A COMPARATIVE CLINICAL STUDY ON EFFICACY OF AMALAKA YOGA AND ASHWINI MUDRA

Dr. Sudesh Kumar Bhambu 1 , Dr. Priyanka Firoda 1 , Dr. Sarvesh Kumar Agrawal 2 and Dr. Durgawati Devi 3 . 1. Assistant Professor, MJF College of Ayurveda, Harota, Chomu, Jaipur (Raj.) 303702. 2. Assistant Professor, P.G. Dept. of Swasthavritta and Yoga, NIA, Jaipur (Raj.) 302002. 3. Associate Professor, P.G. Dept. of Swasthavritta and Yoga, NIA, Jaipur (Raj.) 302002. ...................................................................................................................... Manuscript Info Abstract ......................... ........................................................................ Manuscript History Received: 12 September 2019 Final Accepted: 14 October 2019 Published: November 2019 Klaibya is a multi-factorial condition, mainly involving Bahu Doshavastha as a whole and Sukrakhsaya in specific, Mano Dosa, and Sukravaha Sroto Dusti. The term 'Klaibya' is known as 'Erectile dysfunction (E.D.) in modern texts. The male sexual dysfunction includes all sorts of disturbances of coital performance and sexual congress in male. Among the various phases of sexual response the most essential is the intercourse, the absence of which ends into failure and dissatisfaction. Main aim of present study was to comparatively assess the efficacy of Amalaka Yoga and Ashwini Mudra in the patients of Klaibya. For the above purpose 60 patients were selected and randomly divided into two groups, each group had been 30 patients. It can be concluded that the Klaibya can be better managed by administration of Ashwini Mudra.

In Ayurveda, Purashartha Chatustaya i.e. Dharma, Artha, Kama and Moksha are said to be the main objects of life. The concept of Kama reveals that the recreational aspects like pleasure are equally important to its procreation aspects. Healthy sexual functioning plays essential role in maintaining the harmony and happiness in marital life. As well as healthy progeny is also totally depends on healthy sexual life. The male sexual dysfunction includes all sorts of disturbances of coital performance and sexual congress in male. Among the various phases of sexual response the most essential is the intercourse, the absence of which ends into failure and dissatisfaction. This condition is known as 'Klaibya' in Ayurvedic classics and 'Erectile dysfunction (E.D.) in modern texts. It is a significant and common medical problem and impacts significantly on mood state, interpersonal functioning and overall quality of life. 1 Amalaka yoga 2 has been advised in the patients of Klaibya (E.D.) as per Susruta Samhita. It is the dry powder of Amalaki poured in Amalaki Swarasa. It should be taken by mixing with Madhu, Sharkara, and Ghrita. After taking it, a glass of milk should be drink as Anupana. Ashwini Mudra 3 is compared to the expansion and contraction of the anus that meant to achieve the maximum movement of a specific position. It tones up and strengthens of pelvic muscles and organs which are put to work during the act of ejaculation and urination in men. To gain better control, one needs to strengthen these muscles. Ashwini Mudra provides well-being of all those muscles and nerves surrounding the anus sphincters. The diseases related the urogenital organs are specially cured. Overall, Ashwini Mudra provides everything that helps you live a healthy and long sex life. 60 Patients were distributed into following 2 therapeutic groups with 30 patients in each group.

Group A: Amalaka Yoga
In this group, Amalaka Yoga was administered two times in a day. Amalaka Yoga described in Ksheena-Baliya Vajikaranam Adhyaya of Susruta Samhita Chikitsa Sthana (Su.Chi. 26/24-25) was taken for the study.

Method: -
The patient was given 6 grams of Amalaka Yoga mixed with Sharkara, Madhu, Ghrit and with Anupana of Dhugdha twice daily in morning and at night for 6 weeks.

Group B: Ashwini Mudra
In this group Ashwini Mudra had been advised to practice in morning and evening for 10-20 minutes. To close the eyes, relax the whole body and breathe normally. Then patient was asked to keep the awareness on breathing and the anus. 3. To rapidly contract the anal sphincter muscles for a few seconds without straining and relax them. 4. To confine the action to the anal area. 5. Repeating for at least 10 rounds.

Data collection and monitoring
Follow up done after each 2 weeks for 6 weeks i.e. 4 follow ups in total were taken.

Criteria for Assessment of Result-Subjective Parameters-
The International Index of Erectile Function 15 items (IIEF-15) 4 has been used at baseline day, 2 nd week, 4 th week and 6 th week.

Discussion on results
The effect of therapy was assessed on each symptom of the disease according to questionnaire. The effect of therapy in all the groups in each sign and symptom is as followings-692 treatment was statistically analyzed and it was found that the results were statistically highly significance in the both groups.
While comparing the results the patients of Group B have shown better results as compared to the Group A. Hence, it can be concluded that the Klaibya can be better managed by administration of the Ashwini Mudra.