E-ISSN:2456-3110

Case Report

Shukra Kshaya

Journal of Ayurveda and Integrated Medical Sciences

2023 Volume 8 Number 4 April
Publisherwww.maharshicharaka.in

A case study of Shukra Kshaya w.s.r. to Oligospermia

Panwar M.1*, Sankhala J.2, Meena M.3, Singh Mandloi S.4
DOI: http://dx.doi.org/10.21760/jaims.8.4.34

1* Mukul Panwar, Assistant Professor, Department of Kaya Chikitsa, WTM Ayurvedic Medical college and Hospital, Amroha, Uttar Pradesh, India.

2 Jitendra Sankhala, Assistant Professor, Department of Agada Tantra, WTM Ayurvedic Medical college and Hospital, Amroha, Uttar Pradesh, India.

3 Manoj Meena, Assistant Professor, Department of Swasthavritta, WTM Ayurvedic Medical college and Hospital, Amroha, Uttar Pradesh, India.

4 Shailendra Singh Mandloi, Senior Ayurved Medical Officer, Govt. Ayurved Dispensary, Tumbadiya, Chittorgarh, Rajasthan, India.

Male infertility is primarily caused by low sperm count (oligospermia) and reduced sperm motility (asthenospermia), which can be linked to Shukravaha Srotas Dushti and is an issue of global dimensions. Around the world, 8–12% of spouses struggle with infertility. Ten kinds of Shukra Dushti that cannot produce offspring have been described by Acharya Sushrut. The function of Shukra Dhatu according to modern aspects can be explained as reproductive strength of the person, in this Shukra means semen only. Factors affecting decrease of Shukra Dhatu leads to Shukra Kshaya can be co-related with oligospermia in males. Ayurvedic management was used to successfully treat a 36-year-old man who had been diagnosed with oligo-asthenospermia, a condition marked by low sperm count and non-motile spermatozoa. The man had been married for three years and his wife had a regular menstrual cycle. After Aamapachana, the aim of this case report is to evaluate the effect of Ayurvedic treatment in Shukra Kshaya which leads to male infertility. And its outcome reveals that the oligospermia associated with male infertility can be effectively managed by Ayurvedic treatments.

Keywords: Shukravaha Srotas Dushti, Ksheena Shukra, Male Infertility, Case Report, Vrushya Chikitsa

Corresponding Author How to Cite this Article To Browse
Mukul Panwar, Assistant Professor, Department of Kaya Chikitsa, WTM Ayurvedic Medical college and Hospital, Amroha, Uttar Pradesh, India.
Email: 		Mukul Panwar, Jitendra Sankhala, Manoj Meena, Shailendra Singh Mandloi, A case study of Shukra Kshaya w.s.r. to Oligospermia. J Ayu Int Med Sci. 2023;8(4):207-210.
Available From
https://jaims.in/jaims/article/view/2301

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2023-02-22 2023-02-24 2023-03-03 2023-03-10 2023-03-17
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
Nil Nil Yes 16%

© 2023by Mukul Panwar, Jitendra Sankhala, Manoj Meena, Shailendra Singh Mandloiand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

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Panwar M et al: A case study of Shukra Kshaya w.s.r. to Oligospermia

Introduction

Failure to conceive is the hallmark of the male or female reproductive system disease known as infertility. Millions of individuals who are of reproductive age are affected globally. Primary or secondary are both possible. One of the divisions of Ashtanga Ayurveda, known as Vrushya Chikitsa, focuses on methods to increase semen production when it is insufficient. A disorder called oligospermia[1] is defined as having fewer sperm cell spermatozoa. Significant sperm morphology and motility defects can also be present in oligospermia. Oligospermia is defined by WHO 2010 standards as having fewer than 15 million spermatozoa per millilitre.[2] In more than 90% of instances, male infertility is caused by low sperm quantity (Oligospermia) and poor sperm quality, excluding some physical defects.[3] Shukra is the body’s final cellular component and is regarded as the Sara of all other Dhatus. Shukra’s primary purpose is Garbhotpadan.[4] “The man alone without offspring looks like a single tree having a single branch, shade less, fruitless, and with foul odour,” said Charakacharya.[5] Karma of Shukra is Dhairya, Chyavana, Priti, Dehabala, Harsha and helps in production of progeny.[6] Charak Samhita as well as Sushrut Samhita explain about the Shukravaha Srotas & its Moolasthan.[7,8] Acharya Sushrut has proposed the following Shukradoshas - Vata, Pitta, Kapha, Shonit, Kunap, Granthi, Puti, Puya, Ksheena, Mutra, Purish, Retas.[9]

Case Study

Presenting Complains

In August 2021, a 36-year-old male patient driver made a visit to the OPD of the National institute of ayurveda Jaipur. He & his better half were trying for their second issue but unable to conceive despite unprotected coitus for more than a year. Past family clinical history was non-contributory.

Local Examination & History

It is typical for secondary sexual characters to develop. Patient has never had any sexually transmitted infections, genitourinary tract infections, or chronic medical conditions like the mumps or orchitis. There was no history of erectile dysfunction, premature ejaculation, and delayed ejaculation.

The scrotum, testes, or penis did not exhibit any anatomical abnormalities during the local examination, nor were there any indications of inflammation, ulceration, or rashes.

Materials and Methods

Pachana: Pachana for Koshtha Shodhana Haritakyadi Churna and Amapachana[10] for five days, 1 tsp. of BD in hot water with luke warm water was given.

Abhyanga and Swedan: Sarvanga Abhyanga was done daily with Dasmool Taila and then Vashpa Sweda was given.

Shodhana Chikitsa: Karma Basti’s schedule included Yapana Basti[11] (30 days). Overall, there were 18 Anuwasan Basti and 12 Yapana Basti administered.

Shaman Chikitsa

1. Ojaswani Churna - 3 gm with milk 

2. Aswagandha Churna - 3 gm 

Shatwari Churna - 2 gm 

Vidarikand Churna - 1 gm with milk 

Konchpak 1 tsp with 125 mg Shilajit BD with milk 

Pathya-Apathya

The patient was instructed to stop chewing tobacco and Ratri Jagrana. It was suggested to consume Shadrasatmak Aahar without letting hunger linger.

Results

The sperm count was 13 million/ml prior to treatment, did rise to 75 million/ml following treatment.

Test Name Before Treatment After Treatment
pH Alkaline Alkaline
Total sperm count 13 75
Total motility 35 50
Non-motile sperm 45 35
Sluggish 20 15
Normal forms 60 60
Abnormal forms 40 40
Pus cells 3-4 2-4
Epithelial cells 1-2 1-2

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Panwar M et al: A case study of Shukra Kshaya w.s.r. to Oligospermia

jaims_2301_01.JPG
Before Treatment

jaims_2301_02.JPG
After Treatment

Discussion

Sperm count and motility are typically found to be low in oligospermia. Increasing sperm count and motility should be the goals of treatment for oligospermia. Shukradushti. Shukradushti Is the causative factor for the infertility. Ksheenashukra is a type of Shukradushti which can be correlated to oligoasthenospermia.

The treatment of Ksheenashukra mainly aims at Shukrajanaka and Shukrapravartaka in-terms of increasing the sperm count and motility by using Vajeekarana Dravya. Haritaki, Amalaki, Haridra, Shunthi, Pipalli, Vacha, Vidanga, and Saindhav are the members of the Haritakyadi Churna. These medications, which include Katu, Tikta Rasa Pradhan, and Ushna Veerya, primarily benefit in the correction of Agnidushti as well as Vaata and Mala Anuloman. Sahachar, Bala, Darbhamool, Sariva, Bruhati, Kantakari, Shatawari, and Guduchi were among the drugs used in Yapana Bast. To the Ksheerapaka of mentioned drugs, Kalka of Madanphala, Yashtimadhu, and Pippali were added. As part of the Prakshepa Dravya, the Kalka was joined by Madhu, Saindhav, Tila Taila. The name “Ashwagandha” describes the smell of its root, meaning “like a horse.” Ashwa means horse. Practitioners use this herb as a general tonic to boost energy and reduce stress and anxiety. Some also claim that the herb may be beneficial for certain cancers, Alzheimer’s disease, and anxiety. More research is necessary; to date, promising studies into the health benefits of Ashwagandha have mainly been in animals. This article looks at the traditional uses of Ashwagandha, how to take it, and the evidence behind its possible health benefits and risks. Shatavari, also known as the “Queen of Herbs,” has been used for centuries to balance hormones and as a general tonic to improve the health and libido of women. Being a potent adaptogenic herb, it helps manage diabetes mellitus, lower cholesterol, and triglycerides, and treat bacterial and fungal infections, oedema, infertility, depression, and cancer in addition to relieving physical and emotional stress. Kaunch Pak is a well-known Ayurvedic aphrodisiac in herbal jam form. Kaunch means seeds of Kapikacchu. It is used in male infertility treatment. It improves sperm count and quality. Shilajit has been used for centuries by people all over the world for achieving good health. The substance has been used for years for increasing the levels of testosterone in men. Men who consume Shilajit have higher sperm count and sperm motility. The patient received oral medication for two months following the completion of 30 Basti. Drugs like Shatawari, Ashwagandha, Vidarikand, Ojaswani Churn, and Shilajatu, all of which fall under the category of Vajikarana Dravya, are included in tab. Spermon. Balya, Vrushya, and Rasayan properties belong to Shatawari and Ashwagandha Churna. Vrushya and Sheeta Veerya help to promote the Vriddhi of Shukra.


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Conclusion

Ayurvedic medicine treats infertility by detoxifying the body, or Shodhana. It focuses on all elements, such as Aahar and Vihara, which are crucial in the manifestation of any pathology. In this instance, we used Ayurvedic principles to treat Shukradushti., Effects of the ingredients increased sexual desire, length of coitus, having an orgasm or feeling sexual satisfaction, as well as sperm motility and count.

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