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Preventing Benign Prostatic Hypertrophy through Ayurveda
Definition:
Benign prostatic hypertrophy is swelling of Prostate gland. The
prostate is a walnut sized gland that is only present in men. It
is located just below the bladder and top of the penis. This
gland surrounds the urethra ( the tube through which urine flows
from the bladder and out through the penis ).
It is a very astonishing fact to know that the condition BPH has
been explained in ayurveda long back. The anatomical position of
prostate gland, symptoms of BPH and its remedies are explained
by Acharya Sushruta.
The anatomical position of prostate gland is described in
ayurvedic classics as follows In Yogaratnakara it has been
described as -- " NAABHERADHASTHAATSANJAATAHA SANCHAARI YADI
VAACHALAHA | ASHTEELAAVAD GHANO GRANTHIROODHWAR MAAYATA UNNATAHA
|| "
Which means " Below umbilicus (NAABHI), there is a hard gland
which is little bit bulged and changes its place some times and
some times stays stationary. This gland is like "Ashteela" (A
small stone used to sharpen swords). This gland when affected by
vitiated vata causes a disease called "vataashteela" (or benign
prostate hypertrophy)
Sushruta explains the structure , anatomical position of
prostate gland and symptoms of BPH as follows.
"SHACRANMAARGASYA BASTHESHCHA VAAYURANTARAMAASHRITAHAI
ASHTEELAAVADGHANAM GRANTHIMMOORDHVAMAAYATA MUNNATAM|| "
Which means - the place between rectum and bladder is occupied
by vitiated vata it affects the easy flow of urine, stools and
semen by enlarging the gland " Ashteela".
The prostate gland enlarges in all men as age advances. BPH is
very common and affects one third of men who are over 50. A
person suffering from BPH does not have the increased risk of
prostate cancer.
Functions of Prostate gland
One of the main functions of the prostate is to produce a fluid,
which contribute to the liquid portion of semen and this liquid
allows the sperm to move freely.
The gland is divided into peripheral, transitional and central
zone. The overgrowth takes place in central zone which leads to
BPH. Effects of BPH Prostate gland surrounds urethra. When
prostate gland enlarges, it constricts the urethra reducing the
urine flow. The emptying of bladder becomes very difficult
because of this. Causes of BPH According to present medical
concepts the actual cause of prostate enlargement is unknown.
But the causes of BPH are very well explained In ayurveda which
is based on tridosha theory.The causes of vataashteela or BPH
are explained as follows
Causes for vataashteela according to dosha theory: vataashteela
is caused by vitiated vayu and apaana vayu ( a subcategory of
Vayu)
( APAANA VAYU is located in two testicles, urinary bladder,
phallus, umbilicus, thighs, groins, anus and colon.
Functions of apana vaayu are Ejaculation of semen, voiding of
urine, stools, elimination of menstrual blood and expulsion of
fetus. )
. The vitiation of vayu and apaana vayu is caused by 1.
Controlling the urge of urination 2. Controlling the urge of
defecation 3. Over indulgence in sex. 4. Consuming dry, very
cold and less quantity of food 5. Old age 6. General weakness 7.
Indigestion 8. Physical and mental
overexertion.
Symptoms of BPH
* Difficulty in starting to pass urine ( hesitancy ), * A weak
stream of urine, * Dribbling after urinating * The need to
strain to pass urine, * Incomplete emptying of bladder. *
Difficulty to control the urination urge. * Having to get up
several times in the night to pass urine, * Feeling a burning
sensation when passing urine. * Passing urine mixed with blood
(indication of infection) Symptoms of vatashteela are described
as follows.
" VINMUTRAANILA SANGASCHA TANNAADMAANAMCHA JAAYATE| VEDANAA CHA
PARAA BASTOU VAATAASHTEELETI TAAM VIDUHU || "
The vitiated ashteela gland when enlarged is called as
"vatashteela". This enlarged gland causes 1. Obstruction to easy
flow of urine. 2. Obstruction to Easy passage of stools and gas
3. Bloating of Stomach. 4. Pain in bladder. When the above
mentioned symptoms are noticed then one should seek proper
medical advice.
Diagnosis
A digital rectal examination will be performed to examine the
size of prostate by inserting a finger into the rectum. A
distended bladder can be felt per abdomen. Ultra sound
examination will be done to determine the amount of urine left
in the bladder after urination. Routine urine test will be done
to rule out infections. A prostate gland tissue may be collected
using a needle to check for cancerous cells
Ayurveda tips for SELF-CARE
If symptoms are mild, the following methods can be tried for
relief: 1. Vata gets vitiated when natural urges are controlled.
Hence do not control the natural urge of passing urine. Urinate
when you first get the urge. 2. Go to the bathroom even if you
do not have urge. 3. Alcohol, tobacco, coffee increase vata and
vitiate it. Hence avoid alcohol, tobacco and coffee, especially
after dinner. 4. Vata gets normalized and vitiation comes down
when body is warm. This can be accomplished with regular
exercises and keeping the body warm. 5. Mental exertion leads to
increase of vata. Avoid mental exertion at work place and at
home. 6. Avoid foods which cause constipation as constipation
causes vitiation of vata..
Other general tips
1. Avoid drinking fluids from two hours before going to bed. 2.
Avoid cold and cough medications that contain decongestants or
antihistamines. These medications can increase BPH symptoms. 3.
Avoid drinking excess amount of liquids. Distribute the intake
of fluids throughout day. 4.
Prevention
BPH can be prevented by - 1. Consuming low fat diet 2. Including
lots of fiber in diet ( fruits and vegetables which are rich in
fiber). 3. Visiting your family physician as soon as you notice
any symptoms while passing urine. Apart from these many
effective herbal remedies have been mentioned in Sushruta
samhita and Yogaratnakara.
About the author:
Dr.SavithaSuri has been an Ayurvedic Practitioner since 1989.
After getting a graduation degree in ayurveda (Bachelor of
Ayurvedic Medicine and Surgery) in 1988 from University of
Mysore, India, she started practising ayurveda . Her articles
about ayurveda have been published in news papers and websites.
She is a regular health columnist to a regional news paper.
http://www.ayurhelp.com email doctor@ayurhelp.com
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