Articles by Dr. B. T. Rudresh

The evolving of a Physician - Understanding world of Adolescence

Case of masturbation and erectile dysfunction

Patient age 28 years c/o primary infertility Diagnosed as erectile dysfunction ? Hormonal and secondary mood disorder. Married since 3 years. Businessman Suffered with depression low self esteem h/o masturbation since puberty

Patient bought up in a strict orthodox environment Father was uncommunicative disciplinarian. Mother had to manage the joint family Patient sister was younger and not close to patient. He was average in studies and reserved. His father scolding's for discipline and studies would leave him hurt not expressed

He started masturbating from his adolescence (daily once or twice) He was a loner few friends but did not share with them. He was able to study and complete his commerce. Gradually the frequency of masturbation increased from one to four, What was important it left him with a feeling of guilt and shame

What do we identify ? A loner. A reserved individual Tendency to reward self with masturbation. Feeling of guilt and shame 3

Marriage and difficulties. Patient had come one year after his marriage He shared that he had erectile dysfunction.He was unable to develop intimacy with wife. He was able to perform at work

Understanding present mental state

LOW SPIRITED DEPRESSED 3. FEARs 3 (unknown). ANXIOUS 3 SEXUAL POWERS COMPLETELY LOST. TESTES COLD FLACCID GLEET WITHOUT SEXUAL ERECTIONS

Understanding the evolving personality

We have limited but important data of a reserved individual, and unable to communicate anger, feelings in a strict orthodox environment. A simple act of masturbation creates a turmoil of shame3 and guilt and it progresses further Patient also suffers with erectile dysfunction

Understanding hyper sexuality and dysfunction in case

The increased sexuality followed by erectile dysfunction resulted in low self esteem. During patients adolescence it reduces ability to function in routine aspects especially forming healthy relationships. He experiences distress of being unworthy.

At present he is fairly successful at work, he shares a rapport with his wife without intimacy It is difficult to classify him in a classical diagnosis. Hence the working diagnosis is erectile dysfunction and masturbation

Understanding remedy

Its very important to pay attention to the present expression Shame Guilt Expressions of dysfunction .AGNUS CACTUS WAS CHOSEN AS SIMILIMUM

• common name –chaste tree
• Family verbenacea -Tincture prepared from ripe berries

Effect: Aromatic, but with weak aroma. A slightly pungent and bitter taste. Chaste tree carries several "sacred" names, which more or less directly refer to its reputation as an anaphrodisiac. In Ancient Greece, the tree was called hagnos "the plant was used by Christian monks to help suppress desires of the SEX Vitex, also known as Chaste Tree or Monk's Pepper, was said to be used as herbal remedy by monks in the Middle Ages to diminish their sex drive, and its common names stem from its use by monks to maintain celibacy.

Allen’s proving’s

Thoughts depressed everything around him is indifferent extremely gloomy feeling as he is nobody worthless feeble reaction /penis flaccid/even fancies cannot excite him the state continued 16 hours and 38 hours later

Constantine Hering's contribution

LOW SPIRITED DEPRESSED FEAR OF DEATH, ANXIOUS, SEXUAL POWERS COMPLETELY LOST TESTES COLD FLACCID. GLEET WITHOUT SEXUAL ERECTIONS

Case management

• Agnus cactus was given in one m infrequently
• Role of counseling
• To channelize in physical activity
• To give positive strokes to self
• Wife as a support to improve confidence and seek relationship intimacy

Patient got cured of both his erectile dysfunction and masturbation. The couple today is blessed with a healthy baby boy

Learning the practical application of aphorism 83" This individualizing examination of a case of disease, for which I shall only give in this place general directions, of which the practioneer will bear in mind what is applicable for each individualizing case, demands of physician nothing but freedom from prejudice and sound senses attention in observing and fidelity in tracing the picture of disease