Case Report
Year: 2023 |Volume: 4 | Issue: 10 |Pages: 08-11
“SINGLE CASE STUDY - EFFICACY OF SHATAVARYADI CHURNA IN SHUKRADUSTI AND SHUKRAKSHAYA WITH SPECIAL REFERENCE TO OLIGOASTHANOTARATOZOOPERMIA.”
About Author
Correspondence Address:
Corresponding Author: Dr.Dipali Sawale. MS Prasutitantra and Striroga, Assistant Professor, Hon Annasaheb Dange Ayurved College & Research centre Astha.
Date of Acceptance: 2023-10-14
Date of Publication:2023-11-13
Article-ID:IJIM_268_11_23 http://ijim.co.in
Source of Support: Nill
Conflict of Interest: None declared
How To Cite This Article: Sawale D., Pashte S., Phadnis R.Single Case Study - Efficacy of Shatavaryadi Churna in Shukradusti and Shukrakshaya with special reference to Oligoasthanotaratozo-opermia. Int J Ind Med 2023;4(10):08-11 DOI: http://doi.org/10.55552/IJIM.2023.41002
Abstract
The need to have children is of great priority in families hence treatment of infertility has become a global concern. The couple not able to reproduce, experiences the feeling of frustration and disappointment which increase oxidative stress level thereby worsening the condition. Rutu, Kshetra, Ambu and Bija these are the four things which are necessary for the normal pregnancy. Bija means both male and female fertility factors i.e., Sukra and Artava respectively. In Ayurvedic classics eight types of Sukradosha are enumerated. This classification is based upon two methods,first one is based upon involvement of Doshas of shukra,Tanu,Alpa, Ruksh, Phenil etc.and next is based upon involvement of Doshas in shukra e.g. Vataj, Pittaj,shleshmaja, shukradusti etc. Shukra is described as Seventh dhatu in our classics. Among the Seven Dhatus, Shukra Dhatu is considered as important one. Shuddha Shukra is one of the most necessary factors for the healthy progeny. Shukradushti caused by vitiation of Vata pitta dosha and becomes diminished state of quality and quantity of Shukra dathu. Oligoasthenoteratozoospermia (OAT) is a condition in which the semen sample has Oligozoospermia, which is low sperm count, Asthenozoospermia, which is poor motility and teratozoospermia, which is abnormal morphology of sperm. Nowadays Oligoasthenoteratozoospermia is the most common condition in both developing and developed countries. Here explained the successful case study of shukradushti of using ayurvedic formulation.
Keywords: Rutu, Kshetra, Ambu, Bija, dosha, oligoasthanotaratozoospermia, shukradushti.
Introduction
A 34-year male with his wife came at OPD with complaining unable to conceive and he had previous 2 consecutive semen analysis report of a 1 month apart with same finding report s/o oligoasthanotaratozoospermia.
K/C/O- Diabetes mellitus type 2 on regular modern medicine (Tab -metformin 500mg OD)
Married since 6 years,H/O- Hydrocele operated before 2 years.
Occupation- Jewelers. Wife- Housewife H/O- 1 IUI failed 1 IVF failed
Wife had regular menstrual cycle with average bleeding with normal USG report.
Did not having any past surgical history.
O/E- General exam-
Female – Normal
Male – BP- 138/84mmhg, PR- 92/min Spo2- 97%
Secondary sexual character- Normal Ext genitalia – Normal, BMI- 26.4
USG- rt side epididymitis with gaseous distention of colon, fatty liver grade11.
Sexual History- he never had sexual desire himself, sex only on demand of partner, failure of erection intermittently and attempt of intercourse weekly once.
Materials and methods-
Treatment Planned-
Amaapachaka Vati 2 BD for 8 days given,
Mansamedopachaka Vati 2 BD for One month.
Liq- vidangarista 10 ml HS 8days given.
Yogabasti upakrama planned after Aampachana & krmihara dravyas.
|
Days |
1st |
2nd |
3rd |
4th |
5th |
6th |
7th |
8th |
|
Anuvasana with Sahachara taila |
AB |
AB |
|
AB |
|
AB |
|
AB |
|
Niruha with Dashamula Kwath |
|
|
NB |
|
NB |
|
NB |
|
AB- Anuvasana Basti with Murchita tila taila, NB- Niruha Basti with Dashmuladi kwath.
After yogabasti upakrama ask for patient to avoid fast food, AC at work place, spicy food and had given shatavaryadi choorna 12gm BD honey at morning abhakta kali and evening vyanodana kali for month. Then after 30 days yogabasti upakrama had given in next consecutive two months and after basti shatavaryadi churna continued each month.
After 2 months of ayurvedic treatment semen analysis repeated report was normal, and his sexual desire also improved but treatement continued for next one month and after next 3 rd month couple gets UPT positive and USG- SLIUP 7wks5 days.
OPERATIONAL DEFINITION:
Churna - It is Fine Powder of Drug. Drug Mentioned in Adhyaya Are Cleaned Thoroughly, Pulverized and then Sieved, the churna is free Flowing Retains its Potency For one Year, if or Preserved in Airtight Container.
DRUG REVIEW:
SHATAVARYADI CHURNA
DRUG INTERVENTION:
|
Drug |
Shatavari |
Nagbala |
Vidari |
Gokshur |
Amalaki |
Sharkara |
|
Latin name |
Asparagus racemosus |
Grewia hirsuta |
Pueraria tuberosa |
Tribulus terrestris |
Embelica officinalis |
- |
|
Family |
Liliaceae |
Tiliaceae |
Leguminaceae |
Zygophylaceae |
Euphorbiaceae |
- |
|
Rasa |
Madhur, Tikta |
Madhur, Kashay |
Madhur |
Madhur |
Pancharasa,Lavanvarjit |
Madhur |
|
Vipaka |
Madhur |
Madhur |
Madhur |
Madhur |
Madhur |
Madhur |
|
Virya |
Sheet |
Sheet |
Sheet |
Sheet |
Sheet |
Sheet |
|
Guna |
Guru, Snigdha |
Guru, Snigdha, pichchhil |
Guru, Snigdha |
Guru, Snigdh |
Guru, Ruksha |
Guru,Snigdha |
|
Useful parts |
Mula |
Mula |
Kanda |
Phal |
Phal |
- |
|
Doshaghnata |
Vatpittashamak |
Vatpittashamak |
Vatpittashamak |
Vatpittashamak |
Tridoshaghna |
Vatpittashamak |
|
Rogaghnata |
Vrishya, Rasayan, Medhya, Balya |
Vrishya,Rasayan, Balakrut, Kantikrut |
Vrishya, bruhani, rasayan, mutrala |
Vrishya, Rasayan, Mutrala,Balakrut |
Vrishya, Rasayan,Raktapittanashak |
Shukrakari, Dahanashak,Raktpittanashak |
|
Description |
Trial drug |
|
Name of drug |
Shatavaryadi churna |
|
Dose |
6 grams |
|
Frequency |
Twice a day |
|
Kal |
Morning and evening before meal |
|
Duration |
3month (after each yogabastiupakrama) |
|
Anupan |
Madhu |
|
Route |
Orally |
|
Follow up |
After each month |
OBJECTIVE CRITERIA:
Analysis done of each follow up and compared before and after treatment and improvement is semen Analysis parameters.
|
|
Before treatment |
After treatment |
|
Sperm count |
17/million |
66/million |
|
Sperm volume |
1ml |
2ml |
|
Sperm motility |
15 |
40% |
|
Sperm morphology |
head defect- 71% neck & midpiece defect 12% tail defect 16% |
Normal 60% |
|
Ph |
Alkaline |
Alkaline |
|
Liquefaction time |
45 min |
30 min |
|
Fructose |
present |
present |
Discussion
After Dipana pachana karma Rasa get purified and shuddha rasa makes uttarouttra shuddha dhatu is one mechanism of treatement and another one is Bastiupakrama Makes vatanulomana, and after this vajikarana yoga explained by Yogaratnakara in vajikarana adhyaya give excellent effect in shukradushti, shukrakshaya and its karmukta.
So ayurvedic treatment protocol can give best results in oligosathanotaratoozospermia (shukradushti, shukrakshaya).
Conclusion
Shatavaryadi choorna explained by yogratnakara is effective in Vajikarana as well as shukradushti also.
References
1).D.C.Dutta's textbook of Gynecology Hiralal Konar. 8th edition. p.188.
2). Vd V.S.Kale, Charak samhita chikistasthan vajikaranadhyay pratham pad shlok no. 21 p.no.48
3.Vd V.S.Kale Charak samhita chikitsa sthan adhaya yonivyapadchikitsa shlok no.139 p. no.757
4). Vd V.S.Kale Charak samhita chikitsa sthan adhaya yonivyapadchikitsa shlok no145 p. no.757
5).Vd.V.S.Kale Charak samhita chikitsa sthan adhaya yonivyapadchikitsa shlok no145 p. no.757
6). Ambikadattashastri Sushrut samhita sutrasthan adhayay 15 Doshdhatumalkshaya vruddhividnyaniya shlok no 13 p. no. 76
7)Ambikadattashastri Sushrut samhita chikitsasthan adhayay 26kshinbaliyavajikaranchikitsa.
8) Shrilaxmipatishastri, Yogaratnakara vidyotini hindi vyakhya, choukhamba prakashana,edited by Bhishgaratna Bramhashankara Shastrui, Uttarardha vajikarana adhyaya,pg no 485
9) Kaviraj Atridev Gupta, Ashtang Sangraha, chaukhamba prakashan Varanasi sutrasthan adhyay 19 shlok no 6-10
10)Ashtang hridaya Saarth vagbhat Vd Ganesh Garde sutrasthan adhyay Doshadividnyaniya shlok no 20 p.134
Ashtang hridaya Saarth vagbhat Vd Ganesh Garde sharirsthan adhyay 1 shlok no 14
11 Nepal rajguru pandit hemraj sharma Kashayap samhita sutrasthan adhyay rogaadhyay shlok no55 p no.22
