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Erectile dysfunction, often referred to as klaibya in Ayurveda, is the inability to obtain or maintain a firm erection that lasts for a sufficient time for satisfactory sexual intercourse. This problem may affect men at any age and it may be caused by stress, blood pressure problems or diabetes. Conventionally, erectile dysfunction is treated with various smooth muscle relaxants and testosterone injections along with psychotherapy and stress management procedures, when needed. 

Ayurvedic treatments that can be useful in the management of klaibya are virechana (purgation) and uttara basti (a type of basti). Ayurvedic literature indicates the use of herbs and medicines like ashwagandha (Indian ginseng), gokshura (small caltrops), shilajatu (asphaltum), shatavari (hundred roots), chyawanprash, ashwagandhadi leha, dashmoolarishta, sukumara ghrita and shatavaryadi ghrita to treat klaibya.

  1. Ayurvedic view of erectile dysfunction
  2. Ayurvedic treatment for erectile dysfunction
  3. Ayurvedic herbs and medicines for erectile dysfunction
  4. Dietary and lifestyle changes for erectile dysfunction patient as per ayurveda
  5. How effective are ayurvedic medicines and treatments for erectile dysfunction
  6. Side effects and risks of ayurvedic medicine and treatments for erectile dysfunction
  7. Takeaway
  8. Doctors for Ayurvedic medicine, treatment and remedies for Erectile Dysfunction

As per Ayurveda, erectile dysfunction is one of the major causes of impotence. Excessive intake of salty, sour, heavy, incompatible and unsuitable food items are some of the factors responsible for this condition. Erectile dysfunction may also occur due to excessive drinking of water.

Other causes of klaibya are weakness due to some illness, irregular meals, excess consumption of milk and milk products, sexual intercourse with animals, living in an unhygienic environment and penile injury. Klaibya may also be triggered due to genetic causes

Depending on the dosha involved, Ayurveda classifies klaibya into five types:

  • Vataja: It occurs due to vitiation of vata dosha and exhibits symptoms like penile effusion, and pain and redness in penis.
  • Pittaja: When erectile dysfunction occurs due to vitiation of pitta dosha, it is called pittaja klaibya. It causes penile lesions like carbuncles.
  • Kaphaja: Ths type of erectile dysfunction is caused due to vitiation of kapha dosha. Primary symptoms of kaphaja klaibya include increased size of the penis, reddish or dark-coloured penile discharge, lesions and ring-like processes near the root of penis.
  • Sannipataja: Sannipataja klaibya occurs due to vitiation of all three doshas, i.e., vata, pitta, kapha. It is characterised by a burning sensation and pain in the urinary bladder, seminal vesicles, and testicles along with slimy white discharge from penis, penile effusion and infections in the penis with foul odour.  Rotting of the tip of penis, and withering of entire penis and testicles may also be noticed in later stages.
  • Raktaja: Raktaja klaibya involves an imbalance in rakta dhatu. It is characterised by burning sensations, fever, vertigo, vomiting and dizziness. Penile discharge may be blackish red, red or blue discharge.

Instead of suppressing symptoms, Ayurvedic treatments aim at improving the body’s innate defence system to allow it to heal naturally. Ayurvedic medicine follows the principle of depletion and repletion, which encompasses the elimination of toxins from body tissues and promoting overall improvement in health. 

  • Virechana
    • Virechana involves the administration of medicinial herbs to induce purgation.
    • Snehapana (internal oleation) is a procedure that is done prior to virechana. in this therapy an individual is made to consume the oil or ghrita (clarified butter) containing the blend of herbs.
    • Together, these procedures eliminate ama (toxins) from and also removes the aggravated pitta from various organs and tissues such as gall bladder, small intestine and liver.
    • Virechana is used in the management of diseases that occur due to vitiated kapha as it eliminates the phlegm from the body. It is not recommended in diseases caused due to vata imbalance. 
    • This procedure is effective in the management of vaginal diseases in women, erectile dysfunction in men, colon pain, intestinal worms, poisoning, etc. Trivruta avaleha can be used to induce purgation in individuals with erectile dysfunction.
  • Uttara basti
    • In this process, an oil or ghrita infused with the properties of appropriate herbs is injected into the bladder through a catheter. The individual is made to rest for 30 minutes after injecting the oil and then advised to drink plenty of fluids like hot water and buttermilk throughout the day. The time and quantity of first urine after uttara basti is analysed to assess the improvement in condition.
    • Phala ghrita can be used to perform uttara basti in individuals with erectile dysfunction.
    • It is advisable that you avoid suppression of natural urges after uttara basti treatment.

Ayurvedic herbs for erectile dysfunction

  • Ashwagandha
    • This herb acts on the nervous, respiratory and reproductive systems and has aphrodisiac (increases libido), anti-inflammatory (reduces swelling and redness), astringent (constricts body tissues), rejuvenating (restoring health) and sedative (induces sleep) properties.
    • Ashwagandha increases the production of sperms and can be used effectively in the management of erectile dysfunction. It is also helpful in treating sexual debility and infertility, general weakness, anaemia, fatigue, and tissue deficiency.
    • Ashwagandha can be used in the form of an oil, powder, ghrita or herbal wine.
  • Gokshura
    • Gokshura acts on the reproductive, urinary, nervous and respiratory systems and has aphrodisiac, emollient (hydrating), appetising, expectorant (expels phlegm), pain-relieving, cardiotonic and diuretic properties.
    • It is one of the best herbs that are used for the treatment of genitourinary conditions since it helps in flushing out toxins from the body.
    • Gokshura increases testosterone levels and sperm production and is known to be effective in the management of erectile dysfunction and male impotence.
    • It is also used for the treatment of cough, anaemia, asthma and inflammation. 
  • Shilajatu
    • Shilajatu is a potent aphrodisiac and is widely used for treating male sexual disorders such as erectile dysfunction. It is generally taken in combination with ashwagandha to combat sexual weakness.
    • Shilajit can also treat other conditions like digestive and nervous disorders, diabetes, bronchitis and kidney stones.
  • Shatavari
    • Shatavari acts on the reproductive, digestive, circulatory and respiratory systems and has aphrodisiac properties in both males and females.
    • It is a natural anti-inflammatory herb that also possesses, anti-diarrhoeal, diuretic, anti-dysentery and antiseptic activities.
    • Shatavari roots are also known to exhibit rejuvenating, carminative (relieve flatulance), digestive and appetising properties. It is helpful in the management of nervous and rheumatic diseases.
    • This herb can be used in the form of a decoction, ghrita, oil or powder.

Ayurvedic medicines for erectile dysfunction

  • Chyawanprash
    • Chyawanprash is a well known oral formulation, which is prepared from dashmoola (10 roots), pippali (long pepper), guduchi (heart-leaved moonseed), ashwagandha, amalaki (Indian gooseberry), cardamom, bhumiamalaki (stonebreaker), kushtha (costus) root, sesame oil, sandalwood, punarnava (red hogweed) and honey.
    • Chyawanprash has digestive, haematinic, carminative and restorative properties.and it helps improves immunity, health and vitality. 
    • It is used in the prevention and treatment of various conditions such as bronchitis, asthma, arthritis, and metabolic disorders. It is also useful in the management of debilitating conditions and general weakness. As weakness is one of the most common reasons for erectile dysfunction, chyawanprash is effective in the management of this condition.
  • Ashwagandhadi leha
    • This formulation consists of ashwagandha, cardamom, cumin, jaggery, raisins, cow ghrita, Indian sarsaparilla and black musli.
    • It renders physical strength and vigour and is helpful in the improvement of overall health after prolonged illnesses. It is useful in the management of general fatigue, emaciation and sexual disorders like erectile dysfunction.
  • Dashmoolarishta
    • Dashmoolarishta consists of dashmoola, guduchi, amalaki, haridra (turmeric), pippali, ashwagandha, raisins, jaggery, honey, sandalwood, blue-flowered glory tree, snap ginger and musta (nutgrass).
    • It provides physical strength, vigour and vitality, which makes it an effective therapy for erectile dysfunction. This medicine is also used in the management of other diseases like anaemia, cough, rheumatic disorders, gastric disorders, dysuria and bronchitis.
  • Sukumara ghrita
    • Some of the ingredients of sukumara ghrita are punarnava, dashmoola, ashwagandha, shatavari, eranda (castor), pippali, yashtimadhu (mulethi), shunthi (dried ginger), milk, ghrita and jaggery.
    • Sukumara ghrita has restorative and laxative properties and is helpful in the management of intestinal and gastric disorders. It is also useful in the treatment of reproductive system disorders such as impotence and erectile dysfunction. 
  • Shatavaryadi ghrita
    • This formulation is prepared from various ingredients such as ghrita, shatavari, gokhshura, goat’s milk, guduchi, trikatu (a combination of the three acrids – pippali, shunthi and maricha [black pepper]), cinnamon bark and leaves, honey and cardamom.
    • It is helpful in the management of urinary disorders like cystitis and urethritis and disorders of the male reproductive system like erectile dysfunction.

Do’s

  • Add wheat, rice, green gram, green vegetables, fruits, ghrita, chicken, meat, seasonal fruits, amalaki and haritaki (chebulic myrobalan) in your diet.
  • Include brisk walking and light exercises in your routine.
  • Sleep adequately at night.
  • Keep your surroundings clean.

Don’ts

  • Do not eat spicy, oily and fried food.
  • Do not consume fast food, ice cream, curd, biscuit, bread, alcohol, tobacco, tea and coffee.
  • Do not suppress your natural urges, e.g., evacuation of bowel and bladder.
  • Avoid fasting and straining your body.

A case study involving a 38-year-old-man with erectile dysfunction indicated the efficacy of Ayurvedic therapies in the management of erectile dysfunction (ED) symptoms and improving the overall health. The individual was given a set of therapies and herbs including snehapana using phala ghrita, deepana (appetising) and pachana (digestive) with chitrakadi vati, and virechana using trivruta avaleha. Uttara basti with phala ghrita was also conducted after the 15th day of purgation. By the end of three months, about 66.6%.improvement was noted in symptoms like erectile function, orgasmic function, intercourse satisfaction and sexual desire.   

Another study involved 40 erectile dysfunction patients in the age group of 21 to 50 reported the effectiveness of ayurevedic treatment of klaibya. All the participants were given a herbomineral rasa consisting of vanga bhasma (calcined preparation of tin), ashwagandha churna, and kapikachhu churna, infused with the properties of other decoctions for a definite period of time. After the completion of his study, most of the participants experienced improvement in erection and other symptoms of erectile dysfunction.

Ayurvedic herbs are known to be safe when taken in the right dosage as per individual prakriti. However, incorrect administration or self-medication may have some side effects. A herb or medicine which is known to be useful in a particular disease may not necessarily be suitable to every individual. E.g., shatavari and ashwagandha are useful in treating erectile dysfunction but should not be used in individuals with chest congestion and excess cough.

So, it is best to consult an Ayurvedic physician before beginning any herbal therapy or treatment. A physician will check the suitability of a therapy based on your overall clinical condition and recommend the best-suited treatment measures.

Erectile dysfunction may arise due to physial problems such as injury or a disease or psychological problems such as stress and performance anxiety. Excessive consumption of fast food and sedentary habits also add to this condition. Ayurvedic treatment comprising various herbs and medicines help manage this condition effectively when taken under the supervision of an experienced doctor. 

Dr. Ajai Singh Chauhan

Dr. Ajai Singh Chauhan

आयुर्वेदा

Dr. Jyoti Kumbar

Dr. Jyoti Kumbar

आयुर्वेदा

Dr. Bibin M. V.

Dr. Bibin M. V.

आयुर्वेदा

और पढ़ें ...

References

  1. Ayurvedic Medical College and Hospital. ROLE OF PANCHAKARMA CHIKITSA IN THE MANAGEMENT OF KLAIBYA: A CASE STUDY Tribhuvan Pareek. September - October 2016, Vol 3
  2. Sanjeev Sarmukaddam et al. Efficacy and safety of Ayurvedic medicines: Recommending equivalence trial design and proposing safety index. Int J Ayurveda Res. 2010 Jul-Sep; 1(3): 175–180. PMID: 21170211
  3. Swami Sada Shiva Tirtha. The Ayurveda Encyclopedia. The Authoritative Guide to Ayurvedic Medicine; [Internet]
  4. Raghav Kumar Mishra. MALE INFERTILITY: LIFESTYLE AND ORIENTAL REMEDIES. Department of Zoology; Journal of Scientific Research