasa of        upon the psyche.
mother attributed rasaja           and
                                            Classification:
satmyaja bhavas. The food taken by
mother at the time of pregnancy is          The sukra or semen is synonymed
going to influence to the extent of         with Retas, Beejam,          Varam,
giving birth to an impotent progeny.        Veeryam, Harshajam, Snehu,
                                                                               53
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                                                                  &cots raaoJ
Cover Story


         b)   Pootigandha - Fungal          paternal sperm becomes an Asekya
    infections leading to ED                and feels no sex desire withoul
t        c) Viseerya mani - wound at        previously drinking the semen of
                                            another man.
    glans
         d)   Viseerya medhra - injury to   Saugandhika: - A child begoLten in
    shaft                                   a sordid vagina is called a
         e)   Viseerya Mushka-wound at      Sougandhika, whose organ does not
    testes.                                 respond to the sexual desire without
I   2)   a) Pittaja                         smelling the genitals of others.
         b)   Veeryavahininadi cheda
                                            Kumbhika: - The man who first
       c) Medhra Roga
                                            become a passive member of an act
    3) Paraphilic ED or Napumsaka           of sodomy and able to act as man
    Asekya - Mukha yoni- Erection           with good erection is called      as
    after swallow of semen                  Kumbhika.
    Sougandhika - Nasa Yoni - Erection
    after smelling others genitalia         Irshayaka: - The man who can not
                                            copulate with a women without
    Kumbhika - Catamite- Erection           previously seeing the sexual
    after anal penetration                  intercourse of another is called as
    Ershayaka - Drig Yoni - Erection        Irshayaka (Voyerist).
    after Voyeurism                         Kleeba: - Kleeba is defined as a
    Shanda: - (Nara/nari Shanda) A          person with ED under various
    child born of an act of fecundation     etiological factors.
    foolishly or ignorantly effected
    during the menses of its mother by
                                            lntervention of Agni in
                                            Impotency:
    its progenitor by holding her on his
    bosom during the act is called as       Dhatwagni influences two tyPes of
    Shanda and invariably exhibits          Dhatwagnipaka, prasada and kitta
    effeminate traits in his character. A   where transformation of nourishing
    daughter born of a woman riding on      material and waste products takes
    her husband during the act of sexual
                                            place respectively. The specific
    intercourse    will develop masculine   function of dhatwagni is synthesis of
    traits in her character.        Here    particular dhatu and continuous
    Klinefelter's and Turner                replacement by nutrients. The main
    syndrome are applicable, which          dhatwagni vyapara of Sukra is stated
    are said to be in beeja dosha or        by some Acharayas as production of
    chromosomal anomalies.                  Ojas and Vagbhata considers it as
                                            mala o[ sukra. Function of Sukra is
     ASEKYA: - A child born of scanty       said as reproduction. It is not only
                                            means perpetuating the progeny but

                                                                               55
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Cover Story

of psychological entities. The psyche      erection, good orgasm and timely
involvernent in other activities or        ejaculation. Apart from all otlter
reverts the activity of fluid shilt as     causes ofhaving a good sex, erection
re-diffusion and along with the            plays an important role. The erection
excretion of fluid as sweat in the         depends upon physical, emotional
form of hyper hydrosis. The patient        and mental health. Usually anxiety
who ever is suspected as having            or fear leads to situational impotency.
orgasmic deficit, asked to be present      Therefore the major influence of
at early hours for observation to          stress and depress,ion and physical
correlate the clinical sign of pseudo      strain has to clear when a person is
anasarca after exclusion of other          intended to have good sex. It is being
organic problems.                          observed the erection is under the
                                           neurovascular control as emotional
It is observed in many patients where
pseudo anasarca is a sign in                control, where chemicals           are
                                           released and physicaly filling the of
association with non-erection or
ejaculatory defects. Further it is         penis vessels and making hard with
being observed in the patients those       proper erection. Erection flags when
who can not reach the orgasm.               another enzyme                 called

     Sex doesn't come easy, it depends on health and it is notjust intercourse,
     it is all about pleasure. Sex achieved by keeping fit, having a good
     relationship, proper communication, eating well, fine stimulus, proper
     arousal, perfect erection, good orgasm and timely ejaculation. Apart
     from all other causes ofhaving a good sex, erection plays an important

Further elucidation is necessary to         phosphodiestrease type 5 (PDE5)
prove the pseudo anasarca and hyper         neutralizes the cGMP. The brain
hydrosis as the signs of shukradhatu        activates and releases Nitric Oxide
dusti.                                      in the spongy tissues. It activates the
Mechanism of Impotency:                     enzyme Guanylate cyclase that
                                            produce cyclic guanosina mono
In this age we began to compromise          phosphate (oGMP). The cGMP
on our sex life and on             our      relaxes the spongy tissues and
relationships. Sex doesn't come easy,       increases the blood flow to the penis.
it depends on health and it is notjust      The penis stiffens as the arteries and
intercourse, it is all about pleasure.      the spongy tissues dilate and squeeze
Sex achieved by keeping fit, having         the vein shunt. Out of the various
a good relationship,      proper            groups of impotency beejadosha
communication, eating well, fine            janya sukra dhatu                 gata
stimulus, proper arousal, perfect           napumaskata can not be treated.

                                                                                  5'7
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ol euo sp€ol osls uorlcunJs,(p ulerq          are .{cuelodurl Are.rodur4 .dnor8
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                                                                        Gtols ranoC
Coaer Story

is used for skin problems. But here       are said to be   fit by virtue ofphysical
at present to rectify the shukra which    and mental health. I enquired about
is spread all over the body other wise    their habits and acts in general. The
said to be in the skin, Devadaru is       problem was traced as, they were
                                          unable to have the pleasure of sex.
being used. The effect over the
                                          The second day the swelling appears
peripheral vascularity. maintenaltce
                                          which lasts almost till afterngon,
of blood vessel wall and prevention       gradually disappeared. The lady
of venous leakage in impotency            further complains cramp which
needs further experimentation.            persist even after inter course. Both
                                          were counselled individually and
Conclusion:                               also in-group. Treatment offered sex
Before concluding this topic I wish       education and vatahara sukra
to present two cases for the              sodhaka and vardhaka treatment.
reference. Cases of impotency come        They were given Ayurvedic classical
to me where clinically Azoospermia        preparation and asked to participate
but presenting normal erection. This      in sex without hesitation and
case is considered as shukradhatu         hindrances. The second day
vikriti and there by treated with the     miraculously the pseudo anasarca
"Trivanga bhasma". The second day         and abdominal cramps disappeared.
he got anasarca, which triggered my       Thus we can draw a conclusion of -
mind to find out the reason, as the       l) Mother is responsible for genesis
generalized anasarca may be a
                                          of Impotency in child.
complication of impure Trivanga
bhasma. But it was evaluated after        2) Growth (proper cell division
counselling the patient, as he was not    mitosis) is directly proportional to
aroused properly. The      vikriti of     libido/sex arousal.
shukarvaha srotas resulted into           3) Pseudo anasarca and hyper
unhappy sexual conjugation which          hydrosis are the signs of Impotency
led to pseudo anasarca. The patient
                                         , and also orgasmic problems.
asked to continue the medicine and
have a conjugation under suitable         4) The situational or temporary ED
conditions, which relieved pseudo         can be treated by vata hara, shukra
anasarca, within few hours, without       shodhaka dravya.
any medication.                           5) Uttarvasti is the best treatment for
,Another couple of 27 years male and      ED-
22years female approached me with         Further elucidation has to be made
generalized swelling of body, which       to establish the action of Uttarvasti
disappears after few hours after          through radioisotope studies.
setting into regular activities. Both                                             I

 The'author is Reader in Kayachikitsa, PGARC, Sri D.G.M.Ayurvedic
   Medical College, Kalasapur Road, Gadag - 582 103' Karnataka


                                                                                 59

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Impotency

  • 1. Impotency lntroduction: ewly wedded couple with more ambitions in the mind undergoes into conjugation on the first night, Groom fails and bride will impose tr impotency on him. The saga of ineffective sex act starts and leads into a broken family. Another case of middle W gM aged person comes for consultation states that he is unable to satis$ his wife in sex acts. Both ofthe above examples are said to be erectile dysfunction (ED), ffi3 claimed in general as lmpotency. The ED and impotency goes always hand in hand. The word Impotency is heard in many areas at present ffi 4 day living style as a serious problem. Because of it, the family life is disturbed and in further leading to separation or divorce, ultimately causing distress with ffi psychological disturbance, which may even lead to ffiT 4 suicidal attempts. In many occasions it is observed stress and strainful life in urban India are the causes for such condition to develop. What is lmpotence? How it can be managed? m Impotency literally means powerless and unable to achieve an erection or orgasm for male . It is further said as partial or complete inability of the person to perform the sexual act or to achieve orgasms. It has q ffi two parts. l. Unable to perform sexual act as no erection and ffiT 2. Unable to achieve orgasm because ofpsychological interference. The erection is of physical and orgasm is ffi r Dr. Sivaramprasad psychological, unless both are synchronized the Kethamakka u ltimate pleasure is not going to be perceived, which is 51
  • 2. ZS uo,('I aqJ 'fpoq crleue8 eleur e eqJ 'eruosol,{c qlrtr euruenS puu ol e^rle8eu pue ,(poq crleue8 elerueJ eurur,{ql qlrM eutu Jpe'sputl lueJ+Jtp eql suroJuoc €socnu Iero luou JnoJ Jo oJ€ soseq snoueSorlru ere reetus elqrsod urluuorqc V 'sepru eruosourorqc eseq; 'fpn1s luaserd IBrruou rrl sllec Jo 6591 ual ssel lnq rog lueuodurr ,{re,r sr 'lueue8uule seprueJ lBuuouJo sllecJo obgglnoge euosor.uoJqc eqt fq peuruJelop ur euBJquou JBelcnu eq1 lsurBSs sorl sr qcrq/( 'fpoq elloueC aqJ .xes urlBruoJqc xes Jo ss€Iu lpl.us v crluuros o1 Surpuodsauoc eq lou fuur 'uszfro.;o lrel Jo qcrgir '.xes crleueS 3o slur:dre8urJ Cg Jsqlre ur aoueqrnlsrp;o leley ,(ue al€eJc lou llI/K 'qlEep to qUIq roqlleu ,furec 11lrrr 11ec ,{poq eql 'orJBluO urelsel Jo Ftrsre^run eqt w 6V6l e^Bq pue nqqlA sl qcrq,r ,eurlv sB pres esr^ Jeqlo ,{poq pllsy eq; ul usg,{uunyq {q paluenur sr qcrq^ 'unpuroJrlc xes fq peuruuelep sr xes 'rpoq cneruo! slleueS eqJ'eJrlJo qfuel pue rno8r,r ro pcrs,{q4 puu ,(poq rrteueg .,{poq 4, ',{tIIUeJ 'ezrs 'edeqs tnoloo lrursus-t1 eqc,{sd ',(poq 1e.r1sy 'e'r 'sdnolS lnoJ osp lnq sessesrp puE slcpJep elrur.Jep / sBparJrsselc aq uec fpoq oqt .p.re8e,r' ol esrJ e^rr8 fluo 1ou 11rin saueE sHl uI 'seJnlsoJ crlsrrelsBJBr{c ybs eql 'peJeprsuoc eq 01 seq ocu?ur{uop ,(repuoces pue ,&eurrd eql Jo srseq pue e^rlelrlunb;o suuel ur ecuppunqu uo epsru sr uoiluuruuelep repueS osp eql ',(lelrlcedser elurueJ pu€ selpo;qdeurreq JoJ uo^A 'sernleeJ eplu Jo qulq eql o1 asn se,rr8 elruos crlsrJelc€&qc 1bcrs,(qd eql uo possq pue e.qnsJo lno lu€punqe ro 3uo4s sr ,(14uepr sauo sr ,(lquepr repue8 eq; JeAe qJIII/r SS UperUn,{y,{q peuruldxe 'sn1eo; ur seJnlueJ crlsrJelJeJeqc 'sernl?eJ leurolxe eqt uo peseq epur sll Ol esrJ ezrrS pue eA.rssecsJ sB perurelc lnq ,{ro8etuc Jo roqlre ot JeAo sep€Aur eueB luEurruop s8uoleq 1ou q8noql ue^e e{esrunde51 aql 'urerord.;o pur4 rq8r.r eqJ 'oletu rou so srseqlurs eqr sroruor ..--,:111^" i!:-'1"^ ::]]"""r t: plss s! qr'Iq^t el?ueJ Joqlreu ''e'r qclQ,r 'VNU re8uesseu::* "-tlt ',,ueurnduu eel1seg,, yo srseqlu,{s rr""r,p "l:^j:1t-ii-i1 "-1 -1"1"t se ulesrundu51 "qr osl' pu' aaeurr umo ,r, u, l-u' tl:j::::11 ln :l*tulf aJE sureldxe pelecqder sr qcrq^{'vNa 1-1-t l:li":'q:'as ur.unJpudluy tt"-y:_Iiso;oqa'{sd ur pepocuo u uonno,rogil :ltq upqBqs 'eleluoJ crreueD'surrds;go:j^-^.-"I:"-:jo,,, p"" JoJ pelnqrrlle ltsrls^tldJo st uollrole rrlJ Jo luerudolenep eqr 0q oslu uer seuruJelep qorq^'epoJ uorlcnJlsur lr uuru roJ polels sr 1r q8noql ue,,lg ctleue8 s e^€q s1lec enrlcnporder '(urplrue8),,e1sud61,, Jo uortcunJ 6tots t,aaoC
  • 3. Coaer Story hypothesis suggests that the X lfthe pregnant mother consumes chromosome carry genes that control more katu rasa, she delivers to an the production of many enzymes that Impotent or weak personality. That govern the chemistry of the body, was the reason behind following the such as Nitric Oxide, cGMP and regimens during pregnency. Either PDE5. Ayurveda acharyas affirmed the sukra or sonitha, which ever is the influence and importance of predominant influences basic sex female from the point of attaining characteristic features of male and perfect erection till to the end of female respectively. At present it is formation of kalala (zygote) in well known fact for us, the presence Uterus. All the disorders are of XX chromosomes gives a female commoner in male, and are often and XY to male child. If the transmitted by the male, including configuration of chromosomes are The Gendermap is defined as a developmental representation or template synchronously in the rnind and brain depicting the details of one's gender/identity role, where as Lovemap is depicting the idealized lover, the idealized love affair, and the idealized program of sexoerotic activity projected in imagery or actually engaged in ED orlmpotency. The determination XXY or multiples it is altered as of genetic body is important as conveyed as shanda or Triteeya psyche body is based on it. prakriti, who is claimed as Napumsaka. The physical or somatic body is considered for gender identity, which Psyche body, is the feeling of an is going to develop in the Uterus after individual by mind (manas). Mana the formation of zygote by semen is under the control of vata and its and ova. The influence ofsemen and vitation leads to psychological ovum in generating the impotent is disturbance. Apart from prakriti of important. The physical body other body even Manasika Prakriti wise Karmendriya based body, even (psychological) also responsible for though develops from sukra sonita the development of Impotency orED samyoga (semen and ova) it is as the orgasm is totally depending nourished and altered by the Rasa of upon the psyche. mother attributed rasaja and Classification: satmyaja bhavas. The food taken by mother at the time of pregnancy is The sukra or semen is synonymed going to influence to the extent of with Retas, Beejam, Varam, giving birth to an impotent progeny. Veeryam, Harshajam, Snehu, 53
  • 4. vs CA €qsop oloJs BrIsBAnlBrIp sJ{ns '[l otSurpuoluouooJur -efturry (e (1 usrl rporqdeuueqopnesd qg - u8ueqq efearq BqsoP sqqJBc 'rr qg o1 Surpeel euro.rpu,(s JerrJnJ uoruosJo ,(cuercgrp - eduqsy e.u1n5 lupuuqs uuu - Er1sop u,re1.ru (q e4seuu14 (c eurorpu,{s s. JelleJaut lI efereqy (q :€pu€qs ereu - eqsop e.r4nqs (u eluqeg (u 'rr seqsop ufaeq ro edlq.rnep efaeg 'l qfuerls Jo ssol (q erpsurndepurlnqsv 'I ro8r,t.;o ssol (e 'l rapun se parJrsssll urlesruntleg 11g cglegra8- eref e11ue1e1 (p 're^ol eqt qll^ ul pe8uSue flpnlcu efueqceuqurerq (c ro fre8uurr ur pelcelord ,{1nr1ce eleqs udorlsun4 (q crloJeoxes go urer8ord pazrl€epr uleqsorqeqns (€ (11 eql pu€ '.rr€JJB o^ol pezrlBepr seleqsrc - rlloqelotr tr'q €qtr 'Je^ol pozrleopr eql Suncrdep surelqord ueeH - c;ue8.rg 'e (r sr deuerrol ss eJer{/$ 'e1or [1l1uepl CA ol SuIPBel uetues Trepue8 sieuoJo spelep eq1 Surlcldep Jo uorlonpoJd uou - eleq8edoleeg ureJq puu punu oql ur flsnouorqcu,{s sgool) ro Cg luouulrued rure5 (rr e1e1dure1 ro uorlelueserde.l CA puorlenlrs Jo leluerudolenep B sB peurJep cg puonolue Jo cg ,{re:odurel (l sr deurrepueC eql 'sderue^o.I 'rlsnp EJrs puB pue deuuepueC eql seurJop 'VSn olors (1enp pupues) equ,lolog (g 'eJorurlpg ;o,(euoy41 uqol'Jq'IoJd ' rqpueC eqseernderlny4l 'sduruerrol puB sdeurrepueE 'u,{oodr1oo6 6euoeqs)'{rqpuBrC uodn puedep uorlelncefe pue ruse8ro 'HpueC edeuny'uqdey ?ilrd'BIBA 'uorlceJe'lBSnoJB 6snln{urls seuo 'sapalre^ fqBIfl 'll ueruos Jo ,{Soyoqdrour o^qcoJe(l 'ssloJs/BJls Eqe^oler .ro quad elurredsoBrlg q uolsal Isrol Jo esneraq alqlssod enu;edsoozy lou sl uollrarg (g 'Eu;"rdsggo acnpo.rd ol ?lquun 1nq alqrssod s; ecnpord or erq'un - uollJera e.raq,lr 6g1snp sr{ns qllra .!lsnp ^ruo::j"l*l gsnp oloJs eqelullns (1 !sad,(1 oaq olors BTIBABT{ns pue urr1n5 (y ,dppur;o s1 dcuapdrul eql ',(poq u4esrundeg e.rqnseg (7 oql re^o 11e peards eJB qrrqlh 'seloJs Bqsop oloJs Brl€^olou '^ ?q€^eDlns uI s/rou BDIns eqJ 'nlBqp Brlsos ro eqsop eJls ErlB^olau '^r eueqperd pue ueplns 'uuqsnl^od &cots raaoJ
  • 5. Cover Story b) Pootigandha - Fungal paternal sperm becomes an Asekya infections leading to ED and feels no sex desire withoul t c) Viseerya mani - wound at previously drinking the semen of another man. glans d) Viseerya medhra - injury to Saugandhika: - A child begoLten in shaft a sordid vagina is called a e) Viseerya Mushka-wound at Sougandhika, whose organ does not testes. respond to the sexual desire without I 2) a) Pittaja smelling the genitals of others. b) Veeryavahininadi cheda Kumbhika: - The man who first c) Medhra Roga become a passive member of an act 3) Paraphilic ED or Napumsaka of sodomy and able to act as man Asekya - Mukha yoni- Erection with good erection is called as after swallow of semen Kumbhika. Sougandhika - Nasa Yoni - Erection after smelling others genitalia Irshayaka: - The man who can not copulate with a women without Kumbhika - Catamite- Erection previously seeing the sexual after anal penetration intercourse of another is called as Ershayaka - Drig Yoni - Erection Irshayaka (Voyerist). after Voyeurism Kleeba: - Kleeba is defined as a Shanda: - (Nara/nari Shanda) A person with ED under various child born of an act of fecundation etiological factors. foolishly or ignorantly effected during the menses of its mother by lntervention of Agni in Impotency: its progenitor by holding her on his bosom during the act is called as Dhatwagni influences two tyPes of Shanda and invariably exhibits Dhatwagnipaka, prasada and kitta effeminate traits in his character. A where transformation of nourishing daughter born of a woman riding on material and waste products takes her husband during the act of sexual place respectively. The specific intercourse will develop masculine function of dhatwagni is synthesis of traits in her character. Here particular dhatu and continuous Klinefelter's and Turner replacement by nutrients. The main syndrome are applicable, which dhatwagni vyapara of Sukra is stated are said to be in beeja dosha or by some Acharayas as production of chromosomal anomalies. Ojas and Vagbhata considers it as mala o[ sukra. Function of Sukra is ASEKYA: - A child born of scanty said as reproduction. It is not only means perpetuating the progeny but 55
  • 6. 99 ereruse8ropueuonulnc€lg'srsoJpi(q,JcB xes ur ocuo8lnpur e^rsse3xe rod,(q s€ ,(up eqr ,crqc,{sd .crro}erp etllrt sosnBc "t :-"1]t1l]:: .rulnBer olur Surnlo,tul Jellu sJnou uror; uedv'f,1r:urodruel ,trey ur sreedde'p r1^o1rl,";r;;; !i:'.. ii:q" pol€fnru ere' souoC eql se Suuds;;o tnteqpeDlnqs €tuqqns un opnesd a p"r"prruor'r, ri nieqpOn ur '{cuelodurl Jo uolllpuoJ eql 01 3o "ru"ngu, oql repun luotuilJBdruoc re1n11ecur1ur spBal Jaqlou Jo uut8e, uI suolllpuoc ol lueurlreduroc Jnllocerlxe crueSo,(d ,(ue ro reuped eqt;o tuqt ul uJrls plnu Jo llnsoJ u s€ po^olseq ueql roqlo el€u] Jaqloul? ol poqcelle sr lI 'senssn ,(poq eqt Je^o llB prnu Jeqlou;o eqcfsd pue sernlsodxes Jo flunotue leer8 3o uoqulnruncos - ur ,(lrrelnBerrr puV .rsql'J sB poulJep sI ecJes€uE eqJ ?cJ€ssue Jo ueruesJo uorlaldep pcr8oloqd,roru opnesd s.e urIS eql ul sloe[eJ ro-e^rlElllsnb se 1ce;ep ctleueS urelqord 1n"iao1oq"i;o-""ii* pll{c E uI pe'^ olsoq eq ol B sr trcrJep cn rrnSrg 'ruseSro ;o :bnojql Suto8 st ecuelodurl ro ule1usunde51 arnlyo riSr, p"rrlnr"uJ8 ot rr,r r"^rt i(poq eq ra^o [[u puerds su eqnqs :.6cua1odur1 Burqqnqs pue ,(uerues) eDlnqs Blnqls ur uoes sl xaueJ JneuaD 'Apoq eql Jo uorl€nlBAe lecg8olorlg 'lUelstsred st ru8errlns;o ur uo{el Jopun srsoreu pue srsol^u eJeq^,EDInqs Jo uorlounJ eql su uolleqlleqlseacuelodurllueueruled plss sI uollcnpordeX 'sed,i1 ( uoruos) ro '{rerodurel 3 o}ul fiur11nser Blnqls pue Eulqs{ns Jo sr nt€qp lBql selBls '{poq leem '(llecrsdqd Bqnqs 'rueued 1i.tg"p'L puu pesserdep IenpI^IpuI uP 01 "t*rn8ro SursouSerp ul sSurpur; pcrurlc iofeur spsel uonsnl^ lu8uerlns;o etuoc lno er{}Jo euo seuocoq ecJBseue opnesd uu SI qclq/( 'e,1pew 11ec e,rtlereue8er ,(q ereql .lereue3 ul uedo lou ere -uou V'3uFds31o eql ol peIrJEc sI 1I sluened eqlJoAo eJotrAtr'uoli.eururBxe JoAo eJolu puu 'uolleJeueSer;o ssol e ro ssecord Suqeeq pue rrudar eql 1ecrs,(qd ,(q ,(1rsui-p"tr"tin lou uBJ qcq,tr 'pcr3oloqr,{sd erou"q saruengul stseueSoqled uI pe^lo^ul sr usu8rg 'lueserd te eqo13 eq1 re,ro OJe IUHPDInS pue nlBqpBDInS eJoq^ suralqordcrusefirg 'u1sn1 ele8 sDInS'sellltua luaJeJJIp lle uoururoc ere ..{cuelodunul :il":t:l,lr',:t].|,1ffi"1l?,Hi] s8urpug porullo.rofeur se srsorpfq rod,(q puB BcrBsBua opnasd IIeJ sa lJe^uoJ ol sluerllnu a**j" srseqlufs ro; elqrsuodseJ uorluls ' ,(8reue sB prBS sr BrJpuoqoolrry eru,{eq; .,{cualodrurr" :l j[u;,";":J#;:ilI,:n'*i peuollueru os[E ere ^'#iilij 'c]e'eqsopuqdes snotJ€A eql ,.o.t ,sJotoBJ Burcuengur i 'el€ur€qsre^eqsop. 'u,{uqs>1n]eqp. eql .,{poq eql ut uorsr^rp IIec oslB I I &eols "caaoC I l
  • 7. Cover Story of psychological entities. The psyche erection, good orgasm and timely involvernent in other activities or ejaculation. Apart from all otlter reverts the activity of fluid shilt as causes ofhaving a good sex, erection re-diffusion and along with the plays an important role. The erection excretion of fluid as sweat in the depends upon physical, emotional form of hyper hydrosis. The patient and mental health. Usually anxiety who ever is suspected as having or fear leads to situational impotency. orgasmic deficit, asked to be present Therefore the major influence of at early hours for observation to stress and depress,ion and physical correlate the clinical sign of pseudo strain has to clear when a person is anasarca after exclusion of other intended to have good sex. It is being organic problems. observed the erection is under the neurovascular control as emotional It is observed in many patients where pseudo anasarca is a sign in control, where chemicals are released and physicaly filling the of association with non-erection or ejaculatory defects. Further it is penis vessels and making hard with being observed in the patients those proper erection. Erection flags when who can not reach the orgasm. another enzyme called Sex doesn't come easy, it depends on health and it is notjust intercourse, it is all about pleasure. Sex achieved by keeping fit, having a good relationship, proper communication, eating well, fine stimulus, proper arousal, perfect erection, good orgasm and timely ejaculation. Apart from all other causes ofhaving a good sex, erection plays an important Further elucidation is necessary to phosphodiestrease type 5 (PDE5) prove the pseudo anasarca and hyper neutralizes the cGMP. The brain hydrosis as the signs of shukradhatu activates and releases Nitric Oxide dusti. in the spongy tissues. It activates the Mechanism of Impotency: enzyme Guanylate cyclase that produce cyclic guanosina mono In this age we began to compromise phosphate (oGMP). The cGMP on our sex life and on our relaxes the spongy tissues and relationships. Sex doesn't come easy, increases the blood flow to the penis. it depends on health and it is notjust The penis stiffens as the arteries and intercourse, it is all about pleasure. the spongy tissues dilate and squeeze Sex achieved by keeping fit, having the vein shunt. Out of the various a good relationship, proper groups of impotency beejadosha communication, eating well, fine janya sukra dhatu gata stimulus, proper arousal, perfect napumaskata can not be treated. 5'7
  • 8. 8S (1e1 quele;) urseroelo Jo qJrJ oslu seueE eql elelnru ot peldope eq ruep?^ac'e,ire-rp erpqule^ raqlouv o1 seq ,(dureql e^rlpurrurle q8noroql 'prrB Jlelo uror;1redu poteplcnle s slueq?d qcns Jod 'fcuelodrur eq1 JeqFnJ eq ol sBrI 11 ug aseuu8ueru Surcnpord ur lueluello^ul seseloJs eteJl Jo eIoJ erll 1nq (,(cualodurl slr puB nleqp €rlnqs surqs{oos Jo roy Snrp ueaqrd e sr nqcre4gdey tueurqsrlq€lse pue uorler.tuoJ elcF. A uortEurquos e^oqB Jo lno JO eruq oql 1u ,tcuolodurr 3o sJolsBJ 'IlsP^J8lln eql roJ posn puB perellrJ e^rlBsnEc eql spJBAol UorluellB sr uorlcocap eq1 ',(1r1uenb eqt go rno,( me:p ol qsr^ 1 .f11ucr;rceds t/I ro Iru sI ol pecnper eq 01 peuoq paJeprsuoc sr repJosrp Isuorloure pue (e>1eposuru11) reluan pagund Jo crloqeleru ol enp uoqcungs{p Jo Iur 09 ur uelBl eq o1 lsuerrnr4 elrlcaJe {po ere11 ',{ro8elec 1ua.re;grp uuncn6l) nqccu4rde;;o spees S pu€ Jepun IIBJ osle ,{eqt se suolqord (erepoep srupe3 )n-rupe,r,eqgo surS g ,(;otelnce[e ueAe Eurreprsuoc :rlse^rallfl ro; e3o1 lou ruu 1'srseqlsord elrued Jo UOTICoJJOC leel Snouo^ s3 qsns ',(lsnoeuellnuus senssrl pue sJorunq 'suoqceuoc lecr8rns qlrm Burpep ,(poq aql ur peJnpoJlur sr olels lou r.uB I ereH 'uorsol/esn?c lBcol rrrnrrqrlmbe leuuou pu€ ele1s esuesrp eql Sur,rouer flsnoeuullnrurs u,iru.rp eql seAallor 1I rsuoqlpuoc cndesnue uqer8ruulea, qlliy paleerf eq 01 sr pue crldese repun .ernpecord eqc,(sd aql '[poq crqc.{sd pue ,(poq eql ot Eurprorce Itu SI ol 0I Jo pcrs,(qdrog eputu eq ot seq lueweer &rtuunb eq1 le erqlern red peJnpor1ur eql aydrcurrd u1 'ruelqord eq1 Suqceuoc pue 1ue4ed eql Suunssser Eq OI B,(BTIS3{ JO ?II31 JO TUJOJ sr dels puoces eql .,(11ce;red eql uI JoIDIe se,{,r,erp eruqeqsopuDlns pu€ €Jeq€l?A qlr^ Ilse^3JB11n pU? ,{llnJerec 1r es,{1uue puu uoDEnlrs eqt lnoqe uorleuuogur Surxq sepnlcur :tuss8roun pue Og JoJ Surllesunoc eqI'uorlscrpotu luarulBorl alelullln ue rlsB^erl,llfl pus ecuEJnssBeJ'3ur11esunoc speeu qcrq/t'urSrro Jplncse^oJneu 'Brreqpoqs olors qlm Suop (eslqqc u,(ululerlus) eqc.,(sd ;o Jo JopJosrp B sl ,(cuelodrul uoncexoc'Eurllesunoc erou errnbar :,{cualodull ;o luaure8euelq s,qg cqrqdered eql'xesgo acricerd puu uon€cnpe xes JoJ uonuellu spesu .epeun,{ygo lno Naq polBeJl dnor8 sqt snq;',(cualodut do1e,lep eq uer .dcuelodrur luuoqunlls Jo ol euo sp€ol osls uorlcunJs,(p ulerq are .{cuelodurl Are.rodur4 .dnor8 purruru ro (qqy) uep.rosrq trrrJo6l reqlo eqtr ..,{cuelodrug 3ulaeq uoquepy ,(leuorsucco qurq eqt JeUV pllqc B ol qlJlq e,rr8 lou ,(eur 's€lors eqe^?Dlns puB nlBqpBDlns faql ,(q e.raq1 uopderuor eroJeq sqt ,(;Ucer e/{ sB lueql ur ,(cuelod reqlow pus JoqlsJ roJ luatulBerl ocnpul u€c eA ,{O ereql ',(luurodurel cr1ee1.{qdord e arleur uEJ oM Gtols ranoC
  • 9. Coaer Story is used for skin problems. But here are said to be fit by virtue ofphysical at present to rectify the shukra which and mental health. I enquired about is spread all over the body other wise their habits and acts in general. The said to be in the skin, Devadaru is problem was traced as, they were unable to have the pleasure of sex. being used. The effect over the The second day the swelling appears peripheral vascularity. maintenaltce which lasts almost till afterngon, of blood vessel wall and prevention gradually disappeared. The lady of venous leakage in impotency further complains cramp which needs further experimentation. persist even after inter course. Both were counselled individually and Conclusion: also in-group. Treatment offered sex Before concluding this topic I wish education and vatahara sukra to present two cases for the sodhaka and vardhaka treatment. reference. Cases of impotency come They were given Ayurvedic classical to me where clinically Azoospermia preparation and asked to participate but presenting normal erection. This in sex without hesitation and case is considered as shukradhatu hindrances. The second day vikriti and there by treated with the miraculously the pseudo anasarca "Trivanga bhasma". The second day and abdominal cramps disappeared. he got anasarca, which triggered my Thus we can draw a conclusion of - mind to find out the reason, as the l) Mother is responsible for genesis generalized anasarca may be a of Impotency in child. complication of impure Trivanga bhasma. But it was evaluated after 2) Growth (proper cell division counselling the patient, as he was not mitosis) is directly proportional to aroused properly. The vikriti of libido/sex arousal. shukarvaha srotas resulted into 3) Pseudo anasarca and hyper unhappy sexual conjugation which hydrosis are the signs of Impotency led to pseudo anasarca. The patient , and also orgasmic problems. asked to continue the medicine and have a conjugation under suitable 4) The situational or temporary ED conditions, which relieved pseudo can be treated by vata hara, shukra anasarca, within few hours, without shodhaka dravya. any medication. 5) Uttarvasti is the best treatment for ,Another couple of 27 years male and ED- 22years female approached me with Further elucidation has to be made generalized swelling of body, which to establish the action of Uttarvasti disappears after few hours after through radioisotope studies. setting into regular activities. Both I The'author is Reader in Kayachikitsa, PGARC, Sri D.G.M.Ayurvedic Medical College, Kalasapur Road, Gadag - 582 103' Karnataka 59