Introduction to Sports Injuries by- Dr. Anjali Rai
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
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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
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two parts.
l. Unable to perform sexual act as no erection and
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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
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aql 'urerord.;o pur4 rq8r.r eqJ 'oletu rou
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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
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&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
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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
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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
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