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Premature Ejaculation – What Ayurveda & Yoga can Offer?

Authors:
  • R. B. AYURVEDIC MEDICAL COLLEGE & HOSPITAL
  • R. B. Ayurvedic Medical College & Hospital

Abstract

Premature Ejaculation (PE) is defined as ejaculation before the completion of satisfactory sexual activity for both partners. ‘Shukragatavata’ is a pathological entity of Ayurveda similar to premature ejaculation. The present article is aimed to find out various formulations or practices available in ancient Indian erotic literature, Ayurveda and in Yoga. Ayurvedic management of premature ejaculation consists of, various herbal and herbo-mineral formulations, external applications over lower abdomen or all over the body, wearing different amulets made by herbs, psychotropic herbal drugs for reducing performance anxiety, various techniques elaborated in ancient Indian erotic literature to fasten the orgasm in female partner and also use of shukra stambhaka drugs to improve control over ejaculation. Vasti is an important panchakarma procedure and an ideal choice in the management of premature ejaculation. Various yoga practices are also described to get control over ejaculation and among them ‘vajroli mudra’ is an important one. Keywords: Premature ejaculation; Ayurveda; Yoga; Vajroli mudra; Panchakarma; Vasti
Internationa Journal of Complementary & Alternative Medicine
Premature Ejaculation – What Ayurveda & Yoga can
Offer?
Submit Manuscript | http://medcraveonline.com
Introduction
       
       
         
         
     
[1]. 
         
        

          
        


        
      
[3]. Vajikarana  
       Ayurveda    
        

Vajikarana  

    
      Ayurvedic   
 Klaibya’
in AyurvedicShukragata vata’
  Ayurveda        
Ayurveda
and Yoga .
Review Methodology
Ayurvedic   Shukragata vata Vajikarana
Ayurvedic
like, Charaka samhita, Sushruta samhita, Ashtanga sangraha,
Ashtanga hridaya, Bhaishajya ratnavali and Yogaratnakara.
   Yog a     Hatha yoga
pradipika’Asana, Pranayama, Mudra & Bandha’. Electronic
       
      
          
 Ayurveda 
       

Concept of PE in Ayurvedic Classics
       kama’
     purusharthas   
    kama’ reveals that the recreational aspects
        
           
 kama’
medicinal importance.
Anangaranga’      Kalyana malla’
        
       




Anangaranga
seeghrasambhava) moderate
timed (madhyama sambhava    chirasambhava).

to the stimulation (kriya       
laghu   madhyama  
chirodaya       

Faculty of Ayurveda, Parul University, India
*Corresponding author: 


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Received:| Published:
Review Article

Abstract
          
Shukragatavata’
 Ayurveda          
         
Ayurveda and in Yog a. Ayurvedic    
        

         
    
shukra stambhakaVasti is an important
panchakarma          
yoga 
vajroli mudra’ is an important one.
Keywords:   Ayurveda; Yoga; Vajroli mudra; Panchakarma;
Vasti
Citation:Ayurveda & Yoga

Premature Ejaculation – What Ayurveda & Yoga can Offer? 2/4
Copyright:
©2017 Gupta et al.
  dravana yogas 
 Kalyanamalla       
ejaculation (sukrastambanaKama
deva
smarana
         

Ayurveda
  harsha    tarsha 
saratwatpaicchilya (sliminess
gauravaanutva
semen), pravanabhavadrutatvat
(due to vata
drutatvat

 vata dosha   vata  apana vata) leads
         Ayurvedic
shukragata vata’ Shukragata vata


Kshipram munchati’,
 shukrasya sheeghram utsargam’, [13] ‘pravritti/Atiseeghra
pravritti’shukragata vata’ 

Ayurvedic Management of PE
Ayurvedashukra (semen / reproductive
         
VajikaranaAyurveda
       
        
vajikarana
     

Ayurvedic
Praharsha anna
balya (tonics), shukrakara    vajikarana
vasti’s        
shukragata vata.
Erandamoola (Ricinus communis Linn.),
Brahmi (Bacopa monnieri Linn), Mandukaparni (Centella asciatica
Linn), Amlaki    Jatiphala 
     Akarakarabhadi
yoga, Rasayana vati, Manasamitra vataka, Katphaladi kwatha
mineral compounds like, Swarna bhasma  Rasa sindhura
       
         
panchakarma procedures (Ayurvedic    
procedures) like vasti (various medicated oil or decoction
enemas) and shirodhara   

Akarakarabhadi yoga      
      Narasimha
choorna, Bhallataka phala majjadi avaleha, Musalyadi choorna
 
     Atmagupta   
and Ashwagandha     
      Brahmi (Bacopa monnieri),
Mandukaparni     
     Putranjeevaka
      
time. Kapikacchu (Mucuna prurience) is an aphrodisiac and also
Ashwagandha
is a vajikarana
      
Shukra stambhana yapana vasti 
    Shukrastambhakara yoga (an Ayurvedic
       
   

In ‘Bhaishjya ratnavali’ (an Ayurvedic   
veerya stambhana adhikara’    

     
   
      

other practices are mentioned in Bhaishajya ratnavali 
One more Ayurvedic‘Yoga ratnakara’ 
various Ayurvedic       
       Vanari
gutika’   Atmagupta (Mucuna prurience) as one
         
   Chandanadi
tailam and Maha sugandhi tailam  
       Abdhishoshadi yoga (an
Ayurvedic       
Veeryastambhaka vati (an Ayurvedic
Ahiphena

Ayurvedicsukragatavata
   vrishya (aphrodisiacs), balya (tonics),
vatahara vata dosha), medhya
sukrastambhaka
ejaculation) properties. Vasti  
vata vikara’s or shukragata vata, as it controls vata

          
     

       
      vata dosha    
Ayurveda)
  
       
 medhya  
mood), dravana vidhi 

    shukra stambhaka 


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Citation:Ayurveda & Yoga

Premature Ejaculation – What Ayurveda & Yoga can Offer? 3/4
Copyright:
©2017 Gupta et al.
Role of Yoga in PE
‘Hatha yoga’
       
       
   yogi      
the bindu        
 maithuna    ‘Hatha yoga
pradipika    yoga    
the bindu     bindu     

in hatha yoga   
    bindu       
         
       

   bindu  
       

Vajroli mudra
Vajra’Vajra nadi’
  Vajra nadi       
 
Vajroli
   
         
 Yogic 
        
       
   
     vajroli  
vajroli
 

           
       Vajroli 
 Shiva samhita’       

        
    yoni mudra or vajroli.
  vajroli, uddiyana bandha, nauli and moola
bandha  vajroli  


Role of Mind in Ejaculation According to Yoga
    
         
controlled and conserved. Yogis

        
        yoga practices
        vajroli, one can
         

Yog a Practices Useful in P
     
    
   
   
   
       
      

      
         


        

Conclusion
Shukragatavata’Ayurveda similar to
Ayurvedic
     
         
 
      

 shukra stambhaka
    yoga practices are also
vajroli
mudra’

Acknowledgment
None
Conict of interest
         

References
1.      
th

         
  
.
3.   

 th

 
  

5. 

       
    st    

        
 st      

8. 
13. (1st     

Citation:Ayurveda & Yoga

Premature Ejaculation – What Ayurveda & Yoga can Offer? 4/4
Copyright:
©2017 Gupta et al.
      
st 

      
 st      

11.  

       
 
         
 

13. 



 
        
       

15.          
  

   



        Ashwagandha (Withania
somnifera Dunal. Linn.    

18.          
     

        
      st


      
      
   th    

       


     

       
   nd   

       
Bandha. (3rd      

 


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Premature Ejaculation (PE) is a very common male sexual problem. Anxiety, stress, fear etc., are the main predisposing factors of PE. In Ayurveda, this condition can be correlated with Shukragata Vata. In the present study, fifty five patients with PE were grouped into two and were treated with Stambhanakaraka Yoga (n = 30) and Placebo (n = 20) for a duration of two months, with luke warm water as anupana. Psychological counseling was given to the patients in both the groups. After completion of treatment, Stambhanakaraka Yoga showed significant results against placebo in all parameters, namely Intravaginal Ejaculation Latency Time (IELT), voluntary control over ejaculation, patient and partner's satisfaction, performance anxiety.
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Premature ejaculation (PE) is the most common sexual disorder of young males. Even though there are number of treatment options available for PE, patient's satisfaction and drug side effects remain to be a problem. Non-pharmacological treatment options like Yoga and Naturopathy have been implicated in sexual fulfillment, pleasure and efficacy of some of these approaches has been established in previous studies. To assess the efficacy of certain yogic and naturopathic procedures in the management of PE. A total of 12 patients with PE satisfying the DSM IV TR diagnostic criteria were selected and allotted into two groups, Yoga group and Naturopathic group by following the randomization method. In the Yoga group, various asanas, mudra, bandha and pranayama were practiced 1 hour daily for 21 days. In the Naturopathy group, lower abdomen massage and steam bath, hip bath and lingasnana, mud pack on lower abdomen, and acupressure were done 1 hour daily for 21 days. Criteria of assessment were based on the scoring of Premature Ejaculation Severity Index (PESI). Statistical analysis was done by using paired and unpaired "t" tests. In the Yoga group (n = 6), 7.3% relief was observed (P < 0.01) and in the Naturopathy group (n = 6), 2.4% of relief was observed (P > 0.05) on the total score of PESI. There was no significant difference (P > 0.05) found in between the two groups. Both Yoga and Naturopathic procedures didn't provide relief (<25%) on total score of PESI.
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Erectile dysfunction (ED) has been defined as the persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual performance. By 2025, men with ED will be approximately 322 million, an increase of nearly 170 million men from 1995. The present study was aimed to evaluate the efficacy of Ashwagandha (Withania somnifera) in the management of psychogenic erectile dysfunction. In this study, a total of 95 patients with psychogenic erectile dysfunction satisfying the DSM IV TR diagnostic criteria were selected, out of them 86 patients completed the course of treatment. In Trial Group, Ashwagandha root powder and in Control group, Placebo (Wheat powder) were given for 60 days. Treatment selection and its allocation were done by following computerized randomization plan. Criterion of assessment was based on the scoring of International Index of Erectile Function (IIEF) Scale. Paired and Unpaired t test were used for statistical analysis. In Trial group (n=41), 12.6% and in Control group (n=45), 19.11% of improvement was observed with the significance of (P<0.001). There was no significant difference (P>0.05) found in between the two groups. Both Ashwagandha and Placebo provided no relief (<25% improvement on IIEF) in psychogenic erectile dysfunction.
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Ahuja N (2005) A short textbook of psychiatry. Chapter 10-Sexual disorders-Premature ejaculation. (5 th edn), Jaypee brother's medical publishers (P) Ltd, New Delhi, India, pp. 135-138.
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