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Internationa Journal of Complementary & Alternative Medicine Premature Ejaculation – What Ayurveda & Yoga can Offer? Abstract Review Article Shukragatavata’ PrematureAyurveda Ejaculation (PE) is defined as ejaculation before the completion of Volume 9 Issue 6 - 2017 satisfactory sexual activity for both partners. ‘ is a pathological entity Faculty of Ayurveda, Parul University, India Ayurvedaof and similar in Yoga to. Ayurvedicpremature ejaculation. The present article is aimed to find out various formulations or practices available in ancient Indian erotic literature, *Corresponding author: management of premature ejaculation consists of, various herbal and herbo-mineral formulations, external applications over lower Kshama Gupta, Associate abdomen or all over the body, wearing different amulets made by herbs, psychotropic Email:professor, Faculty of Ayurveda, Parul University, Vadodara, Gujarat, 391760, India, Tel: 7567222309; herbalshukra drugs stambhaka for reducing performance anxiety, various techniquesVasti is elaboratedan important in Received: | Published: panchakarmaancient Indian erotic literature to fasten the orgasm in female partner and also use of yoga drugs to improve control over ejaculation. August 11, 2017 December 09, 2017 procedurevajroli mudra’ and an is anideal important choice one.in the management of premature ejaculation. Various practices are also described to get control over ejaculation Keywords:and among them ‘ Ayurveda; Yoga; Vajroli mudra; Panchakarma; Vasti Premature ejaculation; Introduction like, Charaka samhita, Sushruta samhita, Ashtanga sangraha, Ashtanga hridaya, Bhaishajya ratnavali and Yogaratnakara. Yoga Hatha yoga pradipika’ Asana, Pranayama, Mudra & Bandha’. Electronic Premature Ejaculation (PE) is defined as ejaculation before Materials pertaining to were collected from ‘ the completion of satisfactory sexual activity for both partners. & ‘ In severe cases, it is characterized by ejaculation either before databases ‘Google scholar search’ and ‘Google search’ were penetration or soon after that. The causes can be biological [1]. searched for relevant studies andAyurveda reviews published/appeared (relatively uncommon) or psychological (performance anxiety) from 2010 to December 2016. The key words used for search PE is generally regarded as one of the most common male sexual were, ‘Premature ejaculation & ’. Abstracts and full text dysfunctions. It is affecting on average 40% of men worldwide. articles which are freely downloadable and in English language PE is a psychosomatic disturbance due to a psychologically Conceptwere only included.of PE in Ayurvedic Classics overanxious personality and it is classified in to primary (lifelong) or secondary (acquired) [2]. The essential feature of PE is the kama’ persistent or recurrent onset of orgasm and ejaculation with purusharthas minimal sexual stimulation before, on or shortly after penetration The rich heritagekama’ of revealsIndian thatculture the recreationalconsidered aspects‘ and before the person wishes it. Various other factors such as age, (desire/sex) as one among the , the objectives of life. The concept of ‘ [3].novelty Vajikarana of the sexual partner or situation and recent frequency like enjoyment and it is also equally important for procreation. of sexual activity etc should be consideredAyurveda while diagnosing PE kama’ (sexual medicine/sexology/aphrodisiac therapy) medicinalAs an art asimportance. well as science the ancient Indian erotic literature is one of the eight branches of which deals with the deals various aspects of ‘ along with its social, cultural and Anangaranga’ Kalyana malla’ preservation and amplificationVajikarana of the sexual potency of a man, conception of healthy progeny as well as management of infertility ‘ is a sexual treatise written by ‘ & sexual dysfunctions. improves sexual capacity and which deals with various aspects of achieving optimum sexual also physical, psychological and socialAyurvedic health of an individual [4]. pleasure in intercourse and also provides sexual education [6]. The diagnosis and management of infertility and variousKlaibya’ sexual Various concepts like, class of women who should be avoided for indysfunctions Ayurvedic are dealt inShukragata detail in vata’ classics. The male sexual relation, prohibited places for sex [7] and also description sexual dysfunctions have been elaborately described as ‘ Ayurveda of various body parts of womenAnangaranga to be stimulated during foreplay classics [5]. ‘ is a pathological entity Ayurveda for better gratification according to theseeghrasambhava lunar cycle of progression) moderate described in which is similar to PE [2]. The present and Yoga. timedand regression (madhyama is available sambhava In . Threechirasambhava types of sexual). article deals with the concepts and management of PE in unions are described- short timed, ( Review Methodology to the stimulation (kriya ) and long timed ( Ayurvedic Shukragata vata Vajikarana’ –Degree laghu of arousal which variesmadhyama from person to person according Ayurvedic chirodaya ) is described (which is of three types material related to ‘ ’/ ‘ (easily aroused), (moderately aroused), and was collected from major texts with their commentaries (late aroused) [8]. A number of recipes for hastening Submit Manuscript | http://medcraveonline.com Int J Complement Alt Med 2017, 9(6): 00319 Copyright: Premature Ejaculation – What Ayurveda & Yoga can Offer? ©2017 Gupta et al. 2/4 dravana yogas and Ashwagandha Kalyanamalla Brahmi (Bacopa monnieri), ejaculationthe orgasm (ofsukrastambana the female partner ( ) are describedKama Mandukaparni (Withania somnifera Linn) has improved deva[9]. prescribed a number of recipes to delay the duration of sexual act [2]. Putranjeevaka smarana ) in men. The residing place of “ (Centella asciatica) are having anti-anxiety, ” (lord of desire) is human mind and its manifestation occurs time.adaptogenic Kapikacchu and (Mucuna stress prurience)relieving properties.is an aphrodisiac and also by (fantasy). It signifies the importance of mind in sexual (Drypetes roxburghii) is beneficial in increasing theAshwagandha ejaculation function. [8] Various measures were used to distract the mind is a vajikarana duringAyurveda sexual act [10]. effective in improving the performance in men [16]. harsha tarsha Shukra stambhana drug yapana and also vasti it is having properties like, anxiolytic, enumerates eight factors responsible for ejaculation. (sliminess saratwat paicchilya anti-depressant, anti-stress adaptogen and uplifts (an mood [17]. They are (excitement, sexual fantasy), (strong Shukrastambhakara yoga Ayurvedic gaurava anutva (medicated enema) is also found desire for sex), (fluidity of semen), semen), pravanabhava drutatvat beneficial in PE [18]. of semen), (heaviness of semen) and (atomicity of (due to vata formulation) proved as psychotropic, improves the duration of (tendency to flow out), marutasya drutatvat the sexual act, reduces performance anxiety and found effective ). Dysfunction of either one or all of these eight factors in PEIn [4].‘Bhaishjya ratnavali’ (an Ayurvedic leadsvata to ejaculatorydosha impairmentvata out of which ‘ apana vata marutasya’) leads veerya stambhana adhikara’ is most important. The physiology of ejaculation is underAyurvedic control text), a chapter named of . Vitiation ofshukragata (especially vata’ Shukragata vata ‘ (chapter which contains various to PE [11]. Previous scholars compared PE with an formulations which are useful to control ejaculation) is mentioned. pathological entity called, “ [12]. Various single drugs (herbal), herbo-mineral formulations, is a distinct pathological entity characterized Kshipramby a group munchati’ of clinical, various external applications (a paste containing various herbs) presentationsshukrasya either sheeghram related withutsargam’ the impairment, [13] ‘pravritti/Atiseeghra of ejaculation or otherover feet practices and lower are mentioned abdomen into Bhaishajyawith hold ejaculation,ratnavali different pravritti’with the impairment of seminal properties.shukragata ‘ vata’ amulets (wearing amulets prepared by various herbs) and various [12] ‘ One more Ayurvedic ‘Yoga ratnakara’ [19]. [14] are the classical features of ‘ which various Ayurvedic text called, has described Ayurvedicdenotes early Management / fast ejaculation of /PE PE. Vanari gutika’ formulationsAtmagupta which (Mucuna are prurience)useful in lossas one of Ayurveda shukra (semen / reproductive erections and early ejaculation. A formulation called, ‘ which contains Chandanadi Vajikarana has given importance to Ayurveda tailamof the andmain Maha ingredients sugandhi is tailam indicated in early ejaculation and system) as the supreme body tissue because of its generative also in loss of erection. Various medicatedAbdhishoshadi oils like, yoga (an property. is the branch of , which deals with Ayurvedic are mentioned for application various types of physical, psychological, sexual problemsvajikarana like Veeryastambhakaall over the body vati in early(an Ayurvedic ejaculation. impotence, libido, poor erection, and early ejaculation in the Ahiphena formulation) is useful to get control over ejaculation. males as well as sterility and frigidity in females. The formulation) which contains drugs are helpful in providing strengthAyurvedic and vigor to the person (Papaver somniferum) as one of the main ingredient is along with improvementPraharsha of reproductive anna potentiality [15]. Scanty alsoAyurvedic indicated in PE [20]. sukragatavata
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