Topic: - Premature ejaculation psychosomatic management with rasayana yoga ang
shirodhara.
Title: - A clinical study on psychosomatic management of shukra Avruta vata
(premature ejaculation) with rasayana yoga and shirodhara.
Dr. Basil Cardozo had submitted his dissertation to the Gujarat Ayurved
University, Jamnagar in 2006 for the P.G. degree M.D. (Kayachikista) & Research
center was I. P. G. T. & R. A.,Jamnagar, India.
Dr. Basil Cardozo in his research did a clinical study on psychosomatic
management of premature ejaculation with rasayana yoga and shirodhara.
The study was carried out with the following aims & objectives.
 To critically analyze the concept of shukra avruta vata and psycho – pathphysiology of premature ejaculation in ayurvedic paralance.
 To evaluate the clinical efficacy of psychological counseling, oral medication
(Rasayana yoga) and shirodhara in the cases of PE.
Patients between the age group of 20-50 years complaining of premature ejaculation
were selected on the basis of the different definitions put forth by various authorities on
the subject like the international classification of diseases, tenth edition (ICD -10)
(WHO) and American psychiatric association’s diagnostic & statistical manual of
mental disorders DSM –IV for premature ejaculation.
Inclusion criteria for the present study was decided as follows.
1) Intra vaginal ejaculatory latency time (IELT) less than two minutes.
2) Ejaculation before ten penile thrusts.
3) Consistent inability to delay or control ejaculation as he wishes to.
4) Unable to satisfy partner in at least 50% of the coital incidences.
5) The problem should be persistent or recurrent and cause marked distress, anxiety
& interpersonal difficulties.
Exclusion criteria:1) Individuals not living together with their sexual partner.
2) Person with a very short post ejaculatory refractory period.
3) Those receiving treatment for PE or erectile dysfunction.
4) Factors effecting the duration of excitement phase of sexual act such as novelty
of the partner or situation and recent frequency of sexual act were taken into
account.
5) Persons taking antidepressant therapy within 4 month of study.
6) Drug abusers so that problem should not be exclusively due to direct effect of a
substance (e.g. Withdrawal of opioids).
7) Heavy smokers.
8) Persons with major psychiatric illness.
9) Patients suffering from heart disease, S.T.D’s tuberculosis acute or chronic UTI
or any organic defect in the penile region.
10) Routine pathological and biochemical investigations will be done to exclude any
other major pathology.
Investigations carried out – 1) Complete blood count (CBC), 2) Urine routine, 3) Semen
analysis (BT & AT), 4) other pathological and biochemical investigations as required
excluding other pathologies.
The patients were randomly divided into the three groups & managed accordingly for
duration of 4 weeks
Group A – 1) placebo tablets of roasted wheat flour were administered 6 gms/day in 3
divided doses for duration of 4 weeks early in the morning before lunch and dinner with
lukewarm milk. 2) Psychological counseling.
Group B – 1) Tab Rasayana yoga – 6gms/day in 3 divided doses for a duration of 4
weeks early in the morning and before dinner with lukewarm milk. 2) Psychological
counseling.
Group C – 1) Tablet rasayan yoga – 6gms/day in 2 divided doses for a duration of 4
weeks early in the morning & before dinner with lukewarm milk. 2) Shirodhara – with
Tila taila continuously for a period of seven days. 3) Psychological counseling.
Simple psychological counseling was given all the patients were directed to
maintain their usual frequency of sexual act and duration of foreplay. A generalized
moderate pathyapathya was advised to all patients without any specific restrictions. A
definite time frame was not kept for administration of shirodhara (Performed between
8.30 a.m. to 5.30 p.m. according to the convenience of the patient, after procedure no
specific regimen advised.
Contents of rasayana yoga are Amalki, Guduchi, Gokshura, jatamansi &
Brahmi in equal parts.
All the patients in the three groups were given koshtashuddhi with Haritaki
churna 10 Gms.
Assessment was done with the help of scoring pattern assigned for the symptoms
like intravaginal ejaculatory latency time (IELT) less than two minutes, voluntary
control over ejaculation, Patient satisfaction partner’s satisfaction, performance anxiety,
number of penile thrusts.
A scoring scale was developed in the present study to evaluate the objectives of
mind on psychosexual paralance, for the following factors- 1)Raja (attachment), 2)
krodha(Haterdness), 3) Harsha (Joy), 4) preeti (satisfaction), 5) bhayam or Dhairyam (
fear/courage), 6) Veeryam (will power/ Initiation), 7) Avasthanam (mental stability/
decisiveness), 8) Shraddha (Desire) 9) Medha (Intellect/grasping power) & 10) Dhriti
(Self restrain control)
Hamilton’s Anxiety rating scale was taken into account to evaluate each patient’s
degree of anxiety.
The semen sample of the subjects was analyzed before & after treatment
according to WHO guidelines.
The study was concluded as followsRasayana Yoga worked on psychobiological components proved to be highly effective.
When psycho neurological component of disease was strong then shirodhara proved
very affective. The psychological component of the disease was very strong therefore
psychosexual counseling is a must.
Data entry on19/12/11
Given by Dr. Jamdade
Edited on: 1/2/12
Edited By Dr. Jamdade