| dc.description.abstract | Ayurveda classical texts have mentioned that Dvajabhanga can be correlated with Erectile
Dysfunction (ED) in modern medicine. In this study the PICO model was used to formulate the
research question. This systematic review was conducted as per the PRISMA- P guidelines. The
terms ED, Dvajabhanga, Klaibya and Shukra Dushti were used in searching without narrowing or
limiting search elements. Accordingly, clinical trials, case series, case reports were included and
ED patients aged between 18 to 70 years were diagnosed, irrespective of ethnicity and marital
status, with or without diabetes mellitus, psychogenic ED, obesity were included in this study. At
the end of the selection process, 23 research articles Including 9 clinical studies and 14 review
articles were selected Clinical trials have been conducted for diagnosed ED patients and selected
treatment modalities were as follows: Shodhana, Shamana, Shodhana with Shamana, External
applications, and Uttarabasti. Among the clinical studies, Shamana (Rasayana Drugs) followed by
Shodhana may show a better result than only Shamana treatment. Kaminimadvidhunan Ras and
Pramehamihir Tail Matra Basti have a significant effect in treating ED due to diabetes. Kapikacchu
Churna (black seeds) has shown a highly significant increase in erectile function and sexual
desire. The results of the 14 review articles recommended suitably combined treatment options
as a general line of treatment for Dvajabhanga – Purification therapy: Snehayukta Virechana,
Asthapana and Anuvasana, Vrishya yogas. In addition, Uttarabasti is recommended as a local
treatment for ED. It can be concluded that Panchakarma with internal medicine treatments was
observed to have better results for ED with or without Diabetes Mellitus than only internal
medicine. | en_US |
