Role of Virechana Karma in the Management of Vatashteela (Benign Prostatic Hyperplasia): A Case Report

Introduction: Vatashteela, described under Mutraghata in Ayurveda, can be clinically correlated with Benign Prostatic Hyper-plasia (BPH), a common condition in ageing males presenting with lower urinary tract symptoms. Case Report: A 55-year-old male diagnosed with Vatashteela (BPH) presented with complaints of urinary dribbling, urgency, increased frequency of micturition, and burning micturition. Ultrasonography revealed prostatic enlargement with a hypertrophied bladder, a pre-void urine volume of 305 cc, and a post-void residual urine volume of 99 cc. Serum Prostate-Specific Antigen (PSA) levels were elevated at 20.665 ng/mL. Intervention: As per the specified protocol, Deepana–Pachana was carried out using Panchakola Churna for three days, fol-lowed by Snehapana with Varanadi Ghrita for seven days. During the subsequent three-day Vishrama Kala, the patient was administered Sarvanga Snehana with Tila Taila, followed by Sarvanga Swedana using Bashpa Sweda with Dashamoola Kwatha. On the day of Virechana Karma, Sarvanga Snehana and Bashpa Sweda were performed, followed by administration of Avipattikara Churna (20 g) orally in the morning on an empty stom-ach. Based on the type of Shuddhi, Samsarjana Krama was advised for four days. Then, for 15 days, Shamana Aushadhi included Chandraprabha Vati given to the patient. Outcome: After completion of treatment, significant clinical improvement in urinary symptoms was observed. Serum PSA levels reduced markedly from 20.665 ng/mL to 2.453 ng/mL. Conclusion: The present case indicates that Virechana Karma, preceded by appropriate Snehapana and supported by Shama-na Aushadhi, may be beneficial in the management of Vatashteela (Benign Prostatic Hyperplasia), leading to marked improvement in urinary symptoms and significant biochemical changes.