Guhya Roga refers to the diseases affecting the genital region including conditions like genital ulcers, warts, infections, pruritus, and sexually transmitted infections. These are described under various terms in Ayurvedic classics such as Upadamsha, Phalavridhi, Shukradosha, Yoni vyapad, and Guhyagat roga. Management involves dosha-prakriti analysis, nidana parivarjana, shodhana-shamana chikitsa, and rasayana.
ETIOPATHOGENESIS
Vitiation of Vata, Pitta and Kapha due to improper sexual habits
Infections due to Krimi (microorganisms)
Consumption of Viruddha Ahara, Guru, Abhishyandi, and Rakta-dushti causing substances
Improper genital hygiene
Agantu factors including sexually transmitted infections (STIs)
TYPES OF GUHYA ROGA (BASED ON CLASSICAL TEXTS)
Upadamsha тАУ Sexually transmitted ulcers
Phalavridhi тАУ Scrotal swelling
Shukradosha тАУ Abnormalities in semen
Yoni roga тАУ Genital tract disorders in females
Vrana, Kandu, Daha тАУ Ulcer, itching, burning sensations
GENERAL CHIKITSA YOJANA
Nidana Parivarjana тАУ Avoid causative factors
Shodhana Chikitsa
Virechana in Pittaja conditions
Basti in Vataja conditions
Raktamokshana in ulcers, swelling and inflammation
Shamana Chikitsa
Use of herbo-mineral formulations like Chopachinyadi Churna, Ashtamurti Rasa etc.
Local applications (Lepa, Pichu, Abhyanga, Dhavana)
Rasayana and Vajikarana therapy for semen disorders or chronic conditions
CHOPACHINYADI CHURNA
INGREDIENTS
Chopachini (Smilax china)
Vidanga (Embelia ribes)
Gokshura (Tribulus terrestris)
Pippali (Piper longum)
Haridra (Curcuma longa)
Amalaki (Emblica officinalis) etc.
INDICATIONS
Upadamsha (STIs), genital swelling, burning and discharge
Vrana (genital ulcers), pruritus
AUSHADHA SEVANA KALA
Bhuktante тАУ After meals
MATRA
3тАУ6 g churna
ANUPANA
Warm water or honey
PHALASHRUTI
Reduces inflammation, pain, and discharges
Cleanses the genital tract and purifies blood
Improves Shukra dhatu quality
SANSKRIT REFERENCE
рдЪреЛрдкрдЪрд┐рдиреНрдпрд╛рджрд┐ рдЪреВрд░реНрдгрдВ рддреБ рдпреЛ рдпреЛрдиреНрдпрд╛рдВ рд╡рд┐рд╖рдореЛрдкрджрдореНрд╢реЗред
рд╕реЗрд╡реЗрдд рдкрд┐рддреНрддрдХрдлрдШреНрдирдВ рд╡рд╛рддрд╢реБрджреНрдзрд┐рдХрд░рдВ рдкрд░рдореН рее
(Source: Yogaratnakara, Upadamsha Chikitsa)
ASHTAMURTI RASA
INGREDIENTS
Parada
Gandhaka
Abhraka bhasma
Tamra bhasma
Lauha bhasma
Vanga bhasma
Naga bhasma
Makshika bhasma
INDICATIONS
Genital ulcers, STDs, chronic infections
Scrotal swelling, pain
AUSHADHA SEVANA KALA
Pratahkal (early morning) on empty stomach
MATRA
125 mg тАУ 250 mg
ANUPANA
Madhu (honey), Ghrita, or decoction of Triphala
PHALASHRUTI
Rejuvenates Shukra dhatu
Antimicrobial and wound-healing effects
Restores genital function
SANSKRIT REFERENCE
рдЕрд╖реНрдЯрдореВрд░реНрддрд┐рд░рд╕рдВ рд╢реНрд░реЗрд╖реНрдардВ рд╢реБрдХреНрд░рджреЛрд╖рдирд┐рд╡рд╛рд░рдгрдореНред
рд╡реНрд░рдгреЗрд╖реБ рдпреЛрдирд┐рджреЛрд╖реЗрд╖реБ рд╕реЗрд╡рдиреАрдпрдВ рдкреБрдирдГ рдкреБрдирдГрее
(Source: Rasa Tarangini)
RASAKARPOORA
INGREDIENTS
Parad
Gandhaka
Karpoora
Tankana
Lavanga
Maricha
Shuddha Vatsanabha
INDICATIONS
Upadamsha, genital burning, itching, discharge
Vrana and Daha in genital region
AUSHADHA SEVANA KALA
Bhuktante
MATRA
65тАУ125 mg
ANUPANA
Honey, or Shunthi Kashaya
PHALASHRUTI
Acts as Krimighna, Shothahara
Clears mucopurulent discharge
Helps in healing genital ulcers
SANSKRIT REFERENCE
рд░рд╛рд╕рдХрд░реНрдкреВрд░рдорддреНрдпрдиреНрддрдВ рдпреЛрдирд┐рд░реЛрдЧрд╡рд┐рдирд╛рд╢рдирдореНред
рд╕реЗрд╡реНрдпрдорд╛рдирдВ рддреНрд░рд┐рдХрд╛рд▓рдВ рдЪ рдХрдгреНрдбреВрджрд╛рд╣рдВ рдирд┐рд╡рд╛рд░рдпреЗрддреНрее
(Source: Rasa Chandamshu)
TRIPHALA MASEE
INGREDIENTS
Carbonized form of Triphala
Amalaki, Haritaki, Bibhitaki processed and converted into black ash
INDICATIONS
Chronic genital wounds
Local application in ulcers and pruritus
Internal use for Shothahara, Vrana ropana
AUSHADHA SEVANA KALA
Nishita Kala (Bedtime) when taken orally
Local use in wound dressing
MATRA
1тАУ3 g orally
As required externally
ANUPANA
With honey or water
PHALASHRUTI
Enhances wound healing
Has antimicrobial and antioxidant properties
Useful in chronic genital skin conditions
SANSKRIT REFERENCE
рддреНрд░рд┐рдлрд▓рд╛рдорд╕реА рд╢реБрднрд╛ рд░рдХреНрддрдкрд┐рддреНрддрд╡реНрд░рдгрдирд╛рд╢рд┐рдиреАред
рдпреЛрдирд┐рд╡реНрд░рдгреЗрд╖реБ рдЪреЛрддреНрддрд┐рд╖реНрдареЗрддрд┐ рдпрдереЛрдХреНрддрдВ рддреНрд░рд┐рд╡рд┐рдзрдВ рд╣рд┐рддрдореНрее
(Source: Bhaishajya Ratnavali)
MODERN CORRELATION
COMMON CONDITIONS IN MODERN MEDICINE
Genital herpes
Syphilis
Gonorrhea
Chlamydia
Genital candidiasis
Genital eczema or dermatitis
MODERN MANAGEMENT
Antibiotics (e.g., Azithromycin, Ceftriaxone) for bacterial infections
Antivirals (Acyclovir) for viral STDs
Antifungal creams for candidiasis
Anti-inflammatory and analgesic medications
Wound care and genital hygiene
Counseling and sexual education
CLINICAL APPROACH
Patient history and STI screening
Use of protective measures
Local hygiene and daily cleaning
Early diagnosis and partner screening