Types-(4)

1. Beepghata janya napusankata

2. Dhajopaghata janya napusankata

3. Jara janya napusankata

4. Sukrakshaya janya napusankata

1

LAKSHANA

Decreased or lack of erection of penis.

2

NIDANA

- Atyadhik-akaran maithuan
- Ayoni maithuna
- Katu-tikta-kasaya-lavana-amla-ushna ati sevana
- Sukra ati kshaya
- Jaravastha
- Bhaya-chinta-shoka-krodha
- Mala-murta-sukra vegadharana
- Rasadi dhatu-sukravaha shrota dusti
- Sastrakarma-kshar karma-agnikarma anuchit prayoga
- Stress, anxiety, vascular diseases affecting penis. Medications-Antaids, alcohol, smoking, high cholesterol. high BP. diabetes. obesity. Low testosterone, surgeries of pelvic area.  

3

SAMPRAPTI

Nidana sevana-> vatadi dosha prakopa-> dosha sukravaha sira gamana-> sukra dhatu pradusti-> klaibya roga

4

SAMPRAPTI GHATAKA

Jarajanya is asadhya. 

5

PRICIPAL OF CHIKITSA 

Vatahara, Vatanulomana, Vajikara, Nadibalyakara, Medhya Rasayana. Sattvavajaya Chikitsa-Counselling.
Pelvic floor strengthening exercises (Kegel exercises).
Shamana
Drug of Choice: Kapikacchu
Main Drugs: Musali, Shilajatu, Vidari, Svarna, Ashwagandha
Sodhana chikitsa-
1. Vaman virechana k baad vrishya yoga sevan
2. Haritkyadi curna-haritaki curna, saindhav, amlaki, guda,vacha,vidanga, haridra, pippali, sunthi ko sam matra me lekar snehan svedana k baad rasayan & vajikaran 1 tola(12gm) ushnodaka se sevan karaye.
3. Sansarjan karma k baad rasayan vajikaran yog sevan karaye.
Non-Drug Therapy
Counselling
Relaxation
Meditation

Kegel’s exercise for men (pelvic floor exercises)
It takes diligence to identify your pelvic floor muscles and understand how to contract and relax them. Here are some pointers:
- Find the right muscles. To identify your pelvic floor muscles, stop urination in midstream or tighten the muscles that keep you from passing gas. These are your pelvic floor muscles. If you contract your pelvic floor muscles while looking in the mirror, the base of your penis will move closer to your abdomen and your testicles will rise.
- Perfect your technique. Once you’ve identified your pelvic floor muscles, empty your bladder and lie on your back with your knees bent and apart. Tighten your pelvic floor muscles, hold the contraction for three seconds, and then relax for three seconds. Try it a few times in a row but don’t overdo it. When your muscles get Stronger, try doing Kegel exercises while sitting, standing or walking.
- Maintain your focus. For best results, focus on tightening only you pelvic floor muscles. Be careful not to flex the muscles in your abdomen, thighs or buttocks. Avoid holding your breath. Instead, breathe freely during the exercises.
- Repeat 3 times a day. Aim for at least three sets of 10 repetitions a day.
Make Kegel exercises part of your daily routine. 

1. Snehana-Ashvagandha/Narsimha/Kamadeva Ghrita

2. Bashpa Sveda

3. Virechana-Ttivrit Leha 30gm with warm milk

4. Mustadi yapana basti (Sneha-Ashvagandha Ghrita) 8 days

5. Uttara Basti with Dhanvantaram taila 8 times for 5 days

6. Oil massage to genital area with sreegopaltaila

7. Shirodhara-Himasagartaila +Brahmi taila  

CHIKITSA PATRA 1

1. Manmtharma rasa-250mg +

Shilajitvyadi vati-250mg +

Narsingh curna- 2gm (2 times with madhu)

2. Ashvagandharista-20ml + Sarasvatarista-20ml (2 times 40ml water)

3. Musali paka-20gm (2 times with milk)

4. Haritaki curna- 3gm (Before sleep with ushnodaka) 

CHIKITSA PATRA 2

1. Vanari Kalpa-1tsf (2 times with Warm milk)

2. Musali churna-1gm

Kapikacchu churna-1gm +

Pippali churna-500mg+

Samira Pannaga rasa-65mg+

Shuddha Shilajatu-250mg+

Vanga bhasma-100mg+

Makaradwaja-125+

Shuddha Kuchala-20mg (2 times with Ghrita & honey)

3. Srigopala Taila (Local massage 2 times)

DIET AND LIFESTYLE

Pathya(DO):

Ksheer-ghritaabhyasa,tambula, sathi, rice, madira, udad, madhu, mamsa, manukka, pindakharjura, aam, badam, kaju,akharoth, singhada

Apathya(DON’T):

Sarsapa taila, viruddha asana,amla,vidahi bhojana,

Ratri jagran, ati maithuna,atishram

Yogasana:

Gomukhasana, siddhasana, padmasana, pavanmuktasana, bhadrasana, savasana, vajrasana, pranayama, ardhamatyendrayasana 

RASODHI/BHASMA/PISTI-(120-250MG WITH MADHU/USHNODAKA)

- Abhrak bhasma

- Sheelajatu

- Pushpdhanva rasa-(rassindura,naga,loha,abhrak,vanga)

- Purna chandra rasa-(rassindur,abhrak,shilajatu)

- Mamthabhra rasa-(parad,gandhak,abhrak,tamra,vanga)

- Makardvaj-(svarn,parad,gandhak)

- Kamnividhravan rasa-(gandhak,ahiphen,hingul)

- Navjeevan rasa-(rassindur,kuchala,loha)

- Rajmringank rasa-(rasasindura,tamra,manashila)

- Basant kushmakar rasa-(vanga,rajat,svarna)

- Tarkeshver rasa-(rasasindura,loha,vanga,abhrak)

VATI-(250-500MG WITH USHNA JALA/MADHU/KSHEER)

- Vanari gutika-(kevach,sarkara)

- Bramhini gutika-(satavari,goksura,kevach)

- Chandraprabha vati-(shilajatu,gugglu,loha,vanshlochan)

- Madan manjari vati-(abhrak,vang,parad)

- Sukra stmbhan vati-(jayphala,akarkara,lavang)

MODAKA-(3-5GM WITH KSHEER)

- Shree Madnanad Modaka-(Parad,Gandhak,Abhrak,Jayphala)

- Kameshver modak-(kurasani ajvain,dhatur beeja,akarkara)

- Rativallabh modak-(bhanga,shatavari,mishri)

CURNA-(3-6GM WITH MADHU/USHNODAKA)

- Ashvagandhadi curna-(ashvagandha,vidarikand,gokshra)

- Satavaryadi curna-(satavari,vidarikand,gokshra)

- Narsingha curna-(satavari,gokshura,bhilava)

- Rativallab curna-(salampanja,musali,gokshura)

KAVATH/ASAV/ARISHTA-(20-40ML WITH SAMABHAG WATER)

- Dasamularista-(dasamula,chitrak,pushkermula)

- Ashvagandharista-(ashvagandha,musali,haridra)

- Sarasvatarista-(brahmi,satavari,vidarikand)

GHRITA-(10-30ML WITH USNODAKA/DUGDHA)

- Phalaghrita-(mulethi,triphala,vidanga)

- Kalyanak ghrita-(indrayan,devdaru,kumari)

- Asvagandha ghrita-(ashvagandha,astavarga,bala)

- Kamdev ghrita-(kuth,kayphala,vidarikanda)

- Apatyakar ghrita-(satavari,vidarikand,kevach)

AVLEHA/PAKA/KHANDA-(15-20GM WITH KSHEER/JALA)

- Chvanprashavaleha-(dasamula,astavarga,amlaki)

- Rativallabh pukpaka-(puga,sarkara,ela)

- Kesarpaka-(trikatu,talamkhana,goksura,kesar)

- Amrit bhallataka-(bhallataka,triphala,trikatu)

- Musalipaka-(musali,sunthi,satavari)

RASAYANA-(WITH DUGDHA)

- Bhallataka rasayana

- Amlaki rasayana

- Loha-shilajatu rasayana

- Ashvagandha rasayana

- Shiddha makarduaj

TAILA(ABHAYAGARTH STHANIK PRAYOGARTH)

- Mahachandanadi taila

- Ashvagandha taila

- Mahasugandhi taila

- Shree gopal taila

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