Benign Prostate Hyperplasia (BPH) In Ayurveda

The prostate is a small walnut-sized gland in the pelvis that is only found in men. It is located between the penis and the bladder and surrounds the urethra. The prostate’s main function is to help with the production of semen.

A non-cancerous growth of the prostate gland in men, which occurs with natural ageing, is called benign prostatic hyperplasia (BPH). An enlarged prostate gland affects nearly 20% of men at the age of 40yrs, 70% at age 60, and 90% by the age of 80yrs.

Although prostate enlargement is a normal ageing process, sometimes the growth is rapid and may need medical intervention. An accurate diagnosis of BPH is required before starting any treatment

Causes Of Benign prostate hyperplasia (BPH):

With ageing

• Increase in di-hydro-testosterone (DHT)
• Increase in estrogen
• Decrease in testosterone.

Some of the common causes of Vata imbalance in the prostate are:

• controlling the urge to urination
• controlling the urge to defecation
• over-indulgence in sex
• consuming dry, cold, and not enough food
• old age
• general weakness
• indigestion
• physical and mental over-exertion.

Certain medications also trigger the symptoms of BPH like

Cold or sinus medications that contain decongestants or anti-histamines

Asthmatic drugs (esp. inhalers)

Allergy and hay fever drugs

Risk factors for prostate gland enlargement include:

Several Ayurvedic treatments, diets, and drinks are effective to control prostate gland enlargement.

For better control of BPH, do Exercise and Yogic breathing along with ayurvedic treatments.

Symptoms and Signs of Benign prostate hyperplasia (BPH)

• Difficulty in initiating micturition
• Dribbling of urine
• Dysuria
• Frequent urge to urinate
• Haematuria
• incomplete voiding
• Nocturia
• Straining to pass urine
• Sudden urge to urinate resulting in incontinence (if tried to stop)

The size of the prostate doesn’t necessarily determine the severity of symptoms. Some men with only slightly enlarged prostates can have significant symptoms, while other men with very enlarged prostates can have only minor urinary symptoms.

Investigations of BPH

• Digital Rectal Examination (DRE) to feel the size of the prostate.
• Prostate-Specific Antigen (PSA) Blood Test to rule out prostate cancer.
• Rectal Ultrasound
• Prostate Biopsy
• Urine Flow Study
• Cystoscopy

Benign Prostatic Hyperplasia (BPH)-

An Ayurvedic Approach:

In Ayurveda, Ashthila along with other conditions like Mootrakrucha, Mootraaghaata, and Mutra Granthi can be correlated with BPH on the basis of symptoms.

The disease occurs due to the vitiation of Apanavayu along with the vitiation of Kapha and Pitta Doshas.

 Ashtila / Mutrashtila –

It is a condition that has often been

compared to enlargement of the prostate gland. A stony swelling

that obstructs the passages of urine and faeces is said to be

formed.

Mootraaghaata–

There is total suppression or intermittent flow of urine during urination

Mootrakruchra-

Difficulty in urine is characterized by severe pain in passing urine

Mutra Granthi –

A small, rounded, unmovable cystic swelling

which gives pain similar to urinary stones is suddenly formed at

the opening of the urinary bladder (at the place where

the prostate gland is located) and causes obstruction to the passage

of urine.

Samprapti – Pathogenesis Of BPH

Dosha – Vata, Kapha

Dushya – Rakta (blood), Mamasa (muscular fibres of the gland),

Mutra (urine), shukra (semen)

Srotas – Mutravaha, Shukravaha

Sroto dushti lakshana – Sanga (obstruction to the free flow of urine

and semen)

Roga Marga – Abhyantara (viscera), Madhyama (prostate is

related to the urinary bladder which is a vital organ)

Krichha Sadhya Asadhya (prognosis) – curable with difficulty

Treatment Of Benign Prostatic hyperplasia (BPH)

• Wait and Watch

For those who do not have irritating symptoms of BPH.

• General measures
  1. Stop drinking any liquids for one to two hours before going to bed.
  2. Stop drinking alcohol and caffeine
  3. Exercise regularly (walk for 30 to 60 minutes a day)
  4. Ayurvedic Medicines

• Surgery
  Transurethral resection of the prostate (TURP)
  Laser procedures

Management of Benign Prostatic Hyperplasia (BPH) In Ayurveda :

The treatment of an enlarged prostate in Ayurvedic medicine entails strengthening the urinary system, calming exacerbated Vata, as well as reducing the signs and symptoms of hypertrophy.

It can also help with prostate shrinkage, resulting in a better quality of life for patients with this ailment.

For treating an enlarged prostate, Ayurveda recommends a variety of herbs, formulations, and treatments. Ayurvedic herbal remedies used to treat this ailment can be taken for a long time without causing major or negative side effects, even in the elderly.

Long-term health can also be aided by simple dietary and lifestyle modifications.

Treatment principles Of Benign Prostatic Hyperplasia (BPH)

The treatment should be based on the prevalence of doshas that are implicated in the pathology.

Ashtila and Mutra granthi may be considered as different presentations of

the same condition.

Ashtila might be movable due to the predominant involvement of Vata,

Ashtila is a large enlargement that may cause constipation.

Effective laxatives and Vata relieving remedies, including enemas will be

beneficial to combat obstruction to urine and faeces.

Mutragranthi is a condition in which Kapha and blood become involved in the pathogenesis, rendering the enlarged prostate immobile. Mutragranthi is a minor swell.
If Kapha predominates in mutragranthi, therapeutic emesis should be planned. To relieve pressure symptoms, local or total body massage and sudation should be used liberally.
If inflammatory symptoms are present in mutragranthi, mild sudation should be administered, and purgation should be preferred.

Ashmari Chikitsa – Because mutragranthi causes ‘calculi-like pain,’ it should be treated with urinary stone-curing medications.

BPH and Panchkarma

Panchakarma is an ancient detoxification method for modern diseases. It aids in the management of an enlarged prostate by restoring balance. Panchakarma consists of consuming medicated ghee, followed by therapeutic massage and a herbal steam bath.
Enema is a major panchakarma procedure (vasti). Among the various types of enemas, herbal oil enema is used to calm Vata and reduce the size of an enlarged prostate.

Ayurvedic herbs for Benign Prostatic Hyperplasia (BPH)

• Varuna (Crataeva Nurvala)
• Shilajeet (Mineral pitch and Asphaltum)
• Ashwagandha (Withania Somnifera)
• Gokshura (Tribulus terrestris)
• Alsi (Linum usitatissimum)
• Yasada Bhasma
• Varanadi Kwatha
• Kanchnaar Guggul
• Khadira (Cucurbita maxima)
• Vanga Basama
• Trivanga Basma
• Chanderaprabha vati

Varuna (Crataeva Nurvala)

It is one of the more well-known Ayurvedic herbs in Ayurvedic treatment for prostate infection and enlargement
It is a bitter-tasting herb
It is a natural anti-inflammatory which makes it effective in the management of inflammatory issues
Used in traditional Ayurvedic medicine for prostate enlargement concerns, as a blood purifier, gout, and skin disease management.
It is popular in herbal supplements for urine retention, kidney stones, headache, gout, bloat, and heart disorders.
It is a natural herb beneficial in treating prostate pain and as an Ayurvedic treatment for BPH
Helps calm Kapha and Vata Doshas while promoting the Pitta Dosha.

Shilajeet (Mineral pitch and Asphaltum)

Shilajit is widely famous in the Indian subcontinent and Himalayan region because of its anti-ageing effects and other health advantages.
Traditionally it is utilised in all forms of male health issues relating to the genito-urinary system.
Shilajit is utilised for burning feeling during micturition, incontinence of urine arising from enlarged prostate or stone in the bladder or kidney.
Shilajit is an excellent natural remedy for Benign Prostatic Hypertrophy.

Ashwagandha (Withania Somnifera)

Ashwagandha (Withania Somnifera) should be included in situations of Vata aggravation disorders. It is also useful in prostate cancer. It boosts testosterone levels.

Gokshura (Tribulus terrestris)

It is effective to control urinary disorders by helping to enhance urine flow.
It is a classic prostate gland Ayurvedic medicine.
It is effective in Ayurvedic therapy for erectile dysfunction, urinary tract infections, and polycystic ovarian syndrome (PCOS) (PCOS). Ayurveda indicates that it is a wound healer, anti-inflammatory, promotes ovulation and helps manage glucose intolerance.
Ayurvedic diuretic maintains the fluid balance in the body and assists break down kidney stones and gall bladder stones.
Helps improve energy and vitality.
It is used in the Ayurvedic treatment for prostate cancer, to aid increase bodybuilding, weight loss, anti-obesity, treating urogenital disorders, and as an aphrodisiac.
It is also used as an Ayurvedic diuretic and organ cleanser.

Alsi (Linum usitatissimum)

This is another term for flax seed, which is utilised in Ayurveda to improve nerve and muscle strength.
It is beneficial to one’s general health.
It is an anti-inflammatory, diuretic, antitussive, cardiotonic, antiplatelet, expectorant, laxative, antioxidant, and analgesic natural herbal remedy.
It is used in folk medicine for enlarged prostate and BPH
The seeds are soaked in water and the liquid is consumed in the morning to reduce hot urination and as an Ayurvedic treatment for prostate enlargement
It is also a good galactagogue
It is a natural therapy for excessive cholesterol and obesity.

Yashada Bhasma

The zinc ash which is used in traditional Ayurvedic formulas is this.
Because it is thought that a shortage of this mineral leads to prostate problems, supplementation helps to resolve problems.
Along with erectile dysfunction, it is also helpful for other signs of zinc insufficiency.

Varunadi Kwatha

This is an Ayurvedic formulation that has traditionally been effective in promoting prostate gland health. This Ayurvedic treatment for the prostate is supposed to help preserve the size of the prostate gland. This Kwatha has been used for hundreds of years and is produced as per the directions in the ancient Ayurvedic text

Kanchnaar Guggul

This is another powerful herbal cure for the Enlarged prostate gland. Traditionally in Ayurvedic medicine, this herbal supplement is utilised for all forms of excessive growth of numerous tissues including the prostate gland. Kachnaar Guggul gives benefits with other supplements like Varunadi Vati, and Shilajit Capsules after a few days of utilising them.

Supplements For Benign Prostatic Hyperplasia (BPH)

Ayurveda offers a combination of nutrition, food habits, exercise, lifestyle modifications as well as supplements to keep prostate troubles at bay. Good health is the best method to handle health concerns.

Herbs and Spices effective in prostate disorders are as follow:

Haldi (Turmeric):
Reduces the metabolic toxins, supports the health of the liver, cleanses the blood, and helps to alleviate prostate difficulties.

Methi (Fenugreek):
Reduce the Prostate enlargement

Pudina (mint), Jeera (cumin), and Saunf (fennel):
These spices are used traditionally to help maintain the Vata Dosha and regulate the bowels.

Benign Prostatic Hyperplasia (BPH)—-Patent Medicines:

Some Patent medicines for BPH are

• Tablet Gonanti
• Tablet Bangshil
• Capsule Rentone
• Tablet Himplasia
• Tablet Nevil
• Capsule Ural BPH
• Capsule Effectto
• Capsule Pro Saw
• Capsule Prostate P
• Capsule Prostowin

Tablet Gonanti   

 Arya Aushadhi Pharmaceutical Works

Ingredients:
Each Tablet Contains
CHANDANADI VATI — 75mg
Berberis aristata (Rasavanti) —60mg
GOKSHURADI GUGGAL, TRIFLA GUGGUL  Each 50mg
HAJRAT BERPISTI ———30mg
Cucumis sativas(Kakdi Beej), Cubeba officinalis (Marich Kankol),Strychnos potaforum (Nirmali), SHWETPARPATI, Raphensis sativus(Mulikshar)—Each 20mg
SHILAJIT —15mg
MUTRAKCHHANTAK RAS, PAVAL PISTI, Ext. Ficus golmerata (Udamber Ghan), YASHAD BHASMA—Each 10mg
Processed In:
ASHMHARI QUATH, VARUNADHI QUATH,PASHAN BHEDADI QUATH, MUTRAL KSHAI, CHANDANADI QUATH— Each 50mg

Indications:
• Nephritis
• Urinary Calculi
• Cardiac edema
• Burning-painful frequent micturition
• Urethritis –prostatitis-cystitis-pyelitis
• Crystalluria
• Phosphaturia
• Spermaturia

Tablet Bangshil

Company Alarsin

Ingredients

Each tablet contains –

Shilajitu [Asphaltum] – 60 mg
Vanga bhasma – 40 mg
Guggulu [Commiphora mukul] – 40 mg
Makshika bhasma – 30 mg
Kasisa bhasma – 30 mg
Teja [Cinnamomum zeylanica] – 12 mg
Tamala patra [Cinnamomum tamala] – 12 mg
Dantimoola [Baliospermum montanum] – 12 mg
Nishottara [Ipomea turpenthum] – 12 mg
Ela [Elettaria cardamomum] – 9 mg
Vamsha [Bambusa arundinacea] – 6 mg
Chandana taila [Santalum album] – 3 mg
Sanchal [Sodium chloride]– 3 mg
Sarjikshara [Sodium carbonate] – 3 mg
Yavakshara [Potassium carbonate] – 3 mg
Guduchi [Tinospora cordifolia] – 3 mg
Vayuvidanga [Embelica ribes] – 3 mg
Gaja pippali [Scindapsus officinalis] – 3 mg
Chavya [Piper chaba] – 3 mg
Amalaki [Embelica officinalis] – 3 mg
Hartaki [Terminalia chebula] – 3 mg
Vibhiaki [erminalia bellerica]- 3 mg
Saindhava [Rock salt] – 3 mg
Pippali [Piper longum] – 3 mg
Maricha [Piper nigrum] – 3 mg
Shunti [Zingiber officinale] – 3 mg
Chitrakamoola [Plumbago zeylanica] – 3 mg
Ganthoda [Piper longa] – 3 mg
Haridra [Curcuma longa] – 3 mg
Daruharidra [Berberis aristata] – 3 mg
Ativisha [Aconitum heterophyllum] – 3 mg
Devadaru [Cedrus deodara] – 3 mg
Musta [Cyperus rotendus] – 3 mg
Kiratatikta [Swertia chirayata] – 3 mg
Vacha [Acorus calamus] – 3 mg – Sweet flag
Kachura [Curcuma zedoaria] – 3 mg
Bhola parpati – 3 mg
Sariva [Hemidesmus indicus] – 3 mg
Chibhada magaj [Cucumis species] – 3 mg
Vayavarna chal [Crataeva nurvula] – 3 mg
Shimal moola [Bombax malabaricum] – 3 mg
Renuka Beeja [Holarrhena antidysentrica] – 3 mg
Yastimadhu [Glycyrrhiza glabra] – 3 mg
Galijibhi [Elephantopus scaber] – 3 mg
Kankola [Piper cubeba] – 3 mg
Gokshura [Tribulus terrestris] – 3 mg
Bringaraja [Eclipta alba] – 3 mg
Shigru [Moringa oleifera] – 3 mg
Excipients – q.s.

Indication

Indication of Bangshil Tablet:
Burning, painful, sluggish, frequent micturition.
Urethritis
Cystitis
Pyelonephritis
Pyelitis
Prostatitis, bacterial prostatitis
Crystaluria [phosphaturia, oxaluria]
In females – chronic vaginitis, asymptomatic bacteria of pregnancy, after instrumentation.
In males – enlarged prostate.

Capsule Rentone

Rentone Capsule is a proprietary Ayurvedic drug made by Ayush Herbs Private Limited. It delivers urinary tract support, important in the management of urinary tract diseases.

Ingredients of Rentone Capsule

Each 500 mg capsule contains –
Shilapushpa – Didymocarpus pedicellata – 100 mg
Pashanabheda – Saxifraga ligulata – 100 mg
Varuna – Crataeva religiosa – 100 mg
Manjista – Indian madder – Rubia cordifolia – 25 mg
Tulasi – Holy basil – Ocimum basilicum – 25 mg
Apamarga – Achyranthes Aspera – 25 mg
Shilajitu – Asphaltum – 25 mg
Gokshura – Tribulus Terrestris – 25 mg
Lajjalu – Sensitive plant – Mimosa pudica – 25 mg
Kulattha – Horse gram – Dolichos biflorus – 25 mg
Musta – Nutgrass – Cyperus rotundus – 25 mg

Indication of Rentone Capsules

Urinary tract infection
Kidney stones
Bladder stones
Cystitis
Prostatitis
Urethritis
irritable bowel syndrome
Benign prostatic hypertrophy

Tablet Himplasia:

Himplasia Tablet is a patented Ayurvedic drug developed by The Himalaya Drug Company. It is a new level in BPH management. Himplasia is a herbal Ayurvedic preparation that supports optimum prostate health, urogenital function, bladder function, and reproductive function.

Ingredients Of Himplasia Tablets

Each tablet contains –
Gokshura – Cow hage – Tribulus terrestris – 140 mg – It has diuretic, anti-inflammatory, aphrodisiac properties.
Putikaranja – Fever nut – Caesalpinia bonduc – 120 mg – It has anti-spasmodic action.
Puga – Betel nut – Areca catechu – 100 mg
Shatavari – Buttermilk root – Asparagus racemosus – 80 mg
Akikapisti – Ayurvedic medicine – 80 mg
Varuna – Crataeva nurvula – 80 mg – It has diuretic activity.
Processed in – Babbula – Acacia nilotica – It has anti-microbial, anti-bacterial activities.
Kulattha – Horsegram – Dolichos biflorus – It has anti-urolithiatic, anti-inflammatory properties.
Kumari – Aloe vera – Aloe barbadensis – It has anti-bacterial activity.

Indication

Benign prostatic hyperplasia

 Abnormal proliferation of prostate cells

Tablet Nevil

Tablets is a proprietary Ayurvedic medicine manufactured by Arya Aushadhi Pharmaceuticals. It is used in the treatment of prostate enlargement, and backache.

Ingredients of Nevil Tablets

Chandraprabha – 60 mg Rasayana churna – 50 mg
Kapikacchu – Mucuna pruriens – Velvet beans – 25 mg
Shatavari – Asparagus racemosus – Buttermilk root – 25 mg – it has anti-inflammatory properties.
Vidanga – Embelia ribes – 25 mg Ashwagandha – Withania somnifera – 25 mg – it has diuretic action.
Yasthimadhu – Glycyrrhiza glabra – Licorice – 25 mg
Shilajitu – Fulvic acid – 15 mg
Mandura bhasma – Iron oxide – 15 mg – it has anti-inflammatory action. Kukkutanda twak Bhasma – Eggshell ash – 15 mg
Amalaki Rasayan – Ayurvedic preparation – 15 mg
Bang Bhasma – Tin calx – 10 mg
Sudh Kuchla – kupilu – Strychnos nuxvomica – 10 mg
Swarna makshik – Copper and Iron Pyrite – 10 mg
Trikatu – 10 mg
Pippali – Piper longum – Long pepper
Maricha – Piper nigrum – Black pepper
Shunti – Zingiber oficinale – Ginger – It has analgesic and anti-inflammatory properties.
Ras Sindhur – 10 mg – It improves immunity and has anti-inflammatory action.
Akik Pisti – Agate calx – 10 mg
Processed In : Triphala – Amalaki – Emblica Officinalis – Indian gooseberry Haritaki – Terminalia chebula – Chebulic myrobalan
Vibitaki – Terminalia bellerica – Baheda Bhringraj – Eclipta alba – False daisy – 50 mg Gangaran
Brahmi – Bacopa monnieri – Herb of grace
Shankh-pushpi – Convolvulus pluricaulis – English speed wheel
Bhoomi Amla – Phyllanthus niruri – 25 mg – It has analgesic, anti-inflammatory, and anti-spasmodic activities.
Haridra – Curcuma longa – Turmeric – 15 mg,
Jatamansi – Nardostachys
jatamansi – Spikenard Malkangni Oil – Jyothishmathi – Celastrus paniculatus

Dietary Recommendations:

• A diet high in unprocessed, organic foods is very good for prostate health in general. Nutrient-rich foods may be used to both cure and prevent conditions like prostatitis, benign prostatic hypertrophy, and prostate cancer.
• Pumpkin seeds, cayenne, jackfruit seeds, broccoli, mushroom, pomegranate, and Yogurt are good.
• Foods, such as asparagus, bananas, and dates will delay prostate swelling.
• Herbs like senna leaf to move Apana Vata, ajwain seed, asafetida to enhance digestion, and turmeric for inflammation.
• Avoid Pickles, squashes, some beverages like Beer, Lemonade, Cocoa, Sauces, chocolate, canned fruit juices, Citrus fruits (particularly orange juice), Watermelon, Pineapple, etc.
• Avoid intake of more fluid after 7 pm to reduce the need for frequent urination.
• Take less salt as it causes fluid retention
• Dry, Cold, astringent pungent foods should be avoided.
• Avoid food which is heavy to digest.
• Avoid Broad Beans, Tomatoes, White Corn, Yellow Corn, Peas, fish and meat, Red wine, Aged wines, Coffee, Soft Drinks, and Tea.

Management of Lifestyle Factors in Benign Prostatic Hyperplasia (BPH):

Do’s:

• Urinate as soon as the urge arises.
• Remain sexually active.
• Take time to urinate when it is convenient, even if there is no urge.
• When you take long trips, make frequent stops to urinate.
• Sit on a hard seat or chair, instead of a soft one, whenever possible.
• Drink eight or more glasses of water every day.
• Avoid Vata-increasing factors like alcohol, tobacco, smoking and coffee.
• Avoid foods which cause constipation.
• Avoid dampness and cold temperatures.
• Control stress.
• Reduce mental exertion at work place and at home.
• Do pelvic floor muscle exercises.
•  Eat a diet high in protein and vegetables and low in red meat and fat

Do Not’s

• Don’t control the natural urges of urination.
• Do not drink liquids too close to bedtime.
• Don’t take medications for colds and allergies that contain decongestants such as pseudoephedrine.
• Stop alcohol consumption

Complications Of Benign Prostatic Hyperplasia (BPH).

Urinary tract infections

Acute urinary retention

Kidney damage

Note:

This article is intended for awareness and education, and not for treatment. It is not a substitute for personalized advice from an experienced Ayurvedic doctor. If you feel any symptoms of an enlarged prostate, or you wish to prevent the symptoms, then contact us.