for the use only of registered medical
practitioners or o hospital or a laboratory
for satisfactory SEX-life -to remove
FATIGUE (-sexual - nervous- muscular)
Syndrome of DHAAT in the male (Use of an Ayurvedic
compound )
by
"Dr. S. K. JOSHI"
"M. D. Consulting Physician. Honorary Asst. Physician:
Chief Resident in Internal Medicine,
..........
Sure success awaits that prudent and wise man or woman who thoroughly learns
the Sexual Science and pays proper attention to Dharma and Artha
and also practices Kaam in an appropriate manner
without indulging in excess.
-
Vatsyayan
: Kaam Sutra
Introduction
One of the
most common anxiety neurosis in
Against
this background of guilt-complex fear of impending impotency and sexual
inferiority, the conflict between the natural sex desires and lack of
opportunities for healthy erotic and sexual experiences generates serious
psychological tensions which produce vicious circles of psycho-somatic and physiological
symptoms. Wrong notions and ignorance about masturbation and biological aspects
of sex and the increasing marriage age also seem to be responsible for a rather
wider prevalence of this syndrome in
Treatment
The
management of these patients is at times difficult. Simple psychological
suggestions, explanations, and reassurance help but are not possible in busy
practice. Extreme cases require specialized treatment of a sexologist or
psychiatrist. Two types of drugs are used (1) sedatives (2) aphrodisiacs.
Bromide, phosphorous, opium, arsenic, ergot, strychnine, nux,
vomica, alcohol, benzedrine, hormones are used in men with varying
results.
Any drug
treatment can be helpful in these disorders only to the extent it can break up
the vicious physio-psychological and psycho -somatic
circles at various points. This is possible if the drugs can help in generating
a feeling of relaxation and reduce the hyper-irritability of higher and lower
sex-centres by complete drainage of the seminal
vesicles, testes and prostate and by toning up the sexual system: genito-urinary tract, nervous system, seminal vesicles and
other secreting glands.
Use of an Ayurvedic Compound:
Composition and Therapeutics
Ayurveda
-ancient system of Indian medicine-is reputed to have useful drugs for sexual
disorders. Amrutprabha is one of the standard drugs
for the syndrome of dhaot and functional sexual
disorders. For this study a compound of Amrutprabha [ FORTEGE - Alarsin ] was
selected. It consist of :
Amrutprabha (Pulvis anacylus pyrethrum Compound) 160 mg.
Aswagandha (Withania
somnifera)
65 mg.
Kapikachchu (Mucuna pruriens) 32
mg.
Vriddhadaraka (Argyria speciosa) 32
mg.
"Amruiprabha is astringent, and
sexual restorative used for retention of semen."
"Aswagandha is astringent, nervine
and sexual tonic used in nervous exhaustion, spermatorrhoea
and for increasing semen."
Kapikachchu
is used for seminal retention and sexual debility in the aged.
"All
these drugs are astringent, and their synergistic action is on the vesicles and
they tone up genito-urinary, nervous and digestive
systems. Besides, it relieves mild constipation and flatulence and prostate
congestion."
Selection of Patients
Fortege
was tried in 50 patients from our consulting practice and on patients referred
to us this study from general practice.
Dosage
"Started with
2 tabs. b. d. and increased upto 3 tabs t. d.
s. considering the severity and duration of complaints. The tablets were to be
taken after meals. Usual instructions were given for nourishing but bland diet;
to avoid loneliness, to urinate before going to bed and whenever awakened
during night, to avoid late suppers, to take cool bath and relax for an hour
before going to bed. Simple explanations were given for their symptoms to
create confidence and reduce guilt-complex and fears. Married patients were
advised to devote more time to love play and also to have co-operation of their
wives. Treatment was continued from 6 weeks to 6 months and patients were
advised to discontinue the treatment gradually."
Results
Results was considered `good' when
the patient was completely satisfied and subjectively felt that he was relieved
of his complaints and when there was definite objective improvement in his
general health and the patient looked relaxed, alert and confident. It was
considered `moderate' when the patient felt much better and had more than 50% improvement
in his main and secondary complaints. When there was no appreciable
improvement, the result was considered as `no improvement'."
The major
symptoms and result are tabulated in two groups :
Group- I [ 16
to 25 years] : Unmarried students
Main
symptom Total
Good
Moderate
No improvement
Night emissions
15 10 3
2
Sexual neurasthenia 5 3 2
-
Group - II [ 30
to 50 years ] : Married men
Main
symptom Total Good
Moderate
No improvement
Sexual
debility
(for normal sex life)
15 12
2 1
Functional
impotency 10 7 2
1
Premature ejaculation 5 2
3
-
Observations
In
constipated cases the drug acts as a mild laxative. In some of the cases there
were loose motions and the patients were impressed not to worry about diarrhea.
The dose was reduced to 1 b. d. and again gradually increased from 1 t.d.s. to 3 t.d.s.
when motions were normal. The drug seems to correct mild constipation,
flatulence and dyspepsia and indirectly helps decongestion of prostate. In
group 1 of unmarried students the main desire was to verify potency. Some of
these students were scared about marriage because of guilt complex and supposed
sexual inferiority and anxiety about the weakness, smallness and shape of their
genitals. Simple explanations, suggestion and reassurance had to be
given."
In group II
the patients were 'successful' but `very busy' persons having stress and strain
of modern life. They reported satisfactory orgasm. This point is noteworthy
because libido without satisfactory orgasm creates disgust and disappointment
for normal married sex life and aggravates sexual debility, premature
ejaculations and functional impotence. They also felt refreshed and alert next
day. This Ayurvedic compound with proper dosage and necessary explanations and
suggestions seems to be helpful in the syndrome of “Dhaat”
and allied psychogenic and functional sexual disorder in the male.
Acknowledgement
"We
are thankful to MANTHAN (Research Division) of Alarsin
Pharmaceuticals, Bombay-l, for their assistance in this study."
References
Krishna Rao, B : Some Aspects of the
Impotence in the male. The Antiseptic, Vol. 52, No. 5, May 1955."
Sukhtankar, V. R. : A
Peculiar Auxiety Syndrome-Nightmare, of
Millions."
Vatsyayana
: Kaam Sutra
Walker
Kenneth and Strauss E. B. : Sexual Disorders in the
Male (1954).
"Wig,
N: N. : Problem of Mental Health in India, Jr. of
Clinical Society, Medical College, Lucknow ."