Abstract

NIRUDDHA PRAKASH WITH SPECIAL REFERENCE TO PHIMOSIS: A CASE STUDY

Dr. Ajit Kumar*, Dr. Shailendra and Dr. Mrigank Shekhar

Abstract

In Ayurvedic Samhita Niruddha Prakash (phimosis) vyadhi (disease) is described to be formed because of vitiated Vata Dosha where constricted Shishnacharma (prepuce) covers Mani (glans penis). This creates obstructed, slow urine flow and the prepuce could not be retracted. Treatment described in Ayurvedic epics is dilatation of preputial meatus by Niruddhaprakash Nadiyantra and Vatadosh Shamak medicated tail (oil) Parishek (fomentation). Surgery is advised if this measure fails. Niruddha prakash has similar features to that of phimosis described in modern medical science. Recent researches shows that glans penis and prepuce have common epithelium and its complete separation essential for complete preputial retraction exposing whole of glans may normally occur up to the age of 17 years. This may lead to wrong diagnosis of phimosis. Circumcision is considered as treatment of choice for phimosis.

Keywords: Phimosis, Nirudhaprakash, Nadiyantra, Circumcision.