PANCHAKARMA INTERVENTION IN SHUKRA DUSHTI: A REVIEW ARTICLE
Shukradushti refers to the pathological alteration in the quality and quantity of Shukra Dhatu, resulting in various reproductive dysfunctions. Panchakarma therapy plays a significant role in eliminating vitiated doshas, restoring tissue metabolism, and improving the reproductive system.
Male factor contributes to nearly 40–50% of infertility cases, and a significant proportion is related to qualitative and quantitative abnormalities in semen, which can be correlated with Shukra Dushti described in Ayurveda. Classical texts advocate Shodhana (purificatory) measures prior to Vajikarana therapy in Shukra Dushti, with special emphasis on Panchakarma procedures such as Virechana, Basti, Nasya and Uttarbasti. Recent clinical studies and case reports indicate that Panchakarma, alone or along with Shamana and Rasayana therapies, can improve sperm count, motility and morphology, as well as associated systemic complaints, in conditions like Ksheena Shukra, oligozoospermia, asthenozoospermia, necrozoospermia and pyospermia. This review summarises classical concepts of Shukra Dushti, its etiopathogenesis, the rationale of Panchakarma interventions, and available clinical evidence.
KEYWORDS: Shukra Dushti, Ksheena Shukra, male infertility, Panchakarma, Virechana, Basti, Uttarbasti, Vajikarana.