Classical Ayurvedic therapy for benign prostatic enlargement in a geriatric patient: A case report

Abstract

Background: Benign prostatic hyperplasia (BPH), or prostomegaly, is a common urological condition in elderly men, characterized by urinary frequency, urgency, weak stream, and incomplete voiding. In Ayurveda, it can be correlated with Vata-Kaphaja Mutraghata associated with Agnimandya and Srotorodha. The Objective of the study is to evaluate the efficacy of a classical Ayurvedic regimen in managing BPH, targeting both symptomatic relief and underlying metabolic derangements. Case Presentation: A 68-year-old male presented with increased urinary frequency and urgency for 15–20 days, dry belching after exercise, right-sided headache, and chronic shoulder pain. Past history included hypertension for 10 years and nasal polypectomy. Ultrasonography revealed an enlarged prostate (61 cc), significant post-void residual urine, and bladder wall thickening. Ayurvedic assessment indicated Vata-Kaphaja Prakriti, Mandagni, and Kapha-Meda Dushti. Intervention: The patient was treated with a multidrug Ayurvedic regimen comprising Chandraprabha Vati, Haritakyadi Yoga, Gokshuradi Guggulu, Prameha Gajakesari, and other classical formulations, combined with dietary modifications and Nasya therapy. Medicines were administered with specific timing and anupana, with adjustments during follow-up based on clinical response. Outcome: Over three months, the patient experienced marked reduction in urinary frequency, urgency, suprapubic fullness, and associated systemic symptoms.