Friday, May 27, 2016

Oligospermia / azospermia ....and its management with #Ayurveda

Views shared by several ayurveda professionals and non-ayurveda people in discussion group:
All views shared here are only for knowledge. This information doesn’t have any scientific validation. Various doctors and non-medicos have shared their views and experiences in this discussion. Please do not try any of the suggestions described here, without prior consult from your regular, qualified doctor. Dr. Prerak Shah and no other person is responsible for any unwanted effects, side effects or contra-indications in your health. Thank you.
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Next topic for discussion:  Oligospermia / azospermia ....and its management with #Ayurveda

Dr. Bhadresh Naik: According to my experience Sukrakshay Is related to sapta dhatu dusti
So we have to start with langhan, Dipan, Pachan, Kedarikulya nayay applied……….Than stert aprodatic medicine

Dr. Prerak Shah: The basic question is : Is it shukra kshaya? The semen quantity can be the normal...only sperms are less.....sometimes even sperms are in sufficient quantity..but not lets think all aspects..Thnx

Shri Minoo parabia: For oligospermia I would suggest.  Aswagandha, Vidarikand, Varahikand, Mahuva bark, Shatavari, Cow's ghee., Udad dal, Garlic

Vd. Gurumahantesh: You can try this Ashwagandha 100gm, Kapikacchu 100gm, Kushta 50gm, Shataavari 100gm, Vidaarikanda 50gm, Yashtimadhu 50gm, Amalaki 50gm, Haritaki 50gm, Kokilaaksha 50gm  -Mix these fine powdered medicines it will become total 600gram.
Take one testicle of goat cut it by four side and put 50gram of mixed medicine into goat testicle. 
Take 1liter of cows milk put the testicle and boil to make kshirapaka upto it will get reduced to one fourth means it will become 250ml of kshirapaka the prepared kshirapaka advice for the basti for 6 to7 days in case of low sperm count.

Vd. sandeep Ahirkar: Parik sir you are right our criteria for shukra kshaya it's not always sperm count basically we have really think or to start semen analysis by ayurveda pattern we have to check varna gandha n all parameters which are given in samhitasIn vagbhat sharir sthana they have return concept of puti shukra also………. That we have to understand also

Dr. Bhadresh Naik: Sorry everybody…I always try to understand basic principles according to patients problem I suggests line of treatment….If we do apply the basis prognosis of disease is better…..If digestive system is poor….How medicine will digest…Think

Dr. Samir Suneri: In that type of pt we can use utarvasti with aswagandhadi oill but it all procedure should be in very sterile style otherwise after 15 days pt can be present with urinary infections and backache

Vd. sandeep Ahirkar: Vanari kalpa of Sandu having good result to increase  counts

Vd. Sunil Suthar: Varicocele is one of main reason in azoospermia !  Surgeon always advise to operate it but they dont give any guaranty to improve sperm count or will help in pregnancy !
Sometimes congenital deformities like undescended testis ! Some pts works with boiler plant and some others heat generated area who are also more prone to oligospermic !  As per ayurved science apan vayu dushti is the main cause of it so If possible then first try to  deepan pachan ,  basti karma…And then akshir yoga pho  which i put here has wonderful result der !

Vd. sandeep Ahirkar: Any trauma to genital part can cause azospermia

Vd. Sunil Suthar:

Vd. Sunil Suthar: Avoid jeans pant !  Avoid hot sits bath ! Apply cold sponge at scrotum area !
And plz avoid katu,amla, lavan ras  !

Dr. Bhadresh Naik: I have patients having uper extremities muscular vasting masdhatuxay
Details history taken having a small amount of seman and erectile dysfunction.  bruhan treatment….Muscular development along with increase semen and correction of erectile dysfunction…..No aprhrodatic medicine given

Dr. Bhadresh Naik: Mumps and vericosle, Testicular abnormalities, Tobacco, Alcohol, Low testosterone, Physiologic problem are dd

Dr. Bhavesh Modh: Onion is another important aphrodisiac food, second only to garlic. It increases libido and strengthens the reproductive.

Dr. Prerak Shah: Lets go to basics of the condition: Oligospermia.....nidan, samprapti, types etc...later we will go for treatments.....and please do not put just 'General' treatment.....please share your practical experienced medicines. Thnx

Vd. Dhruti Kagrana: Causes for Shukra kshaya or decrease of shukradhatu (semen):
"jarayaa chintayaa sukram vyandhibhih karma karshanat
kshayam gachchatyanasanaat streenam chati nishevanat"
Old age, Mental stress and worries, chronic diseases, under nourishment and excessive indulgence in sex or increased ejaculation of semen leads to shukra kshaya or reduced quantity of semen.

Dr. Ravindra Upadhyay: Bhadreshbhai high moral and will power does the needful.

Vd. Dhruti Kagrana: Lakshana of shukra dhatu kshaya:-
Daurbalya – weakness,
Mukha Shosha – dryness of mouth,
Pandutva – pallor,
Sadana – lassitude,
Shrama – tiredness,
Klaibya – impotency and
Shukra Avisarga – non-ejaculation of semen, non-ovulation.

Dr. Bhadresh Naik: For muscular wasting - Santarpan chikista, Asvaganghagrut, Raspachakvati, Asthi majja pachakvati, Sastisalipind swed, Asvagandhadhan, Rasayan tablet, Kshirbala avarthi, Balaasvaganharistsa, Chitrakadivati, Vishtindukvati, Bruhan nasya, With this medicine he improvement in sukraxay, Kedarikulya nyay work

Dr. Anup Torane:

Dr. Anup Torane: This is my favorite remedies  to treat pt. having complaints like oligospermia, azoospermia,burning sensation after intercourse,backache after semen ejaculationIn any case related to apan vayu basti is most important n shukrakshay is also due to vatvriddhi so basti with bruhan dravya very useful in this typ of cases

Dr. J. T. Contractor: Kaunch & malkankni seeds r powerful ingredient among these to be added I suppose

Dr. Anup Torane: Yes sir we can!

Dr. Bhaskar B Nymathi: निदान:कटु,लवण क्षार अति सेवनवातकर विहार अतिसेवन. चिकित्सा: नक्र रेतो वृष्याणाम्|वंग भस्म. नालिकेरोदक. वानर कल्प(Mucuna prurines) गोरस वर्ग. इक्षु विकार. मुसली preparations….. Cause: Excess intake of pungent Salt alkaline, taste in food and Vaata aggravateing activities….Treatment:  Tin bhasma(vanga), Tender coconut, Kapikachu Musli, Milk products, Cane sugar products.

Chikitsa: nakra reto vrushyanam. …Bangbhasma,Narikelodaka, Vanar kalpa (mucin prurient)
Goras varg: ikshu vikar ,Musli preparation

Dr Dipak Shirude: Low or nil sperm count and loss of libido are how interrelated ?
शुक्रक्षय and ध्वजभंग Please explain and discuss these situations .....

Dr. Shriniwas Gujjarwar: Ajaanda siddha grita is very effective for oligospermia.

Dr. Bhadresh Naik: Puspadhavaras is drugs of choice in any type of erectile dysfunction and low sperm count and libido

Dr Sandeep Madaan: Dr's English or hindi please….Makardhwaj rasayana, pushpdhanwa and dhatupaushtik churna give results. Many refractory cases fail to yield results

Vd. Jignesh Thakkar: Is it possible to collect nakra retas ? I thought amongst all animals nakra-crocodile sperm is most fertile sperm that is the idea shared in charak samhita nothing else

Dr. Bhadresh Naik: Testicular biopsy suggests alive sperm in testicle what ayurved suggests line of treatment

Dr. Priti Vikas Agrawal: I used tab.spemen Himalaya, Kauchaghan, Amrut with kesar elaychi, Shilajit raasayan, survanayukta makardhvajavati

Dr. Bhadresh Naik: Lekhan  basti can be suggested?

Dr. J. T. Contractor: If generalize the orientation of fertility, I observed some times its hereditary, not in all but many such cases found in same family branch that no child birth in family. For few years they do take various treatments with no result then accept either or switch over to tona-totka Magic remedy etc. All in vain, then we have to accept that no medicine of any branch works for them, can we not find at least the reason!

Dr. Bhavesh Modh: I suppose नक्रस्य रेतस (nakrasya retas) was salmon ( fish ) eggs, because easy to collect  &  particularly salmon roe, are very rich in nutrients……Salmon roe has the highest level of omega 3 of any other food.  The omega 3 fats (EPA and DHA) in one ounce of salmon roe equate to 1800 mg.  This is 3.5 times the amount in salmon (from the highest omega 3 species)…….In addition to being rich in brain fats, salmon roe is rich in antioxidants and fat-soluble vitamins including high levels of vitamins C, D and E, thiamine, folate, vitamin B12 and selenium.  Fish eggs are also high in protein, with one ounce of salmon roe containing 6 grams of protein.  It is also a good source of cholesterol for those who are allergic to chicken eggs….Salmon roe (and other fish eggs for that matter) are great for brain development in children & fertility.

Dr. Ravindra Upadhyay: Have you tried wheat grass for the female, various gynecology problems are solved.

Dr. J. T. Contractor: Wheat grass is not a medicine I suppose, its an antioxidant which helps eliminate free radicles in body

Dr. Ravindra Upadhyay: Who says it is not a medicine ? Unless u eliminate free radicals, one cannot conceive.
Dr. Bhadresh Naik: New vision, Line of treatment for azoospermia, Lekhan basti can given varicose, Blockage in spermatic cord, Epididymis, Can tried basti in epididymis, Sonography guided…..Please frist laughing on comment then think seriously

Dr. J. T. Contractor: Instead wheat grass wheatgerm oil used as it's very reach in vitamin E

Dr. Ravindra Upadhyay: I have seen pts getting rid of gynec problems of various etiology, and conceive. According to Ayurved, for conception Rutu, Kshetra, Ambu, and beej should be proper, it is prerequisite for conception.

Dr. Bhadresh Naik: Requests to vd prerakbhai and other experts panchkarma specialist in our group to do comment on my thoughts and vision……..Testicular biopsy suggests alive sperm in testicle what ayurved suggests line of treatment……….This type of cases are seen in clinic

Vd. Jignesh Thakkar: I have given, 1)ashwagandha100, 2)kaucha100, 3)satavari100, 4)vangbhasma30gm, Mixture 1.5tsf with glass of milk…..It increases sperm count…..Patent medicines have very small quantity of drugs……This requires huge quantity.

Shri Minoo parabia: Bhadreshbhai. If the sperms are alive, where is the problem.  And why the testicular biopsy was advised?

Vd. Jignesh Thakkar: A patient was suffering from varicocele.and sperm count was only 3mil/ml.
It increased by this combination. He is deaf and mute. His wife conceived after 7month treatment

Shri Minoo parabia: Any malignancy suspected? I would like to comment on your rider on pharma preparation,  mostly tablets. Our doses require about 10g of power at a time. Tablet can accommodate maximum of 500mg. Mostly 300mg. Therefore a single dose would require 20 tablet at a time except they're extract based. Further may be at some other time. So I support your view.

Dr. Bhadresh Naik: Azosparmia is lack of production of sperm….In mamy case production is there but due to obstruction sperm dosent seen in semen….Above cause are describe
My question is to open the obstruction by lekhan basti in spematic cord or in epidadamus
Similar in fallopian tubes block….Think different and get different….May be new hope for azospermia patients…..We need to develop new dimension of using technology

Bunty Gandhi: Yes ..Just two tabs of ashwagandha doesnt work..Specific things require special dose.

Shri Minoo parabia: When vasa deference or epididymis are creating obstruction is it not comparable to vericocoel! Yes it is interesting to think about it as an alternative to surgical correction.

Dr. Bhadresh Naik: We talked about basti play roll sir we have to understand and think about new consept with help from morden surgeon to proved basti effectsWe have nothing to lose
Slightly different approach make big changes

Dr. Bhadresh Naik: Varicocele is different, But due this sperm count is low

Vd. Jignesh Thakkar: Vericocele is nothing but absence of sperm.

Dr. Bhadresh Naik: Please come forward Vd prerakbhai masters of panchkarma for guide and suggests welcome….I am differ on comment

Dr Premsukh: varicocele is one of the cause of azoospermia

Vd. sandeep Ahirkar: Erandamooladi basti should be done naika sir on your case

Dr. Anup Torane: Yes naik sir i agree with u.if any obstruction (sanghat) is there then we can try lekhan basti

Dr Premsukh: If varicocele detected, surgery is recurred, but azoospermia most of time not due to varicocele

Vd. sandeep Ahirkar: In management of varicocele kaishor guggul and suran watak can be used

Dr. Bhadresh Naik: I talking about basti given direct in epididymis or in vas by sonography guidedLike dyes are injected for x-ray or ct scan

Dr Premsukh: i think not possible boss

Dr. Bhadresh Naik: Nothing is impossible….Just to understand basic principles and apply
In future might  foreigner may develop new dimension of basti

Vd. sandeep Ahirkar: Utarbasti with kshara

Dr. Rachana Mumbai: @Our respected dr's with modern…..We should go for new dimension definitely but in our ayurved cases hygiene always remains a point….Everything should be sterile right from the preparartion of medicine till its useWe ayurved ppl need to set up OT's for our procedure…. Like there are few ayurved physicians who are doing uttar basti in females exactly like tge procedure of IUI, But they have OT set up…. Or else we can tie up with some allopathic hospital for these procedures….So it has many technical issues

Dr. Bhadresh Naik: Team work,Use of skill of surgeon

Dr. Rachana Mumbai: Team work is lacking........Yes those who are making team efforts they are successful today

Dr. Bhadresh Naik: Even we sit together and understand the issue
Dr. Bhavesh Modh: I think when given Uttarbasti in male ,  Basti dravya goes in Bladder not in seminal track  ( शुक्रवह स्त्रोतस ) . How  possible  any Basti  (lekhan etc.) act in production of sperms or improve quality of sperms. Uttarbasti in male useful of Bastigat vikar (मूत्राशय विकार )
Definitely Uttarbasti (in uterus ) gives good result in female infertility . mild massage with VRUSHY TAIL over scrotum,  then SHITAL LEPAM  (चंदनम् + यष्टीमधु) & last shit jal parishek,  it's gets superb result in oligospermia asthenospermia & ED.(diabetic )

Vd. sandeep Ahirkar: Shree gopal tailam also having good results

Dr. Prerak Shah: Dr. Bhadresh and all friends, sorry for delay in reply. I would like to share my exp. Fir male uttarbasti - in vas. I think it is possible. In early 1990's I tried it. I found one very good surgeon on my side with his OT and knowledge and experience. We did male uttarbasti with oil. Then comes the same question that how can we know that the medi reached to Vas or not? Several times we did both anuvasan and niruh uttarbasti. But in those days technology was not advance like today. But we have planned for dye injected sonogram with male uttarbasti I don't remember much now. I have no data available.  But I strongly believe that it is possible. Keep it up Dr. Bhadreshbhai.

Vd. Jignesh Thakkar: Oligospermia is reason of varicocele. As it is said  Vaoh dhatu kshayam kopatarsya avrena ch

Dr Premsukh: First of all trying on animal experiment like rat /pig. because without experiment study are baseless. and  sir support of modern surgeon/physician are needed. Written consent are also  required. Phytochemical, analytical study of used drugs are also requiredAll things are possible when support of Institute/Research centre/ CCRAS are there

Dr. Bhadresh Naik: Drug modifications and water soluble particle can use

Dr Premsukh: we use medicine in oil form, so ethanol /pet. ether soluble contents are useful
Not water soluble

Dr. Bhadresh Naik: Many times patients having a low motility Sperm, Immotile sperm, Can treat according to dosh dusti, Slow motion related to cough, Dead sperm related to pitta, Vat dosh increase fast motility, According to dosh balance is better result

Vd. Hardik bhatt, Idar: I think we have shukra janan and shukra shodhan both drugs .. We have to use then according ... There is one vajikaran name also ... So we have to use all these three drugs accordingly...

Dr. Bhadresh Naik: Obstructive oligospermia is good point to discuss

Dr. Bhavesh Modh: In Modern medicine , Microsurgical vasal reconstruction is a suitable treatment for many cases of obstructive azoospermia or oligozoospermia. But it  hasn't  positive results . In ayurveda many vaidhya's use uttarbasti in male fertility.  But in charak  siddhisthan ch.12 clearly  mentioned uttarbasti in male for reduced  urethral pain due to अति मैथुन. & Morden  (anatomically )  view  we can see there is no any system in bladder or urethra for absorption of fluids  (बस्ती द्रव्य ) in compare Intestine or uterus.  Seminal path is also in one way (direction ) it have not also reverse absorption system. We can't inject any fluid or radio opaque in Seminal path.

Dr. Bhadresh Naik: That's why we try to do different by new line of treatment.. In bladder carcinoma triple vaccine are given

Dr. Bhavesh Modh: Sir, I put in previous msg.  Massage lepan & parishek over scrotum ,  I experienced  it's  easily  accepted by male patients instead of  uttarbasti.  & as well as female  pt's ready for uttarbasti .

Vd. Sandip Ahirkar:

Vd. sandeep Ahirkar: Shukradosha chikitsa (Charak)

Dr. Anup Torane: In management of varicocele jaluoka application can be used

Dr. Bhavesh Modh: One more thing ,  any curious vaidhya experience in role  of uttarbasti in male infertility. With help of brilliant sonologist. . Scrotal USG  or colour doppler study previous  & post void uttarbasti. Then  compare   all values  like weight movement temperature etc…Convince for jalauka  is difficult to patients ….It's  also dangerous allergic reactions itching  
& it's  can't gives positive result  please ref. Scrotal anatomy.  They use Micro surgery  & we haven't  micro jalauka.

Dr. Bhadresh Naik: Strictures in urethra cure by utterbasti

Germany Helga Fuchs: Hm, all is very interesting. New treatment for future, very nice. But is there any real need or only some Inspiration to go new ways, if all others possibilities not working out?

Dr. Bhavesh Modh: Difficult to insert bastidravy painful also .sometimes patients  unbearable
they use first dilataters

Vd. sandeep Ahirkar: We didnt understand what our acharya written in samhitas completely first m

Vd. Pankaj Chhayani: Oil is very good carrier of medicine.Oil having characteristic of Anupravan bhav(अणुप्रवण)

Germany Helga Fuchs: As I know Sukra is connected with rasadhatu. If rasa is in good condition other dhatu are more safe. Rasayantherapy after PK (no vaman), virecan and basti, should be first given to strenght the body. Rasayan for shukra as satavari, ashvaghandha, sweet milk, ghee, and shure a healty lifestyle. If there is any weakness in shukra of men or women, is weakness in person and this must go first. If this is gone, one is more ready for child. I have not much experiences on this field, but what I have seen told me, that most people running for childs, but have not love to the Partner or for the child. Happiness comes more from to fullfill a society roule, wish of parents.... I only see real enjoyment and needed Power for childs in strong healty prakrti as PK, K. For others childs are not easy. Natur itself make a stop. If one is not able to hold on a good Lifestyle and strong enough to deal with daily life in good way, how he can give good basic to the child? I know, that is not much Inspiration for new steps. But in this case, life is getting more worst. A new heart or lung or what ever, operations, bring people better health. But childs need the power of her parents, love beetwen parents and all daily needs without sorrow. To have childs needs strong dhatu and if one is strong in body and mind, he is ready. So daily rasayan due food and lifestyle, give strenght to mind and body, and nature can work regular. Nature works to easy in most, as we can see in many countries. But if Natur stops by itself, first step is back to natural life. If this is not done, or it is done and not working out, there are many childs who needs parents.

Dr. J. T. Contractor: Helga has point good keep it up, logical factor does effect

Shri Minoo parabia: Natural selection and the survival of fittest. Agreed.
Dr. J. T. Contractor: A couple once showed their reports all normal yet unable to conceive later learnt the lifestyle/ food & observed that the lady was fond of sour food daily that too plenty, then I asked her to check pH of vaginal secretion, which turned out to be acidic now the logic is the spermatozoa can't sustain moment or Survive in acidic medium, many a times such in between the lines are to be taken into account.

Germany Helga Fuchs: Yes, this is easy to solve. After lady will be more calm and happy. Hope she have strong and calm husband and he is a point of happiness in her life. And vice versa😂
 Satyen: What did you prescribed for making the fluids alkaline

Dr. J. T. Contractor: Nothing in addition naturopathy is best in such cases, lots of water to drink stopped strictly the sour foods fruits juices preserved & junk foods, for 6 weeks.Monitored pH
Germany Helga Fuchs: And avoid nightwork, daysleep and all what makes you weak. To much/ to less exercices,  overwork, underwork, look for good company with yourself, means take care for yourself if others are not care for themselves or for you.

Germany Helga Fuchs: Pawanmukasana series I and series II. If this is working, start to watch your mind to understand how nervous he is. Then you understand the need of rest and discipline in life. Vata get balanced on this point and as we know, aggrevated V give need for sour. To much sour food intake stop by no need for to much sour.

Vd. Ajay Pithiya: Klaibya (? Impotency) is one of the symptom of rasa dushti (cha. Su. 28)
Symptoms of shukra vitiation are already described here previously ..  Shukra is responsible for garbhotpadana, not only foetus but any cell division occurs in the body is because of healthy shukra .. Ayurveda denotes shukra in female body too, in my view this is not semen or any male hormone but the part which involves in any kind of cellular division nd growth ... So in case of azospermia we can say that shukra of semen is vitiated here ...

Dr. J. T. Contractor: No dog can bite or no grey hair grow on sour Food eater, cause he/she will soon have stick to walk it keeps dog away & he/she dies before hair turns grey!

Vd. Ajay Pithiya: For any case of azoospermia, testicular biopsy is foremost diagnostic method If there is production of sperm cell at membrane occurs but sperm cells are absent in semen than there must be pathology above the testicles ( enroute of sperm cell- via vas deferens, epididymis) in that case obstruction can be ruled out or any other pathology ...
But if sperm cell is not present at all (complete germ cell absence or aplasia) or no production occurs than modern medical science advise them to go for assisted technique for fertilization as they dont have cure for that ...
Another tehnique known as sperm mapping is also in practice some where, claiming to be more perfect than testi. Biopsy ... but i dont know more about its diagnostic efficacy ..
These are modern line of thinking for case of male infertility .. but for ayurveda we should observe semen to see he kind of vitiation ..  And than accordingly design our treatment ..
8 dosha of semen –Fenil, Tanu, Rux, Vivarna, Puti , Pichhila , Anya dhatu sansrusta, Avsadi

Dr. J. T. Contractor: Hormones (male/female)play major role in production of semen, spermatozoa, ovulation recent days intrauterine insemination is done as it was earlier done in animals. But due to hygiene & strict sterile factor if not maintained this process missed it's natural implantation, thus in fewer cases results are not favorable & abnormality of the child is caused, I had seen my guruji late vd. Raol sir, who always observe semen for this kind of dosha

Germany Helga Fuchs: Shukra is generativ fluid of male and female (ovum). In some scriptures is shukradhatu as male and Artava as female pointet out. However, if Rasa is less, shukra is less. In Yoga we speak about Ojas as Essence of Shukra, and if Ojas in body is not good, Immunsystem is weak. Very interesting is, that if shukra is to much, semen is to much or not healty. We find a aggressive person, to aggressiv sexuality, this sterility, impotence, anormalitys in childs due not healty dosha, pain. I have study, to avoid any problems and to prepare mind and body of parents for her parent job with Pancha Karma. Clean and strong dhatu are based on healthy Agni and Dosha. Most people are not able to do that. No time, no money, no mind for that. Only mind for lust  or money for car, tv, hair, fingernails, food, luxury. Only intelligent people are able to understand the need. Many only functional to live, but not the leader of her life. And I do not speak about rich or poor. It is never a point of that.

 Dr. Anup Torane: Bhavesh sir, Small size Jalauka operate like a skillfull surgeon n u can use nirvish jalauka there is no itching no wound aftr second day of application and part of convince to patient it's our skill.i have tried this procedure in my hospital so nohing impossible but risk factor is there.

Vd. Jignesh Thakkar: Usually jaluka is good if obstruction is there. ......for sukra kshaya jaluka will be not good.

Dr. Anup Torane: If h/o trauma over testis, this is aghataj hetu which increases vat dushti n due to trauma raktdushti also present so in this case m treating like VATRAKT n have excellent releif to patient.

Dr. Madhuri Patil Chaudhari: @Helga, ojas nice point. Ojas being updhatu of shukra, too much shukradhatuvruddhi may indicate vikruti of updhatu i e. Ojas, due to dhatvagnimandya.this ayurvedic pathophysiology can perfectly explain why heart arrests occur when on Viagra in some men. Ojas and Shukra.

Dr Jayesh Patel: एरण्डमूलं वृष्य वातहराणां श्रेष्ठं

Shri Minoo parabia: Heart arrest is mostly due to undue over exertion at an old age!

Germany Helga Fuchs: Shukra is last and most essential dhatu, and all above written, is a way to healty dhatus and hold Apara Ojas longer. Quantity of Apara Ojas is life key.

Dr. Bhavesh Modh: क्षीरमांसगणः सर्वः काकोल्यादिश्च पूजितः  ।
वाजीकरणहेतोर्हितस्मात् ततु प्रयुज्यते  ।। सुश्रुत  चि.26
 यत् किचींत मधुरं स्निग्धं जीवनं बृहणं गुरू हर्षणंमनस एव सर्वम् तद् वृष्यम् उच्यते  । चरक चि.2
पूर्वम् शुध्दशरीराणां निरूहान् अनुवासनान् बलापेक्षी प्रयुज्जीत शुक्र अपत्य विवर्धनान् ।।
घृत तैल मांसरस क्षीर शर्करा मधु संयुक्ताः बस्तयः संविधातव्याः क्षीर मांसरस आशिनाम् ।। चरक चि.2
Dr. Bhadresh Naik:

Dr. Bhadresh Naik: Very interesting dd (differential diagnosis) given by achrya susrut
Courtesy of Vd Y. G. JoshiDue internet information younger generation come in fantasy is one of the causes……Indragop can be used internally along with bangbhasma is beneficial
------------------- end of comments from Active Group---------------------

Dr. Arvind panchal: In oligospermia....Tab Tentex forte, Tab Bangshil give best results... First we should find out the reason of oligospermia, and azoospermia....then line of treatment

Dr Feroz Khan: Kawachbeej (kaucha) gives good result in oligospermia.

Vd. Jayesh Thakkar: Yes it can be due to many cause lower general health status, occupation radiation related, smoking, steroid resultant, disease manifestation in obesity, diabetes, thyroid etc. trauma -spinal cord injury, surgical effect of hernia repair, vasectomy...of STD or chromosomal deformity related....In management SROTO SODHANA by sodhana & samana helps.. Mustadi Rajyapan Basti is  effective. Vajikaran preparation of Aswagandha, Gokshura, Kaunch, Musli esp in ghrita & lehya prepn is helpful...In rasa Sh.Makardhwaj; Vasant Kusumakar in DM is good...Patient counselling, diet-regimen  has a role in management..

USA Umangi Patel: Shilajitvati , with aswaganhada khseerpak  give very good result  in both .

Baroda Arti parimal: पीपल के फल की खीर सुबह ओर  शाम  देने से स्पर्म काउंट में फ़ायदा होता है,  Ficus religious, Makhana halva is also beneficial in oligospermia

Dr. Suyog Kulkarni: I believe Azoospermia is a congenital condition. I don't think much can be done about it. If even little amount of sperm are present (Oligo) then it can certainly br increased with our medicines. My experience about Makaradhwaj and Pushpadhanwa is very encouraging .

Vd Limesh Khatri: Shitopladi churna + ghee in Rasayan kal also good for Oligospermia
Vd. Suhas Chaudhari: In todays lifestyle this is aaharvihar January and also..mainly rasa pradoshaja... So we should keep this d/d in mind..whether it is rasa pradoshaja or its shukradushti  January.. because accordingly ferment will be different

Vd. Neeraj Pooner: Shukradosha ACC to sushtuta can be treated by snehan swedan adi kriya
Vishesh kriya And utar vasti….Kunapgandhi shukradosha can be treated by dhataki pushapa, kahdir, dadim, arjun sadhit ghrit along with shalsaradi sadhit ghrit……Granthi bhoot shukara can be treated by sharing and palash sidha ghrit or palash bhasam shidh ghrit………….Puya dosha shukradosha can be treated by prushak n vatadi gana sidh ghrit…. And in kshin shukara or less shukra swayonivardhan drugs to be used

Dr. Suyog Kulkarni: Kindly share experience of Uttar Basti for oligospermia

Vd. zalak dhruv: We must find the cause for this disease….Med : 1) suksma trifla, 2) puspadhanva ras, 3) bangshil tab, 4) ashwagnadharist, 5)shilajiyadi vati etc.
PKD : virechan & utterbasti

Vd. Rahul Marwah: In oligospermia or azospermia diet plays an important role compared to medications

Brazil Fatima Sardinha: Dr. could please comment on the food aspect in oligospermia or azoospermia?

Vd. Rahul Marwah: Basically the shukra dhatu is  7 th dhatu to get nourished from the ahara that we consume. It is said to b the base for the formation of ojha. Ahara rasa reaches on 7th day to the shukra dhatu. In Charak Chikitsa 30, aacharya has mentioned shukra dushti hetu, which are maximum dietary. They include *Ati Kshar (many salts, baking soda, coke, etc) *ati amla or ati lavan -- commonly seen in Desi Chinese dishes, Sandwiches,etc *paryushit -- left overs, ready to eat foods... Very common in western countries. * seedless varities of food grains or fruits…..To elaborate the point, we consider an English proverb, that what you sow... So shall u reap!!! ……..Since the input is faulty, the output wouldn't b different. Therefore the quality as well as the quantity of the shukra dhatu will be poor. Such conditions are generally seen as azoospermia, oligospermia etc.. Whatever u name it

Brazil Fatima Sardinha: Thank you doctor. I live in Brazil and Iam trying to adapt this information.

Vd. Sushmaben hirpara: One of my article in gujarati I  would like to keep here...
Food for fertility.  

Baroda Zehra Torabally: Vd. Marwah, very easy to understand.  I was taught that ahar takes approx 5 days to convert from each dhatu, therefore it takes approx 35-40 days to reach Shukra dhatu.  Can you pls elaborate how ahara rasa can reach shukra dhatu on 7th day?  thank you

Vd. Mukesh Pandya: The food which we have taken today, every day it will convert in one Dhatu. It means that.  1st day from Food to Plasma, 2nd day from Plasma to Blood , 3rd day from Blood to Muscle, And so on, up to 7th Dhatu Sukra.  But it is Continuous process.
Vd. Neeraj Pooner: ACC to acharya charaka ahar rasa is converted in shukra dhatu in 6 days
ACC to shushruta - 1 month …..ACC to parshar 8 days …..ACC to vaghbhatta - ahoratra ,6 ahoratra or 1 month….Dts controversial matter of different acharyas

Baroda Zehra Torabally: I see.  Thank you for elaborating it.  Will look further into it and share if anything comes up.
--------------------end of comments from Group 1--------------------

Dr. Lokesh Mehta: I use combination of taalmakhana uttangan beej  kaunch  beej  tulsi beej giloy sat amalki rasayan shatavar ashwaganda gokshur vidarikand vanshlochan in different combinations along with makardhwaj shukravallabh Ra's vrihat bangeshwar Ra's pushpa dhanwa Ra's and phal ghrit in diff combinations according to dosha involved to inc the sperm count.

Australia Vd. Neerja Ahuja: Ojas enhancing food, ashwagandha, vidarikand, panchakarma
Canada Vd Priti Patel: Tab. Mahayogaraj guggul Or tab. Gokhshradi guggul along with
Ashwagandha,  yastimadhu,  kaucha biju, Satavari, bang/ tribang  bhasma,  abhrak bhasma combination with milk twice a day..

Canada Vd Priti Patel: Nagarjuna  sperm count grannuels have also good results..!  
Give  panchkarma therapies 1st than above treatment for 3 months....

--------------------end of comments from Group 2--------------------
Dr. Shreyas Bhalodia: I think such condition due to faulty dietary habits & irregularities in life style - Stress - Anxiety – depression, Non Bramcharya (Excessive Sex), Alterations in  sleep pattern, No used of fresh milk n ghee,Use of electronic gadgets near scrotal region, Very tight clothes n inners, Mobile's in pent pocket, Addiction of tobacco, smoking & alcohol , When basic pillar of healthy I.e. Ahar ( diet), Nidra (sleep) & Bramcharya (abstinence)

Dr. Yogin Patel: Not to eat  much methi (fenugreek seeds) dana, & neem juice in adolescent age, Not wear so tight cloths

Dr. Hiral Sengal: its also due to addiction of smoking..

Dr. Sreedevi N V: Can be treated as per sukra dosha line of treatment. Ksheera and ghrta can improve this condition as they are good for fertility. Phalasarpis practically useful nt it?

Dr. Yogesh Borade: Which KALPAs can be used in such cases?

Dr. Supratim Bir: Sukrabaha srota abarodh should be treated prior to brimhan chikitsa.

Dr. Nitish Dubey: Now a days i found maximum cases of asthenozoospermia, Any specific medication for motility

Dr. Shreyas Bhalodia: Shodhan First

Vd. Khyati Jariwala: In should take nutritious cow milk cow ghee items made from udad dal....n according to dosh prakop diet should b adviced..

Dr. Nitish Dubey: I tried tentex forte and siotone capsules with some life style changes and dietary changes Also Counselling in every week gives good result…. Adyzoa of charak pharmacy is also gud

Vd. Jitu Hadiya: In oligospermia yogbastikram givas best resultsbasti give best results

Vd. Ekta D. Patel: Swetmushli churna & kaunchapak is also useful in oligospermia..

Dr. Supratim Bir: Basti s best option as it's apan vata axis

Dr. Jyoti Yagnik: Rasayanchurn ; ashvagandha churn ; safed musali ; faldhrut useful

Dr. Nitish Dubey: What about gokhsura ? Can we try in high dose with ashwagandha?

Dr. Hiral Sengal: ashvagandha  kshripak, safed musli vth cow milk….sidhh marakdhwaj rasa
one.of my pt taken it ……gives very good result. Also

Vd. Jitu Hadiya: Yes gokshur is important

Vd. Bhavesh Sirvi: Uttar basti is most effective in such cases…..Pushpadhanva ras,
Sukravallabha ras, Makardhvaj also effective

Dr. Shreyas Bhalodia: If admin agree, I m humble request to all, please write ref. & Manufacturer classical yoga so we can use it n see details of yoga of books…..As there is 2-3 types of chandraprabha Vati in market…….I prefer as per Bhai.ratn. by BAPS pharmacy

Dr. Sreedevi N V: Patent medicines include ceegra tablet (2 tab twice along wt milk ) of cosmo vision pharmacy….Dhatupushty chewable tab of sd pharmacy,gentle tablet(1-2 tabs at bedtime) of ajmera pharmacy,nevil tablet (2 tablets twice) of arya aushadhi ,speman tablet(2 tabs twice) of himalaya company,spark and spark royal capsule of vasu pharmacy

Dr. Mrugeshkumar Patel: Silajit is very effective in oligospermia..

Dr. Manju Mishra: Shilajit  kitni dose me  kis  tarah dena hai

Dr. Mrugeshkumar Patel: One rati tid…..Vanrigutika bhvprakash nigantu is very effective..

Greece Sofia: Dry coconut fruit is aphrodisiac for men . Garlic as well

Vd. Bhavesh Sirvi: Garlic fried in cow ghee take 1-3 piece with milk

Vd. Binal Jagani: Tab. Speman (Himalaya)Powder of Ashwagandha ,Yashtimadhu , shatavari combination
Vd. Sandeep J. Prasad: Phalghrut as well as vidariyadi churna also works well

Dr. Shreyas Bhalodia: Apatyakar Ghrita ( cha. Vajikarana ) &  Dhanyak Gokshur Ghrita (bha. prakash) effective in increasing count & motility of sperm…..I m using since long.

Dr. Nayan Thacker: aswagandha churn 100gm, makardwaj 2gm, bang basam 10 gm, giloy sat, 10 mixer witj cow milk, cap vajitone.
--------------------end of comments from Group 3--------------------

  Compilation Courtesy: Vd. Kinshuk Hirpara

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