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Definition: Benign prostatic hypertrophy is swelling of Prostate gland. The prostate is a walnut sized gland that is only present in men. It is located just below the bladder and top of the penis. This gland surrounds the urethra (the tube through which urine flows from the bladder and out through the penis). It is a very astonishing fact to know that the condition BPH has been explained in ayurveda long back. The anatomical position of prostate gland, symptoms of BPH and its remedies are explained by Acharya Sushruta. The anatomical position of prostate gland is described in ayurvedic classics as follows... In Yogaratnakara it has been described as -- “ NAABHERADHASTHAATSANJAATAHA SANCHAARI YADI VAACHALAHA | ASHTEELAAVAD GHANO GRANTHIROODHWAR MAAYATA UNNATAHA || “ Which means “ Below umbilicus (NAABHI), there is a hard gland which is little bit bulged and changes its place some times and some times stays stationary. This gland is like “Ashteela” (A small stone used to sharpen swords). This gland when affected by vitiated vata causes a disease called “vataashteela” (or benign prostate hypertrophy) Sushruta explains the structure, anatomical position of prostate gland and symptoms of BPH as follows. “SHACRANMAARGASYA BASTHESHCHA VAAYURANTARAMAASHRITAHAI ASHTEELAAVADGHANAM GRANTHIMMOORDHVAMAAYATA MUNNATAM|| “ Which means - the place between rectum and bladder is occupied by vitiated vata it affects the easy flow of urine, stools and semen by enlarging the gland “ Ashteela”. The prostate gland enlarges in all men as age advances. BPH is very common and affects one third of men who are over 50. A person suffering from BPH does not have the increased risk of prostate cancer. Functions of Prostate gland. One of the main functions of the prostate is to produce a fluid, which contribute to the liquid portion of semen and this liquid allows the sperm to move freely. The gland is divided into peripheral, transitional and central zone. The overgrowth takes place in central zone which leads to BPH. Effects of BPH Prostate gland surrounds urethra. When prostate gland enlarges, it constricts the urethra reducing the urine flow. The emptying of bladder becomes very difficult because of this. Causes of BPH According to present medical concepts the actual cause of prostate enlargement is unknown. But the causes of BPH are very well explained In ayurveda which is based on tridosha theory.The causes of vataashteela or BPH are explained as follows. Causes for vataashteela according to dosha theory: vataashteela is caused by vitiated vayu and apaana vayu ( a subcategory of Vayu) (APAANA VAYU is located in two testicles, urinary bladder, phallus, umbilicus, thighs, groins, anus and colon. Functions of apana vaayu are Ejaculation of semen, voiding of urine, stools, elimination of menstrual blood and expulsion of fetus.) The vitiation of vayu and apaana vayu is caused by 1. Controlling the urge of urinatio 2. Controlling the urge of defecation 3. Over indulgence in sex 4. Consuming dry, very cold and less quantity of food 5. Old age 6. General weakness 7. Indigestion 8. Physical and mental overexertion Symptoms of BPH • Difficulty in starting to pass urine ( hesitancy ), • A weak stream of urine, • Dribbling after urinating • The need to strain to pass urine, • Incomplete emptying of bladder. • Difficulty to control the urination urge. • Having to get up several times in the night to pass urine, • Feeling a burning sensation when passing urine. • Passing urine mixed with blood (indication of infection) Symptoms of vatashteela are described as follows. “VINMUTRAANILA SANGASCHA TANNAADMAANAMCHA JAAYATE| VEDANAA CHA PARAA BASTOU VAATAASHTEELETI TAAM VIDUHU ||“ The vitiated ashteela gland when enlarged is called as “vatashteela”. This enlarged gland causes 1. Obstruction to easy flow of urine. 2. Obstruction to Easy passage of stools and gas 3. Bloating of Stomach. 4. Pain in bladder. When the above mentioned symptoms are noticed then one should seek proper medical advice. Diagnosis A digital rectal examination will be performed to examine the size of prostate by inserting a finger into the rectum. A distended bladder can be felt per abdomen. Ultra sound examination will be done to determine the amount of urine left in the bladder after urination. Routine urine test will be done to rule out infections. A prostate gland tissue may be collected using a needle to check for cancerous cells. Ayurveda tips for SELF-CARE If symptoms are mild, the following methods can be tried for relief: 1. Vata gets vitiated when natural urges are controlled. Hence do not control the natural urge of passing urine. Urinate when you first get the urge. 2. Go to the bathroom even if you do not have urge. 3. Alcohol, tobacco, coffee increase vata and vitiate it. Hence avoid alcohol, tobacco and coffee, especially after dinner. 4. Vata gets normalized and vitiation comes down when body is warm. This can be accomplished with regular exercises and keeping the body warm. 5. Mental exertion leads to increase of vata. Avoid mental exertion at work place and at home. 6. Avoid foods which cause constipation as constipation causes vitiation of vata. Other general tips 1. Avoid drinking fluids from two hours before going to bed. 2. Avoid cold and cough medications that contain decongestants or antihistamines. These medications can increase BPH symptoms. 3. Avoid drinking excess amount of liquids. Distribute the intake of fluids throughout day. Prevention BPH can be prevented by - 1. Consuming low fat diet 2. Including lots of fiber in diet ( fruits and vegetables which are rich in fiber). 3. Visiting your family physician as soon as you notice any symptoms while passing urine. 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Because you and all other unenlightened people have split personalities to various degrees of amount and intensity, we are all Dependent Vampires, stealers of energy. The only way out is through the advanced techniques of Meditation Energy Enhancement. To connect to a higher level of energy, which can never fail and to integrate these split off parts of your personalities back into the Central Soul Stem. Then we do not need the energy and attention of people around us. We start to give energy. Everyone becomes happy in our presence! Then we can comfortably destroy these negative split off thoughtforms which exist with our and everyone’s minds, in our lives. Only when we become enlightened do we become Independent. Until that time we can depend on people not to be able to fulfil their promises, without a lot of penalties. This is the Law of Moses. We can depend on people to follow their childish split personalities. The problem with monogamy has always been boredom because as I explained, the traumatised childish split personality will use any childish excuse to cut off the flow of sexual energy. They are not logical. Because of this, the initial passion drops off pretty rapidly in a typical relationship, but not the lust of sexual desire. Eventually, the right (or wrong) set of circumstances come together and you have infidelity. It’s not that people are bad, just they are split personalities. To be a split personality is to be childish, to be emotional, and to have expertise with sexual energy. Its just that you, the main personality is not in charge of it. For men and women, being sexual means they sometimes think with what is between their legs instead of what is inside their head. But a split personality is single minded , ruthless and often as not, amoral. A split knows only desire, and when the hot sexual energy is active, you might as well be dealing with an addict. At such a moment all a split can think of is how to get the next fix. At such times there are few split personalities alive who can resist the inviting smile on a pretty woman’s face, or the parting of her legs. As you know, there are plenty of reasons to choose not to forgive and forget. But what if you have created a long beautiful life together and your partner is a wonderful parent to your children? What if you feel just as much to blame for the infidelity because you had pushed them away for too long, some independent, childish, emotionally dependant split off parts of your personality having stopped the flow of your unconscious sexual energy from base chakra to base chakra. From Penis to Ovary using the psychic sex connection. What if they had made an honest effort to work things out with you but you just kept pushing them away because of the lack of energy flow caused by one of your split personalities? Having stopped the flow of sexual energy from base chakra to base chakra. From Penis to Ovary using the Psychic Sex Connection. What then? Just because you want to forgive them doesn't mean that you can forgive them. How do you forgive and forget? The bible may tell us to turn the other cheek, but how? How do you do it? There's a big difference between saying, "I forgive you" on a generic spiritual level and saying, "I forgive you" on a personal heart to heart level. The key to real forgiveness must involve trust but how can it when people are just following their emotions? And how can you trust a split personality? And this is the case with 99.99% of humanity. At some level you have to really believe in your heart of hearts that you can trust this person to never ever repeat such a painful choice again. Well, I believe that you must forgive the person anyway. With childish split personalities you can say, "Forgive them Lord, They know not what they do" Jealousy and the ego necessity for a monogomous relationship will cause all the problems within us because we want the other person to love us and to be there only for us. We force people to be monogamous, to be chattel, or we throw them out If you don't really believe that they will be subservient to you, then your selfish ego isn't really going to forgive them and the underlying resentment will eat away at whatever is left of the foundation of your relationship. The most important barometer of how easy or hard it is to forgive is how they behave after the event. Do they browbeat you with comments like, "Look I said I'm sorry. Get over it already." Or are they beating themselves up for having caused you this pain? Are they offering to jump through hoops to prove to you that they have learned a horrible lesson and will make damn sure it never happens again? The intensity of their apology and their willingness to allow you to feel the pain of it will have a direct impact on your ability to heal from the infidelity and on their ability to rebuild trust in your eyes. If they demand that you simply trust them on their word and they have done nothing to show you that they are taking full responsibility for the broken trust, then leave them. It's not your fault that they broke the trust even if you were not emotionally available to them, the breach of trust was done on their part. You can't force yourself to trust someone again. Just like when our teenagers lie to us and have to earn back our trust, it's no different between adults whether the trust was broken in a marriage or a business relationship. It's their job to recreate that. They need to find their own way back. The fact is, Only when we become enlightened, when we have healed all the split off parts of our personalities do we become able to fulfil our promises. Until then we must forgive, and expect infidelity. The brains are emotionally in the balls when the Splits are in charge. As Tolkien says, "Evil Is" And it is true that some people are more evil that others. And it is this you must really judge. Only when you have absorbed and healed all your split personalities into the central soul personality. When there is only One! Can we trust a person. Until then we can trust the unenlightened split personalities of all evolutionary levels to break all their promises. We can trust no-one without a lot of penalties. We can trust no-one who is not enlightened! This is the Law of the Christ. History for thousands of years proves this. Forgive and Forget. Turn the other Cheek. It is only your Selfish Competitive Ego which gets Hurt because you Selfishly Want. Because you unskillfully trusted a person who always changes their mind. And as the many split personalities take charge, one by one, this is exactly what happens. People change their minds. 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