Read This Article in Hindi हिंदी में स्तम्भन दोष -(Erectile Dysfunction Treatment in Hindi)
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Definition of Erectile dysfunction
According to modern terms and definitions Erectile dysfunction (ED) is the inability of a man to achieve or maintain an erection sufficient for his sexual needs or the needs of his partner. Erectile dysfunction is sometimes called as “impotence”. The term "erectile dysfunction" can mean the inability to achieve erection, an inconsistent ability to do so, or the ability to achieve only brief erections.
But Texts of Ayurveda define Erectile dysfunction or ED as follows.
Sankalpapravano nityam priyaam vashyaamapi sthreeyam ||
na yaathi lingashaithilyaath kadaachidyaathi vaa yadi |
Shwaasaarthaha swinnagaatrshcha moghasankalpacheshtitaha ||
mlaanashishnashcha nirbeejaha syodetat klaibyalaxanam |
This means even though a man has a strong desire to perform sexual act with a cooperative partner , he cannot perform sexual act because of looseness (absence of erection ) of his phallus ( penis). Even if he performs sexual act with his determined efforts he does not get erection and gets afflicted with tiredness, perspiration and frustration to perform sex
A brief look into Anatomy of Penis and Physiology of erection
Before knowing about erectile dysfunction, it is very important to know about anatomy of penis and physiology of erection.
Anatomy of Penis : Penis has two chambers. The two chambers of penis (corpora cavernosa,) which run throughout the organ are filled with spongy tissue called corpora cavernosa. Penis also has another spongy tissue called the corpus spongiosum which surrounds urethra and run through the length of penis. The corpora cavernosa are surrounded by a membrane, called the tunica albuginea. The spongy tissue contains smooth muscles, fibrous tissues, spaces, veins, and arteries. The urethra, which is the channel for urine and semen runs along underside of the corpora cavernosa surrounded by corpus spongiosum.
The physiology of erection : The process of erection due to a sequence of transfer of signals from sensory organs to brain, nerves and nerve endings. Due to sensory or mental stimulation, or both, the erection begins. Due to impulses from brain and local nerves the muscles of corpora cavernosa relax and allow blood to flow in and fill the spaces of spongy tissue. The flow of blood creates pressure in the corpora cavernosa, making the penis expand. The tunica albuginea helps to trap the blood in the chambers, there by sustaining erection. When muscles in the penis contract to stop the inflow of blood and open outflow channels, erection subsides or recedes. The erectile dysfunction treatment in ayurveda involves strengthening the muscles and veins of penis by providing proper nourishment and massaging penis with ayurvedic oil ( Read Stallion Ayurvedic Oil for Pennis Massage and Best Ayurvedic Massage Oil for Erectile Dysfunction )
How texts of Ayurveda explain physiology of erection ?
In texts of Ayurveda ayurveda physiology of erection and ejaculation is described as follows
Vrishunow basthimedram cha naabhyuuru vankshnow gudam|
Apaanasthaanamantrasthaha shukra mootra shakrunti cha||
Vayu is one of the three doshas or vital energetic forces. Vayu dosha imparts all movements in body. It may be a physical movement of external organs, internal organs, body fluids or movement of signals in brain, spinal cord or nerves. Acharyas define 5 types of vayu. These are
The “apaanavayu” one of the five types of vayu is located in the testicles, urinary bladder, urethra, prostate gland, seminal vesicles, phallus, umbilicus, thighs, groin, anus and colon. This means it is present in all organs of pelvis or lower abdomen. Its functions are ejaculation of semen, voiding of urine and stools. In women it stimulates menstrual flow and vaginal secretions.
Vitiation or Imbalance of apanavayu also causes constipation. Constipation leads to erectile dysfunction. Hence balancing vayu and apanavayu is one of the best remedy for erectile dysfunction in ayurveda. ( Read Can Constipation cause erectile dysfunction? )
Shushruta explains the process of erection and ejaculation as “ When a man has desire (iccha) to have sex, his response to touch, visual, hearing and smell increases. The vayu located in these sensory organs causes flow of signals to brain. This causes arousal or “harsha” . Arousal or Harsha intensifies actions of vayu and at this moment highly active vayu liberates the “teja “or heat of pitta. Thus tejas and vayu increase body temperature , heart beat and blood flow causing erection.
Disruption in sequence of events :
Erection requires a sequence of events. Erectile dysfunction can occur when any of the events is disturbed. Nerve impulses in the brain, spinal column, around the penis and response in muscles, fibrous tissues, veins, and arteries in and around the corpora cavernosa constitute this sequence of events. Injury to any of these parts which are part of this sequence ( nerves, arteries, smooth muscles, fibrous tissue ) can cause ED.
Age of Men: Ayurveda describes the cause of impotence or erectile dysfunction due to old age as follows. " diminution of - tissue elements, strength, energy, span of life, inability to take nourishing food, physical and mental fatigue lead to impotence"
Lowered level of testosterone hormone: Male hormones are known as Androgens. The primary male hormone is testosterone. The causes of low testosterones are as follows
How Ayurveda Explains Testosterone ?
We all know that the whole male or female body responds to testosterone. Male body responds more. Women too have testosterone in their body which is not significant. But when testosterone increases in women it causes PCOS or PCOD. (Read Polycystic Ovarian Syndrome-PCOS-An Ayurveda View )
Even sushruta has illustrated about this response of body to the element “Shukra” . He has said
"yatha payasi sarpistu goodashchekshow raso yatha shareereshu tatha shukram nrinaam vidyaadhbishagwara"
This means , The shukra dhatu ( the element which helps in reproduction) is present all over the body . The presence of shukra dhatu all over body is very beautifully explained by acharyas with the following examples.
Same way shukra dhatu is present all over the body. But the cream of shukra dhatu is the semen which comes out of the body only during the process of ejaculation. But this process of ejaculation needs a joyful union of mind and body.
Decrease in production of “Shukra dhatu” causes erectile dysfunction. Hence best ayurvedic treatment for erectile dysfunction is to strengthen shukra dhatu in men.
Physical or Mental tiredness or over exertion - Working for long hours in office, exercising in gym or outdoors for long hours, mental stress at office or home, short temperedness ,insufficient sleep or insomnia (Read Ayurvedic remedies for Insomnia ) all these can cause erectile dysfunction in men. Sexual abuse in childhood or in adults can also cause impotence.
Ayurveda acharyas explain these causes as "shoka chintaa, bhaya, traasaat .... " which means that erectile dysfunction or Impotence occurs due to grief, fear, anxiety and terror. Hence ayurveda vaidyas recommend yoga and meditation as as one of the ayurvedic remedies for erectile dysfunction.
Strained relationship with sexual partner: Mutual consent and involvement of both partners are very essential for a long lasting healthy sexual relationship. Erectile dysfunction also occurs when there is a disliking towards sexual partner. Ayurveda describes this as "naarinaamarasamjnatwaat..." means disliking for women. Loss of interest occurs when anyone of the partners develops disliking towards the other. Ayurveda acharyas opine that role of each partner should be like a vajikarana dravya or aphrodisiac to each other.
Diseases that cause Erectile dysfunction: The following diseases can cause erectile dysfunction or impotence.
According to ayurveda the diseases which cause erectile dysfunction are "Hritpaandurogatamakakaamalashrama..." - Heart diseases , anaemia , asthma , liver disorders , tiredness . Apart from these the imbalance in tridoshas also cause impotence or erectile dysfunction. Erectile dysfunction ayurvedic remedies include controlling obesity, keeping the heart healthy, consuming healthy foods, balancing doshas and preventing diabetes.
Consumption of medicines, drugs and tobacco: Using medicines like antidepressants, tranquilizers, statins and antihypertensive medicines for a long time can cause Impotence.
Addiction to tobacco in any form especially smoking causes erectile dysfunction . Smoking is one of the major reason for Impotence. Hence quitting tobacco or smoking is the first line of treatment for ED which occurs in tobacco consumers and smokers.
Excessive consumption of alcohol also causes erectile dysfunction. A small quantity of alcohol can act as a stimulant. But consuming it in excess leads to sexual dysfunction. Apart from this alcohol damages liver which in turn negatively affects sexual function.
Addiction to cocaine, heroin and marijuana also causes erectile dysfunction.
In ayurveda texts these causes have been said in brief as "rukshamannapaanam tathoushadham" - "dry food , drinks and medicines" cause impotence or erectile dysfunction.
Trauma to pelvic region and external genital organs: Accidental injury to pelvic region or external genital organ and surgeries for the conditions of prostate, bladder, colon, or rectal area may lead to erectile dysfunction. Even spinal surgeries may cause ED. Trauma to testicles due to bicycle riding can also cause ED.
These causes are mentioned as abhighata (trauma), shastradantanakhakshataha (injury from weapons, teeth and nail.) in ayurveda.
Ayurvedic Treatment or Remedies for Erectile Dysfunction
Vajikarana Therapy :According to ayurvedic texts ED or Impotence is treatable at any age. Ayurveda acharyas recommend a total treatment for Erectile Dysfunction as “ Vajikarana Therapy “ . This therapy incudes various Vajikara or aphrodisiac herbal preparations. These Vajikara preparations are natural and contain potent herbs like
These preparations increase the strength of a man to perform sexual act, like a horse. Hence this therapy is called 'Vaajikarana'. ( ' Vaaji'=Horse Karana =become like.)
What are the benefits of Vajikarana Therapy
Vajikarana therapy or herbal treatment for erectile dysfunction has the following benefits.
Eligibility for vajikarana therapy.
Ayurveda acharyas explain eligibility for Vajikarana Therapy
Psychotherapy: As mentioned earlier some men get sexual dysfunction due to performance anxiety, depression and other mental illness. These have to be treated with psychologically based treatment procedures. The patient's partner can help with the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety. Same treatment is illustrated in ayurveda. It has been said “A woman who understands a man and is liked by him, along with erotic environment act as best aphrodisiac. “.
Apart from the above therapy yoga, meditation also help in a great way to reduce anxiety and lower stress level.
Other Foods as Ayurvedic Remedy for Erectile Dysfunction
Ayurveda acharyas also recommend various herbs which can be used as food for this condition of men. Vegetables, fruits, cereals, pulses also act as aphrodisiacs when used regularly.
Wheat and rice are best staple foods which provide energy.
These foods supply essential nutrients like carbohydrate, protein, vitamins, minerals and healthy fats. These foods not only up the sexual energy but also improve quality and quantity of semen.
Regular consumption of water is also very important. Along with normal water 7-8 glasses of warm water boost the body health.
Ayurveda acharyas recommend to include the above foods in daily diet. These help to keep the sexual energy up and help to enjoy the bed time .
Exercises: Vyayama or exercises are very important to keep the blood circulation. Texts of Ayurveda recommend moderate exercises to keep up a good health. A brisk walk (read Benefits of walking for men suffering from impotence ) for 45 minutes daily is a very good moderate exercise. Sedentary life and stress are main contributors to plummeted sexual function.
Now Keeping Everything in Nutshell
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