Volume 12, Issue 3

Premature ejaculation (PE) is the most common type of ejaculatory dysfunction which is difficult to manage. The global prevalence of PE is estimated as 20 – 40 % and in India it is reported as 8.76%. The inability to control ejaculation associated with unsatisfied experience of orgasm for the couples is a major factor causing psychological distress that leads to inter-personal conflicts. However, psychological interventions provide better results in PE, a combined approach of Psycho-Pharmacological intervention offer superior efficacy. A 39-year-old male presented with inability to delay ejaculation with a duration of sexual act less than 1 minute associated with resultant significant anxiety that hampered the sexual activity and reduced the sexual desire. On further interrogation, it was revealed that he had a significant stressful event in his life due to financial loss and also had a hurried sexual act which led to rapid ejaculation. However, he had many previous good experiences in his sexual act and also was having a supportive partner. The case was diagnosed as Premature ejaculation as per DSM V Criteria and as Śukṟagata Vata in Ayurveda purview. The management was planned in OP level, as a combination of a positive psychotherapy technique called Solution Focused Brief Therapy (SFBT) and an Ayurveda formulation Staṃbhanakara yoga for 3 months. Significant improvement was noted in Sexual dysfunction assessment questionnaire (Revised Singh. G et al. 2001) and Solution Focus Inventory recorded before and after the management along with increased Intra Ejaculatory Latency Time (IELT).

Ovulation is the release of ovum from a matured Graafian follicle. Menstruation is not related to ovulation. Though menstrual cycles are regular, they can be anovular. Anovulatory cycles are generally painless and with excessive bleeding. The diseases like polycystic ovarian syndrome or disease (PCOS) and Dysfunctional uterine bleeding (DUB) have anovulatory cycles. Anovulatory cycles are one of the common causes for infertility. Chronic anovulatory cycles may cause endometrial carcinoma due to unopposed estrogens, deficient progesterone and thus endometrial hyperplasia with excessive bleeding. Hence there is a great need for treating anovulatory cycles. There is also a disturbance of Hypothalamo-Pituitary-Ovarian axis. As nasya or nasal route of medicine may stimulate this axis, any vatahara taila may be used in anovulatory cycles, thus can simultaneously treat infertility that occurred due to anovulatory cycles. In the present article, effect of marsha and pratimarsha nasya in inducing ovulation is discussed.

Kushmanda or Benincasa hispida Thunb Cogn is a medicinal climber used in Ayurveda and it belongs to family Cucurbitaceae. It is a large climbing and trailing herb cultivated for vegetable throughout India up to an altitude of 1200m. Flowering and fruiting times are during month of June to October. It is described in Samhitas and Nighantus under Shaka Varga (Group of leafy vegetables) and also known in name Brihat Phala, Valli Phala , Pushpa Phala in Sanskrit and Ash gourd , White gourd , Wax gourd and Winter melon in English. Kushmanda is well known for its medicinal and nutritional properties. It is used in Ayurveda from ancient time for medicinal purpose for the treatment of various health problems. Juice of Kushmanda is use by Ayurvedic physicians in various diseases like Shwasa, Kasa, Apasmara, Unmada. Mutrakricchra, Mutraghata and in treatment of Visha. It is having Madhura in rasa which acts Rasayana, Brimhana, Balya and Dhatu Pushtikara( Nourishes tissues). It also have properties like Madhura Vipaka, Sheeta Virya, Laghu and Snigdha . Properties of Kushmanda is depending on the stage of its growth i.e. Bala( Immature) Kushmanda is Pitta Shamaka and Sheeta in nature, Madhyama Kushmanda (Not fully mature)fruit increases kapha, Pakwa or Briddha(Fully Mature) Kushmanda is described as Laghu, Swadu, Deepana, Tridosha Hara and alkaline nature. It having Pharmacological properties like Anti fungal, Anti oxidant, Antibacterial and beneficial in hypertention, cateract, glaucoma, cancer, headache, migraine and reduces the chances of strokes etc. This article is a review on drug Kushmanda mentioned in Ayurvedic classics.

Introduction- It is a condition in which skin cells build up and form scales and itchy dry patches. Psoriasis is the papulosquamous disorder of the skin. Equally in both sex Common in age group 15-60 years May appear in any age and site Not contagious Caused by faulty signal of Immune System and improper dietary habits Types of Psoriasis Plaque Psoriasis- Most common about 80% raised patches, reddish skin covered by silvery white scale. Common site- elbow, knees, lower back and scalp. Guttate Psoriasis- Small red spot on skin. Commonly in trunk, palm and sole, more common in children. Pustular Psoriasis- White pustular surrounded by red skin, may present in pregnancy. Flexular Psoriasis- Erythematous plaques covered with fine moist scales. Common sites are axillae, groin, submammary. Inverse Psoriasis- smooth, red, lesions found in skin folds. Erythematous Psoriasis- wide spread redness severe itching, pain may affect system of the body. Palmoplanter Psoriasis- small pustuler on digits and middle portions of the palm and sole. Aim &Objects Effect of vamana karma in Ekkushtha Effect of oral treatment in Ekkushtha