MANAGEMENT OF BENIGN ENLARGEMENT OF PROSTATE (BEP) BY DASHMOOL TAIL UTTARBASTI - A CLINICAL REVIEW STUDY

Maheshkumar N. Chaudhari*

ABSTRACT

Necessity is the mother of invention. One of every 5 senior citizen is suffering from BEP. Many causes are behind this. Uttarbasti (induction of drug in urinary bladder) is the part of Panchakarma Chikitsa There are medicines available for Benign Enlargement of Prostate (BEP) but no medicine available to avoid BEP and its related symptoms. TURP is not the final solution for that. But for this, there are a perfect experience based solution available in Ayurveda. Acharya Sushruta & Achary Charak. elaborated a technique of Uttar-basti in his scripture. This technique is totally new for modern world .BEP is a disease of old age, after 50 years of age. Though the pathology has been well established that it is nodular hyperplasia, but its cause is not known definitely. It is disease process with a well defined age incidence. BEP is uropathic disorder illustrated as one of the type of Mutraghat in Ayurveda. i.e. Vatashthila. Hesitancy, frequency and urgency, rarely haematuria, retension of urine and residual post void urine are common symptoms. There is no definitive treatment available and for minimum invasive surgical procedure like TURP has limitations. Patient may not be fit for surgery at this age. But in Vatashthila (BEP), the choice of treatment is Uttarbasti as Shodhan chikista. Uttar-basti is non-invasive, inexpensive, para-surgical, OPD basis procedure in which some medicinal preparations are administered in urinary bladder through catheter. In this study, we managed the patients of BEP with Dashmool taila Uttra-Basti came to our OPD & got encouraging result. Due to vitiation of Apan vata dosha. Prostate gland enlarged as per Ayurveda pathogenic theory. We observed that Dashmool tail Uttar-basti is effective in BEP. Dashmood taila normalizes / controlled vitiated Apan Vata dosha, bladder neck, which enhances the function of Apan-vayu and relieved from all BEP symptoms and increased urine flow and decreased post void urine residue & hence avoids further serious complications of BEP.

Keywords: Ayurved Urology, BEP, Uttarbasti, Dashmool taila.