A Study on Diagnostic Methodology in Siddha System for Aan Maladu (Male Infertility)

Ashok Kumar, N E (2013) A Study on Diagnostic Methodology in Siddha System for Aan Maladu (Male Infertility). Masters thesis, National Institute of Siddha, Chennai.


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INTRODUCTION: Infertility is defined as failure to conceive after 12 or more months of regular unprotected intercourse. The World Health Organization defines the term primary infertility as the inability to bear any children, whether this is the result of the inability to conceive a child, or the inability to carry a child to full term after 12 months of unprotected sexual intercourse. Conception normally is achieved within 12 months in 80-85% of couples who use no contraceptive measures and persons presenting after this time should therefore be regarded as possibly infertile and should be evaluated. In India which ranks top in population, quite unrelated to national population figure, is the prevalence of infertility. Primary infertility is a common and distressing problem in India as in other parts of the world. Semen abnormalities (22.4%), Anovulation (17.2%), Ovarian failure (8.8%), Hyperprolactinemia (8.4%), and tubal disease (7.2%) are common causes of infertility. The pattern of infertility in India is the same as in other parts of the world, except that infertile couples report late for evaluation. A contributory male infertility factor is identified in almost 50% of infertile couples .The distribution of diagnoses seen in a male infertility clinic reveals that 75% of men will have idiopathic infertility with or without an abnormal semen analysis. The term male infertility does not constitute a defined clinical syndrome, but rather a collection of different conditions exhibiting a variety of aetiology and a varying diagnosis. A comprehensive male infertility evaluation is a critical part of optimizing a couple’s reproductive potential. Basic semen analysis has remained an essential screening test in the assessment of human male fertility. Even after the development of well advanced diagnostic techniques like Semen analysis, USG scrotum, hormonal studies, testicular biopsy, still causes of male infertility remain idiopathic in many cases. The introduction of molecular techniques has provided great insight into the genetics of infertility. The causes are known in less than half of these cases, out of which genetic or inherited disease and specific abnormalities in the Y chromosome are major factors. Yet, the understanding of the genetic causes of male infertility remains limited. Hence it is the need of hour to develop sensitive and reliable diagnostic techniques for male infertility to reveal the underlying cause and pave the way for choosing treatment protocol. Siddhar Thiruvalluvar insists, for cure of diseases, concentrate on proper understanding about the causative factor of a disease, as explained in the verses: “Noi naadi noi mudhal naadi athu thanikum vaai naadi vaippa cheyal” Siddha approach to Male infertile (Aanmaladu) patients include Envagai thervu (Eight fold examination), Manikkadai nool (Wrist circumbreadth sign), Jothidam (Astrology), Udalkattugal, Yakkai (Body type determination), and Sukkila parisothanai (Siddha way of semen analysis involving the qualities expounded by Sage Yugimuni). These parameters in a infertile patient can disclose underlying cause, based on which a perfect management of infertility can be done. The author hopes that examining male infertile patients with siddha diagnostic procedures can reinforce and augment the understanding of pathophysiology and diagnosis of the disease ‘Aanmaladu’ (Male infertility) and lead the way for its management which can bear fruit benefiting every infertile patient. AIM AND OBJECTIVES: AIM: To conduct a study on Diagnostic methodology in Siddha system for Aan maladu/ Male infertility. OBJECTIVES: 1. To elucidate a Diagnostic methodology for Aan maladu. 2. To determine the Humoral Pathology behind Aan maladu using Siddha diagnostic procedures. 3. To correlate Sage Yugimuni’s insight about Diagnostic characteristics of Aan maladu with the scientific concepts about Male infertility mentioned in the Reproductive medicine. 4. To validate the Yugimuni’s semen analysis technique in diagnosing Aan maladu. 5. To review the literatures regarding Diagnostic procedures and Pathophysiological concepts of Aan maladu. MATERIALS AND METHODS: Study Type: Observational study. Study Design: An Analytical open label, single centric study. Study Place: Department of Noi Naadal, Ayothidoss Pandithar Hospital, National Institute of Siddha, Tambaram Sanatorium, Chennai-47. Study Period: Total period - 1yr, Recruitment for the study - upto 10 months, Data entry analysis - 1 month, Report preparation and submission - 1 month. Sample Size: 4O Patients. Inclusion Criteria: 1. Male of Age group- 20 to 45 years. 2. Married. 3. Failure of his partner to conceive even after unprotected intercourse for 12 months and above. 4. Willing to give semen sample for semen analysis. Exclusion Criteria: 1. Genetic disorders identified by clinical features. 2. Findings of defects in the partner‟s conceptual ability. 3. History of Miscarriage of his partner. 4. Post vasectomy. 5. Any Major systemic illness. CONCLUSION: The Diagnostic procedures of Siddha may be an age-old method; however, it is time-tested and has been proved successful by the generations of Siddha community. The study revealed that majority of Aan maladu patients had either Vatham or Pitham derangement as the primary cause. Vatha pitham and Pithavatham were the Pulse appraisal seen in most of the patients. Good Line of treatment for Aan maladu/male infertility would start with alleviation of primarily affected humour , followed by compensation of the secondarily affected humour, then toning up of the affected Udalthathukkal . Even though in the present study, the sample size of 40 was small, the findings with respect to the floating nature created by the semen on water in majority of the infertile patients matched with the description given in literature. The Diagnostic tool expounded by Sage Yugi, the semen’s buoyancy test on water is found to be more sensitive in Azoospermia than other semen abnormalities. The present study is a basic step to enlighten semen analysis in a Siddha way. Need for further research on a larger group of patients to arrive at more definite conclusions has been felt.

Item Type: Thesis (Masters)
Additional Information: Reg No. 32103201
Uncontrolled Keywords: Male Infertility ; Aan Maladu ; Diagnostic Methodology ; Siddha System.
Subjects: AYUSH > Noi-naadal
Depositing User: Kambaraman B
Date Deposited: 26 Apr 2018 16:24
Last Modified: 01 Jan 2019 15:01
URI: http://repository-tnmgrmu.ac.in/id/eprint/7293

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