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Pitta Dosha.(Su.Sha.2/3; A.H Dr. Ankit Vasava Dr. Alankruta Dave (I/C HOD Kayachikitsa, IPGT & RA) DEPARTMENT OF KAYACHIKITSA INSTITUTE FOR POSTGRADUATE TEACHING AND RESEARCH IN AYURVEDA GUJARAT AYURVED UNIVERSITY, JAMNAGAR – 361 008 Oligozoospermia is a part of Ksheenashukra roga means that oligozoospermia indicates quantitative vitiation of Shukra dhatu in Ksheenashukra patient. Oligozoospermia refers to semen with sperm counts less than 15 million/ml (According to WHO 2010) and is commonly finding in male infertility. Shukra kshaya is a variety of shukradusti eventually leading to infertility and the same in biomedicine is referred to Oligozoospermia. Churna Ratnam is specially indicated in Shukraj Vyadhis in Ayurvedic classics(Rasendra chintamani 8/19) In this study the patient is dominant vata-Pitta prakriti and Acharya sushruta and Vaghbhatta have mentioned Kshinashukra is due to vitiation of vata and Pitta Dosha.(Su.Sha.2/3; A.H. Sha 2/10) Acharya charaka also described that the destruction of sperm is the cause of impotency.(cha.chi.30/154) In Oligozoospermia patient there are chances for improving semen analysis by perticular internal medication like Churna Ratnam. Dalhana comments on Sushrutam Sutram 1/7; as Upachaya is the primary line of treatment in Ksheenashukra, Vriddhhi, Unnati etc. Are the meaning of the word Upachaya , So while treating Ksheenashukra , physician should select the combination of drugs which boosts the Shukra Dhatu. To evaluate the efficacy of Churna Ratnam on semen analysis. To assess the references have been given in classics. In conventional science, there has no satisfactory treatment for Oligozoospermia. A 45 years old male patient accompanied by his wife came to the OPD of Kayachikitsa and complained about not conceive the child since last 14 years. Although his active marriage life since 15 years. So he was conselled and after doing semen analysis report the treatment started for 60 days. Treatment plan: Drug : churna ratnam Dosage form : churna Dose : 2 gm, Twice A Day Mode of Administration : Oral (Empty stomach) Time of Administration : Morning and Evening Anupana : Warm Milk Duration : 60 days No Drug Latine Name Part use Ratio 1 Satavari Asparagus Racemosus Root 1 2 Aatmagupta Mucuna Prurita Seeds 1 3 Vidari Pueraria Tuberosa Tuber 1 4 Gokshur Tribulas Terrestris Panchang 1 5 Ikshurak Hygrophila Spinosa Seeds 1 6 Bala Sida Cordifolia Seeds 1 7 Atibala Abutilon Indicum Root 1 8 Abhraka Mica Bhasma 7 9 Sarkara Sugar cane - 28 Before treatment sperm counts 15 million/ml were noted than after treatment increased 40 million/ml. Before treatment abnormal forms in semen analysis were found 12% and after treatment it was found 6%. Before treatment After treatment sperm motility-05% , sperm motility-60% , actively progressive motile-00%, actively progressive motile-65%, sluggishly progressive motile-05% sluggishly progressive motile-10% non motile-95% were noted non motile-25% were noted. NO SEMEN ANALYSIS RESULT RESULT (BEFORE (AFTER Treatment) Treatment) 1 PHYSICAL EXAMINATION Volume 1.5 ML 1.5 ML 2 TOTAL SPERMATOZOA COUNT 15 MILLION/ML 40 MILLION/ML 3 MOTILITY Rapidly progressive 05% 60% actively progressive motile 00% 65% Sluggishly progressive motile 05% 10% Non progressive 95% 25% BEFORE TREATMENT • AFTER TREATMENT The patient in this present study has a dominancy of vata and pitta dosha. The formulation given in the study named churna ratnam contains many ingrediants with vajikara, ojovardhaka and vata-pitta samak properties Aatmagupta beeja are Vrsya due to its madhurta,snigdhta,ushna viryata.(Dhanvantari nighantu,Guduchyadi varga,page no-55,slok no-153) Vidari is madhur,shita virya,guru,snigdha and pacifies vata,pitta and rakta doshas.it is balya and vrsya.(Dhanvantari nighantu,Guduchyadi varga,page no-54,slok no-149) Gokshura promotes the bulk of the body.It is vrsya,rasayan,pacifier of the three doshas,increase the digestive capacity.(Dhanvantari nighantu,Guduchyadi varga,page no- 38,slok no-106) Bala is madhur,shitavirya and snigdha.It pacifies all the three doshas.promotes balya,ojas and it vrsya.(Dhanvantari nighantu,Guduchyadi varga,page no- 110,slok no-283) Atibala also works like Bala. Abhraka Bhasma is tridosh shamak,balya ,increase the digestive,and vrsya.(Rasa-Ratna samuchhaya adhyay 2/2,3 page no-39 All ingridients of Churna Ratnam Having Madhura Rasa and vrishya properties which have potency to increase sperm count. Thus after giving this drug, it diminish the increase vata-pitta dosha. we might have got better result in patient of ksheena shukra with seme formulation. .
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