Abstract

PSYCHOGENIC ERECTILE DYSFUNCTION AND AYURVEDA: A CASE STUDY

Dr. Kritartha Sarma*, Dr. Manir Uddin Dewan and Dr. Shyamanta Kalita

Abstract

Erectile dysfunction (ED), traditionally viewed as primarily psychogenic, is now understood as a complex condition involving both psychological and physiological factors, including stress, hormonal imbalance, and neurovascular dysfunction. In modern medicine, dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis, elevated cortisol, and reduced testosterone are implicated in psychogenic ED. Ayurveda, centuries ahead in recognizing mind-body connections, classifies such dysfunctions under Klaibya, particularly Manasik Klaibya, where disturbances of Manas (mind) and Vata are central. Classical descriptions include symptoms like Linga Saithilya, Mogha Sankalpa, and Nirvirya. Ayurvedic rasayana and Vajikarana therapies emphasize rejuvenation of Shukra dhatu, mental stability (Satva), and systemic vitality (Ojas). Herbs such as Ashwagandha, Kapikacchu, Vidarikanda, and Pippali are recognized for their adaptogenic, androgenic, and aphrodisiac properties, often modulating dopamine, nitric oxide, and testosterone pathways. The theoretical convergence of ancient Ayurvedic concepts and contemporary psychoneuroendocrinology offers a robust, integrative framework for understanding and managing psychogenic sexual dysfunction holistically.

Keywords: Erectile Dysfunction, Klaibya, Sex, Vajikaran, Ayurveda.