by technoayurveda - Ayurmitra Dr KSR Prasad

1. UTTARA VASTI IN MALE
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

2. Few things
looks Great
when they are
Upright &
vertical –
including …
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male

3. The pride of
India –
Iron Pillar,
Kutub Minar
and
the Man of India
[India is the Top in Manpower Production]
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male

4. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
The Dream . . .
• Upright –
– Excellence
– Finance Position
– Career
– Family
–Husband

5. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Husband . . .
• When the husband
do flag – upright &
swing it well
– the successful
family story begins
• If not –
– The Uttara Vasti in
male begins

6. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Male Strength
• Male –
– 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
Only one???

7. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Reasons of Disharmony
• Non penile –
– Psychological
• Depression, Anxiety, etc.
– Physical –
• Strain, etc.
– Pathological - Infertility
• hormonal abnormalities,
• medications,
• neurologic disease, or
• vascular insufficiency
– Metabolic – Diabetes, etc.
• Penile
– Male Sexual Dysfunction –
• Erectile dysfunction,
• Ejaculatory dysfunction, and
• Decreased libido

8. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Age Vs Action
• Sukra Pravartaka (virechaka) =
Abundant Ejaculatory - at his 20’s
• Sukra Janaka pravartaka =
Productive & Ejaculatory
efficiency at his 30’s
• Sukra Janaka = semen
generative (procreative efficient)
– at his 40’s
• Sukra sthambhaka = Ejaculatory
preventive (sex effective) – at
50’s
• Vaji Karana = Horse powered sex
efficiency even at 50’s and 60’s
• Thinking of sex with flaccid organ
at 70’s - NO ACTION

9. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Any age – Any problem
• What is Uttara Vasti?
– It is a practice of administering
the medicine
• Per urethra in to seminal vesicles
• Per urethra in to bladder
• per uterine
– The medicine includes –
Ghruta, Taila & Kashaya
Uttara Vasti
Ayurvedic
1. E¨ÉUuÉÎxiÉ xÉÇglÉÉ E¨ÉUqÉÉaÉïSÏrÉ qÉÉlÉiÉÉrÉÉ – cÉ ÍxÉ 9/50 cÉ¢ümÉÍhÉ
2. uÉxiÉÉæ UÉåaÉåwÉÑ lÉÉUÏhÉÉÇ rÉÉåÌlÉ aÉpÉÉïzÉrÉåwÉÑ cÉ – A WØû xÉÔ 19/70

10. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
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

11. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Eligible Male for
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

12. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Medicine quantity & Target

13. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Examination of UV Patient
• Check the problem –
– Dhwajabhanda, Sukra
Dosha, Klaibya, etc.
– Cardiac ability % – HTN,
Angina, Block, etc.
– Kidney ability % - DM, etc.
– Prostrate ability % -
secretions & lubrications,
BPH, oligo prostrate
– Infections – Gonorrhea, HIV,
or any STD
– Hormones deficiency / over
activity
– Medications in use
• Note the –
– Penile length
– Penile Erection score – PES
– Penile Rigidity score – PRS
– Semen Ejaculation score – SES
– Orgasm score – OS
– Androgen deficiency score =
Testosterone

14. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Applied Shareera
• Structures concerned are -
– Glans penis
– Urethra
– Prostate gland
– Vas deferens
– Testicles
– Bladder
• Evacuated liquids are –
– Urine
– Semen

15. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Erectile dysfunction
or impotence is a
sexual dysfunction
characterized by
the inability to
develop or maintain
an erection of the
penis.

16. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
• Ejaculatory dysfunction - Premature
ejaculation is when ejaculation occurs
before the partner achieves orgasm,
or a mutually satisfactory length of
time has passed during intercourse.

17. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Decreased libido
• Sexual pain disorders affect women and
men as dyspareunia (painful intercourse).
Structural abnormalities of the penis
like Peyronie's disease can make sexual
intercourse difficult.
• Orgasm disorders are persistent delays or
absence of orgasm following a normal
sexual excitement phase.
• Hormone deficiency is a relatively rare
cause of erectile dysfunction.
• Individuals who take drugs to lower blood
pressure, uses antipsychotics,
antidepressants, sedatives, narcotics,
antacids or alcohol can have problems with
sexual function and loss of libido.

18. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Male Infertility
• Infertility primarily refers to the biological
inability of a person to contribute
to conception.
• 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.

19. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
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

20. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Fortified UV – Procedure
Patra Paka
• Heat the empty
vessel
– To make disinfection
• Pour the medicine
– 10-15 ml of the
selected medicine
• Get it cooled
– To administer

21. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Fortified UV – Procedure
Step 1
• Wear the gloves
under aseptic –
antiseptic
precautions
• Retract the
prepuce skin
• Expose the
urethra

22. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Fortified UV – Procedure
Step 2
• Clean the glans
and
surrounded
area with
Antiseptic
solution

23. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Fortified UV – Procedure
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 glans

24. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Fortified UV – Procedure
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
confirmatory sign

25. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Fortified UV – Procedure
Step 5
• Pass the clamp around penis and lock with
clamp holder

26. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Fortified UV – Procedure
Step 6
• Gently push
the medicine
• Care should be
taken – not to
slip the tube
inserted

27. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Fortified UV – Procedure
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

28. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
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.

29. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Benefits of this Technique
• Small amount of medicine is used
• 90% of the medicine is absorbed at
target area
• The local action in testicles and
prostrate enhances
• Easy to administer “any time – any
where” with all disposable
equipment
• It can be done at OPD with minimal
preparation [no OT is necessary]

30. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Medicines in Practice
• Vidaryadi Ghrita –
Naik PL & KSR Prasad, MANAGEMENT OF SUKRAGATAVATA WITH VIDARIGHRITA A
COMPARATIVE STUDY W.S.R TO PREMATURE EJACULATION, 2010, RUGHS, Bangalore,
* = More highly significant, n=15

31. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Medicines in Practice
• Narayana Taila & Vidaryadi Ghrita
Study at MGACH&RC in 2012-13 (ongoing)
Parameter Mean SD SEM
Semen count (millions/ml) B 5 7.07 5
A 22 25.45 18
Total sperm count
(millions)
B 12.5 17.67 12.5
A 72 67.88 47.99
Motile Total sperm count
(millions/ml)
B 2.0 2.82 2.0
A 5.0 4.24 2.99
Total motile count
(millions)
B 5.0 7.07 5.0
A 18 8.48 5.99
Motility % B 25 21.21 15
A 60 14.14 10

32. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
Conclusion
• The utility of the natural
pathways to reach the
target in Ayurveda is
best practiced
• Uttara Vasti is such
sophisticated scientific
Panchakarma
procedural practice for
all genital and urinary
systems.
• Present fortified method
of Uttara vasti ensures
the result by quick and
effective target reaching
method.

33. THANK YOU
11/06/2013
technoayurveda@gmail.com
It’s
Technoayurveda
Presentation
By Dr. KSR Prasad, Prof. & Head,
Panchakarma, MGACH&RC, Wardha (MS) . .
http://www.technoayurveda.com/
Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com