title: Efficacy of Kanchanara Guggulu and Matra Basti of Dhanyaka Gokshura Ghrita in Mootraghata (benign prostatic hyperplasia).
abstract: BACKGROUND
  Benign prostatic hyperplasia (BPH), a senile disorder affects male of and above 40 years characterized by retention, incomplete voiding, dribbling, hesitancy, and incontinence of urine. This condition is comparable with Mootraghata in Ayurveda. Surgical intervention has been accepted as standard management, but has acute cystitis, acute epididymitis, erectile dysfunction, retrograde ejaculation, etc. as complications. Conservative treatment with modern medicine is also associated with side effects. Hence, to avoid such complications and improve the quality of life in senile age, conservative management with Ayurveda is attempted.
  
  
  OBJECTIVE
  To evaluate clinical efficacy of Kanchanara Guggulu and Dhanyaka Gokshura Ghrita Matra Basti in Mootraghata.
  
  
  METHODS
  Total 30 patients having signs and symptoms of BPH were selected from OPD and IPD of Shalya Tantra and enrolled equally into three groups (n = 10). Patients of Group A were administered with Kanchanara Guggulu (500 mg, 3 times a day orally), Group B were with Dhanyaka Gokshura Ghrita Matra Basti, while patients of Group C were administered both the drugs for 21 days. International prostate symptom score (IPSS) was used to assess the efficacy. paired and unpaired "t" test, Chi-square test were applied for significance.
  
  
  RESULTS
  In IPSS, Group B had shown the better results (84.27%) than the Group A (72.68%) and Group C (82.10%). In all objective parameters, Group C had shown better effect (23.60%) than Group A (15.70%) and Group B (18.24%). Symptomatic relief was better in Group B than Groups A and C. Comparison between three groups on objective parameters was better in Group C than in Group A and B.
  
  
  CONCLUSIONS
  Kanchanara Guggulu orally and Dhanyaka Gokshura Ghrita Matra Basti is effective conservative management for symptomatic relief in BPH of senile age.
authors.affiliation: Department of Shalya Tantra, Institute for Post Graduate Teaching and Research in Ayurveda, Jamnagar, Gujarat, India.
authors.forename: Joyal Kumar K
authors.initials: JK
authors.lastname: Patel
authors.affiliation: Department of Shalya Tantra, Institute for Post Graduate Teaching and Research in Ayurveda, Jamnagar, Gujarat, India.
authors.forename: Tukaram S
authors.initials: TS
authors.lastname: Dudhamal
authors.affiliation: Department of Shalya Tantra, Institute for Post Graduate Teaching and Research in Ayurveda, Jamnagar, Gujarat, India.
authors.forename: Sanjay Kumar
authors.initials: SK
authors.lastname: Gupta
authors.affiliation: Department of Shalya Tantra, Institute for Post Graduate Teaching and Research in Ayurveda, Jamnagar, Gujarat, India.
authors.forename: Vyasadeva
authors.initials: V
authors.lastname: Mahanta
keywords: Benign prostatic hyperplasia; Dhanyaka Gokshura Ghrita; Kanchanara Guggulu; Matra Basti; Mootraghata