Vajeekarana Chikitsa, the science of sexuality

Ayurveda classics explain diseases and their treatment comprehensively. Vajeekarana Chikitsa is one such concept explained in Ayurveda classics in a very unique manner. It is one of the eight specialties of Ayurveda dealing, with the management of various sexual and reproductive diseases like erectile dysfunction, infertility, premature ejaculation etc. Dr. Manojkumar, describes in detail about this Ayurvedic chikitsa.

Vajeekarana Chikitsa is a treatment procedure in Ayurveda that focuses on the sexual health of a person. Currently, the importance of this branch has increased manifold, as more and more people arc turning to Ayurvcda for reporting various disorders relating to seminal parameters and sexual dysfunction.

Today’s competitive and stressful environment exhibits a negative impact on the sexual life of people. There have been various references regarding Vajeekarana therapy in the different Ayurvcda texts. All these point to various solutions in Ayurveda for problems related to sexual life and procreation.

According to Ayurveda, a healthy life has three main pillars. They are a balanced diet, proper sleep and healthy sexual and married life. The eighth branch of Ayurveda which is known as Vajeckarana chikitsa deals with the third pillar. This branch deals with the management of defective semen and spermatogenesis along with treating sexual weaknesses.

A study conducted in Mumbai in the year 2012-14 shows the increase in incidence of the problem of erectile dysfunction in India. This problem is seen to increase drastically to about 6% in the age group 20-29 years and 50-70% in the age group 40-79 years. Its incidence has been projected to increase significantly to over 320 million by the year 2025.

India has been dubbed as the impotent capital of the world due to the high incidence of lifestyle diseases which in turn is one of the biggest reasons for impotency. Also, India is dubbed as the country with the largest male population in the world.

Here, erectile dysfunction (ED) is a common occurrence among males and its incidence is expected to increase significantly along with the increase in various lifestyle diseases.

Times of India in 2012 August reported that All India Institute of Medical Sciences (AIIMS) calculated three decades ago and found that the average sperm count of Indian male was 60 million per ml and now this has decreased to 20 million per ml. This study also revealed that the majority of men who were exposed to high temperature at their work place like welders, dyers, blast furnace workers and those employed in cement and steel factories were the ones most prone to infertility. Continuous sitting during driving a car or other vehicles and in office also contributes to a sperm count since a one degree elevation in testicular temperature leads to 14% depression of spermatogenesis. 12-18 million couples in India are diagnosed with infertility every year. Not only has quantity of sperm production declined in males across the world, there has been a decrease in motility (sperm movement} and morphology (shape and structure) of the sperms. There has been a 2% decrease in quality of male sperm annually. Also, 40% men in reproductive age group have recorded a quantitative and qualitative decline in sperm quality. Stress also decreases the hormones that stimulate spermatogenesis.

The Ayurvedic vajeekarana chikitsa has solutions to this emerging problem of erectile dysfunction and disorders relating to seminal parameters.

In Sanskrit, Vaji means horse, the symbol of sexual potency and performance. Thus, Vajikaran means producing a horse’s vigour. The medicine or therapy by which one man can gain great strength like a horse is known as Vajikarana chikitsa. This branch is also known as vrushya chikitsa. Vrushya stands for bull, which competes with his fellow bulls and co-habits with multiple partners on the same day. The word vrushya indicates the substances by virtue of which a person is capacitated to act sexually like vrusha(Bull).

Vrushya (vajeekarana) drugs are divided into sub-types as follows according to sharngadhara samhita (a treatise on Ayurveda).

  1. Sukrala:- The drug which facilitate and increase the production of semen (spermanogogues) for examlie ksheera, masha, aswagandha, shatavari, musali, sharkkara etc. These drugs are used to improve spermatogenesis and androgen synthesis, (sukra or sukla means semen)
  2. Sukra janakam and suhkra rechakam:- Increase the semen and promotes ejaculation for example bhallataka bhala majja.
  3. Sukra rechanam:- Promote the expulsion of semen for example fruit ofbruhathi
  4. Sukra pravarthim :- The stimulator of semen for example sthree. Various psychological factors play an Impotent in sexual stimulation. Beautiful woman is considered as vajeekarana par excellence. In contrast, grief, anger, anxiety, fear, suspiciousness towards women partner has an adverse influence.
  5. Sukra sthambhakam:- Drugs which help to withhold semen for longer time for example jati phala. Drugs in this group arc useful in treating premature ejaculation.
  6. Sukra soshakam:- Drugs which dry up semen or reduce quantity for example hareetaki. This can only be used to reduce the sexual desire and not as a vajeekarana.

Charakacharya mentioned the following group of drugs called mahakashaya for treating the diseases relating to sukra.

  1. Sukra Sodhana Mahakashaya:- the drugs which will do the sukra sodhana (semen cleansing) eg:- kushta, elavaluka, katphala, samudra phcna etc.
  2. Sukra janaka mahakashaya:- The drugs which help in production of sukra is called sukra janaka eg:- jecvaka, rushabhaka, kakaooli, ksheera kakoli, mudga parni, masha parni.etc.
  3. Prajasthapaka mahakashaya:- The drugs help prajasthapaka (maintaining the garbha) eg:- eimdri, brahmi, shataveerya, lakshmana, bala etc.

Acharyas also mentioned the benefits of different food items for vajeekarana chikitsa. Among them are tender coconut water, milk, milk products like ghee, curd and butter ( except butter milk), gingili oil, castor oil, honey, jaggary, rakta sail, shashtika rice, masha, ginger, meat of chicken, buffalo, fish, fruits like dates, grapes, ripe mango, etc.

In Panchakarma treatment vasthi chikitsa (enema therapy) is commonly used for vajeekaranam. In vasthi, medicated enemas are given through the anal route (vasthi) or urethal rout (Uttara vasthi). Sthiradi yapana vasthi (Charaka), Musthadi asthapa vasthi (Susrutam), kukkudanda rasadyo sukrakrit vasthi (Vagbhat) are only some examples for kashayavasthi. Different taila or ghrita yogas like narayanataita are used for uttara vasthi.

By properly understanding the semen analysis and problems related to intercourse, the physician can select the appropriate oushadha yoga or their modifications according to the condition of the patient.

Even though most of the treatments explained are for male patients there are treatments for vandhyata (infertility) in women and their problems related to loss of libido. The reason for the importance given to male infertility in the ancient Ayurveda texts may be due to the social setup of those days,

So many researches have already been conducted in vajeekarana chikirsa in different PC centres and research institutes. Some examples are given below.

  • Vajeegandhadi yoga in skheena sukla and spermatogenesis by Dr.B.M.mulkipatil (DGM.AMC- Gadtig)
  • Effect of vanari gulika in Oligospermia by Dr. V.M.Prabhakar (GovtAMC.Mysore).
  • A comparative study of vajeekarana drugs administered orally and by vasthi in the management of erectile dysfunction by Dr. BhattedSanthosh (Jamnagar)-2002
  • Effect of ardhamatraka vasthi in oligospertnia by Dr. Lands Prashant (SDM.Hassan)- 2005
  • Role of uttaravasthi in anovulation (vandhyata) by Dr.Prathibha. C.K (SDM. Hassan)-2006
    « Management of sukra gata vata with vidaryadi ghritha with special reference to premature ejaculation by DR. Naik Praveen D.G.M. Ayurveda medical college Gadak (2009)

All researches and experiences from expert ayurveda doctors reveal that the problems related to imporency and qualitative improving of semen and ovulation can be effectively managed by Ayurvedic treatment. These treatments, apart from correcting the problems, improve the general health and immunity of the individual because most of vajeekara drugs have rasayana properties also. Literatures from ayurveda classics provide solutions to current and future problems in this field of science.

Different formulations of the above mentioned drugs are described in Classical Ayurveda texts like Charaka, Susruta and Vagbhata. In Charaka Samhita, chikitsa sthana vajeekaran adhyaya oushadha yogas like brumhana gulika, vajeekarana gulika, vajeekarana pindirasa, vrushya ghrita, apathyakara ksheera, vrushya payasa etc are only some among them.

In the same way susrutacharya describes oushadha yogas like vajeekarana utkarika, vajeeekarana shashuki, vajeekarana basthanda etc. and acharya vagbhata explains about athmaguptadi yoga, sathavari yoga etc. Yoga ratnakara, Bhavaprakasba and Bhaishajyaratnavali describes more oushadha yogas for vajeekarana chikitsa.
These oushadha yogas are mentioned to improve sexual vigour and vitality and to treat different types sexual issues and defects of semen.

Dr. Manojkumar. K, MD (Ay)
Ashtamgam Ayurveda chikitsalayam & Vidyapecdham,
Vavanoor, Palakkad(Dist-)
Mob: 9446168543