Definition of Erectile dysfunction
Erectile dysfunction (ED) is the inability of a man to attain or preserve an erection ample for his sexual needs or the needs of his partner. Erectile dysfunction is sometimes referred to as as “impotence”.
The time period “erectile dysfunction” can mean the lack to achieve erection, an inconsistent means to do so, or the ability to realize solely brief erections.
Ayurveda defines 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 person has a robust want to carry out sexual act with a cooperative associate , he cannot carry out sexual act due to looseness (absence of erection ) of his phallus ( penis). Even when he performs sexual act along with his decided efforts he doesn’t get erection and will get bothered with tiredness, perspiration and frustration to carry out intercourse
Physiology of erection
The 2 chambers of penis (corpora cavernosa,) which run throught the organ are stuffed with spongy tissue. The corpora cavernosa are surrounded by a membrane, called the tunica albuginea. The spongy tissue contains smooth muscle groups, fibrous tissues, spaces, veins, and arteries. The urethra, which is the channel for urine and semen runs along underside of the corpora cavernosa..
As a result of sensory or mental stimulation, or each, the erection begins. Resulting from impulses from brain and native nerves the muscular tissues of corpora cavernosa chill out and permit blood to movement in and fill the areas of spongy tissue.
The flow of blood creates strain in the corpora cavernosa, making the penis expand. The tunica albuginea helps lure the blood in the chambers, thereby sustaining erection. When muscle tissue within the penis contract to stop the influx of blood and open outflow channels, erection recedes.
In ayurveda physiology of erection and ejaculation is described as follows
Vrishunow basthimedram cha naabhyuuru vankshnow gudam|
Apaanasthaanamantrasthaha shukra mootra shakrunti cha|
The “apaanavayu” one of many 5 types of vayu is located in the testicles, urinary bladder, phallus, umbilicus, thighs, groin, anus and colon. Its features are ejaculation of semen, voiding of urine and stools”.
Shushruta explains the process of erection and ejaculation as “ When a person has want (iccha) to have sex, his response to the touch increases ( Vayu situated in skin causes stream of indicators from skin to mind, thus causing sensation of contact). This causes arousal or “harsha” . Arousal or Harsha intensifies actions of vayu and at this moment extremely energetic vayu liberates the “teja “or heat of pitta. Thus tejas and vayu improve physique temperature , heart beat and blood circulation inflicting erection. “
Causes of ED
Erection requires a sequence of events. Erectile dysfunction can occur when any of the events is disturbed. Nerve impulses within the mind, spinal column, across the penis and response in muscles, fibrous tissues, veins, and arteries in and around the corpora cavernosa represent this sequence of events. Injury to any of those elements that are a part of this sequence ( nerves, arteries, smooth muscular tissues, fibrous tissue ) can cause ED.
Lowered stage of testosterone hormone:
The primary male hormone is testosterone. After age forty, a man’s testosterone degree regularly declines. About 5% of males that medical doctors see for erectile dysfunction have low testosterone levels. In lots of of those instances, low testosterone causes decrease sexual curiosity, not erectile dysfunction.
The entire male physique responds to testosterone.
Even sushruta has illustrated about this response of body to the component “Shukra” . He has said
“yatha payasi sarpistu goodashchekshow raso yatha shareereshu tatha shukram nrinaam vidyaadhbishagwara”
This means ” The shukra ( the ingredient which helps in reproduction) is current all around the physique .
This can be explained with the following examples.
1. The ghee is present in milk in an invisible form. That is extracted from milk using many processes.
2. The sugar is present everywhere in the sugarcane. It is extracted by subjecting the sugarcane to variety of processes.
Similar means shukra is current all over the body. But the cream of shukra (semen) comes out of the body only during the technique of ejaculation. But this technique of ejaculation needs a joyful union of thoughts and body.
Decrease in production of “Shukra” causes erectile dysfunction.
Over exertion -
physically and mentally : Working for long hours in workplace, mental stress at workplace and residential, brief temperedness ,inadequate sleep cause erectile dysfunction.
These causes are explained in ayurveda as “shoka chintaa, bhaya, traasaat …. ” which implies that erectile dysfunction or Impotence happens as a consequence of grief, worry, anxiety and terror.
Strained relationship with sexual accomplice: Erectile dysfunction additionally happens when there’s a disliking in the direction of sexual partner.
Ayurveda describes this as “naarinaamarasamjnatwaat…” means disliking for women.
Illnesses that cause Erectile dysfunction:
Neurological issues, hypothyroidism, Parkinson’s disease, anemia, despair, arthritis, endocrine problems,diabetes, diseases associated to cardiovascular system additionally become causes for erectile dysfunction..
In keeping with ayurveda the diseases which cause erectile dysfunction are “Hritpaandurogatamakakaamalashrama…” – Coronary heart illnesses , anemia , bronchial asthma , liver problems , tiredness .
Apart from these the imbalance in tridoshas also trigger impotence or erectile dysfunction.
Consumption of medicines, medicine and tobacco:
Utilizing antidepressants, tranquilizers and antihypertensive medicines for a long time, addiction to tobacco especially smoking, excessive consumption of alcohol, addiction to cocaine, heroin and marijuana cause erectile dysfunction.
In ayurveda texts these causes have been mentioned briefly as “rukshamannapaanam tathoushadham” – “dry food , drinks and medicines” trigger impotence or erectile dysfunction.
Trauma to pelvic region:
unintended damage to pelvic region and surgical procedures for the situations of prostate, bladder, colon, or rectal space could lead to erectile dysfunction.
These causes are talked about as abhighata (trauma), shastradantanakhakshataha (injury from weapons, enamel and nail.) in ayurveda.
Other causes:
Weight problems, prolonged bicycle using, previous history of sexual abuse and old age additionally cause Erectile dysfunction.
Ayurveda describes the cause of impotence or erectile dysfunction attributable to outdated age as follows. ” diminution of – tissue components, power, power, span of life, inability to take nourishing meals, bodily and mental fatigue lead to impotence”
Cures for ED
ED is treatable at any age. The whole therapy in for impotence is known as as “ Vajikarana remedy” in ayurveda. As this therapy increases the power of a person to perform sexual act, like a horse, it is known as ‘Vaajikarana’. ( ‘ Vaaji’=Horse.)
Vaajikarana remedy results in
• Happiness.
• Good strength.
• Potency to provide wholesome offspring.
• Elevated span of erection.
Eligibility for vajikarana therapy.
1. The vajikarana remedy must be administered to persons who are between 18 to 70 years of age.
2. These therapies ought to be administered solely to a self managed person. If this therapy is run to a person who does not have self management, he becomes nuisance to society through his illegitimate sex acts.
Psychotherapy
Decreasing nervousness associated with intercourse, with psychologically based remedy helps to remedy ED. The affected person’s companion can assist with the techniques, which embody gradual development of intimacy and stimulation. Such strategies additionally will help relieve anxiousness when ED from physical causes is being treated.
Identical remedy is illustrated in ayurveda. It has been mentioned “A girl who understands a man and is preferred by him, together with erotic atmosphere act as finest aphrodisiac. “
Drug Therapy
Numerous herbal preparations are talked about in Ayurveda to deal with ED or impotence. It has been stated that people who have sturdy sexual urge, who wish to enjoy sex usually must eat these preparations commonly to replenish the power, vigor, stamina and strength. These preparations also supply the vitamins that are essential for manufacturing of semen.
Ayurveda tricks to overcome ED
1. Consuming herbal preparations to rejuvenate the reproductive organs.
2. Massaging the physique with a herbal oil which supplies a reduction from physical exertion and likewise acts as aphrodisiac.
3. Working towards Yoga and Meditation to overcome mental exertion and to cope up with stress.
4. Sleep not less than for eight hours a day.
5. Avoiding the consumption of alcohol, tobacco, heroin etc.
6. Train regularly.
7. Avoid sizzling, spicy and bitter foods.
8. Favor sweets, milk merchandise, nuts and urad dal.
9. Add little ghee in your diet.
10. Give a gap of four days between consecutive intercourses
Writer:
Dr.SavithaSuri , ; B.A.M.S
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