ROLE OF VIRECHANA, UTTARAVASTI AND AMRUTAPRASHA RASAYANA YOGA IN AZOOSPERMIA (SHUKRA KSHAYA) - A SINGLE CASE STUDY

Azoospermia is a cause of male infertility. A male patient showed improvement after intervention; hence, it has potential to be published as a single case study. The objective was to assess the efficacy of Shodhana, Uttarabasti, and Vṛṣya Rasāyana in azoospermia. Methodology: A 48-year-old male patient, diagnosed with azoospermia and infertility since 10 years, was treated with Śuṇṭhi cūrṇa 1 tsp TID with Uṣṇa jala before food. Dāḍimādi ghṛta Snehapāna was administered—50 ml on the first day and 75 ml for the next four days. Sarvāṅga Abhyaṅga with Yaṣṭimadhu taila followed by Bāṣpa sveda was done for three days. Nimbāmṛta Eraṇḍa taila 60 ml with 100 ml of milk was administered for Virecana. Saṃsarjana krama was followed for three days. Uttarabasti with Kalyāṇaka ghṛta (45 ml) was given for three days. Subsequently, Śamana auṣadhi—Aśvagandhā cūrṇa 1 tsp BD with milk, Śilājatu vaṭi 500 mg capsule 2 TID, and Amṛtaprāśa rasāyana 1 tsp OD with milk—was administered for three months. Results: Sperm count increased from 0 million/ml before treatment to 58 million/m after treatment at the end of three months. Active spermmotility was 20%, slow motility was 10%, and immotile sperm was 70% after treatment. Discussion: Even though azoospermia is described as Asādhya, principle-based Śodhana followed by Uttarabasti and Vṛṣya Rasāyana showed significant improvement in sperm count and motility, which is a novel and unique achievement. Probably, Śodhana altered the internal milieu and hormonal stimulation. Uttarabasti might have stimulated the sthānika śukradhārā kalā and local spermatogenesis. Vṛṣya Rasāyana kalpas may have contributed to the normalization of spermatogenesis. Conclusion: Śodhana, Uttarabasti, and Vṛṣya Rasāyana when judiciously administered can produce results in azoospermia. Details of this original unpublished work will be discussed in the full paper.