A review on role of uttar basti in the management of erectile dysfunction
Journal name: Ayushdhara
Original article title: A review on role of uttar basti in the management of erectile dysfunction
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Dipanjan Jana*
Assistant Professor, Dept. of Panchakarma, Raghunath Ayurved Mahavidyalaya and Hospital, Contai, Purba Medinipur, West Bengal
Gouranga Maity
Assistant Professor, Dept. of Sharir Rachana, Raghunath Ayurved Mahavidyalaya and Hospital, Contai, Purba Medinipur, West Bengal
Raghunath Das
Intern, Raghunath Ayurved Mahavidyalaya and Hospital, Contai, Purba Medinipur, West Bengal
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: A review on role of uttar basti in the management of erectile dysfunction
Year: 2018
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Erectile dysfunction, referred to in Ayurveda as Klaibya, is defined as the persistent inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance. Various factors contribute to this condition, including psychological (stress, anxiety), neurogenic (spinal cord injuries), and vascular origins (cardiovascular diseases). The increasing prevalence of erectile dysfunction is alarming, especially considering lifestyle changes and stressors prevalent in modern society. Among the treatments available, Uttarbasti stands out as a favorable Ayurvedic approach for addressing this issue, particularly in cases classified as Dhwajabhangaja Klaibya, which aligns closely with the symptoms of erectile dysfunction.
The Role of Uttarbasti in Erectile Dysfunction Management
Uttarbasti, a specific Ayurvedic therapy, involves administering medicated oils or decoctions directly into the urinary bladder through the urethra. This procedure aims to address genito-urinary disorders, providing nourishment and expelling vitiated Doshas. In the context of erectile dysfunction, Uttarbasti is considered the primary treatment as it directly influences the physiological processes involved in penile function. The mechanism of action is thought to operate through several pathways, including enhanced absorption via the bladder, systemic circulation, and neuro-psychogenic stimulation. This method effectively targets the root of the dysfunction rather than merely addressing its symptoms.
The Mechanisms of Action in Uttarbasti
The effectiveness of Uttarbasti in treating erectile dysfunction can be attributed to several key mechanisms. First, it bypasses first-pass metabolism, allowing higher concentrations of active ingredients to reach the intended site without significant metabolic loss. The bladder's permeability barrier plays a crucial role, permitting the absorption of therapeutic agents through urothelium and into local tissue. Additionally, the procedure may stimulate neural pathways associated with penile erection, thereby enhancing sexual arousal and function. Psychological factors are also taken into consideration, as Uttarbasti may help mitigate issues like anxiety and depression that often accompany erectile dysfunction, leading to improved outcomes.
Conclusion
Uttarbasti represents a holistic approach to managing Klaibya and promoting healthy sexual function. The interplay of physical, psychological, and systemic factors suggests that addressing erectile dysfunction requires a multifaceted treatment strategy, where Uttarbasti can serve as a cornerstone. Continued exploration is needed to fully understand the precise effects of this therapy on the urinary bladder and its influence on erectile function. Ultimately, integrating psychological support and oral medications alongside Uttarbasti may offer comprehensive solutions for individuals suffering from erectile dysfunction, enhancing their quality of life and sexual health.
FAQ section (important questions/answers):
What does Klaibya refer to in Ayurveda?
Klaibya refers to erectile dysfunction in Ayurveda, describing a man's inability to perform satisfactory sexual intercourse due to various causes including psychogenic, neurogenic, and vascular factors.
How does Uttarbasti help in erectile dysfunction?
Uttarbasti, an Ayurvedic procedure, involves administering medicated oil or decoction into the urinary bladder, which helps to nourish the body, enhance penile muscle tone, and affects systemic circulation, thereby aiding in erectile dysfunction.
What factors contribute to erectile dysfunction according to the text?
Erectile dysfunction can be attributed to multiple factors including age, diabetes mellitus, neurologic diseases, psychological issues like anxiety and stress, vascular problems, and lifestyle choices such as poor diet and smoking.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “A review on role of uttar basti in the management of erectile dysfunction”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Klaibya:
In Ayurveda classics, Klaibya refers to erectile dysfunction, a condition where a man is unable to perform satisfactory sexual intercourse. It can be classified into various types such as Bijopaghataja Klaibya, Dhwajabhangaja Klaibya, Jaraaja Klaibya, and Shukra-kshayaja Klaibya. Its causes include psychogenic, neurogenic, and pathological factors.
2) Basti:
Basti is a unique form of Ayurvedic treatment that involves the expulsion of vitiated Doshas from the body. It is considered to be Ardhachikitsa (half of the treatment) by Charaka. There are various types of Basti including Uttarbasti which specifically targets genito-urinary disorders.
3) Drug:
In the context of Ayurveda, drugs (Ausadhis) are administered through various methods like Uttarbasti for treating specific conditions such as Klaibya. Ayurvedic drugs can be in different forms like Kasaya, Kwatha, Taila, or Ghrita.
4) Disease:
Diseases like erectile dysfunction, referred to as Klaibya in Ayurveda, prevent satisfactory sexual performance. These can be caused by factors such as age, diabetes, neurologic diseases, and psychological issues among others.
5) Food:
Modernized lifestyles including irregular food habits and the consumption of fast or junk food are considered Nidans (causes) of Klaibya. Unhealthy dietary choices like excessive intake of sour (Amla), saline (Lavana), and alkaline (Kshara) foods can contribute to sexual dysfunction.
6) Karma (Karman):
In Ayurveda, Karma refers to the procedural steps involved in treatment. For Uttarabasti, it is classified into three steps: Purva Karma (pre-treatment), Pradhan Karma (main treatment), and Paschat Karma (post-treatment).
7) India:
India is noted for its high incidence of lifestyle diseases leading to conditions such as erectile dysfunction, often making it referred to as the impotence capital of the world.
8) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine that deals with various aspects of health including sexual wellness. It provides treatments like Basti and Uttarbasti for conditions like erectile dysfunction.
9) Medicine:
Ayurvedic medicine includes formulations like Balaashwagandhatailam, Ashwagandhaghrutam, and Phalaghrutam, which are used in the treatment of Klaibya through procedures such as Uttarabasti.
10) Bengal (Bemgal):
The article mentions the authors are affiliated with Raghunath Ayurved Mahavidyalaya and Hospital in Contai, Purba Medinipur, West Bengal, India.
11) Kama:
Kama, as one of the Purushartha in Ayurveda, denotes desires including sexual desire. A healthy sexual life is considered crucial for human well-being.
12) Purvakarma (Purvakarman, Purva-karman):
Purva-karma involves preparatory steps before the main treatment. In Uttarabasti, it includes bathing, dietary preparation, and mild Abhyanga (massage) to ensure the patient's readiness.
13) Ghrita (Ghrta):
Ghrita (clarified butter) is often used in Ayurvedic treatments like Uttarabasti. It helps in the administration of medicinal properties directly to the affected areas.
14) Angula (Amgula):
Angula is a traditional unit of measurement in Ayurveda. For instance, the length of the Bastinetra used in Uttarbasti is specified as being around 12 to 14 Angula.
15) Dosha (Dosa):
Doshas are fundamental bodily humors in Ayurveda, and their imbalance can lead to diseases like Klaibya. Basti treatments help in balancing Vata, Pitta, and Kapha Doshas to restore health.
16) Purva:
[see source text or glossary: Purva]
17) Jana:
[see source text or glossary: Jana]
18) Paschat-karma:
Paschat-karma refers to the post-treatment steps in Ayurvedic procedures. In Uttarabasti, it includes dietary recommendations and monitoring the retention of medicated substances.
19) Purushartha (Purusartha, Purusha-artha):
Purushartha refers to the four aims of human life in Ayurveda: Dharma (virtuous action), Artha (wealth), Kama (desire), and Moksha (salvation). Sexual health is part of Kama and is essential for overall well-being.
20) Depression:
Depression is one of the psychological factors contributing to erectile dysfunction (Klaibya). Managing mental health is crucial for treating sexual dysfunctions.
21) Bhojana:
[see source text or glossary: Bhojana]
22) Karnika:
Karnikas are rings present on the Bastinetra used in Uttarbasti. One is located at the base connected to the Bastiputaka, and another is situated 6 Angulas from the tip.
23) Pradhan:
[see source text or glossary: Pradhan]
24) Aushadhi (Ausadhi, Aushadhin, Ausadhin):
Ausadhis (medicines) are substances used for treating conditions such as erectile dysfunction through procedures like Uttarbasti. Their efficacy is enhanced by proper administration methods.
25) Animal:
Animals such as cows, goats, sheep, and pigs are utilized for their bladders to create the Bastiputaka, an essential component of the Uttarbasti apparatus.
26) Desire:
Desire, especially sexual desire, is a crucial aspect of Kama, one of the Purushartha. Successful management of sexual health issues like King Louis XIV requires understanding and addressing desires.
27) Yoni (Yonin):
Yoni refers to the female reproductive organs. Ayurvedic procedures like Uttarabasti can be administered through the vaginal route for treating genital disorders in women.
28) Rasa (Rasha):
Rasa (taste) plays a significant role in Ayurveda. Different Rasas like Amla (sour) or Lavana (salty) can impact health and contribute to conditions like Klaibya if consumed excessively.
29) Vata:
Vata is one of the three Doshas in Ayurveda responsible for movement and nervous function. Its imbalance can lead to conditions like erectile dysfunction, which treatments like Basti aim to correct.
30) Fear:
Fear is one of the psychological factors that can contribute to erectile dysfunction (Klaibya). Addressing mental health is essential for effective treatment.
31) Milk:
Milk (Kshira) is often used in Ayurvedic dietary recommendations. Preparations like Payasa (milk-based dish) are advised in Purva Karma steps before Uttarabasti.
32) Human life:
Kama, as part of Purushartha, is significant for reproduction and human life. A balance of physical, psychological, and social factors is essential for healthy sexual life.
33) Meat soup:
Meat soup (Mansa rasa) is recommended in the Purva Karma steps before the administration of Uttarabasti to ensure the patient’s preparation.
34) Dhatukshaya (Dhatuksaya, Dhatu-kshaya):
Dhatukshaya refers to the depletion of bodily tissues (Dhatus). Uttarabasti helps in addressing conditions of Dhatukshaya, Shukrakshaya (loss of semen), and Jara-avastha (old age).
35) Vajikarana:
Vajikarana is a branch of Ayurveda focused on aphrodisiac therapy. It deals with promoting sexual function and vitality, often mentioned in the context of treating erectile dysfunction.
36) Discussion:
The discussion in the article elaborates on various aspects of Klaibya and its management through Uttarabasti, emphasizing the importance of balancing Sharirik and Manshik Doshas.
37) Kalyanaka:
[see source text or glossary: Kalyanaka]
38) Durgandha (Dur-gandha, Durgamdha):
Durgandha yoni refers to a foul-smelling vagina, which is one of the conditions considered in the sexual dysfunction context mentioned in the text.
39) Pishtanna (Pistanna, Pishta-anna):
[see source text or glossary: Pishtanna]
40) Salvation:
Salvation (Moksha) is one of the four Purushartha in Ayurveda. It signifies spiritual liberation and is an essential aim of human life along with Dharma, Artha, and Kama.
41) Vitiation (Vitiated):
Vitiation of Doshas is a fundamental concept in Ayurveda, referring to the imbalance of Vata, Pitta, and Kapha, leading to various diseases including Klaibya.
42) Karavira (Kara-vira):
Karavira is a term used to describe the shape of the tip of the Bastinetra used in Uttarabasti, resembling the stalk of the Karavira flower.
43) Shandata (Sandata):
[see source text or glossary: Shandata]
44) Ambupana (Ambu-pana):
Excessive intake of water (Ambupana) is one of the dietary factors contributing to conditions like Dhwajabhangaja Klaibya, as mentioned in the text.
45) Swelling:
Swelling (Swayathu) is one of the symptoms of Dhwajabhangaja Klaibya, which includes penile swelling, pain, and redness among other signs.
46) Sweating (Sweat):
Sweating (excessive) is one of the symptoms associated with erectile dysfunction in the context of general features of Klaibya as described in the text.
47) Vishama (Visama):
[see source text or glossary: Vishama]
48) Avastha:
Jara-avastha refers to the conditions associated with old age. Uttarabasti is indicated to help overcome Jara-avastha among its other benefits.
49) Ashtanga (Astanga, Ashtan-anga):
Astanga Ayurveda refers to the eight branches of Ayurveda which include Vajikarana, the branch dealing with aphrodisiac therapy and sexual health.
50) Mustard:
Mustard seed analogy (Sarsapachidranyaya) is used to describe the precise diameter of the openings in Bastinetra used in Uttarabasti procedures.
51) Yantra (Yamtra):
Yantra refers to instruments or apparatus used in Ayurvedic procedures. The equipment for Uttarabasti includes the Bastinetra and Bastiputaka.
52) Sevana:
[see source text or glossary: Sevana]
53) Vedana:
[see source text or glossary: Vedana]
54) Kshara (Ksara):
[see source text or glossary: Kshara]
55) Kshira (Ksira):
[see source text or glossary: Kshira]
56) Dharma:
Dharma is one of the four Purushartha and it represents virtuous action. It is essential for maintaining balance and order in all aspects of human life.
57) Sphota:
[see source text or glossary: Sphota]
58) Payasa:
Payasa, often made from milk, is recommended in the pre-treatment steps of Purva Karma in Uttarabasti for its nourishing properties.
59) Shukra (Sukra):
Shukra represents semen in Ayurveda. Conditions like Shukrakshaya Klaibya (loss of semen) are treated with methods like Uttarabasti to restore balance.
60) Lavana:
Excessive intake of saline foods (Lavana) is one of the dietary causes of Dhwajabhangaja Klaibya leading to sexual dysfunction as described in the text.
61) Medhra:
[see source text or glossary: Medhra]
62) Manasa (Manasha):
Manasa Klaibya refers to erectile dysfunction caused by psychological factors such as anxiety, depression, and mental stress, requiring mental health management.
63) Kashaya (Kasaya):
Kasaya refers to astringent formulations used in Ayurvedic treatments, including those administered via Uttarabasti for genito-urinary disorders.
64) Cancer:
Cancer therapy may benefit from intravesical drug delivery, avoiding first-pass metabolism by administering Ausadhis directly into the bladder, as in Uttarabasti.
65) Nature:
[see source text or glossary: Nature]
66) Silver:
Silver (Raupa) is one of the materials that can be used to make the Bastinetra, an instrument involved in the Uttarabasti procedure.
67) Moksha (Moksa):
Moksha is one of the four Purushartha in Ayurveda, signifying spiritual liberation and is an ultimate goal of human life along with Dharma, Artha, and Kama.
68) Danta (Damta):
Danta (teeth) can cause injury to the penis during sexual activities, leading to conditions like Dhwajabhangaja Klaibya requiring treatment.
69) Khara:
[see source text or glossary: Khara]
70) Artha:
Artha is one of the four aims of life in Ayurveda representing wealth. It supports the pursuit of Kama, Dharma, and Moksha by providing material resources.
71) Dadhi:
Dadhi (curd) is mentioned as one of the foods that can contribute to Dhwajabhangaja Klaibya if consumed improperly along with other incompatible foods.
72) Vidhi:
Vidhi refers to the procedural steps in Ayurvedic treatments. In Uttarabasti, it includes the careful preparation and administration techniques to ensure effectiveness.
73) Sneha:
[see source text or glossary: Sneha]
74) Taila (Thaila):
Taila (oil) like Balaashwagandhatailam is used in Ayurvedic procedures like Uttarabasti for its medicinal properties in treating conditions like Klaibya.
75) Netra:
Netra (Bastinetra) is an essential part of the instrumentation used in Uttarabasti. It’s a hollow tube designed for introducing medicinal substances into the urinary tract.
[Note: The above list is limited to 75. Total glossary definitions available: 98]
Other Science Concepts:
Discover the significance of concepts within the article: ‘A review on role of uttar basti in the management of erectile dysfunction’. Further sources in the context of Science might help you critically compare this page with similair documents:
Vajikarana, Klaibya, Erectile Dysfunction, Psychosexual Disorders, Uttar Basti, Dhwajabhangaja Klaibya, Psychogenic Factors, First Pass Metabolism, Mansa Rasa, Acharyas Classification.