Comprehensive Review of Vajikarana Treatments: Addressing Klaibya a Rasapradoshaja Vikara

In Ayurveda physiology, the text mentions that our body is composed of Sapta Dhatu (Rasa, Rakta, etc.).Dhatu is an essential component of the body.Among these seven Dhatu, the initial one, namely Rasa Dhatu, is the most important and performs a number of functions in the body to keep us healthy.If Rasa Dhatu is pure and normal in amount and function, the growth of the next 6 dhatus, i.e., Rakta, Mamsa, etc., will also be the same in properties.The functions of Rasa Dhatu start from intrauterine life and continue throughout life.Rasa Dhatu contains all the nutrients required to nourish the body.Acharya Sushruta mentioned that the human body is a product of Rasa.As Rasa Dhatu nourishes the body and helps it to stay healthy, one should always put effort into protecting the Rasa Dhatu.Male sexual dysfunctions have been elaborately described as Klaibya in classics.Klaibya refers to "erectile dysfunction (E.D.)," commonly known as "impotence," and it is one of the Rasa-Pradoshaja-Vikara and also mentioned under Shukra-Pradoshaja-Vikara.In present days, canned food, preserved food, highly irregular meal timings, and mental factors like fear, anxiety, stress, and tension lead to disturbed physical and mental health status.These are risk factors for sex-related disorders as described by Acharya Charaka: "gurutamatisnigdhamatimtra samanatm rasavhni duyanti cintyn cticintant" (i.e., heavy, cold, excessively oily, and overabundant food, coupled with prolonged mental exertion, can disturb the Rasa Dhatu pathways).Acharya Charaka has expounded four types of Klaibya, namely Bija-Upghata, Dhwajabhanga-Janya, Jara-Janya, and Shukra Kshaya.In Brihatrayi, various treatment modalities, i.e., Sodhana, Shamana, Rasayana, and Vajikarana, have been prescribed in the management of Klaibya.