An Ayurvedic Management of BPH by Uttar Basti Therapy (UBT)
Journal name: Ayushdhara
Original article title: An Ayurvedic Management of BPH by Uttar Basti Therapy (UBT)
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Anu Kotiya
PG Scholar, Department of Shalya Tantra, IMS, BHU, India.
Lakshman Singh
Professor and Former Head, Department of Shalya Tantra, IMS, BHU, India.
AK Dwivedi
Assistant Professor, Department of Shalya Tantra, IMS, BHU, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: An Ayurvedic Management of BPH by Uttar Basti Therapy (UBT)
Year: 2023 | Doi: 10.47070/ayushdhara.v10i5.1347
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Benign Prostatic Hyperplasia (BPH) is a prevalent condition in men over the age of 40, characterized by the enlargement of the prostate gland, which leads to lower urinary tract symptoms (LUTS), including increased frequency of urination, urgency, intermittency, and weak urinary stream. In Ayurvedic nomenclature, BPH is identified as Vatashtheela, a type of obstructive urinary pathology. This condition poses significant challenges to the quality of life, prompting the need for effective therapeutic interventions. The presented case involves a 43-year-old male diagnosed with BPH, highlighting the use of Uttara Basti Therapy (UBT) with Shilodbhidadi taila to achieve symptomatic relief and clinical improvement.
Effective Management of BPH: Uttara Basti Therapy
Uttara Basti Therapy, an important procedure in Ayurvedic treatments, involves the instillation of medicated oils directly into the bladder, aiming to reduce symptoms associated with urinary obstruction. In the case study, the patient underwent UBT using 30 ml of Shilodbhidadi taila over multiple sittings, leading to significant improvements. The treatment resulted in a notable reduction in prostate size from 49 grams to 36 grams over three months and marked enhancement in urinary flow rate and a decrease in post-void residual urine. The International Prostate Symptom Score (IPSS) showed a shift from severe to mild symptomatology, confirming the efficacy of UBT in managing BPH and its symptoms.
Safety and Minimally Invasive Nature
The application of UBT offers several advantages over traditional surgical interventions like Transurethral Resection of the Prostate (TURP). TURP, despite being a gold standard for BPH treatment, carries risks such as bleeding, urinary incontinence, and erectile dysfunction due to its invasive nature. In contrast, UBT presents a minimally invasive approach that is performed on an outpatient basis, minimizing the financial burden and the risks associated with surgical procedures. The study underscores that this therapeutic modality not only alleviates symptoms but also improves patients' quality of life without the common complications associated with conventional treatments.
Conclusion
The findings from this case study advocate the role of Ayurvedic Uttara Basti Therapy as a promising treatment for managing BPH. The synergistic effect of Shilodbhidadi taila in UBT has demonstrated substantial reductions in prostate size and significant improvement in clinical symptoms and urinary flow rates. Such therapies not only stand as effective alternatives but also bridge the gap between conservative medical approaches and more invasive surgical procedures. The results advocate for broader clinical applications of UBT in the management of BPH, reinforcing its value as a feasible, effective, and cost-efficient therapeutic option in contemporary healthcare.
FAQ section (important questions/answers):
What is Benign Prostatic Hyperplasia (BPH) and its symptoms?
BPH is a common condition in older men, characterized by prostate gland enlargement. Symptoms include increased urinary frequency, urgency, weak stream, intermittency, and nocturia, significantly affecting the quality of life.
What is Uttara Basti Therapy (UBT) and its purpose?
Uttara Basti Therapy (UBT) is an Ayurvedic procedure aimed at treating urinary issues, specifically BPH. It involves administering medicated oils like Shilodbhidadi taila into the bladder to alleviate symptoms and improve prostate health.
What were the results of the study on UBT for BPH?
The study showed significant improvements: prostate size reduced, maximum urine flow rate increased, and International Prostate Symptom Score decreased, indicating effective relief of BPH symptoms with UBT using Shilodbhidadi taila.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “An Ayurvedic Management of BPH by Uttar Basti Therapy (UBT)�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Basti:
Basti refers to a therapeutic procedure in Ayurveda involving the introduction of medicinal substances into the urinary bladder or colon. In the document, 'Uttara Basti' refers specifically to a type of enema administered through the urethra to treat conditions such as Benign Prostatic Hyperplasia (BPH).
2) Taila (Thaila):
Taila is an Ayurvedic term for oil. In the study, 'Shilodbhidadi taila' is used in the Uttara Basti (UBT) therapy to treat BPH. This medicinal oil has properties that help in reducing Vata dosha and improving urinary function.
3) Uttara:
In the context of Ayurveda, 'Uttara' refers to a specific type of Basti (enema) that is administered through the urethra. 'Uttara Basti' is used to manage urinary disorders such as BPH, as mentioned in the study.
4) Karma (Karman):
Karma refers to activities or procedures in Ayurveda. The document outlines various steps or 'Karmas' such as 'Poorva Karma' (preoperative procedures), 'Pradhan Karma' (main operative procedures), and 'Pashchat Karma' (postoperative procedures) involved in administering Uttara Basti therapy.
5) Vata:
Vata is one of the three fundamental bio-energy principles (doshas) in Ayurveda. It governs movement, including the flow of energy and bodily fluids. In the document, BPH symptoms are seen as an imbalance of Vata dosha.
6) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalya-tantra is a branch of Ayurveda that deals with surgical procedures. The study of BPH management through Uttara Basti falls under Shalya-tantra, as it involves a minimally invasive method.
7) Mutraghata (Mutra-aghata):
Mutraghata refers to urinary retention or obstructive urinary disorders caused by an imbalance of Vata dosha. BPH is classified under Mutraghata in Ayurveda, and this condition was treated using Uttara Basti therapy in the study.
8) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha is one of the three doshas in Ayurveda responsible for bodily movement and physiological functions. An imbalance in Vata dosha leads to conditions like Mutraghata, as seen in BPH, which the Uttara Basti therapy aims to correct.
9) Snehana:
Snehana refers to oleation therapy, involving the application of medicated oils. In the study, 'Snehana' with 'Narayan tail' was performed as part of the preoperative procedure to prepare the patient for Uttara Basti therapy.
10) Tantra (Tamtra, Tantrism):
[see source text or glossary: Tantra]
11) Shalya (Salya):
[see source text or glossary: Shalya]
12) Dosha (Dosa):
Dosha refers to the three bio-energies in Ayurveda (Vata, Pitta, and Kapha) that govern physiological activity. Vata dosha imbalance causes conditions like BPH, which the Uttara Basti therapy aims to correct.
13) Tuberculosis:
[see source text or glossary: Tuberculosis]
14) Shothahara (Sothahara, Shotha-hara):
Shothahara refers to anti-inflammatory properties in Ayurveda. The 'Shilodbhidadi taila' used in the study has Shothahara properties, essential for treating conditions like BPH by reducing inflammation.
15) Discussion:
[see source text or glossary: Discussion]
16) Medicine:
[see source text or glossary: Medicine]
17) Lekhana:
Lekhana refers to scraping or cleansing properties in Ayurveda. The 'Shilodbhidadi taila' used in the study has Lekhana properties, which help in reducing the size of the prostate in BPH patients.
18) Samaka (Shamaka):
Shamaka refers to pacifying or soothing properties in Ayurveda. The 'Shilodbhidadi taila' used in Uttara Basti therapy has Vata-Shamaka properties, essential for relieving the symptoms of BPH.
19) Pradhan:
Pradhan in Ayurveda refers to the main or principal procedure. In the document, 'Pradhan Karma' denotes the primary step in performing Uttara Basti, involving the administration of oil through the urethra.
20) Kashaya (Kasaya):
[see source text or glossary: Kashaya]
21) Disease:
[see source text or glossary: Disease]
22) Ghrita (Ghrta):
[see source text or glossary: Ghrita]
23) Kshara (Ksara):
[see source text or glossary: Kshara]
24) Cotton:
[see source text or glossary: Cotton]
25) Kalka:
[see source text or glossary: Kalka]
26) Mutra:
[see source text or glossary: Mutra]
27) India:
India is the geographical context in which the study was conducted. The research was carried out in the Department of Shalya Tantra, IMS, BHU, India, highlighting the regional importance of Ayurvedic practices.
28) Ayus (Ayush):
AYUSH refers to the systems of Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy. The journal AYUSHDHARA focuses on research in AYUSH and allied systems, providing a platform for the study on Uttara Basti therapy for BPH.
29) Pulse:
[see source text or glossary: Pulse]
30) Blood:
[see source text or glossary: Blood]
31) Ghi (Ghee):
[see source text or glossary: Ghee]
32) Gold (Golden):
[see source text or glossary: Gold]
Other Science Concepts:
Discover the significance of concepts within the article: �An Ayurvedic Management of BPH by Uttar Basti Therapy (UBT)�. Further sources in the context of Science might help you critically compare this page with similair documents:
Mutraghata, Benign prostatic hyperplasia, Lower Urinary Tract Symptoms, International prostate symptom score, Digital rectal examination, Post void residual urine, Vatashtheela, Shilodbhidadi taila, Prostate specific antigen, Uroflowmetry.