Definition of Erectile dysfunction
Erectile dysfunction (ED) is the inability of a person to achieve or maintain an erection enough for his sexual wants or the wants of his partner. Erectile dysfunction is typically called as “impotence”.
The term “erectile dysfunction” can mean the inability to realize erection, an inconsistent ability to take action, or the power to attain 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 man has a strong need to perform sexual act with a cooperative accomplice , he cannot perform sexual act due to looseness (absence of erection ) of his phallus ( penis). Even if he performs sexual act together with his decided efforts he does not get erection and gets afflicted with tiredness, perspiration and frustration to perform intercourse
Physiology of erection
The two chambers of penis (corpora cavernosa,) which run throught the organ are crammed with spongy tissue. The corpora cavernosa are surrounded by a membrane, referred to as the tunica albuginea. The spongy tissue incorporates smooth muscle mass, fibrous tissues, spaces, veins, and arteries. The urethra, which is the channel for urine and semen runs alongside underside of the corpora cavernosa..
Attributable to sensory or psychological stimulation, or both, the erection begins. On account of impulses from mind and native nerves the muscles of corpora cavernosa loosen up and allow blood to movement in and fill the areas of spongy tissue.
The circulation of blood creates pressure within the corpora cavernosa, making the penis expand. The tunica albuginea helps lure the blood in the chambers, thereby sustaining erection. When muscular tissues within the penis contract to cease 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 five sorts of vayu is situated within the testicles, urinary bladder, phallus, umbilicus, thighs, groin, anus and colon. Its functions 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 pores and skin causes move of signals from skin to mind, thus inflicting sensation of contact). This causes arousal or “harsha” . Arousal or Harsha intensifies actions of vayu and at this second extremely lively vayu liberates the “teja “or heat of pitta. Thus tejas and vayu increase body temperature , heart beat and blood circulate causing erection. “
Causes of ED
Erection requires a sequence of events. Erectile dysfunction can happen when any of the events is disturbed. Nerve impulses in the mind, spinal column, across the penis and response in muscular tissues, fibrous tissues, veins, and arteries in and around the corpora cavernosa represent this sequence of events. Harm to any of those parts that are a part of this sequence ( nerves, arteries, clean muscle groups, fibrous tissue ) can cause ED.
Lowered level of testosterone hormone:
The primary male hormone is testosterone. After age 40, a man’s testosterone level regularly declines. About 5% of men that doctors see for erectile dysfunction have low testosterone levels. In many of those circumstances, low testosterone causes lower sexual curiosity, not erectile dysfunction.
The entire male physique responds to testosterone.
Even sushruta has illustrated about this response of physique to the aspect “Shukra” . He has mentioned
“yatha payasi sarpistu goodashchekshow raso yatha shareereshu tatha shukram nrinaam vidyaadhbishagwara”
This implies ” The shukra ( the ingredient which helps in reproduction) is present everywhere in the physique .
This may be defined with the next examples.
1. The ghee is present in milk in an invisible form. That is extracted from milk using many processes.
2. The sugar is current all around the sugarcane. It’s extracted by subjecting the sugarcane to variety of processes.
Similar way shukra is current everywhere in the body. However the cream of shukra (semen) comes out of the physique solely throughout the process of ejaculation. However this means of ejaculation wants a joyful union of mind and body.
Lower in manufacturing of “Shukra” causes erectile dysfunction.
Over exertion -
bodily and mentally : Working for long hours in workplace, psychological stress at workplace and residential, short temperedness ,inadequate sleep trigger erectile dysfunction.
These causes are explained in ayurveda as “shoka chintaa, bhaya, traasaat …. ” which signifies that erectile dysfunction or Impotence happens as a consequence of grief, fear, anxiousness and terror.
Strained relationship with sexual partner: Erectile dysfunction also 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 illness, anemia, depression, arthritis, endocrine issues,diabetes, illnesses associated to cardiovascular system additionally grow to be causes for erectile dysfunction..
In keeping with ayurveda the diseases which trigger erectile dysfunction are “Hritpaandurogatamakakaamalashrama…” – Coronary heart diseases , anemia , bronchial asthma , liver issues , tiredness .
Apart from these the imbalance in tridoshas additionally cause impotence or erectile dysfunction.
Consumption of medicines, medication and tobacco:
Using antidepressants, tranquilizers and antihypertensive medicines for a long time, habit to tobacco particularly smoking, extreme consumption of alcohol, habit to cocaine, heroin and marijuana cause erectile dysfunction.
In ayurveda texts these causes have been mentioned in brief as “rukshamannapaanam tathoushadham” – “dry food , drinks and medicines” cause impotence or erectile dysfunction.
Trauma to pelvic region:
accidental harm to pelvic region and surgeries for the conditions of prostate, bladder, colon, or rectal space could lead to erectile dysfunction.
These causes are talked about as abhighata (trauma), shastradantanakhakshataha (harm from weapons, tooth and nail.) in ayurveda.
Other causes:
Obesity, prolonged bicycle using, past historical past of sexual abuse and previous age additionally cause Erectile dysfunction.
Ayurveda describes the reason for impotence or erectile dysfunction resulting from previous age as follows. ” diminution of – tissue components, strength, vitality, span of life, inability to take nourishing food, bodily and psychological fatigue result in impotence”
Cures for ED
ED is treatable at any age. The whole remedy in for impotence is named as “ Vajikarana therapy” in ayurveda. As this therapy increases the power of a man to carry out sexual act, like a horse, it is referred to as ‘Vaajikarana’. ( ‘ Vaaji’=Horse.)
Vaajikarana therapy results in
• Happiness.
• Good strength.
• Efficiency to produce healthy offspring.
• Elevated span of erection.
Eligibility for vajikarana therapy.
1. The vajikarana remedy must be administered to individuals who are between 18 to 70 years of age.
2. These therapies needs to be administered solely to a self managed person. If this remedy is run to a person who does not have self control, he turns into nuisance to society by his illegitimate intercourse acts.
Psychotherapy
Lowering nervousness associated with intercourse, with psychologically based mostly remedy helps to cure ED. The patient’s associate may also help with the techniques, which include gradual growth of intimacy and stimulation. Such techniques also will help relieve anxiousness when ED from bodily causes is being treated.
Same therapy is illustrated in ayurveda. It has been mentioned “A woman who understands a person and is liked by him, together with erotic environment act as greatest aphrodisiac. “
Drug Remedy
Quite a few natural preparations are mentioned in Ayurveda to treat ED or impotence. It has been stated that people who have strong sexual urge, who wish to take pleasure in sex usually have to devour these preparations repeatedly to replenish the vitality, vigor, stamina and strength. These preparations additionally provide the vitamins that are obligatory for manufacturing of semen.
Ayurveda tips to overcome ED
1. Consuming natural preparations to rejuvenate the reproductive organs.
2. Massaging the physique with a natural oil which provides a reduction from bodily exertion and also acts as aphrodisiac.
3. Practising Yoga and Meditation to overcome mental exertion and to cope up with stress.
4. Sleep at the least for 8 hours a day.
5. Avoiding the consumption of alcohol, tobacco, heroin etc.
6. Train regularly.
7. Avoid scorching, spicy and bitter foods.
8. Favor sweets, milk products, nuts and urad dal.
9. Add little ghee in your diet.
10. Give a niche of 4 days between two consecutive intercourses
Creator:
Dr.SavithaSuri , ; B.A.M.S
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