Dr. Ankit Vasava

Dr. Alankruta Dave (I/C HOD Kayachikitsa, IPGT & RA)

DEPARTMENT OF KAYACHIKITSA INSTITUTE FOR POSTGRADUATE TEACHING AND RESEARCH IN 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.

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 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.( 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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