Impotency

lntroduction:
ewly wedded couple with more ambitions in
the mind undergoes into conjugation on the
first night, Groom fails and bride will impose
impotency on him. The saga of ineffective sex act starts
a broken family. Another case of middle
aged person comes for consultation states that he is
unable to satis$ his wife in sex acts. Both ofthe above
and leads into

examples are said to be erectile dysfunction (ED),

lmpotency. The ED and impotency
goes always hand in hand.

claimed in general

as

The word Impotency is heard in many areas at present

day

living style as a serious problem. Because of it, the

family life is disturbed and in further leading to

separation or divorce, ultimately causing distress with
psychological disturbance, which may even lead to
suicidal attempts. In many occasions it is observed
stress and strainful life in urban India are the causes
for such condition to develop. What is lmpotence?
How it can be managed?

Impotency literally means powerless and unable to

achieve an erection or orgasm for male . It is further
said as partial or complete inability of the person to
perform the sexual act or to achieve orgasms. It has
two parts.

l.

Unable to perform sexual act as no erection and

2.

Unable to achieve orgasm because ofpsychological

interference.

The erection is of physical and orgasm is

psychological, unless both are synchronized the
u

ltimate pleasure is not going to be perceived, which is

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Kethamakka

51

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Coaer Story
hypothesis suggests that the X
chromosome carry genes that control
the production of many enzymes that
govern the chemistry of the body,
such as Nitric Oxide, cGMP and
PDE5. Ayurveda acharyas affirmed

the influence and importance of

female from the point of attaining
perfect erection till to the end of
formation of kalala (zygote) in
Uterus. All the disorders are
commoner in male, and are often
transmitted by the male, including

lf

the pregnant mother consumes

more katu rasa, she delivers to an

Impotent or weak personality. That

was the reason behind following the

regimens during pregnency. Either

the sukra or sonitha, which ever is

predominant influences basic sex

characteristic features of male and
female respectively. At present it is
well known fact for us, the presence
of XX chromosomes gives a female

and XY to male child. If the

configuration of chromosomes are

The Gendermap is defined as a developmental representation or

template synchronously in the rnind and brain depicting the details
of one's gender/identity role, where as Lovemap is depicting the
idealized lover, the idealized love affair, and the idealized program
of sexoerotic activity projected in imagery or actually engaged in
ED orlmpotency. The determination

of genetic body is important

as

XXY or multiples it is
conveyed as shanda or Triteeya

altered as

prakriti, who is claimed

psyche body is based on it.

The physical or somatic body is

considered for gender identity, which
is going to develop in the Uterus after

the formation of zygote by semen

as

Napumsaka.

Psyche body, is the feeling of an

individual by mind (manas). Mana
is under the control of vata and its

and ova. The influence ofsemen and

vitation leads to psychological

ovum in generating the impotent is

important. The physical body other

disturbance. Apart from prakriti of

wise Karmendriya based body, even

though develops from sukra sonita

(psychological) also responsible for

the development of Impotency

samyoga (semen and ova)

as the orgasm is totally depending

it

is

nourished and altered by the Rasa of

mother attributed rasaja

and

satmyaja bhavas. The food taken by

mother at the time of pregnancy is

going to influence to the extent of
giving birth to an impotent progeny.

body even Manasika Prakriti

orED

upon the psyche.

Classification:
The sukra or semen is synonymed

with Retas, Beejam,

Varam,

Veeryam, Harshajam, Snehu,

53

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Cover Story
b)

Pootigandha - Fungal

infections leading to ED

c) Viseerya

mani - wound at

Viseerya medhra - injury to

shaft

e)

Viseerya Mushka-wound at

testes.
I

2)

a) Pittaja

b)

Veeryavahininadi cheda

c) Medhra Roga

3)

and feels no sex desire withoul

previously drinking the semen of
another man.

glans

d)

paternal sperm becomes an Asekya

Paraphilic ED or Napumsaka

Asekya - Mukha yoni- Erection

after swallow of semen

Sougandhika - Nasa Yoni - Erection

after smelling others genitalia

Kumbhika - Catamite- Erection

after anal penetration

Saugandhika: - A child begoLten in

a sordid vagina is called a

Sougandhika, whose organ does not
respond to the sexual desire without
smelling the genitals of others.

Kumbhika: - The man who first

become a passive member of an act
of sodomy and able to act as man

with good erection is called

as

Kumbhika.

Irshayaka: - The man who can not

copulate with a women without

previously seeing the sexual

intercourse of another is called

as

Ershayaka - Drig Yoni - Erection

Irshayaka (Voyerist).

after Voyeurism

Kleeba: - Kleeba is defined as a

person with ED under various

Shanda: - (Nara/nari Shanda) A

child born of an act of fecundation

foolishly or ignorantly effected

during the menses of its mother by
its progenitor by holding her on his
bosom during the act is called as
Shanda and invariably exhibits
effeminate traits in his character. A
daughter born of a woman riding on
her husband during the act of sexual

intercourse

will develop masculine

traits in her character.

Here

Klinefelter's and Turner

syndrome are applicable, which

are said to be in beeja dosha or
chromosomal anomalies.

ASEKYA: - A child born of scanty

etiological factors.

lntervention of Agni in
Impotency:
Dhatwagni influences two tyPes of
Dhatwagnipaka, prasada and kitta
where transformation of nourishing
material and waste products takes

place respectively. The specific

function of dhatwagni is synthesis of
particular dhatu and continuous
replacement by nutrients. The main
dhatwagni vyapara of Sukra is stated
by some Acharayas as production of

Ojas and Vagbhata considers it as

mala o[ sukra. Function of Sukra is
said as reproduction. It is not only
means perpetuating the progeny but
55

99

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Cover Story
of psychological entities. The psyche
involvernent in other activities or
reverts the activity of fluid shilt as
re-diffusion and along with the
excretion of fluid as sweat in the
form of hyper hydrosis. The patient
who ever is suspected as having
orgasmic deficit, asked to be present
at early hours for observation to
correlate the clinical sign of pseudo
anasarca after exclusion of other
organic problems.

It is observed in many patients where

pseudo anasarca is a sign in
association with non-erection or
ejaculatory defects. Further it is
being observed in the patients those
who can not reach the orgasm.

erection, good orgasm and timely

ejaculation. Apart from all otlter

ofhaving a good sex, erection
plays an important role. The erection
depends upon physical, emotional

causes

and mental health. Usually anxiety

or fear leads to situational impotency.

Therefore the major influence of

stress and depress,ion and physical
strain has to clear when a person is
intended to have good sex. It is being
observed the erection is under the
neurovascular control as emotional

control, where chemicals

are

released and physicaly filling the of

penis vessels and making hard with
proper erection. Erection flags when

another enzyme

called

Sex doesn't come easy, it depends on health and it is notjust intercourse,

is all about pleasure. Sex achieved by keeping fit, having a good

relationship, proper communication, eating well, fine stimulus, proper
arousal, perfect erection, good orgasm and timely ejaculation. Apart
from all other causes ofhaving a good sex, erection plays an important

it

dusti.

phosphodiestrease type 5 (PDE5)

neutralizes the cGMP. The brain
activates and releases Nitric Oxide
in the spongy tissues. It activates the

Mechanism of Impotency:

enzyme Guanylate cyclase that

Further elucidation is necessary to

prove the pseudo anasarca and hyper
hydrosis as the signs of shukradhatu

In this age we began to compromise

produce cyclic guanosina mono

phosphate (oGMP). The cGMP

our

relaxes the spongy tissues and

relationships. Sex doesn't come easy,

it depends on health and it is notjust
intercourse, it is all about pleasure.
Sex achieved by keeping fit, having

increases the blood flow to the penis.

The penis stiffens as the arteries and
the spongy tissues dilate and squeeze

on our sex life and on

a good relationship,

proper

communication, eating well, fine

stimulus, proper arousal, perfect

the vein shunt. Out of the various

groups of impotency beejadosha

janya sukra dhatu

gata

napumaskata can not be treated.

5'7

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Coaer Story
is used for skin problems. But here
at present to rectify the shukra which

are said to be

fit by virtue ofphysical

and mental health. I enquired about

their habits and acts in general. The

is spread all over the body other wise

problem was traced as, they were

unable to have the pleasure of sex.

said to be in the skin, Devadaru is

being used. The effect over the
peripheral vascularity. maintenaltce
of blood vessel wall and prevention

The second day the swelling appears

which lasts almost till afterngon,

gradually disappeared. The lady
further complains cramp which

of venous leakage in impotency

needs further experimentation.

persist even after inter course. Both

were counselled individually and

Conclusion:

also in-group. Treatment offered sex

education and vatahara sukra

Before concluding this topic I wish

to present two cases for the
reference. Cases of impotency come
to me where clinically Azoospermia
but presenting normal erection. This
case is considered as shukradhatu
vikriti and there by treated with the
"Trivanga bhasma". The second day
he got anasarca, which triggered my
mind to find out the reason, as the

sodhaka and vardhaka treatment.

They were given Ayurvedic classical
preparation and asked to participate

in sex without hesitation and

hindrances. The second day

miraculously the pseudo anasarca

and abdominal cramps disappeared.

Thus we can draw a conclusion of -

l) Mother is responsible for genesis

of Impotency in child.

generalized anasarca may be a

complication of impure Trivanga
bhasma. But it was evaluated after
counselling the patient, as he was not

2) Growth (proper cell division

aroused properly. The

libido/sex arousal.

mitosis) is directly proportional to

vikriti of

shukarvaha srotas resulted into

unhappy sexual conjugation which
led to pseudo anasarca. The patient
asked to continue the medicine and
have a conjugation under suitable

3) Pseudo anasarca and hyper

,

hydrosis are the signs of Impotency

and also orgasmic problems.

4) The situational or temporary ED

conditions, which relieved pseudo

anasarca, within few hours, without

can be treated by vata hara, shukra

shodhaka dravya.

any medication.

5) Uttarvasti is the best treatment for

,Another couple of 27 years male and

22years female approached me with

ED-

generalized swelling of body, which

disappears after few hours after

setting into regular activities. Both

Further elucidation has to be made

to establish the action of Uttarvasti
through radioisotope studies.

The'author is Reader in Kayachikitsa, PGARC, Sri D.G.M.Ayurvedic

Medical College, Kalasapur Road, Gadag - 582 103' Karnataka
59