Abstract
Erectile Dysfunction is characterised as Consistently lacking the erection or stiffness necessary to achieve and sustain a satisfying sexual encounter. There are several contributing factors to ED including certain organic etiology or psychological causes. In this paper we are studying the psychogenic or psychosomatic cause of Erectile Dysfunction. Psychological factors such as anxiety, stress and grief are known contributors to ED particularly in younger men. Homoeopathy, with its holistic approach, offers remedies tailored to the individual’s physical and mental symptoms. Phosphoric acid, known for its use in mental and emotional exhaustion. Is one such remedy often indicated in cases where ED is linked with sexual excess, grief or nervous debility.
Introduction
The incapability to attain or sustain an establishment of penile construction applicable for fulfilling sexual exertion is known as erectile dysfunction( ED), formerly known as incompetence. Although this description does not specify a time frame, others have proposed that the illness must last for six months. Men 40 times of age and beyond are more likely to suffer from ED; frequency rises with age and other co-morbidities.
ED can be a symptom of a variety of underpinning conditions and is a significant but neglected cardiovascular threat factor. Erectile dysfunction can be caused by any condition that affects the penile highways, jitters, hormone situations, smooth muscle towel, carnal endothelial cells, or tunica albuginea. This illness is privately linked to cardiovascular complaint, diabetes, hyperlipidemia, and hypertension, among other conditions. Endothelial dysfunction appears to be another current medium in persons with this illness.
While the vast maturity of ED cases suffer from natural complaint, some, particularly youngish men, may have a abecedarian cerebral condition. Indeed when the beginning reason is organic, ED nearly always has cerebral counteraccusations that include marriage and interpersonal troubles, societal morals and prospects, loss of tone- regard, embarrassment, anxiety, and depression, among others. ED can beget major emotional detriment to the case and their partner, as well as a significant reduction in their quality of life. Fortunately, Erectile Dysfunctions are nearly generally curable.
A Case Report:-
OPD NO. OPD NO.5904/5998:
DATE OF EXAMINATION: : 01/03/24
NAME OF PATIENT: AK
AGE/SEX :41Y/Male
OCCUPATION: Self-employed
EDUCATION: Higher secondary
RELIGION: Islam
- Chief Complaints which is purpose of consultation: –
Sexual debility since 1 and half year, difficulty to achieve an erection, flaccidity of penis while coition, generalised weakness after coition. Seminal discharges at night. The patient is physically and mentally always tired, has become very forgetful and mentally very confused, unable to think properly. All the complaints started after the death of father. The patient is very worried and anxious regarding his present condition.
- Present Complaints (symptoms recorded with regards with regard to: Location, sensation, modalities, concomitants, causation and duration):
- LOCATION- genitals
- DURATION- since 2-3yrs.
- CHARACTER- erection fails while coition, seminal emission at night, prostrating
- MODALITY-
- Agg. Mental and physical exertion, emotional excitement
- Ame -rest. Dark,
History of Present Illness: Patient was apparently well before a few years then suffered from emotional weakness and memory impairment at first then sexual debility and generalized weakness occurred. The patient had experienced a significant emotional setback 3 years ago due to the sudden death of his father. Since then the patient is feeling sadness, mental dullness and apathy. He also complained of forgetfulness, low energy, and disinterest in previously enjoyable activities, including sex. Anxiety and performance pressure further aggravated the issue.
Onset: slow, insidious
Progress: slow
Treatment adopted: allopathic
Result: temporarily relieved
- Past History:
Childhood to adulthood: jaundice 10 year before
- Family History:
Father: hypertension
- Personal History:
- Mind & disposition: patient is emotionally weak with yielding and quiet disposition
- Married or single: Married
- No. of children: 2
- Health of children: good
- Marital relations:not that good
- Physical Generals:
- Diet: 2-3 chapatis, sabji 2/day
- Desire: juicy and refreshing things
- Disagrees: not specific
- Thirst: thirsty
- Tongue: dry
- Taste: metallic taste in mouth
- Salivation: scanty
- Perspiration: profuse
- Stool: occasional diarrhoea
- Urine: clear, D8,
- Bathing: regular
- Covering: required
- Sexual relations: not good, sexual weakness
- Dwelling place: well ventilated
- Appetite: reduced
- Aversion: coffee
- Habits / Addictions:
- Tobacco: Smoking, which agg the complains
- Alcohol
- Coffee / Tea
- Drugs etc
- Thermal reaction: chilly
- Skin: unhealthy in general
- Sleep: sleeplessness
- Dream: anxious
- Mental and Physical prostration
- Observations:
- Behaviour: cooperative
- Mode of talking: mild , slow, prostrating, taking long time to think the answers
- Complexion: dark
- Built / Nutrition: lean thin , poor
- Colour of face, eyes & skin: dark eyes
- Decubitus: Sitting
- Expression / Fancies: anxious,
- Anything special related to Mind & Disposition: patient is very dull looking and despair.
- Examination:
- General Examination
Anaemia ; not found Cyanosis ; not found
Jaundice not found Oedema ; not found Nails – Clubbing; not found Koilonychia; not found
Hair ; greasy, grey hair Neck glands : not swollen
Neck veins: not engorged Teeth ; normal, no cavities
Gum : not swollen Tongue:dryness Smell from mouth : present Hearing; proper
Pupils : reactive Pulse: 78/min, regular
Temperature; afebrile Blood Pressure ; 130/80 mm of Hg, left hand, sitting Respiration 19/minute
Skin in general : dark
- Systemic Examination
Brief examination of other systems
- Respiratory ; Normal vesicular breathing heard all over the lung field.
- Cardio vascular system: apex normally placed, S1, S2 heard, no abnormal sound detected.
- Provisional diagnosis: Erectile dysfunction
- Differential Diagnosis: Epididymitis, Premature ejaculations
- Miasmatic Diagnosis:
syco- syphillitic
- Prescribing Totality:
TOTALITY OF SYMPTOMS:
- Sexual debility
- Physical and mental prostration
- Ailments from loss of loved one
- Nightly emissions
- Prostrating, dull anxious personality with quite disposition
- Forgetful
- Despair recovery of
- Ailments from sexual excess
- Guilty of conscience
- Emotional fatigue
- Chilly
- Erection is difficult during coition, incomplete
- Analysis & Evaluation as per Dr According to DR. J. T. KENT MENTAL GENERALS
- Despair
- Mental prostration
- Guilty of conscience
- Emotionally fatigue and prostrated
- forgetful
- confused, inability to think properly
- aversion to mental and physical work
Physical Generals
- Ailments from sexual excess
- Seminal emissions at night
- Chilly patient
- Perspiration profuse
- Despair of recovery
- Frequent urination at night
- Sensation of heaviness on forehead
- Reportorial totality:
| S. No. | Chapter | Rubric |
| 1. | Mind | Doubtful; recovery of |
| 2. | Mind | Dullness; sluggishness, think, long, unable to |
| 3. | Mind | Excitable; ailments from agg; mental and emotional |
| 4. | Mind | Indifference , apathy, emaciation and weakness , especially with |
| 5. | Mind | Thoughts wandering |
| 6. | Head | Pain, headache, pressing, weight, as from a |
| 7. | Male | Emissions, pollutions, seminal, night |
| 8. | Male | Flaccidity, testes coition, during |
- Reportorial result:
| Medicine | Score/Symptoms |
| PHOSPHORIC ACID | 29/9 |
| PHOSPHORUS | 16/6 |
| SULPHUR | 14/5 |
| NUX VOM | 13/5 |
- Final Selection of Medicine with comments regarding selection of remedy:
- PHOSPHORIC ACID on the basis of Totality of symptoms and repertorization, also after referring Materia-medica on the basis of symptoms of ailments from Sexual excess, emotionally and physically weak.
⮚¬ Prescription:
Rx
Name- AK
Age- 41 YEARS, Sex -male
1.) Phosphoric Acid 30 , 6 Globules no.30
Sac. lac. grs xvi M. Ft. Pulv Make four packets.
To be taken twice a day – morning and night, on an empty stomach.
2) Placebo 60 4 Globules OD X 10 days Sd/-
General Management: Relax, do regular yoga and meditation. FOLLOW UP:
| DATE | FOLLOW UPS: | PRESCRIPTION |
| 15/04/2024 | Less confusion of mind while thinking, improved mood and energy level, concentration 40% than before.Sexual weakness is same | Saclac 200/BD/15days |
| 19/06/2024 | Forgetfulness is decreased by 20% Mentally feeling well,Physically a bit energetic, spontaneous erections reported; improved confidence | PHOSPHORIC ACID 200 ODX 3DAYSSAC LAC 30X 15 DAYS |
| 05/10/2024 | Able to think properly, feeling the happiness of life, over all wellbeing is improved65% relief, in erectile dysfunctionNormal sexual performances | Saclac 200/BD/15days |
Discussion:-
This case demonstrates the effectiveness of phosphoric acid in addressing psychosomatic arising from unresolved grief and emotional trauma. The remedy action on the nervous system and emotional centers is well documented in homoeopathic literature and its successful use in this case supports individualized treatment in similar conditions
Conclusion
Phosphoric acid may be a valuable therapeutic tool in the treatment of psychosomatic erectile dysfunction, particularly when symptoms of grief, apathy, and nervous weakness predominate. Further studies and clinical trials are recommended to validate these findings.
Author
Dr Farheen Khan
MD Scholar
Dept. of homoeopathic Materia Medica
Govt. homoeopathic medical college and hospital,
Bhopal, M.P.
