Ayurveda management of Benign Prostatic Hyperplasia-A case report

Introduction: Elderly men often suffer from benign prostatic hyperplasia (BPH), for which there is no effective conservative treatment. The two broad categories of Mutraghata (obstructed urine) and Mutrakrichha (dysuria) have been used to describe all urinary diseases. Clinical Findings: Micturition frequency has increased approximately 8-10 times a day and 3-4 times a night during the last two years. Other lower urinary tract symptoms (LUTS) reported by the patient were dysuria, urgency, hesitation, terminal dribbling, nocturia, and disrupted sleep. Diagnosis and Therapeutic Interventions: Clinical examination associated with the patient's symptoms, followed by USG findings, confirms the diagnosis of BPH, which can be closely correlated with Mutraghata in Ayurveda. The patient was treated with Shamana (Pacification) and Shodhana (Purification) therapies, complemented by dietary and lifestyle modifications. Results: Remarkable changes were seen as the condition improved from Grade IV to Grade II. The weight reduced from 67.8 grams to 31.44 grams, the post-void residual volume dropped from 178 cc to 18 cc, and the International Prostate Symptom Score (IPSS) improved from 27 to 2. Conclusion: The adopted treatment approach for a period of 90 days has improved IPSS scoring and reduction of prostrate size, with no adverse events. The patient is performing his normal routine activities without any discomfort, further research is necessary to validate the results.