1

LAKSHANA

The state of being unable to produce offspring

2

NIDANA

- Hormonal imbalance
- Poor nutrition
- Stress
- Exposing the testes to high temperatures
- Tight underwear
- Smoking, drugs, and alcohol
- Environmental toxins
- Mumps during childhood
- Genetic conditions, such as Klinefelter syndrome.
- Other health problems, tuberculosis, etc.  

3

LABORATORY

Semen analysis,
Anti-sperm-antibodies.
Testicular biopsy.

4

PRICIPAL OF CHIKITSA 

- Shodhana, Vrishya Basti, Yapana Basti, Uttara Basti.
- Guna-based treatment based on the semen analysis.
For example, Motility is slow due to increased viscosity, then prescribe
kaphahara drugs such as AmritBhallataka, Panchakolachurna, PippaliChurna, Chandraprabhavati with honey.
If Rushtata is more, then prescribe SvranaBhasma, roupyaBhasma, muktapishti, pravalapishti with Amrita prashaGhrita or narasimha Ghrita.
Drug of Choice: Kapikacchu
Main Drugs: Svarna, Shilajatu, Musali, Ashwagnadha, Shatavari, Bhallataka. 

1. Snehana-SukumaraI Phalakalyanaka/Ashvagandha

2. Bashpa Sveda

3. Virechana-Trivrit Leha 30m 60gm with warm milk Madhutailika 8:1 in or Mustadiyapanabasti (Sneha-AshvagandhaGhrita) 8 days

4. Regular oil massage and steam  

1. Musali Paka/ Narasimha rasayana-5ml (2 times with Warm milk)

2. Musali churna-1gm

Kapikacchu churna-1gm +

Pippali churna-500mg+

Makaradhwaja-125mg+

Shuddha Shilajatu-250mg+

Vanga bhasma-50mg+

Shataputi Abhraka bhasma-125mg (2 times with Ghrita & honey)

3. Ashwagandharishta+ Draksharishta-20ml (2 times with water)

ASANA

- Bhadrasana

- Padahastasanam

- Sarvangasana

YOGA/PRANAYAMA

- Kundalini yoga

- Moola bandha

- Anuloma-viloma

- Bhastrika

DIET AND LIFESTYLE

Pathya(DO):

Sweet, delicious, pleasant diet, milk, ghee, green vegetables, carrot, apple, mango, cashew, almond, dates.

Apathya(DON’T):

Salt, astringent, spicy diet, smoking, alcohol, hot water bath and tight underwear. Keeping mobile in the pant (trouser) pocket. 

Vata Dushta

- Siddha Makaradhwaja-125mg OD or BD with honey and ghee

- Poorna Chandrodaya rasa-125mg OD or BD with honey and ghee

- Brihat Vangeshwara rasa-125mg OD or BD with honey and ghee

- Svarna Vanga-30-50mg BD with honey and ghee

- Amritaprasha Ghrita-20ml BD

- Narasimha Ghrita-20ml BD

- Phala kalyanaka ghrita-20ml BD

- Ashwagandha rasayana-l tsf with warm milk twice a day

- Musali Paka-1tsf with warm milk twice a day

- Vidharyadi Leha-1tsf with warm milk twice a day

- Vanari Gutika-2 BD or TID

Pitta Dushta

- Vasanta Kusumakara Rasa-125mg OD or BD with ghee

- Shatavari Leha-1tsf BD With milk

- Amalaki rasayana-1tsf BD

- Shatavari Ghrita-20ml BD

- Chandanadi Loha-500mg TID

- Chandrakala Rasa-500mg TID

- Kamadugha with mauktika-500mg TID

Kapha Dushta Shukra

- Makaradwaja-125mg BD

- Amrit Bhallataka-1 tsf BD with milk

- Narasimha Rasayana-1 tsf BD

- Triphala Rasayana

- Chandraprabha vati-500mg TID

- Gandhaka Rasayana-500mg TID

- Sarivadyasava-20ml TlD

Pitta-Kapha (Puti-puya)

- Gandhaka rasayana-500mg TID with chandanadi kashaya +honey—

- Chopchinyadi Modaka-1tsf ID

- Rasa Karpoora-65mg TID with ghee

- Chandraprabha vati-500mg TID with honey

- Svarna Vanga-30mg TID with honey

- Chandanadi vati-500mg TID with honey

- Chandanasava-20ml TID

Anya Dhatu Samshrishta

- Amrita Bhallataka Leha-1tsf BD

- Narsimha Rasayana-1tsf BD

- Shiva Gutika-500mg TID

- Chandraprabha vati-500mg TID

- BtihatVangeshwara Rasa-125mg OD or BD