REVISITING VATASTHILA: INTEGRATIVE AYURVEDIC APPROACHES FOR EFFECTIVE MANAGEMENT
Dr. Sarvesh Dubey*, Dr. Jyoti Dubey and Dr. Lata Arya
ABSTRACT
Benign Prostatic Hyperplasia (BPH) is a prevalent issue among the elderly, described in Ayurveda as Vatastheela, a form of Mutraghata (obstructive uropathy). The term "Mutraghata" combines "Mutra" (urine) and "Aghata" (trauma or obstruction), indicating an obstrucion to normal urinary function. Vatastheela, characterized by symptoms like urinary retention, incomplete voiding, and distension, correlates with Lower Urinary Tract Symptoms observed in BPH. This condition is especially common in men aged 60-70, with histopathological evidence showing its age-dependent prevalence, beginning around age 40. Over 50% of men in their 60s and up to 90% of men in their 70s and 80s exhibit BPH symptoms. This article explores the Ayurvedic perspective on BPH, including its etiology, pathophysiology, and treatment. Ayurvedic management involves dietary and lifestyle modifications, herbal remedies like Gokshura, Punarnava, and Varuna, and specific Panchakarma therapies. An integrative approach, combining Ayurveda and conventional medicine, is recommended for comprehensive management and better patient outcomes.
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