Author: Dr. Vikram Chauhan

Ayurvedic Treatment for Testicular Microlithiasis

Testicular Microlithiasis

Abstract

Testicles are the pair of sperm producing, oval shaped organs & main part of male reproductive system that are contained in a sac of skin called scrotum. Sometimes there is a collection of intratubular calcifications in one or both the testes which is known as Testicular Microlithiasis (TM). TM is relatively an asymptomatic condition usually found during the scanning (USG) of testes. But as this condition is associated with many benign & malignant conditions of testes, thus, can’t be ignored and must be diagnosed at early stages to get proper treatment. In this article we’re going to discuss the both, Modern & Ayurvedic view of Testicular microlithiasis side by side and its management with the best herbal products.

Testicular microlithiasis

Introduction

Testicular microlithiasis are often numerous, uniform, tiny, echogenic multitopic calcifications within the tubules that usually don’t cast acoustic shadows. This disease of unknown etiology involves the deposition of calcium deposits in the seminiferous duct’s lumen or may have arisen from the basement membrane components of the tubules. These microliths are generally so tiny that they are impalpable, painless and asymptomatic.

Ayurvedic View

This condition is best correlated with Shukrashmarij sharkara. Shukrashmari is mentioned by different Acharyas under the types of Ashmari (urinary calculus) which are formed in the vrishna (testicles) and medhra (penis). And the concept of microlithiasis can be best correlated with sharkara mentioned by Acharaya Bagbhatta in Ashtanga Hridaya.

Causes

Exact cause of testicular microlithiasis is not known according to Modern medicine.

But in Ayurvedic Texts

Ancient Reference

(Reference- Ashtanga hridaya nidana sthana 9/15)

According to Acharyas, the suppression of the urges of semen is the basic cause of Shukrashmari. Other than that, we can consider the common causes for Ashmari (stone) formation risk factors. These are: (Reference- Charka Chikitsa 26/36)

  • Not detoxifying the body at proper intervals.
  • Consumption of unwholesome diet & lifestyle
  • Overuse of kapha vardhak aahar vihar (kapha increasing diet & lifestyle)

Ayurvedic Samprapti of Microlithiasis (Sharkara)

After drying by Vayu and getting heat from pitta, and not achieving sufficient hardness from kapha, the ashmari (stone) breaks down into small gravel-like particles, these are known as sharkara (microlithiasis).

Sign & Symptoms

It is mostly an asymptomatic condition but there are some cases of painful testicular microlithiasis also reported. The mechanism of pain was considered due to the distention of seminiferous tubules. But it may be found in association with the cases of male infertility & testicular tumors.

Ayurvedic View

The clinical features of Shukrashmari as mentioned by Acharya Baghbhatta are:

  • Pain in bladder region
  • Dysuria (difficulty in urination)
  • Inflammation of testicles (orchitis)
  • Retention of urine
  • White & soft stone (if palpable)

Diagnosis

Testicular ultrasound is the best diagnostic method. It shows the microcalcifications in both or one of the testicles. Based on the presence of these microlithiasis this condition can be categorized in 3 types:

  1. Limited Testicular Microlithiasis: Presence of less than 5 microliths.
  2. Classic Testicular Microlithiasis: Presence of 5 or more microliths (tiny calcifications).
  3. Diffuse Testicular Microlithiasis: Multiple tiny calcifications are seen.

Treatment

Line of management for Testicular Microlithiasis in Ayurveda includes

  1. Herbs rich in vata and kapha dosha quenching properties along with the use of best herbal mutravirechak (diuretics).
  2. Avoidance of the possible causative/risk factors that can be responsible for Shukra ashmari.
  3. Use of plenty of fluids orally.
  4. Ashmari (here Testicular Microlithiasis) in the beginning without any associated disease, is easily manageable. So the procedure like sneh karma (local massage), kshaar prayog (use of alkali preparations), kshaya prayog (use of medicated decoctions), ksheer paryog (milk use) and uttara vasti (therapeutic enema through urethral route) are recommended. (Reference– Sushrut Chikitsa 7/2)

Herbal Remedies for Testicular Microlithiasis by Planet Ayurveda

Planet Ayurveda is ayurveda based herbal manufacturing company. The product formulated here are made with strict adherence to the ancient ayurvedic texts and principles. The formulations are prepared under the guidance of our expert ayurvedic physicians and are 100% obtained from natural sources, and are made with the help of ancient time-tested formulas.

Best Herbal Remedies as suggested by our team expert’s for Testicular microlithiasis are:

  1. Varunadi Vati
  2. Boswellia Curcumin
  3. Kanchnaar Guggul
  4. Reno Plan Syrup

Herbal Supplements for Testicular Microlithiasis

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Product Description

1. Varunadi Vati

The classical poly herbal combination formulated in tablet form. This is one of the best herbal remedies for various stone related cases. The ingredients include the combination of best three herbs having diuretic & blood purifying actions i.e., Varun (Crataeva nurvala), Gokshur (Tribulus terrestris) and Punarnava (Boerhavia diffusa). The blood purifying action of these herbs reduces the risk of stone formation in testicles and diuretic action facilitates the passage out of micro stones through urine. Also, the fourth ingredients i.e., Guggulu (Commiphora mukul) has analgesic properties which reduce the pain in testicular microlithiasis cases.

Dosage: Two tablets twice daily with lukewarm water, after meals.

2. Boswellia Curcumin

This formulation is the best remedy suggested by our experts for any painful, inflammatory or infectious conditions available in capsule form. Boswellia Curcumin as the name describes, is made up of two ingredients Boswellia serrata (Shallaki) and Curcuma longa (Curcumin or haridra). In the case of testicular microlithiasis, the boswellia part will reduce the pain as Shallaki is well known for its analgesic properties & haridra fasten up the healing process & also reduce the risk of the infection in testicles. These both in combination will also act as a great anti-inflammatory agent, reducing swelling in inflammatory cases of this disease.

Dosage: One capsule two times a day, with plain water after meals.

3. Kanchnaar Guggul

The best-known herbal formulation for any swelling related disorders. Kanchnaar guggul is the classical formulation having 9 ingredients available in tablet form. The main ingredients include the Kachnaar (Bauhinia variegata) in combination with Guggul (Commiphora mukul) which acts as a perfect herbal anti-inflammatory agent. Also, the other ingredients such as trikatu (Piper nigrum, Piper longum and Zingiber officinale) also act as an analgesic agent aids in painful conditions also due to ushna virya (hot potency) they start dissolving these stones. And triphala (Terminalia chebula, Terminalia bellerica and Embilica officinalis) will promote the cleansing of toxins from the body which will help in reducing the recurrence of these microliths. In the end, the varun (Crataeva nurvala) will make the slow passage of the dissolved stones in an easy way.

Dosage: Two tablets twice daily with lukewarm water after meals. (Either crush or chew well the tablets for better results)

4. Reno Plan Syrup

This poly herbal syrup is formulated by Planet Ayurveda’s experts for various kidney related disorders & urinary tract infections due to the diuretic action of these multiple herbs. The main ingredient of this syrup is Bhumayamlaki (Phyllanthus niruri) which is known for its stone crushing actions, it will speed up the dissolution of these microliths and the ingredients of this syrup such as Punarnava, gokshura etc. along with Trinpanchmool Ghan will facilitate the excretion of these through urinary passage. Trinpanchmool Ghan is the 5-root extract i.e Kash (Saccharum spontaneum), Shara (Saccharum munja), Kush (Desmostachya bipinnata), Darbha (Imperata cylindrica), Ikshu (Saccharum officinarum) which are considered as the 5 best herbs for mutravirechaniya activity (i.e enhance free flow of urine), and are also beneficial in urinary tract infection which may be caused due to testicular microlithiasis. The other left constituents of the syrup such as kalmegh (Andrographis paniculata), Kaasni (Cichorium intybus), Trapush (Cucumis sativus) etc. will promote the normal functioning of the kidney that reduces the risk of further stone formations.

Dosage: Two teaspoons twice a day, after meals.

Conclusion

After reading this article you know about Testicular microlithiasis, in the modern system of medicine there is no exact treatment of this disease available. They only rely on symptomatic treatment and if the patient is presented with an asymptomatic condition only monitoring is done for any associated diseases. This will lead to formation of many complications. However, in Ayurveda, with the use of these herbal formulations the dissolution and easy removal of these microliths is possible. These herbs will not only treat the disease but also prevent the recurrence of this type of disease and other associated urinary tract infections & side by side enhancing the kidney functions.

What are the uses of Mukta pishti? – How is it made??

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The beauty of the world is inexhaustible..! The sunrise, the sunset, the mountains, the landscapes, the plains, the deserts, the glaciers, the cherry blooms, the wonderful edifices, the islands, the rivers, the oceans, the deep sea wonders, the coral reefs, the jewels and what not…. !! Their mere existence prevents life from being prosaic. At least one among all these splendours must be experienced by all, to symbolise a meaningful life.

What do you know about the formation of pearls?!!

Basically, pearls are natural constituents found in the environment. When an irritant works its way into a specific species of  oyster, mussel or clam, a natural pearl (often known as Oriental Pearl) is formed. The mollusk exudes a fluid to coat the irritant which acts as a shielding mechanism. Layer upon layer of this covering is accumulated on the irritant, until it results in the formation of a dazzling pearl.

Since the archaic times, muktas (pearls) have been known for their healing properties. Permeated with amino acids, calcium & trace minerals, pearls have numerous profits claimed for skin and health. As per Ayurveda, pearls are an unequivocal antidote for all – be it in curing psychological issues, bringing down body heat, cooling the digestive tract, improving the skin lustre or yielding solace from stress.

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Let’s try making Mukta pishti, a fantastic Ayurvedic formulation!!

Mukta pishti also called Moti pishti, is an Ayurvedic formulation which is prepared from sterilised & scarcely seen freshwater pearl paste immersed in clear rosewater. It is generally white in color and is the innate & most refined form of calcium. It has no distinct taste but has a pleasant odor. The ancient Ayurvedic literature has detailed the use of this formulation which has been instilled with anti-inflammatory, antacid, anti-microbial, anti-stress, antidepressant and other innumerable properties.

How To Make Mukta pishti?

  • Take 10 parts of purified mukta or pearl (using buttermilk for 3 days). After drying it thoroughly, crush the muktas into a very fine powder with the help of a mortar and pestle. Add rose water to it and stir it well.
  • One should continue to grind the mixture for 3-4 days till a thick, paste-like consistency is attained. For future use, they are stored well in sealed glass bottles.
  • Essentially, Mukta pishti constitutes 10-15% of Conchiolin, 82-84% of Calcium carbonate and 2-5% of water. Hence, Mukta pishti is a preparation simple in its outlook, but immensely elaborate in its benefits.

A panacea to elevate general health?!!

Ayurveda – the perpetual science of life! The main aim of this system of medicine is

प्रयोजनं चास्य स्वस्थस्य स्वास्थ्य रक्षणं आतुरस्य विकार प्रशमनं च |

To maintain one’s health and to relieve one who suffers.

Mukta pishti helps in relieving diarrhoea accompanied by bleeding & other bleeding disorders, immoderate burning sensation, dyspepsia, fever, diabetes, bone disorders, various eye disorders and so forth. It can be moderately used in treating the mentallly ill, comprising individuals suffering from psychosis, mania and depression. It acts by normalising kapha and pitta doshas which maintains serotonin level under control, thus lessening uneasiness and agitation related to anxiety.

The numerous beneficial features of Mukta pishti do not end here..! It goes on to include its functioning as a cardiac tonic, an aphrodisiac, a natural anti-hypertensive agent & enhancer of appetite. It is easy to digest, provides a cooling effect, promotes lustrous & flawless skin and even cures fever occurring at the time of teething in kids.

Mukta Pishti

mukta pishti

How effective is Mukta pishti in a psychological disorder?!

As a strong adaptogenic formulation, Ayurvedic Treatment with Mukta pishti is a very fruitful remedy for epilepsy, nerve fragility, hemorrhage, tuberculosis, other cognitive conditions like mental shock, short temperedness, tinnitus and so on. For these cases, it is prescribed along with few other restoratives like Brahmi ghritham, Saraswatarishtam, etc.

Mukta pishti can even stabilize the insobriety of deliriums such as dope, alcohol, datura, etc. Aside from healing psychological illnesses, it also gives efficacious results in sweating during the night. On the whole, Mukta pishti maintains a delicate balance between rakta and pitta. Special reference has been given to it in Ayurveda, in the treatment of raktapitta, rakta pradara, etc.

How is it administered? Does it have any side effects??

  • Mukta pishti is taken in a quantity of about 60-120 mg, either once or twice a day (before / after food) as suggested by the Ayurvedic physician. It is usually consumed along with honey, butter or milk.
  • The dosage is determined based on age, physical strength, appetite & condition of the patient and severity of the disease. One should refrain from consuming Allopathic & Ayurvedic medication at the same time. Not all constituents of both the systems of medicine may be compatible.
  • This is considered a very effective therapeutic administration that reportedly is devoid of side effects when used in proper dosage. It gets properly absorbed by the body when taken along with milk. ‘ ‘ ‘ Anything, when taken in excess, causes damage. Hence, Mukta pishti overdose can lower the blood pressure. Take extra care to keep this formulation away from children and to store it in a cool & dry place. One must resolutely avoid self medication and strictly follow the instructions given by Ayurvedic physicians, since wrong dosage may prove fatal.

As an incredible formulation in the Rasashastra, Mukta pishti has been given sufficient importance in Ayurvedic scriptures, owing to its elaborate health benefits. It is considered an amazing adaptogen that helps in stabilizing kapha and pitta doshas, which in turn aids in controlling your emotions. Mental health, improved digestive power, glowing skin and enhanced immunity are merely a few among the benefits that constitute the tip of this gigantic ‘ iceberg ‘.

Thus, quite literally, discover the hidden gems in Ayurveda through Mukta pishti !!