Premature Ejaculation (PE) or Shukragata Vata is a disease caused by vitiated Vata Dosha which presents mainly with impairment in Ejaculation and Seminal properties. The movement of Vata gets increased because of weakness of Sperm tissue, obstruction in the channels carrying sperm and vitiation of Vata Dosha.
For understanding the Ayurveda concept of Premature Ejaculation, we have to understand the properties of Vata, Shukra Dhatu (Sperm Tissue) and Shukravaha Srotas (Channels carrying Sperm).
There are three doshas in our body and all are considered as a unique self-originated components in itself. Vata dosha has a self-governing, eternal and all-encompassing nature. Vata Dosha has the ability to carry out the life processes in association with the other two Doshas – Pitta and Kapha.
Vata regulates the functions of the other Doshas and without Vata, Pitta and Kapha Dosha are considered as lame. Vata Dosha being invisible or non-sensible becomes visible through its actions. Its qualities are non-unctuousness, coldness, lightness, roughness, mobility and having the predominance of Rajas mental quality. It is the major carrier of Dosha and Dushya (Tissues). It is the most leading and eminent factor of a large group of diseases.
Vata Dosha is subtle, all pervasive, quick acting and continuously moving component of the body. Equilibrium of all bodily components depends upon the normal functioning of Vata Dosha and hence healthy status if body pertains to healthy status of Vata Dosha. When Vata Dosha gets aggravated, it finds a suitable place in the body and gets filled up in the empty channels – Srotas and moves speedily through them.
On a psychosexual plane, Vata Dosha controls the mind and carries out mental activities. Vata Dosha is responsible for the functions of the mind. Vata is the controller and stimulator of the mind; these both are responsible for optimal sexual arousal, activity and gratification. In Premature Ejaculation, as Vata Dosha is vitiated, it causes excess stimulation which leads to lack of control over the physiological and psychological activities.
According to Acharya Charaka (Ayurveda scholar), the 8 factors responsible for ejaculation are:
Vata Dosha controls the physiology of ejaculation. Vitiation of Vata Dosha causes Premature ejaculation which is characterised by ejaculation problems or in association with impairment of properties of semen.
When the person (mind) gets sexual excitement or arousal due to urge for sex or romantic mood, then Sperm is ejaculated through the urethra just like ghee (clarified butter) melts. Heat is produced during sexual intercourse which liquifies the sperm so it flows out easily just like the anti-gravity flow of water (Flow from lower to higher altitude) due to expenditure of energy. Also Apana Vata (suntype of Vata) is located in the pelvic region, the function of which is ejaculation. Thus the functions of Sperm tissue, mind and Vata Dosha are inter related. Optimal arousal, timely ejaculation and satisfaction of sex are governed by equilibrium of the Sperm tissue, Mind and Vata Dosha and their functional relation. Any impairment in the sperm tissue, mind or Vata Dosha will lead to impairment in ejaculation and seminal defects.
Sperm tissue, Mind and Vata Dosha are all present in the body. All the three have atomicity property. Sperm tissue has the property of flowing out / fluidity whereas Mind and Vata Dosha have the property of mobility or movement. The different functions of Sperm tissue can be explained in the neuropsychological axis of the mind. Vata Dosha is the receptacle for stimulation and sexual gratification which are functionally attributed to Sperm tissue. All sense organs are controlled by the Mind, the mind is in turn controlled by the Vata Dosha.
Sexual gratification depends upon the physical strength as well as mental strength. And pleasantness of mind is necessary for sexual gratification. Thus psychoneurological activities are represented by the Sperm tissue. Sexual desire arises in the mind, manifests in the Body (Sperm tissue) and stimulation & control of sex is governed by Vata Dosha. The more important psychological and sexual related functions of Sperm tissue – Courage, Sexual Desire, Control of Ejaculation and Satisfaction are inter related and governed by Vata Dosha. Any impairment in the Vata Dosha leads to poor erection and premature ejaculation.
Shukragata Vata explained Ayurveda denotes ejaculation problems. The disease in which aggravated Vata Dosha takes seat at semen and creates various symptoms is called as Shukragata Vata.
क्षिप्रं मुञ्चति बध्नाति शुक्रं गर्भमथापि वा।
विकृतिं जनयेच्चापि शुक्रस्थः कुपितोऽनिलः।।
Acharya Charaka has mentioned the clinical signs of Shukragata Vata in his text Charaka Samhita. The clinical signs of Shukragata Vata are premature / delayed ejaculation, inability to conceive, problems in foetus or premature birth of the baby. Premature Ejaculation denotes the ejaculation just before penetration or immediately after penetration and when psychological factors are involved.
Premature Ejaculation includes the following –
Shukra Dhatu (Sperm Tissue) and Shukravaha Srotas (Channels carrying Sperm)
Sperm tissue is the seventh and last tissue of the body. It takes one month time for transformation of diet into Sperm tissue .
एवं मासेन रसः शुक्री भवति।
(Reference: Sushrut Samhita Sutra Sthana 14/14)
Sperm tissue resembles the colour of ghee, oil or honey, and is unctuous, heavy, viscous, sweet and cold by nature. Quantity of sperm tissue mentioned in Ayurveda texts is half measure of a handful.
Sperm tissue is assumed to be present in each molecule of the body. Acharya Susrutha has compared the appearance of Sperm tissue everywhere in the body by stating two examples –
Likewise, Sperm tissue binds each and every cell if the body and is present everywhere.
All the Pancha Mahabhutas – earth, water, fire, air and space are present in the sperm but there is predominance of water & earth elements.
The channeled system which carries nourishment to the Sperm tissue is called as Shukravaha Srotas. Organs related to the reproduction are included under channels carrying sperm and these channels originate from the testicles and penis.
शुक्रवहानां श्रोतसां वृषणौमूलं शेफश्च।
(Reference: Charaka Samhita Vimana Sthana 5/8)
Symptoms of vitiation of sperm carrying channels can be explained in terms of 8 types of abnormalities of semen (Ashta Shukra Dosha) which as explained by Acharya Charaka are:
फेनिलं तनु रुक्षं च विवर्ण पूति पिच्छिलम्।
(Reference: Charaka Samhita Sutra Sthana 24/1)
Acharya Susrutha has mentioned the below 8 types of vitiation of Semen.
तत्र विद्धस्य क्लीबता चिरात् प्रसेको रक्त शुक्रता च।
(Reference: Sushrut Samhita Sharir Sthana 9/12)
Ejaculatory Impairment - Vata Dosha increases due to the above causative factors and leads to structural and functional impairment of the Sperm. Specifically, the mobility nature of Vata is impaired which leads to problems in stimulation for ejaculation. Premature Ejaculation is a psychosomatic problem especially in an anxious person. Vata Dosha is responsible for the sexual desire, penile rigidity, erection & thrust and control of ejaculation. Vata controls and stimulates the mind. When Vata Dosha is vitiated, it causes over stimulation leading to lack of control over the psychological and physiological activities. Also when the person suffers from stress, fear, anxiety it triggers Premature Ejaculation.
Seminal Impairment - When this vitiated Vata Dosha affects Sperm tissue, it causes impairment in the physical properties (Volume, Viscosity and Transparency) of the Semen and seminal parameters like decrease in Sperm count, motility and morphology.
Foetal Abnormalities - Thus defects in Sperm qualities will afflict the foetus and may lead to premature birth, delayed birth or foetal abnormalities. Acharya Charaka states that Bija (Sperm and Ovum), Bija Bhaga (Chromosomes), Bija Bhaga Avayava (Gene) are responsible for reproduction. If even one of the these three factors is abnormal then there will be chances of foetal formation but in abnormal state.
Aggravation of Vata occurs in two ways:
Obstruction in the Sperm carrying channels and inferior qualities of tissues causes aggravation of Vata Dosha which in turn manifests in the Sperm carrying channels producing Premature Ejaculation.
Dosha - Vitiated Doshas: Tridosha mainly Vata
Dushya - Vitiated Tissue: Sperm
Agni - Status of Digestive & Metabolic Fire: Low
Srotas - Circulatory Channels involved: Sperm carrying channels
Srotodushti Prakara - Type of vitiation of circulatory channels: Obstruction
Adhishtana - Seat of Manifestation: Sperm carrying channels
Rogamarga - Pathway of Disease: External & Internal
Vyadhiprakara – Cause of Disease: Internal & External
Kama (Desires including sexual desire) is one among the Purusharthas, that is objectives of life. Vajikarana is a specialized branch of Ayurveda which deals with the sexual health of a person. It explains in detail about sexual problems and its management including that of infertility as well. The multidimensional approach in the treatment of sexual problems in Ayurveda includes the improvement of one’s physical, psychological and social health of an individual through implementation of Vajikarana principles. Ayurveda treatment approach includes the following -
Panchakarma procedures like Basti (Therapeutic enema) and Virechana (Purgation) can be beneficial in Premature Ejaculation. Basti (Therapeutic Enema) balances Vata Dosha which is vitiated in Premature Ejaculation; hence it is the suggested Panchakarma treatment. Uttarabasti is a type of therapeutic enema which is administered through the urethra and it has a direct action on the semen qualities hence can beneficial in improving the seminal parameters. Virechana (Therapeutic Purgation) can corrects digestive and metabolic fire, thereby improving the quality of Sperm tissue. Virechana may also helps to removes any obstruction in the Sperm carrying channels thereby regulate the movement of Vata in these channels.
The aim of this approach is the use of herbs and therapies which are:
Ayurveda therapies like Oil Massage with Chandanadi Tailam and Maha Sugandhi Tailam, Shirodhara are used traditionally to help in controlling ejaculation.
Chakradatta has mentioned in ‘Vajikarana Adhikara’ about the application of Bhoomilata Kalkasiddha Kusumbha Oil on the soles of the feet and milk of goat and camel along with cow’s ghee in both the legs during sexual act to withhold ejaculation. Also, there is a separate chapter names ‘Veerya Sthmabhana Adhikara’ in the book Bhaishajya Ratnavali where different formulations for internal use & external application and use of amulets to control ejaculation are explained.
Yoga and Meditation helps to nourish the body and calm the mind thereby helping improve sexual health.
Vajikarana includes herbs, therapies and diet which are having the below properties
Vrishya: Improving Sexual Strength
Balya: Enhancing Body Strength
Shukra Sthambhaka: Delaying Ejaculation
Aphrodisiac therapy explained in Ayurveda is the therapy which increases strength of the man through diet, lifestyle, herbs and suitable therapies by which the man becomes capable of sexual intercourse with a woman with great strength like the horse. Vajikarana promotes sexual strength and vigor. Although Vajikarana is mainly indicated for infertility issues, it is also described under Erectile Dysfunction and Premature Ejaculation as well. Vajikarana gives best result when administered after Panchakarma. Vajikarana herbs are given based on one’s constitution and imbalances. Vajikarana formulations mentioned in Ayurveda texts helps to improve nourishment, physical strength and sexual potency.
Vajikarana nourishes all the seven tissues especially the sperm tissue thereby minimizing the defects in the sperm and optimizing sexual health. Vajikarana herbs also have adaptogen and anti-stress property which helps to reduce performance anxiety and improves sexual desire as well. Vajikarana therapy is carried out by administration of Vrishya herbs. Vrishya is the Aphrodisiac property of the herbs. These herbs have sweet taste, unctuous property, heavy quality and have strength promoting, vasodilation properties and increase testosterone levels.
Vrishya Drugs perform the following function.
Shukra Janaka – Promotes the production of Sperm
Shukra Pravartaka – Initiates the ejaculation of Sperm
Shukra Sthambhaka – Improves the ejaculatory control during sexual intercourse.
Herbs having Aphrodisiac properties and that help in relieving weakness, fatigue, impotency, low libido, stress, anxiety and premature ejaculation are Amalaki (Rejuvenator, Antioxidant and Aphrodisiac), Ashwagandha (Improves Sperm count, motility and quality), Ghritakumari (Strength promoting), Gokshura (Increases testosterone levels, Spermatogenic), Museli (Increases sexual potency, behaviour and performance), Shatavari (Increases Sperm Count), Vidarikanda (Increases Sperm Count), Madhuka (Anabolic, Strength promoting and Promotes Sperm production).
Brhman Ghrita, Vajikarana Ghrita, Vrishya Ghrita, Vrishya Kshira, Vrishya Shatavari Ghrita, Vrishya Gutika, Vrishya Pippali Yog, Narasimha Rasayana, Ashwagandha Lehya, Vanari Gutika, Veerya Sthambhaka Vata, Vrishya Vati are some of the Vajikarana formulations effective in Premature Ejaculation.
As stress and anxiety trigger Premature Ejaculation, counseling will be helpful to impart confidence in the person and improve optimistic thinking which will help to reduce performance anxiety and make the person indulge in sexual intercourse enthusiastically. Psychological component is strong. As rejuvenated mind improves excitement, courage, Confidence, Positivity which shows improved results in Premature Ejaculation, counseling is helpful as pleasantness of the mind is restored by counseling.
Thus, Premature Ejaculation is a physiological-psychological problem caused due to aggravated Vata and since our present-day lifestyle is fast paced, Vata is natural aggravated in the body thereby incidence of Premature Ejaculation is more. However, it can be treated with Ayurveda treatment and modifications in diet & lifestyle.
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