* **Patient:** 29 yr old Male * **Sleep:** Good (K) * **Energy:** Fluctuating * **Memory:** Very good, thinks its genetic because father has amazing memory (P) * **Bowel Movement:** 2 -3 (P) well shaped (K) * **Bone Structure**: [[Pitta]] and [[Kapha]] * **Ama (tongue exam):** Pitta tongue (red and pointed) with white [[ama]] (K) coating. * **Wrinkle line:** Greif dimple/wrinkle line on chin/mouth area indicating grief and sadness * **Cold hands and feet**: No * **Others:** Hot in the body (P), very strong sexual drive, frequent masturbation and ejaculation (3 times per day, and even more on weekends), over-sexed (P) * **Health Concern:** [[Premature ejaculation]] (emotional even before penetration), wants to increase size of erect penis, prolong erection, and increase stiffness of erect penis. Patient is very insecure about his sexuality and sexual performance.\\ \\
* The [[premature ejaculation]] is a result of his weak kidney energy. The patient says he ejaculates before penetration when seducing girls or having a conversation of a sexual nature (emotional ejaculation). This is a result of his frequent masturbation. * Masturbation leads to more semen loss than when with a partner. Frequent masturbation cause erectile dysfunction and kidney problems, it weakens the kidney energy and causes seminal emission in dreams or even just upon seeing a woman or semen emitted during urination. Also, kidneys are the site of [[Ojas]] * It takes 35 days to generate mature [[shukra dhatu]] or mature semen (shukra is the 7th and last dhatu, and it takes 5 days to generate mature dhatu, thus 7 dhatus multiplied by 5 days=35 days. * Multiple orgasms lead to male impotency and other reproductive problems due to the loss of Ojas. Ojas is the final end product of the synthesis of the 7 dhatus, it is the tissue that follows the reproductive tissue [[shukra]] and [[artava]]. It takes 40 days to make Ojas, and Ojas is responsible for compassion, vitality, strength and immunity of the body. If shukra [[dhatu]] is lost frequently through orgasm and ejaculation then Ojas will be depleted. * The Orgasms per week depend on the bodily constitution: * [[Vata]]: One orgasm per 30 days * [[Pitta]]: One orgasm every two weeks * [[Kapha]]: One orgasm per week. * The patient should not have sex everyday unless trying to conceive. Non-orgasmic sex is fine to a degree, but since the patient is nearly 30 he should stay away from daily sex all together. * **Diet:** patient should refrain from eating onions, garlic, chives, shallots, hing, leeks (Allium family) especially cooked. These if raw cause anger and violence, and if cooked make the person over-sexed. They increase the sexual drive and desire without strengthening the shukra dhatu or Ojas.\\ \\
* 5 pts [[Ashwagandha]] ([[Withania Somnifera]]), V-P=K-, strengthens all tissues, especially reproductive tissue, good for strength in general. * 4 pts [[Vidari]] ([[Ipomoea digitata]]), V-P-K=, good for sexual strength and vitality and premature ejaculation. * 5 pts [[Kapikacchu]] also known as [[Atma Gupta]], ([[Mucuna pruriens]]), V-P-K-, increases sexual vitality and vigor, treats premature ejaculation. * 3 pts [[Brahmi]] ([[Centella asiatica]]), good for Pitta mind * 3 pts [[Chandraprabha]], V-P-K-, compound of herbs that opens the channels [[srotas]] and is specifically useful for [[genito-urinary]] ailments. * 3 pts [[Gokshura]] ([[Tribulus terrestris]]), V-P-K=, for the kidney.\\ \\
//Take 1 tsp 3 times a day with a cup of warm water before meals, add 1 tsp of raw uncooked honey to improve taste if necessary.//
Perform daily massage on genital area without ejaculation.
//It will take 35 days to see results (35 days needed to form new shukra dhatu).//