Pourusha Vasti

Pourusha Vasti Male Uttara Vasti
Pourusha Vasti Male Uttara Vasti

By
Dr KSR Prasad
@ CME on 27-11-2016
Ayurved Vyaspeeth
Shri Ayurved College
Nagpur
Dr. K. Shiva Rama Prasad, at
http://www.technoayurveda.com/
Pourusha Vasti
Male Uttara Vasti
Introduction
Male (Purusha)
undoubtedly strong in
many occasions but when
he becomes weak, aged
or diseased the
management of Pourusha
Vasti starts
Pourusha Vasti is an
exclusive Male Uttara
Vasti organized for the
(MSD) Male Sexual
Dysfunction or (BPH)
Benign Prostate
Hypertrophy

Pourusha Vasti
Male Uttara Vasti
Male Strength
Male @ conjugation
Transfers the genes to the offspring
through semen
Semen even though in millions of count
Only one is successful
Environment, Food, Occupation, Habits,

etc. influence the harmony
Prostate Gland: A firm partly

muscular chestnut sized gland in
males at the neck of the urethra;
produces a viscid secretion that is the
fluid part of semen
Pourusha Vasti
Male Uttara Vasti
Introduction
There is no such term Pourusha Vasti exists in
classical texts
Pourusha Vasti is a coined term to denote
the importance of Pourusha Granthi (Prostate)
management through Uttara Vasti
The alternative route (uttara marga)
administration of the medicine is termed as
Uttara Vasti
Common alternative routes are Urethral in
Male and Vaginal in Female apart from Urinary
bladder route
Pourusha Vasti
Male Uttara Vasti
Etymology
Vasu Vasane Achadane

Nivase
It means any substance is placed to
be resident of or covered with is
called as Vasti
The Uttara Vasti is called as it is
given from Uttara Marga (alternative
Dr.and/or
K. Shivaas
Rama
Prasad,qualitative
at
route)
a better
Pourusha Vasti
Male Uttara Vasti
Classification of Vasti
Vasti Karma
Purva Vasti
Karma
Sthaneeya Vasti
Karma
Uttara Vasti
Karma
Vrana
Vasti
1

Pourusha Vasti
Male Uttara Vasti
Knowing about Uttara

vasti
What is Uttara Vasti?
It is a practice of administering the

medicine
Per urethra in to seminal vesicles =
Pourusha Vasti
Per urethra in to bladder =
Mutrashaya Vasti
per uterine = Garbhashaya Vasti
The medicine includes

Ghruta Vidaryadi Ghruta, etc
Taila Narayana Taila, etc
Kashaya Dashamula Kashaya, etc
Pourusha Vasti
Male Uttara Vasti
Applied Shareera
Structures concerned are
Glans penis
Urethra
Prostate gland
Vas deferens
Testicles
Bladder
Evacuated liquids are

Urine
Semen
Pourusha Vasti
Male Uttara Vasti
Surface Anatomy
The common
structures
intervene are
Urethra - Urinary
Bladder sphincter
Urethra Prostatic
urethra ductus
deference-seminal
vesicles
epidydimis testes

Pourusha Vasti
Male Uttara Vasti
Applied Physiology
SEMINAL FLUID:
NUTRITION TO SPERMS: Fructose and other nutritive
substances in seminal fluid are utilized by sperms after
being ejaculated into the female genital tract.
CLOTTING OF SEMEN: Immediately after ejaculation,
semen clots because of the conversion of fibrinogen from
seminal fluid into fibrin.
Prostate
Prostate fluid is a thin, milky and alkaline fluid. It forms
30% of total semen.
MAINTENANCE OF SPERM MOTILITY: Prostatic fluid
provides optimum pH for the motility of sperms.
Generally, sperms are non-motile at a pH of less than 6.0.

Pourusha Vasti
Male Uttara Vasti
Applied Physiology
SPERM
Sperm is the male gamete (reproductive cell), developed
in the testis. It is also called spermatozoon (plural =
spermatozoa). Matured sperm is 60 long.
Sperm Count
Total count of sperm is about 100 to 50 million/mL of
semen. Sterility occurs when the sperm count falls below
20 million/mL.
PROPERTIES OF SEMEN
1. Specific gravity : 1.028
2. Volume : 2 mL to 6 mL per ejaculation
3. Reaction : It is alkaline with a pH of 7.5. Alkalinity is due
to the prostate fluid.

Pourusha Vasti
Male Uttara Vasti
Applied Physiology

Pourusha Vasti
Male Uttara Vasti

Pourusha Vasti
Eligible Male for Uttara
Vasti
Male Uttara Vasti
Related to urinary Bladder
13 varieties of mootra Dosha

Mutouksada, Mutra jathara,
Mutra krichra, Mutrotsanga,
Mutra kshaya, Mutraateeta,
Asteela, Vtavasti, Ushnavata,
Vtakundalika, Raktagrandhi,
Vidwighata, and Vasti Kundalika
Mutra sharkara
Ashmari
Vasti shoola
Related to Genital
Vankshana shoola
Shukra Dosha
Sukraotseka
Dhwajabhanga
Klaibya
Susruta Chikitsa 37/125-126, Charaka Siddhi 9/71

Pourusha Vasti
Male Uttara Vasti
Examination of
Pourusha Vasti Patient
Check the problem
Dhwajabhanda, Sukra
Dosha, Klaibya, etc.
Cardiac ability % HTN,
Angina, Block, etc.
Kidney ability % - DM,
etc.
Note the
Prostrate ability % Penile length
secretions & lubrications,
Penile Erection score PES
BPH, oligo prostrate
Penile Rigidity score PRS
Infections Gonorrhea,
Semen Ejaculation score
HIV, or any STD
SES
Orgasm score OS
Hormones deficiency /
Androgen deficiency score =
over activity
Testosterone
Medications in use
Pourusha Vasti
Male Uttara Vasti
Erectile
dysfunction or
impotence is a
sexual
dysfunction
characterized by
the inability to
develop or
maintain an
erection of the
penis.

Pourusha Vasti
Male Uttara Vasti

Pourusha Vasti
Male Uttara Vasti
Ejaculatory dysfunction Premature ejaculation is when

ejaculation occurs before the
partner achieves orgasm, or a
mutually satisfactory length of
time has passed during
intercourse.

Pourusha Vasti
Male Uttara Vasti
Decreased libido
Sexual pain disorders affect women
and men asdyspareunia(painful
intercourse). Structural abnormalities
of the penis likePeyronie's
diseasecan make sexual intercourse
difficult.
Orgasm disorders are persistent
delays or absence of orgasm following
a normal sexual excitement phase.
Hormonedeficiency is a relatively
rare cause of erectile dysfunction.
Individuals who take drugs to
lowerblood pressure,
usesantipsychotics, antidepressants,
sedatives, narcotics, antacids or
alcohol canDr.
have
problems with
K. Shiva Rama Prasad, at
sexual function
and loss of libido.
Pourusha Vasti
Male Uttara Vasti
Male Infertility
Infertilityprimarily refers to the
biological inability of a person to
contribute toconception.
Infertility has increased by 4 percent
since the 1980s
About 40 percent of the issues
involved with infertility are due to the
man
Infertility can be caused by low sperm
count due to endocrine problems,
drugs, radiation, or infection. There
may be testicular malformations,
hormone imbalance, or blockage of
the man's duct system.

Pourusha Vasti
Male Uttara Vasti
Benign Prostatic
Hypertrophy
BPH is enlargement of the Prostate that is

located in the pelvis and is surrounded by
the rectum, bladder, dorsal and
periprostatic venous complexes,
musculature of the pelvic sidewall, the
urethral sphincter (responsible for passive
urinary control), the pelvic plexus, and
cavernous nerves (which innervate the
pelvic organs and corpora cavernosa).
Sushruta and Charaka explained the Sthana
of Basti in the similar fashion.
Pourusha Vasti
Male Uttara Vasti

Pourusha Vasti
Male Uttara Vasti

Pourusha Vasti
Male Uttara Vasti
Uttara Vasti Netra

Male
12 cms (Anguli) resembling jasmine flower
stalk, tail of the cow, hole equal to mustard
seed (Charaka)
14 (Anguli) cms (Susruta)
Female
10 cms (Anguli) comfortable size to pass the
urethra, hole equal to Green gram seed
for full grown nulli paras 4 (Anguli) cms
virgins 1 (Anguli) cm [Garbhashaya sodhana
should not be performed in the virgins]
Charaka Siddhi 9/58, 9/72, 9/73-4, Susruta Chikitsa 37/101, 37/103, 37/104-5

Pourusha Vasti
Male Uttara Vasti
Medicine quantity & Target

Pourusha Vasti
Male Uttara Vasti
Age Vs Action
Sukra Pravartaka (virechaka)
= Abundant Ejaculatory - at
his 20s
Sukra Janaka pravartaka =
Productive & Ejaculatory
efficiency at his 30s
Sukra Janaka = semen
generative (procreative
efficient) at his 40s
Sukra sthambhaka =
Ejaculatory preventive (sex
effective) at 50s
Vaji Karana = Horse powered
sex efficiency even at 50s
and 60s
Thinking of sex with flaccid
organ at 70s - NO ACTION

Pourusha Vasti
Male Uttara Vasti
Prakrita Mutra Pramana

The normal quantity of Mutra is 4 Anjali. (Ch.
Sha.7)
1 Anjali is nearly about 4 ounces. So 4 Anjali is
nearly about 16 ounces, (480 ml) which clearly
indicates that Acharyas considered 4 Anjali only
because of the storage capacity of Basti.
In 24 hours 1500 ml of urine is excreted out
which can be considered. 1500 ml cannot be
stored in bladder at normal physiological
instances.
The urinary bladder performs the function of
Dharana (storage) and poshana (release) of
urine. TheDr.
example
a ''taut
bow"atin relation to
K. Shivaof
Rama
Prasad,
Basti signifies
the functioning of the urinary
Pourusha Vasti
Male Uttara Vasti
What happens in this

technique?
Former technique followed by
Ayurveda is placing the medicine
in to Urinary Bladder. It is done
by a catheter and syringe.
Present technique passes

Urethra Prostate seminal
vesicle vas deferens and
Testicles.
The whole medicine is rapidly
absorbed along with local
action of medicine.

Pourusha Vasti
Male Uttara Vasti
Fortified UV Procedure
Preparation
Patient
Ask the patient to

evacuate bladder
Instruments
Feed tube size 8-10

10ml syringe
Gloves
Penile clamp
Clamp holder
Antiseptic solution &
gauze
Medicine

Pourusha Vasti
Male Uttara Vasti
Patra Paka
Heat the empty

vessel
To make
disinfection
Pour the
medicine
10-15 ml of the
selected medicine
Get it cooled
To administer
Dr. K. Shiva Rama Prasad,
at
Pourusha Vasti
Male Uttara Vasti
Step 1
Wear the
gloves under
aseptic
antiseptic
precautions
Retract the
prepuce skin
Expose the
urethra
Pourusha Vasti
Male Uttara Vasti
Step 2
Clean the
glans and
surrounded
area with
Antiseptic
solution

Pourusha Vasti
Male Uttara Vasti
Step 3
Load the
syringe with
medicine
Attach it to the
feed tube
Gently push
the syringe to
fill the feed
tube where 1
-2 drops of
medicine drops
at the
Dr. K. Shiva Rama Prasad,
at glans
Pourusha Vasti
Male Uttara Vasti
Step 4
Gently insert feed

tube in urethra
Pass the tube about
10 cms till to the
bladder sphincter
Make sure that you
are not inside the
bladder
Retract the syringe

piston - if you are inside
the bladder urine come
in to syringe
If you are giving a

Uttara Vasti in to
Bladder it is
sign
Dr. K. Shiva Rama Prasad,confirmatory
at
Pourusha Vasti
Male Uttara Vasti
Step 5
Pass the clamp around penis and lock

with clamp holder
Pourusha Vasti
Male Uttara Vasti
Step 6
Gently push
the medicine
Care should
be taken
not to slip the
tube inserted

Pourusha Vasti
Male Uttara Vasti
Closure
Withdraw the
tube
Locked clamp will
remain for 45
minutes
After 45 minutes
Release the lock
with a cotton
padding placed at
urethra to
absorb the
withdrawals
Pourusha Vasti
Male Uttara Vasti
Influencing factors of Pourusha Vasti

Physical state:
Liquids are better absorbed than solids, and
crystalloids are better absorbed than colloids.
Particle size:
The particle size of sparingly soluble drugs can
affect their absorption. Thus, a compound that
contains large aggregates of the active
compound does not disintegrate easily even on
prolonged contact with mucosa hence, is poorly
absorbed. Small particle size is important for
absorption. Thus, the dosage of the active drug
can be reduced without losing efficacy simply by
Dr.particle
K. Shivasize.
Rama Prasad, at
reducing the
Pourusha Vasti
Male Uttara Vasti

Lipid or water solubility: High lipid
solubility of the non-ionised drug form
favours its absorption from the
gastrointestinal tract, in the same way at the
rectum and also in urinary bladder.
Concentration: Higher concentration
favours rapid absorption.
Presence of other agents: Thus vitamin C
(Amla varga) enhances the absorption of iron
from the gastrointestinal tract, while phytates
retard it.
Pourusha Vasti
Male Uttara Vasti

Ionization: It may be assumed for all
practical purposes that the mucosal
lining of the bladder is impermeable to
the ionized form of a weak acid or a
weak base. The weakly acidic and basic
drugs exist in two forms. A unionized
component, predominantly lipid soluble,
absorbed rapidly. An ionized and often
water-soluble component absorbed
poorly.
Pourusha Vasti
Male Uttara Vasti
Area of the absorbing surface and

local circulation: Drugs can be
absorbed better from the small
intestines than from the stomach
because of the larger surface area of
the former. Reduction in the area of the
absorbing surface, as in Uttara Vasti
prolongs the absorption as it retains for
more time under sphincter control.
Pourusha Vasti
Male Uttara Vasti
Medicines in Practice
Vidaryadi Ghrita
* = More highly significant,
n=1
Naik PL & KSR Prasad, MANAGEMENT OF SUKRAGATAVATA WITH VIDARIGHRITA A

COMPARATIVE STUDY W.S.R TO PREMATURE EJACULATION, 2010, RUGHS, Bangalore,

Pourusha Vasti
Male Uttara Vasti
Medicines in Practice
Narayana Taila & Vidaryadi

Ghrita
Parameter
Mean
Semen count (millions/ml)
SD
SEM
7.07
22
25.45
18
Total sperm count

(millions)
12.5
17.67
12.5
72
67.88
47.99
Motile Total sperm count

(millions/ml)
2.0
2.82
2.0
5.0
4.24
2.99
Total motile count (millions) B
5.0
7.07
5.0
18
8.48
5.99
25
21.21
15
60
14.14
10
Motility %
Study at MGACH&RC in 2012-13 (ongoing)

Pourusha Vasti
Male Uttara Vasti
Efficacy of Bala- tail Utterbasti in

Oligospermia -A Clinicopathological Study.
More Sunil S. More Manjusha S
International Journal of Ayurvedic and Herbal Medicine 5:4
(2015) 19321940
A open random study with 20ml

Bala taila administered per urethra
in to Urinary bladder once in 3 days
for a month for 3 consecutive
months

Pourusha Vasti
Male Uttara Vasti
Patil
Rupesh Vilas. Virechana
Paschat
Shatavari Ghrita Uttara Vasti in Ksheena
Shukra- A Case Study. International Journal of
Ayurveda and Pharma Research.
2016;4(9):29-31.
A male patient presented
with inability to beget a
child due to low sperm count (< 10 million/ml) and
sperm motility (< 30%) detected in previous two
semen analyses along with reduced sexual desire
and inability to sustain erection.
Snehapaana with Shatavari ghrita, followed by
Virechana with Kalyanaka gudam and later Uttara
Vasti with Shatavari Ghrita administered in 7 sittings
after initial administration of 2 Madhutailika Vasti
resulted in significant increase in sperm count (>50
millions/ ml) and motility (>50%).
A significant improvement in sexual desire,
Dr. K. Shiva
Rama
Prasad, at
sustained erection
till the
completion
of sexual act
Pourusha Vasti
Male Uttara Vasti
Management of urethral sticture with uttara

vasti
Dudhamal et.al., ASL, v30, no2 (2010)pp51-53
A 25 year old male approached with dysuria, slow
stream of urine, incomplete emptyng of bladder
leading to fullness of bladder, increased frequency
of micturition and cystitis.
Aa mixure of 15ml Plain Tila taila, Honey 4 ml,
Sandhava lavana 1gm is used for Uttaravasti in to
urethra and retained for 10 minutes (Author is not
clear whether he pushed the material in to
urinary bladder or made only retained at urethral
level)
Patient is comfortable and two more sittings were
undertaken after wards.
Pourusha Vasti
Male Uttara Vasti
Rajendra H Amilkanthawar, Role of uttarbasti in

management of mutra marga sankoch
(urethral stricture)
Indian Journal of Traditional Knowledge, Vol. 3(2), April 2004,
pp. 177-181
Drug and their proportions
Til Tail (Sesame oil) 100 ml, Saindhav lavan (Rock salt)
04 gm, Madhu (Honey) 20 ml
Under all aseptic precaution glass syringe is filled with 40
ml of medicated oil and is taken in right hand and its nozzle
is inserted gently into the external urethral meatus and
slight pressure is applied to fix the junction. Lukewarm
medicated oil is inserted with slight pressure and slowly
over a period of 30 second. Care is taken to avoid entry of
air into urethra. After that penile clamp is applied just
proximal to glans penis and patients are kept in situ for 15
minutes. The female patient was advised not to micturate
for next two hours. The procedure was repeated at the
interval of 7 days up to five times in 21 patients, seven
times in 08 patients and eleven times in only 01 patient.
Pourusha Vasti
Male Uttara Vasti
Rajendra H Amilkanthawar, Role of uttarbasti in

management of mutra marga sankoch (urethral
stricture) . ctd

Pourusha Vasti
Male Uttara Vasti
Conclusion
It is necessary to demarcate
Pourusha Vasti from Mutra marga
Uttara Vasti based on its functions
Ayurveda Suggested 25 to 200 ml of
medicine input for the Mutramarga
Uttara vasti
Concentration, pH, sloubility and
particle size influence the action
Pourusha Vasti
Male Uttara Vasti
Conclusion
Pourusha Vasti is mainly indicated for
BPH and Azospermia
In one sitting the medicine introduced
vary from 10 -40ml
Both water and lipid soluble
medicines can be administered
comfortably
The absorption rate is higher when
the quantity is massive
Pourusha Vasti
Male Uttara Vasti
Demonstration Stage 1 Preparation

Pourusha Vasti
Male Uttara Vasti
Demonstration Stage 2 Application

Pourusha Vasti
Male Uttara Vasti
Demonstration Stage 3 withdrawal

THANK YOU
27th November 2016
technoayurveda@gmail.com
Its
Technoayurveda
Presentation
By Dr. KSR Prasad, Prof. & Head,
Panchakarma, MGACH&RC, Wardha
(MS) . .
Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com

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Pourusha Vasti Male Uttara Vasti

Pourusha Vasti Male Uttara Vasti

Male Uttara Vasti

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

Only one is successful

Environment, Food, Occupation, Habits,

Prostate Gland: A firm partly

Male Uttara Vasti

Male Uttara Vasti

Vasu Vasane Achadane

Male Uttara Vasti

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

Knowing about Uttara

What is Uttara Vasti?

It is a practice of administering the

The medicine includes

Male Uttara Vasti

Evacuated liquids are

Male Uttara Vasti

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

Related to urinary Bladder

13 varieties of mootra Dosha

Susruta Chikitsa 37/125-126, Charaka Siddhi 9/71

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

Check the problem

Male Uttara Vasti

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

Ejaculatory dysfunction Premature ejaculation is when

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

Male Uttara Vasti

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

BPH is enlargement of the Prostate that is

Male Uttara Vasti

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

Uttara Vasti Netra

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

Medicine quantity & Target

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

Dr. K. Shiva Rama Prasad, at

Male Uttara Vasti

Prakrita Mutra Pramana

Male Uttara Vasti