I have tried to compare a few conditions explained in Ayurveda with early ejaculation. They are as below explained –
Shukragata Vata is one close condition which resembles PE. It is one of the forms of Gatavata condition wherein the morbid Vata gets illegal entry into any tissue or organ of a body producing some disturbances in the normal functioning therein. In due course of time, if Vata is not eliminated from those target tissues or victimised organs, serious diseases can set in. In this condition, the morbid Vata enters Shukra (semen) and causes the below said deformities – Kshipram munchati – Semen gets ejaculated very quicklyShukram badhnati – Semen doesn’t get ejaculated at all
These 2 contrasting presentations are due to the unpredictable nature of Vata. Both presentations of Shukragata Vata puts man in an awkward and embarrassing position during sexual intercourse. This further leads to mental derangements and lack of interest or forcible withdrawal from sexual encounters. This also shows us that PE is one of the features of Shukragata Vata and doesn’t constitute the whole disease. When the first condition i.e. the semen getting discharged too early happens on a regular basis owing to excessive motivation and stimulation of sex organs and loss of mind control over ejaculation as caused by chala guna (nature of mobilising or causing hyper-motivation) of morbid Vata, it needs to be addressed as a disease. Thus in established PE, the chala guna of Vata is severely disturbed and out of control.
Shukragata Vata is treated on the basis of 2 principles – Controlling the Vayu and Strengthening the Shukra and genital system. Acharya Charaka advices to administer the below said in Shukragata Vata – Harshana – Exhilarating treatment and counselling to the patient Balakara chikitsa – The medicaments enhancing bala (strength and immunity of the body) should be given. Balya group of drugs can thus be considered in tackling PE. The below said are the best strength promoting drugs (Balya) –Ashwagandha, Bala, etc. Shukrakaram – Medicines and treatments which could enhance the quality and quantity of Shukra (semen) should be administered. This indicates that Vajikara dravyas (aphrodisiacs can be used in tackling PE. The concept of Vajikarana in treating PE will be explained in the coming passiges. The best Shukrakara dravyas are – Milk, ghee, madhur –snigdha ahar, etc.
Vajikarana is the name given for Ayurvedic aphrodisiacs. They not only boost up the sex health, they also tone up the genital system. It provides horsepower with a perspective of sexual performance. Vajikarana is both a Swasthasya urjaskara (restoring health in already healthy individuals) and Artasya Roganut (disease alleviating and modifying type of medicines).
They promote physical and mental health. They can be readily used in alleviating PE. The best Vajikara medicines in the business with respect to quick ejacuiaton are: Ashwagandha , Kapikachchu, Shilajit, Vidari, Shatavari, musali, Vanga Bhasma, Masha – Black gram, Gokshura, Milk, ghee, etc.
Rasayana is a name given to those medicines / drugs which rejuvenate the tissues in the body (including reproductive tissue), maintain their proper formation, qualitative and quantitative maintenance and delay the process of ageing. Like Vajikarana, these Rasayana’s too act as Swasthasya Urjaskara and Artasya Roganut medicine and tone up the physical and mental health to optimum. They also relieve the stress, anxiety and depression associated with sexual performance; relax the nerves and helps alleviate PE. The best Rasayanas for PE are: Ashwagandha, Guduchi, Brahmi, Shankapushpi, Amla, etc
These are the medicaments which delay the ejaculation and at the same time help in controlling excessive sexual drive and anxiety related to it. Haritaki , Jatiphala, Puga / Kramuka etc.
Sthanik chikitsa (Local application): The below said can be applied over penis as a remedy in PE:-Sri Gopala taila, Balashwagandhadi taila.
Bahya Chikitsa (External treatments): Abhyanga, Taila dhara (Pizhichil), Taila Shiro dhara, Shiro vasti, Shiro Abhyanga, Shiro, Shiro lepa, etc.
The above said treatments will control the functions of Prana Vayu which governs the other Vayu’s. thus the Apana Vayu functions are controlled. Stress, anxiety and depression are said to be the causative or triggering factors for PE. These treatments control the variations happening at the mind level and enable one to have a control over ejaculation and have a satisfying sexual experience.
Ksheera dhara, Shashtika Shali Pinda
Sweda (Navarakizhi), Swedana
Virechana – Therapeutic purgation
Vasti – Enemas
Uttara Vasti – Enemas (decoction or oil) given through urethra