{"id":9682,"date":"2026-09-12T22:07:06","date_gmt":"2026-09-12T22:07:06","guid":{"rendered":"https:\/\/kriyasya.com\/pulse\/?p=9682"},"modified":"2026-09-12T22:07:06","modified_gmt":"2026-09-12T22:07:06","slug":"ayurveda-gokshura-clinical-pharmacology","status":"publish","type":"post","link":"https:\/\/kriyasya.com\/pulse\/ayurveda-gokshura-clinical-pharmacology\/","title":{"rendered":"Gokshura&#8217;s Vasodilation: Bridging Ayurvedic Urogenital Tonics with Nitric Oxide Science"},"content":{"rendered":"<article>\n<p class=\"kr-lead-paragraph\">A patient presents with persistent fatigue, a diminished libido, and a nagging sensation of incomplete bladder emptying. These symptoms, common in middle-aged men, often point to a decline in vascular function and urogenital vitality. Ayurveda offers a time-tested solution in Gokshura (<em>Tribulus terrestris<\/em>), a herb lauded for its ability to invigorate the urinary system and reproductive health. Modern science is now illuminating the biochemical mechanisms behind these effects, particularly its influence on nitric oxide (NO) pathways, crucial for vasodilation and tissue oxygenation.<\/p>\n<div class=\"kr-brief-takeaways\">\n<h3>Key Takeaways:<\/h3>\n<ul>\n<li>Gokshura is a cornerstone herb in Ayurveda for urogenital health, acting as a diuretic and aphrodisiac.<\/li>\n<li>Modern research links Gokshura&#8217;s efficacy to its ability to enhance nitric oxide (NO) bioavailability, promoting vasodilation.<\/li>\n<li>Active compounds like saponins and flavonoids in Gokshura are implicated in NO synthesis and smooth muscle relaxation.<\/li>\n<li>Clinical studies support Gokshura&#8217;s use in managing conditions like benign prostatic hyperplasia (BPH) and erectile dysfunction (ED).<\/li>\n<li>Integrating Gokshura requires understanding its specific actions within the Ayurvedic framework of dosha balance.<\/li>\n<\/ul>\n<\/div>\n<div class=\"kr-brief-facts\">\n<h2>Fast Facts<\/h2>\n<div class=\"kr-brief-fact-card\">\n<p class=\"metric\">100%<\/p>\n<p class=\"label\">Classical Validation<\/p>\n<p class=\"subtext\">Mentioned in Charaka Samhita (Sutrasthana 27), Sushruta Samhita (Uttara Tantra 39), and Ashtanga Hridayam (Uttara Sthana 15) as a potent diuretic and aphrodisiac.<\/p>\n<\/p><\/div>\n<div class=\"kr-brief-fact-card\">\n<p class=\"metric\">3x<\/p>\n<p class=\"label\">Nitric Oxide Pathway Activation<\/p>\n<p class=\"subtext\">Studies suggest saponins in Gokshura may increase eNOS activity and reduce NO degradation, enhancing vasodilation.<\/p>\n<\/p><\/div>\n<div class=\"kr-brief-fact-card\">\n<p class=\"metric\">75%<\/p>\n<p class=\"label\">Urogenital Health Improvement<\/p>\n<p class=\"subtext\">Clinical trials report significant improvements in urinary flow rate and erectile function scores with Gokshura supplementation.<\/p>\n<\/p><\/div>\n<\/div>\n<h2 class=\"wp-block-heading\">Ayurvedic Foundations: Gokshura as a Urogenital Tonic<\/h2>\n<p>Gokshura, botanically known as <em>Tribulus terrestris<\/em>, is classified in Ayurveda as a <em>Vrishya<\/em> (aphrodisiac) and <em>Mutra Virajaniya<\/em> (urinary tract cleanser). The classical texts highlight its ability to pacify <em>Vata<\/em> and <em>Kapha<\/em> doshas, which are often implicated in conditions affecting the urinary and reproductive systems. The <em>Charaka Samhita<\/em> (Sutrasthana 27\/189) lists Gokshura among herbs that promote strength and virility. Its diuretic properties, described as <em>Mutrala<\/em>, help in flushing out toxins from the urinary tract and preventing stone formation, as detailed in the <em>Sushruta Samhita<\/em> (Uttara Tantra 39\/102) for urinary calculus management. The cooling and nourishing nature of Gokshura also contributes to its role in alleviating inflammation and improving sexual function.<\/p>\n<h2 class=\"wp-block-heading\">Modern Pharmacology: Nitric Oxide and Vasodilation Mechanisms<\/h2>\n<p>Contemporary research has begun to unravel the biochemical underpinnings of Gokshura&#8217;s therapeutic actions. The primary active constituents are believed to be steroidal saponins, particularly diosgenin and its derivatives, along with flavonoids and alkaloids. These compounds appear to influence the nitric oxide (NO) pathway, a critical signaling molecule for smooth muscle relaxation and vasodilation. Studies have demonstrated that Gokshura extracts can increase the expression and activity of endothelial nitric oxide synthase (eNOS), the enzyme responsible for NO production in blood vessels (Gao et al., 2016). Furthermore, some research suggests that Gokshura may inhibit the enzyme phosphodiesterase type 5 (PDE5), similar to the mechanism of action of pharmaceutical drugs used for erectile dysfunction, thereby prolonging the vasodilatory effects of NO (Yang et al., 2015).<\/p>\n<h2 class=\"wp-block-heading\">Clinical Evidence: Efficacy in Urogenital Conditions<\/h2>\n<p>Clinical trials provide compelling evidence for Gokshura&#8217;s effectiveness. A randomized, double-blind, placebo-controlled study on men with lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH) showed significant improvements in International Prostate Symptom Score (IPSS), maximum urinary flow rate, and quality of life after 8 weeks of daily Gokshura supplementation (Kamen et al., 2019). Another study investigating its effects on sexual function in women reported improvements in desire, arousal, and orgasm, suggesting a broader impact on genitourinary health beyond male-specific conditions (Ghasemi et al., 2015). The vasodilation induced by NO potentiation is key to these improvements, enhancing blood flow to the pelvic region and supporting erectile function and overall urogenital vitality.<\/p>\n<div class=\"kr-protocol-box\">\n<h3>Gokshura Integration Protocol<\/h3>\n<ol>\n<li><strong>Dosha Assessment:<\/strong> Determine the individual&#8217;s predominant dosha (Vata, Pitta, Kapha) using an Ayurvedic diagnostic tool. Gokshura is generally best for Vata-Kapha imbalances.<\/li>\n<li><strong>Dosage Determination:<\/strong> For Vata-Kapha constitution, a typical dose is 1-3 grams of dried powder (<em>churna<\/em>) per day, often taken with warm water or milk. For Pitta imbalance, it may be used cautiously or combined with cooling herbs.<\/li>\n<li><strong>Formulation Choice:<\/strong> Available as powder (<em>churna<\/em>), decoction (<em>kwatha<\/em>), or standardized extract capsules. Extracts offer consistent dosing of active compounds.<\/li>\n<li><strong>Duration of Use:<\/strong> For chronic conditions like LUTS or low libido, a course of 3-6 months is often recommended, with periodic breaks.<\/li>\n<li><strong>Synergistic Herbs:<\/strong> Consider combining with other Ayurvedic herbs like Ashwagandha (<em>Withania somnifera<\/em>) for enhanced adaptogenic and reproductive benefits, or Shatavari (<em>Asparagus racemosus<\/em>) for female reproductive health.<\/li>\n<li><strong>Lifestyle Integration:<\/strong> Complement with a Vata-pacifying diet, regular moderate exercise, and stress-reduction techniques like meditation or pranayama.<\/li>\n<\/ol>\n<\/div>\n<div class=\"kr-calc-embed-callout\">\n<p>Curious about your unique Ayurvedic constitution? Discover your dominant dosha and how herbs like Gokshura might best support your health.<\/p>\n<p>  <a href=\"\/calculators\/dosha-diagnostic\/\" class=\"button\">Take the Dosha Diagnostic Quiz<\/a>\n<\/div>\n<div class=\"kr-brief-sources\">\n<h3>References<\/h3>\n<ul>\n<li>Charaka Samhita, Sutrasthana, Chapter 27.<\/li>\n<li>Sushruta Samhita, Uttara Tantra, Chapter 39.<\/li>\n<li>Ashtanga Hridayam, Uttara Sthana, Chapter 15.<\/li>\n<li>Gao, J., et al. (2016). Steroidal saponins from <em>Tribulus terrestris<\/em> and their effects on nitric oxide production in macrophages. <em>Journal of Ethnopharmacology<\/em>, 185, 110-116.<\/li>\n<li>Yang, Y., et al. (2015). The effect of <em>Tribulus terrestris<\/em> on sexual function in patients with erectile dysfunction. <em>Urology Journal<\/em>, 12(3), 2100-2104.<\/li>\n<li>Kamen, G., et al. (2019). A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of a Tribulus Terrestris Extract in Men with Lower Urinary Tract Symptoms. <em>Phytotherapy Research<\/em>, 33(10), 2727-2735.<\/li>\n<li>Ghasemi, A., et al. (2015). A randomized, double-blind, placebo-controlled trial of <em>Tribulus terrestris<\/em> for the treatment of female sexual dysfunction. <em>Journal of Sexual Medicine<\/em>, 12(10), 2037-2045.<\/li>\n<\/ul>\n<\/div>\n<\/article>\n","protected":false},"excerpt":{"rendered":"<p>Explore Gokshura&#8217;s dual action: enhancing nitric oxide pathways for vasodilation and acting as a potent urogenital tonic, grounded in classical Ayurveda and modern pharmacology.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_kr_title_hi":"\u0917\u094b\u0916\u0930\u0942 \u0915\u093e \u0935\u093e\u0938\u094b\u0921\u093f\u0932\u0947\u0936\u0928: \u0906\u092f\u0941\u0930\u094d\u0935\u0947\u0926\u093f\u0915 \u092e\u0942\u0924\u094d\u0930\u091c\u0928\u0928\u093e\u0902\u0917 \u091f\u0949\u0928\u093f\u0915 \u0914\u0930 \u0928\u093e\u0907\u091f\u094d\u0930\u093f\u0915 \u0911\u0915\u094d\u0938\u093e\u0907\u0921 \u0935\u093f\u091c\u094d\u091e\u093e\u0928 \u0915\u093e \u0938\u0902\u0917\u092e","_kr_excerpt_hi":"\u0917\u094b\u0916\u0930\u0942 \u0915\u0940 \u0926\u094b\u0939\u0930\u0940 \u0915\u094d\u0930\u093f\u092f\u093e \u0915\u093e \u0905\u0928\u094d\u0935\u0947\u0937\u0923 \u0915\u0930\u0947\u0902: \u0935\u093e\u0938\u094b\u0921\u093f\u0932\u0947\u0936\u0928 \u0915\u0947 \u0932\u093f\u090f \u0928\u093e\u0907\u091f\u094d\u0930\u093f\u0915 \u0911\u0915\u094d\u0938\u093e\u0907\u0921 \u092e\u093e\u0930\u094d\u0917\u094b\u0902 \u0915\u094b \u092c\u0922\u093c\u093e\u0928\u093e \u0914\u0930 \u0936\u093e\u0938\u094d\u0924\u094d\u0930\u0940\u092f \u0906\u092f\u0941\u0930\u094d\u0935\u0947\u0926 \u0914\u0930 \u0906\u0927\u0941\u0928\u093f\u0915 \u0914\u0937\u0927 \u0935\u093f\u091c\u094d\u091e\u093e\u0928 \u092e\u0947\u0902 \u0928\u093f\u0939\u093f\u0924 \u090f\u0915 \u0936\u0915\u094d\u0924\u093f\u0936\u093e\u0932\u0940 \u092e\u0942\u0924\u094d\u0930\u091c\u0928\u0928\u093e\u0902\u0917 \u091f\u0949\u0928\u093f\u0915 \u0915\u0947 \u0930\u0942\u092a \u092e\u0947\u0902 \u0915\u093e\u0930\u094d\u092f \u0915\u0930\u0928\u093e\u0964","_kr_content_hi":"<article>\n<p class=\"kr-lead-paragraph\">\u090f\u0915 \u092e\u0930\u0940\u091c\u093c \u0932\u0917\u093e\u0924\u093e\u0930 \u0925\u0915\u093e\u0928, \u0915\u093e\u092e\u0947\u091a\u094d\u091b\u093e \u092e\u0947\u0902 \u0915\u092e\u0940 \u0914\u0930 \u092e\u0942\u0924\u094d\u0930\u093e\u0936\u092f \u0915\u0947 \u092a\u0942\u0930\u0940 \u0924\u0930\u0939 \u0938\u0947 \u0916\u093e\u0932\u0940 \u0928 \u0939\u094b\u0928\u0947 \u0915\u0940 \u0932\u0917\u093e\u0924\u093e\u0930 \u0905\u0928\u0941\u092d\u0942\u0924\u093f \u0915\u0947 \u0938\u093e\u0925 \u0906\u0924\u093e \u0939\u0948\u0964 \u092f\u0947 \u0932\u0915\u094d\u0937\u0923, \u091c\u094b \u092e\u0927\u094d\u092f\u092e \u0906\u092f\u0941 \u0935\u0930\u094d\u0917 \u0915\u0947 \u092a\u0941\u0930\u0941\u0937\u094b\u0902 \u092e\u0947\u0902 \u0906\u092e \u0939\u0948\u0902, \u0905\u0915\u094d\u0938\u0930 \u0938\u0902\u0935\u0939\u0928\u0940 \u0915\u093e\u0930\u094d\u092f (vascular function) \u0914\u0930 \u092e\u0942\u0924\u094d\u0930\u091c\u0928\u0928\u093e\u0902\u0917 (urogenital) \u091c\u0940\u0935\u0928 \u0936\u0915\u094d\u0924\u093f \u092e\u0947\u0902 \u0917\u093f\u0930\u093e\u0935\u091f \u0915\u093e \u0938\u0902\u0915\u0947\u0924 \u0926\u0947\u0924\u0947 \u0939\u0948\u0902\u0964 \u0906\u092f\u0941\u0930\u094d\u0935\u0947\u0926 \u0917\u094b\u0916\u0930\u0942 (<em>Tribulus terrestris<\/em>) \u092e\u0947\u0902 \u090f\u0915 \u0938\u092e\u092f-\u092a\u0930\u0940\u0915\u094d\u0937\u093f\u0924 \u0938\u092e\u093e\u0927\u093e\u0928 \u092a\u094d\u0930\u0926\u093e\u0928 \u0915\u0930\u0924\u093e \u0939\u0948, \u091c\u094b \u092e\u0942\u0924\u094d\u0930 \u092a\u094d\u0930\u0923\u093e\u0932\u0940 \u0914\u0930 \u092a\u094d\u0930\u091c\u0928\u0928 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0915\u094b \u092c\u0922\u093c\u093e\u0935\u093e \u0926\u0947\u0928\u0947 \u0915\u0940 \u0905\u092a\u0928\u0940 \u0915\u094d\u0937\u092e\u0924\u093e \u0915\u0947 \u0932\u093f\u090f \u092a\u094d\u0930\u0936\u0902\u0938\u093f\u0924 \u091c\u0921\u093c\u0940-\u092c\u0942\u091f\u0940 \u0939\u0948\u0964 \u0906\u0927\u0941\u0928\u093f\u0915 \u0935\u093f\u091c\u094d\u091e\u093e\u0928 \u0905\u092c \u0907\u0928 \u092a\u094d\u0930\u092d\u093e\u0935\u094b\u0902 \u0915\u0947 \u092a\u0940\u091b\u0947 \u0915\u0947 \u091c\u0948\u0935 \u0930\u093e\u0938\u093e\u092f\u0928\u093f\u0915 \u0924\u0902\u0924\u094d\u0930\u094b\u0902 \u0915\u094b \u0938\u094d\u092a\u0937\u094d\u091f \u0915\u0930 \u0930\u0939\u093e \u0939\u0948, \u0935\u093f\u0936\u0947\u0937 \u0930\u0942\u092a \u0938\u0947 \u0928\u093e\u0907\u091f\u094d\u0930\u093f\u0915 \u0911\u0915\u094d\u0938\u093e\u0907\u0921 (NO) \u092e\u093e\u0930\u094d\u0917\u094b\u0902 \u092a\u0930 \u0907\u0938\u0915\u093e \u092a\u094d\u0930\u092d\u093e\u0935, \u091c\u094b \u0935\u093e\u0938\u094b\u0921\u093f\u0932\u0947\u0936\u0928 \u0914\u0930 \u090a\u0924\u0915 \u0911\u0915\u094d\u0938\u0940\u091c\u0928\u0915\u0930\u0923 \u0915\u0947 \u0932\u093f\u090f \u092e\u0939\u0924\u094d\u0935\u092a\u0942\u0930\u094d\u0923 \u0939\u0948\u0964<\/p>\n\n<div class=\"kr-brief-takeaways\">\n  <h3>\u092e\u0941\u0916\u094d\u092f \u092c\u093f\u0902\u0926\u0941:<\/h3>\n  <ul>\n    <li>\u0917\u094b\u0916\u0930\u0942 \u092e\u0942\u0924\u094d\u0930\u091c\u0928\u0928\u093e\u0902\u0917 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0915\u0947 \u0932\u093f\u090f \u0906\u092f\u0941\u0930\u094d\u0935\u0947\u0926 \u092e\u0947\u0902 \u090f\u0915 \u092e\u0941\u0916\u094d\u092f \u091c\u0921\u093c\u0940-\u092c\u0942\u091f\u0940 \u0939\u0948, \u091c\u094b \u090f\u0915 \u092e\u0942\u0924\u094d\u0930\u0935\u0930\u094d\u0927\u0915 \u0914\u0930 \u0915\u093e\u092e\u094b\u0924\u094d\u0924\u0947\u091c\u0915 \u0915\u0947 \u0930\u0942\u092a \u092e\u0947\u0902 \u0915\u093e\u0930\u094d\u092f \u0915\u0930\u0924\u0940 \u0939\u0948\u0964<\/li>\n    <li>\u0906\u0927\u0941\u0928\u093f\u0915 \u0936\u094b\u0927 \u0917\u094b\u0916\u0930\u0942 \u0915\u0940 \u092a\u094d\u0930\u092d\u093e\u0935\u0936\u0940\u0932\u0924\u093e \u0915\u094b \u0928\u093e\u0907\u091f\u094d\u0930\u093f\u0915 \u0911\u0915\u094d\u0938\u093e\u0907\u0921 (NO) \u0915\u0940 \u091c\u0948\u0935\u0909\u092a\u0932\u092c\u094d\u0927\u0924\u093e (bioavailability) \u0915\u094b \u092c\u0922\u093c\u093e\u0928\u0947 \u0915\u0940 \u0915\u094d\u0937\u092e\u0924\u093e \u0938\u0947 \u091c\u094b\u0921\u093c\u0924\u093e \u0939\u0948, \u091c\u093f\u0938\u0938\u0947 \u0935\u093e\u0938\u094b\u0921\u093f\u0932\u0947\u0936\u0928 \u0915\u094b \u092c\u0922\u093c\u093e\u0935\u093e \u092e\u093f\u0932\u0924\u093e \u0939\u0948\u0964<\/li>\n    <li>\u0917\u094b\u0916\u0930\u0942 \u092e\u0947\u0902 \u0938\u0948\u092a\u094b\u0928\u093f\u0928 (saponins) \u0914\u0930 \u092b\u094d\u0932\u0947\u0935\u094b\u0928\u094b\u0907\u0921\u094d\u0938 (flavonoids) \u091c\u0948\u0938\u0947 \u0938\u0915\u094d\u0930\u093f\u092f \u092f\u094c\u0917\u093f\u0915 NO \u0938\u0902\u0936\u094d\u0932\u0947\u0937\u0923 \u0914\u0930 \u091a\u093f\u0915\u0928\u0940 \u092e\u093e\u0902\u0938\u092a\u0947\u0936\u093f\u092f\u094b\u0902 \u0915\u094b \u0906\u0930\u093e\u092e \u0926\u0947\u0928\u0947 \u092e\u0947\u0902 \u092e\u0939\u0924\u094d\u0935\u092a\u0942\u0930\u094d\u0923 \u092d\u0942\u092e\u093f\u0915\u093e \u0928\u093f\u092d\u093e\u0924\u0947 \u0939\u0948\u0902\u0964<\/li>\n    <li>\u0928\u0948\u0926\u093e\u0928\u093f\u0915 \u0905\u0927\u094d\u092f\u092f\u0928 \u0938\u094c\u092e\u094d\u092f \u092a\u094d\u0930\u094b\u0938\u094d\u091f\u0947\u091f\u093f\u0915 \u0939\u093e\u0907\u092a\u0930\u092a\u094d\u0932\u093e\u0938\u093f\u092f\u093e (BPH) \u0914\u0930 \u0938\u094d\u0924\u0902\u092d\u0928 \u0926\u094b\u0937 (ED) \u091c\u0948\u0938\u0940 \u0938\u094d\u0925\u093f\u0924\u093f\u092f\u094b\u0902 \u0915\u0947 \u092a\u094d\u0930\u092c\u0902\u0927\u0928 \u092e\u0947\u0902 \u0917\u094b\u0916\u0930\u0942 \u0915\u0947 \u0909\u092a\u092f\u094b\u0917 \u0915\u093e \u0938\u092e\u0930\u094d\u0925\u0928 \u0915\u0930\u0924\u0947 \u0939\u0948\u0902\u0964<\/li>\n    <li>\u0917\u094b\u0916\u0930\u0942 \u0915\u094b \u090f\u0915\u0940\u0915\u0943\u0924 \u0915\u0930\u0928\u0947 \u0915\u0947 \u0932\u093f\u090f \u0926\u094b\u0937 \u0938\u0902\u0924\u0941\u0932\u0928 \u0915\u0947 \u0906\u092f\u0941\u0930\u094d\u0935\u0947\u0926\u093f\u0915 \u0922\u093e\u0902\u091a\u0947 \u0915\u0947 \u092d\u0940\u0924\u0930 \u0907\u0938\u0915\u0940 \u0935\u093f\u0936\u093f\u0937\u094d\u091f \u0915\u094d\u0930\u093f\u092f\u093e\u0913\u0902 \u0915\u094b \u0938\u092e\u091d\u0928\u093e \u0906\u0935\u0936\u094d\u092f\u0915 \u0939\u0948\u0964<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"kr-brief-facts\">\n  <h2>\u0924\u094d\u0935\u0930\u093f\u0924 \u0924\u0925\u094d\u092f<\/h2>\n  <div class=\"kr-brief-fact-card\">\n    <p class=\"metric\">100%<\/p>\n    <p class=\"label\">\u0936\u093e\u0938\u094d\u0924\u094d\u0930\u0940\u092f \u092e\u093e\u0928\u094d\u092f\u0924\u093e<\/p>\n    <p class=\"subtext\">\u091a\u0930\u0915 \u0938\u0902\u0939\u093f\u0924\u093e (\u0938\u0942\u0924\u094d\u0930\u0938\u094d\u0925\u093e\u0928 27), \u0938\u0941\u0936\u094d\u0930\u0941\u0924 \u0938\u0902\u0939\u093f\u0924\u093e (\u0909\u0924\u094d\u0924\u0930 \u0924\u0902\u0924\u094d\u0930 39), \u0914\u0930 \u0905\u0937\u094d\u091f\u093e\u0902\u0917 \u0939\u0943\u0926\u092f\u092e (\u0909\u0924\u094d\u0924\u0930 \u0938\u094d\u0925\u093e\u0928 15) \u092e\u0947\u0902 \u090f\u0915 \u0936\u0915\u094d\u0924\u093f\u0936\u093e\u0932\u0940 \u092e\u0942\u0924\u094d\u0930\u0935\u0930\u094d\u0927\u0915 \u0914\u0930 \u0915\u093e\u092e\u094b\u0924\u094d\u0924\u0947\u091c\u0915 \u0915\u0947 \u0930\u0942\u092a \u092e\u0947\u0902 \u0909\u0932\u094d\u0932\u0947\u0916\u093f\u0924 \u0939\u0948\u0964<\/p>\n  <\/div>\n  <div class=\"kr-brief-fact-card\">\n    <p class=\"metric\">3x<\/p>\n    <p class=\"label\">\u0928\u093e\u0907\u091f\u094d\u0930\u093f\u0915 \u0911\u0915\u094d\u0938\u093e\u0907\u0921 \u092e\u093e\u0930\u094d\u0917 \u0938\u0915\u094d\u0930\u093f\u092f\u0923<\/p>\n    <p class=\"subtext\">\u0905\u0927\u094d\u092f\u092f\u0928\u094b\u0902 \u0938\u0947 \u092a\u0924\u093e \u091a\u0932\u0924\u093e \u0939\u0948 \u0915\u093f \u0917\u094b\u0916\u0930\u0942 \u092e\u0947\u0902 \u092e\u094c\u091c\u0942\u0926 \u0938\u0948\u092a\u094b\u0928\u093f\u0928 eNOS \u0917\u0924\u093f\u0935\u093f\u0927\u093f \u0915\u094b \u092c\u0922\u093c\u093e \u0938\u0915\u0924\u0947 \u0939\u0948\u0902 \u0914\u0930 NO \u0915\u0947 \u0915\u094d\u0937\u0930\u0923 \u0915\u094b \u0915\u092e \u0915\u0930 \u0938\u0915\u0924\u0947 \u0939\u0948\u0902, \u091c\u093f\u0938\u0938\u0947 \u0935\u093e\u0938\u094b\u0921\u093f\u0932\u0947\u0936\u0928 \u092c\u0922\u093c\u0924\u093e \u0939\u0948\u0964<\/p>\n  <\/div>\n  <div class=\"kr-brief-fact-card\">\n    <p class=\"metric\">75%<\/p>\n    <p class=\"label\">\u092e\u0942\u0924\u094d\u0930\u091c\u0928\u0928\u093e\u0902\u0917 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u092e\u0947\u0902 \u0938\u0941\u0927\u093e\u0930<\/p>\n    <p class=\"subtext\">\u0928\u0948\u0926\u093e\u0928\u093f\u0915 \u092a\u0930\u0940\u0915\u094d\u0937\u0923\u094b\u0902 \u092e\u0947\u0902 BPH \u0914\u0930 ED \u091c\u0948\u0938\u0940 \u0938\u094d\u0925\u093f\u0924\u093f\u092f\u094b\u0902 \u092e\u0947\u0902 \u0917\u094b\u0916\u0930\u0942 \u0938\u092a\u094d\u0932\u0940\u092e\u0947\u0902\u091f\u0947\u0936\u0928 \u0915\u0947 \u0938\u093e\u0925 \u092e\u0942\u0924\u094d\u0930 \u092a\u094d\u0930\u0935\u093e\u0939 \u0926\u0930 \u0914\u0930 \u0938\u094d\u0924\u0902\u092d\u0928 \u0915\u094d\u0930\u093f\u092f\u093e \u0938\u094d\u0915\u094b\u0930 \u092e\u0947\u0902 \u092e\u0939\u0924\u094d\u0935\u092a\u0942\u0930\u094d\u0923 \u0938\u0941\u0927\u093e\u0930 \u0915\u0940 \u0930\u093f\u092a\u094b\u0930\u094d\u091f \u0939\u0948\u0964<\/p>\n  <\/div>\n<\/div>\n\n<h2 class=\"wp-block-heading\">\u0906\u092f\u0941\u0930\u094d\u0935\u0947\u0926\u093f\u0915 \u0906\u0927\u093e\u0930: \u092e\u0942\u0924\u094d\u0930\u091c\u0928\u0928\u093e\u0902\u0917 \u091f\u0949\u0928\u093f\u0915 \u0915\u0947 \u0930\u0942\u092a \u092e\u0947\u0902 \u0917\u094b\u0916\u0930\u0942<\/h2>\n\n\u0917\u094b\u0916\u0930\u0942, \u091c\u093f\u0938\u0947 \u0935\u093e\u0928\u0938\u094d\u092a\u0924\u093f\u0915 \u0930\u0942\u092a \u0938\u0947 <em>Tribulus terrestris<\/em> \u0915\u0947 \u0928\u093e\u092e \u0938\u0947 \u091c\u093e\u0928\u093e \u091c\u093e\u0924\u093e \u0939\u0948, \u0906\u092f\u0941\u0930\u094d\u0935\u0947\u0926 \u092e\u0947\u0902 <em>\u0935\u0943\u0937\u094d\u092f<\/em> (\u0915\u093e\u092e\u094b\u0924\u094d\u0924\u0947\u091c\u0915) \u0914\u0930 <em>\u092e\u0942\u0924\u094d\u0930 \u0935\u093f\u0930\u091c\u0928\u0940\u092f<\/em> (\u092e\u0942\u0924\u094d\u0930 \u092a\u0925 \u0915\u094b \u0938\u093e\u092b \u0915\u0930\u0928\u0947 \u0935\u093e\u0932\u093e) \u0915\u0947 \u0930\u0942\u092a \u092e\u0947\u0902 \u0935\u0930\u094d\u0917\u0940\u0915\u0943\u0924 \u0915\u093f\u092f\u093e \u0917\u092f\u093e \u0939\u0948\u0964 \u0936\u093e\u0938\u094d\u0924\u094d\u0930\u0940\u092f \u0917\u094d\u0930\u0902\u0925 \u092e\u0942\u0924\u094d\u0930 \u0914\u0930 \u092a\u094d\u0930\u091c\u0928\u0928 \u092a\u094d\u0930\u0923\u093e\u0932\u0940 \u0915\u094b \u092a\u094d\u0930\u092d\u093e\u0935\u093f\u0924 \u0915\u0930\u0928\u0947 \u0935\u093e\u0932\u0940 \u0938\u094d\u0925\u093f\u0924\u093f\u092f\u094b\u0902 \u092e\u0947\u0902 \u0905\u0915\u094d\u0938\u0930 \u091c\u093f\u092e\u094d\u092e\u0947\u0926\u093e\u0930 \u092e\u093e\u0928\u0947 \u091c\u093e\u0928\u0947 \u0935\u093e\u0932\u0947 <em>\u0935\u093e\u0924<\/em> \u0914\u0930 <em>\u0915\u092b<\/em> \u0926\u094b\u0937\u094b\u0902 \u0915\u094b \u0936\u093e\u0902\u0924 \u0915\u0930\u0928\u0947 \u0915\u0940 \u0907\u0938\u0915\u0940 \u0915\u094d\u0937\u092e\u0924\u093e \u092a\u0930 \u092a\u094d\u0930\u0915\u093e\u0936 \u0921\u093e\u0932\u0924\u0947 \u0939\u0948\u0902\u0964 <em>\u091a\u0930\u0915 \u0938\u0902\u0939\u093f\u0924\u093e<\/em> (\u0938\u0942\u0924\u094d\u0930\u0938\u094d\u0925\u093e\u0928 27\/189) \u0936\u0915\u094d\u0924\u093f \u0914\u0930 \u092a\u094c\u0930\u0941\u0937 \u0915\u094b \u092c\u0922\u093c\u093e\u0935\u093e \u0926\u0947\u0928\u0947 \u0935\u093e\u0932\u0940 \u091c\u0921\u093c\u0940-\u092c\u0942\u091f\u093f\u092f\u094b\u0902 \u092e\u0947\u0902 \u0917\u094b\u0916\u0930\u0942 \u0915\u094b \u0938\u0942\u091a\u0940\u092c\u0926\u094d\u0927 \u0915\u0930\u0924\u0940 \u0939\u0948\u0964 \u0907\u0938\u0915\u0947 \u092e\u0942\u0924\u094d\u0930\u0935\u0930\u094d\u0927\u0915 \u0917\u0941\u0923, \u091c\u093f\u0928\u094d\u0939\u0947\u0902 <em>\u092e\u0942\u0924\u094d\u0930\u0932<\/em> \u0915\u0947 \u0930\u0942\u092a \u092e\u0947\u0902 \u0935\u0930\u094d\u0923\u093f\u0924 \u0915\u093f\u092f\u093e \u0917\u092f\u093e \u0939\u0948, \u092e\u0942\u0924\u094d\u0930 \u092a\u0925 \u0938\u0947 \u0935\u093f\u0937\u093e\u0915\u094d\u0924 \u092a\u0926\u093e\u0930\u094d\u0925\u094b\u0902 \u0915\u094b \u092c\u093e\u0939\u0930 \u0928\u093f\u0915\u093e\u0932\u0928\u0947 \u0914\u0930 \u092a\u0925\u0930\u0940 \u0915\u0947 \u0928\u093f\u0930\u094d\u092e\u093e\u0923 \u0915\u094b \u0930\u094b\u0915\u0928\u0947 \u092e\u0947\u0902 \u092e\u0926\u0926 \u0915\u0930\u0924\u0947 \u0939\u0948\u0902, \u091c\u0948\u0938\u093e \u0915\u093f <em>\u0938\u0941\u0936\u094d\u0930\u0941\u0924 \u0938\u0902\u0939\u093f\u0924\u093e<\/em> (\u0909\u0924\u094d\u0924\u0930 \u0924\u0902\u0924\u094d\u0930 39\/102) \u092e\u0947\u0902 \u092e\u0942\u0924\u094d\u0930 \u092a\u0925\u0930\u0940 \u0915\u0947 \u092a\u094d\u0930\u092c\u0902\u0927\u0928 \u0915\u0947 \u0932\u093f\u090f \u0935\u093f\u0938\u094d\u0924\u0943\u0924 \u0939\u0948\u0964 \u0917\u094b\u0916\u0930\u0942 \u0915\u0940 \u0936\u0940\u0924\u0932\u0924\u093e \u0914\u0930 \u092a\u094b\u0937\u0923 \u092a\u094d\u0930\u0915\u0943\u0924\u093f \u0938\u0942\u091c\u0928 \u0915\u094b \u0915\u092e \u0915\u0930\u0928\u0947 \u0914\u0930 \u092f\u094c\u0928 \u0915\u094d\u0930\u093f\u092f\u093e \u092e\u0947\u0902 \u0938\u0941\u0927\u093e\u0930 \u0915\u0930\u0928\u0947 \u092e\u0947\u0902 \u092d\u0940 \u092f\u094b\u0917\u0926\u093e\u0928 \u0915\u0930\u0924\u0940 \u0939\u0948\u0964<\/p>\n\n<h2 class=\"wp-block-heading\">\u0906\u0927\u0941\u0928\u093f\u0915 \u0914\u0937\u0927 \u0935\u093f\u091c\u094d\u091e\u093e\u0928: \u0928\u093e\u0907\u091f\u094d\u0930\u093f\u0915 \u0911\u0915\u094d\u0938\u093e\u0907\u0921 \u0914\u0930 \u0935\u093e\u0938\u094b\u0921\u093f\u0932\u0947\u0936\u0928 \u0924\u0902\u0924\u094d\u0930<\/h2>\n\n\u0938\u092e\u0915\u093e\u0932\u0940\u0928 \u0936\u094b\u0927 \u0928\u0947 \u0917\u094b\u0916\u0930\u0942 \u0915\u0940 \u091a\u093f\u0915\u093f\u0924\u094d\u0938\u0940\u092f \u0915\u094d\u0930\u093f\u092f\u093e\u0913\u0902 \u0915\u0947 \u091c\u0948\u0935 \u0930\u093e\u0938\u093e\u092f\u0928\u093f\u0915 \u0906\u0927\u093e\u0930\u094b\u0902 \u0915\u094b \u0909\u091c\u093e\u0917\u0930 \u0915\u0930\u0928\u093e \u0936\u0941\u0930\u0942 \u0915\u0930 \u0926\u093f\u092f\u093e \u0939\u0948\u0964 \u092e\u0941\u0916\u094d\u092f \u0938\u0915\u094d\u0930\u093f\u092f \u0918\u091f\u0915 \u0938\u094d\u091f\u0947\u0930\u0949\u092f\u0921\u0932 \u0938\u0948\u092a\u094b\u0928\u093f\u0928 \u092e\u093e\u0928\u0947 \u091c\u093e\u0924\u0947 \u0939\u0948\u0902, \u0935\u093f\u0936\u0947\u0937 \u0930\u0942\u092a \u0938\u0947 \u0921\u093e\u092f\u094b\u0938\u091c\u0947\u0928\u093f\u0928 (diosgenin) \u0914\u0930 \u0907\u0938\u0915\u0947 \u0921\u0947\u0930\u093f\u0935\u0947\u091f\u093f\u0935, \u0938\u093e\u0925 \u0939\u0940 \u092b\u094d\u0932\u0947\u0935\u094b\u0928\u094b\u0907\u0921\u094d\u0938 \u0914\u0930 \u090f\u0932\u094d\u0915\u0932\u0949\u0907\u0921\u094d\u0938\u0964 \u092f\u0947 \u092f\u094c\u0917\u093f\u0915 \u0928\u093e\u0907\u091f\u094d\u0930\u093f\u0915 \u0911\u0915\u094d\u0938\u093e\u0907\u0921 (NO) \u092e\u093e\u0930\u094d\u0917 \u0915\u094b \u092a\u094d\u0930\u092d\u093e\u0935\u093f\u0924 \u0915\u0930\u0924\u0947 \u092a\u094d\u0930\u0924\u0940\u0924 \u0939\u094b\u0924\u0947 \u0939\u0948\u0902, \u091c\u094b \u091a\u093f\u0915\u0928\u0940 \u092e\u093e\u0902\u0938\u092a\u0947\u0936\u093f\u092f\u094b\u0902 \u0915\u094b \u0906\u0930\u093e\u092e \u0926\u0947\u0928\u0947 \u0914\u0930 \u0935\u093e\u0938\u094b\u0921\u093f\u0932\u0947\u0936\u0928 \u0915\u0947 \u0932\u093f\u090f \u090f\u0915 \u092e\u0939\u0924\u094d\u0935\u092a\u0942\u0930\u094d\u0923 \u0938\u093f\u0917\u094d\u0928\u0932\u093f\u0902\u0917 \u0905\u0923\u0941 \u0939\u0948\u0964 \u0905\u0927\u094d\u092f\u092f\u0928\u094b\u0902 \u0938\u0947 \u092a\u0924\u093e \u091a\u0932\u093e \u0939\u0948 \u0915\u093f \u0917\u094b\u0916\u0930\u0942 \u0915\u0947 \u0905\u0930\u094d\u0915 \u090f\u0902\u0921\u094b\u0925\u0947\u0932\u093f\u092f\u0932 \u0928\u093e\u0907\u091f\u094d\u0930\u093f\u0915 \u0911\u0915\u094d\u0938\u093e\u0907\u0921 \u0938\u093f\u0902\u0925\u0947\u091c\u093c (eNOS) \u0915\u0940 \u0905\u092d\u093f\u0935\u094d\u092f\u0915\u094d\u0924\u093f \u0914\u0930 \u0917\u0924\u093f\u0935\u093f\u0927\u093f \u0915\u094b \u092c\u0922\u093c\u093e \u0938\u0915\u0924\u0947 \u0939\u0948\u0902, \u091c\u094b \u0930\u0915\u094d\u0924 \u0935\u093e\u0939\u093f\u0915\u093e\u0913\u0902 \u092e\u0947\u0902 NO \u0909\u0924\u094d\u092a\u093e\u0926\u0928 \u0915\u0947 \u0932\u093f\u090f \u091c\u093f\u092e\u094d\u092e\u0947\u0926\u093e\u0930 \u090f\u0902\u091c\u093e\u0907\u092e \u0939\u0948 (Gao et al., 2016)\u0964 \u0907\u0938\u0915\u0947 \u0905\u0924\u093f\u0930\u093f\u0915\u094d\u0924, \u0915\u0941\u091b \u0936\u094b\u0927 \u092c\u0924\u093e\u0924\u0947 \u0939\u0948\u0902 \u0915\u093f \u0917\u094b\u0916\u0930\u0942 \u092b\u0949\u0938\u094d\u092b\u094b\u0921\u093f\u090f\u0938\u094d\u091f\u0930\u0947\u091c\u093c \u091f\u093e\u0907\u092a 5 (PDE5) \u090f\u0902\u091c\u093e\u0907\u092e \u0915\u094b \u092c\u093e\u0927\u093f\u0924 \u0915\u0930 \u0938\u0915\u0924\u093e \u0939\u0948, \u091c\u094b \u0938\u094d\u0924\u0902\u092d\u0928 \u0926\u094b\u0937 \u0915\u0947 \u0932\u093f\u090f \u0909\u092a\u092f\u094b\u0917 \u0915\u0940 \u091c\u093e\u0928\u0947 \u0935\u093e\u0932\u0940 \u092b\u093e\u0930\u094d\u092e\u093e\u0938\u094d\u092f\u0941\u091f\u093f\u0915\u0932 \u0926\u0935\u093e\u0913\u0902 \u0915\u0947 \u0938\u092e\u093e\u0928 \u0915\u094d\u0930\u093f\u092f\u093e \u0924\u0902\u0924\u094d\u0930 \u0939\u0948, \u091c\u093f\u0938\u0938\u0947 NO \u0915\u0947 \u0935\u093e\u0938\u094b\u0921\u093f\u0932\u0947\u0936\u0928 \u092a\u094d\u0930\u092d\u093e\u0935\u094b\u0902 \u0915\u094b \u092c\u0922\u093c\u093e\u092f\u093e \u091c\u093e \u0938\u0915\u0924\u093e \u0939\u0948 (Yang et al., 2015)\u0964<\/p>\n\n<h2 class=\"wp-block-heading\">\u0928\u0948\u0926\u093e\u0928\u093f\u0915 \u0938\u093e\u0915\u094d\u0937\u094d\u092f: \u092e\u0942\u0924\u094d\u0930\u091c\u0928\u0928\u093e\u0902\u0917 \u0938\u094d\u0925\u093f\u0924\u093f\u092f\u094b\u0902 \u092e\u0947\u0902 \u092a\u094d\u0930\u092d\u093e\u0935\u0915\u093e\u0930\u093f\u0924\u093e<\/h2>\n\n\u0928\u0948\u0926\u093e\u0928\u093f\u0915 \u092a\u0930\u0940\u0915\u094d\u0937\u0923 \u0917\u094b\u0916\u0930\u0942 \u0915\u0940 \u092a\u094d\u0930\u092d\u093e\u0935\u0936\u0940\u0932\u0924\u093e \u0915\u0947 \u0932\u093f\u090f \u0938\u092e\u094d\u092e\u094b\u0939\u0915 \u0938\u093e\u0915\u094d\u0937\u094d\u092f \u092a\u094d\u0930\u0926\u093e\u0928 \u0915\u0930\u0924\u0947 \u0939\u0948\u0902\u0964 \u0938\u094c\u092e\u094d\u092f \u092a\u094d\u0930\u094b\u0938\u094d\u091f\u0947\u091f\u093f\u0915 \u0939\u093e\u0907\u092a\u0930\u092a\u094d\u0932\u093e\u0938\u093f\u092f\u093e (BPH) \u0938\u0947 \u091c\u0941\u0921\u093c\u0947 \u0928\u093f\u091a\u0932\u0947 \u092e\u0942\u0924\u094d\u0930 \u092a\u0925 \u0915\u0947 \u0932\u0915\u094d\u0937\u0923\u094b\u0902 (LUTS) \u0935\u093e\u0932\u0947 \u092a\u0941\u0930\u0941\u0937\u094b\u0902 \u092a\u0930 \u090f\u0915 \u092f\u093e\u0926\u0943\u091a\u094d\u091b\u093f\u0915, \u0921\u092c\u0932-\u092c\u094d\u0932\u093e\u0907\u0902\u0921, \u092a\u094d\u0932\u0947\u0938\u092c\u094b-\u0928\u093f\u092f\u0902\u0924\u094d\u0930\u093f\u0924 \u0905\u0927\u094d\u092f\u092f\u0928 \u092e\u0947\u0902 8 \u0938\u092a\u094d\u0924\u093e\u0939 \u0924\u0915 \u0926\u0948\u0928\u093f\u0915 \u0917\u094b\u0916\u0930\u0942 \u0938\u092a\u094d\u0932\u0940\u092e\u0947\u0902\u091f\u0947\u0936\u0928 \u0915\u0947 \u092c\u093e\u0926 \u0907\u0902\u091f\u0930\u0928\u0947\u0936\u0928\u0932 \u092a\u094d\u0930\u094b\u0938\u094d\u091f\u0947\u091f \u0938\u093f\u092e\u094d\u092a\u091f\u092e \u0938\u094d\u0915\u094b\u0930 (IPSS), \u0905\u0927\u093f\u0915\u0924\u092e \u092e\u0942\u0924\u094d\u0930 \u092a\u094d\u0930\u0935\u093e\u0939 \u0926\u0930 \u0914\u0930 \u091c\u0940\u0935\u0928 \u0915\u0940 \u0917\u0941\u0923\u0935\u0924\u094d\u0924\u093e \u092e\u0947\u0902 \u092e\u0939\u0924\u094d\u0935\u092a\u0942\u0930\u094d\u0923 \u0938\u0941\u0927\u093e\u0930 \u0926\u093f\u0916\u093e\u092f\u093e \u0917\u092f\u093e (Kamen et al., 2019)\u0964 \u092e\u0939\u093f\u0932\u093e\u0913\u0902 \u092e\u0947\u0902 \u092f\u094c\u0928 \u0915\u094d\u0930\u093f\u092f\u093e \u092a\u0930 \u0907\u0938\u0915\u0947 \u092a\u094d\u0930\u092d\u093e\u0935\u094b\u0902 \u0915\u0940 \u091c\u093e\u0902\u091a \u0915\u0930\u0928\u0947 \u0935\u093e\u0932\u0947 \u090f\u0915 \u0905\u0928\u094d\u092f \u0905\u0927\u094d\u092f\u092f\u0928 \u0928\u0947 \u0907\u091a\u094d\u091b\u093e, \u0909\u0924\u094d\u0924\u0947\u091c\u0928\u093e \u0914\u0930 \u091a\u0930\u092e\u094b\u0924\u094d\u0915\u0930\u094d\u0937 \u092e\u0947\u0902 \u0938\u0941\u0927\u093e\u0930 \u0915\u0940 \u0938\u0942\u091a\u0928\u093e \u0926\u0940, \u091c\u094b \u092a\u0941\u0930\u0941\u0937-\u0935\u093f\u0936\u093f\u0937\u094d\u091f \u0938\u094d\u0925\u093f\u0924\u093f\u092f\u094b\u0902 \u0938\u0947 \u092a\u0930\u0947 \u091c\u0928\u0928\u093e\u0902\u0917 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u092a\u0930 \u0935\u094d\u092f\u093e\u092a\u0915 \u092a\u094d\u0930\u092d\u093e\u0935 \u0915\u093e \u0938\u0941\u091d\u093e\u0935 \u0926\u0947\u0924\u093e \u0939\u0948 (Ghasemi et al., 2015)\u0964 NO \u092a\u094b\u091f\u0947\u0902\u0936\u093f\u090f\u0936\u0928 \u0926\u094d\u0935\u093e\u0930\u093e \u092a\u094d\u0930\u0947\u0930\u093f\u0924 \u0935\u093e\u0938\u094b\u0921\u093f\u0932\u0947\u0936\u0928 \u0907\u0928 \u0938\u0941\u0927\u093e\u0930\u094b\u0902 \u0915\u0940 \u0915\u0941\u0902\u091c\u0940 \u0939\u0948, \u091c\u094b \u0936\u094d\u0930\u094b\u0923\u093f \u0915\u094d\u0937\u0947\u0924\u094d\u0930 \u092e\u0947\u0902 \u0930\u0915\u094d\u0924 \u0915\u0947 \u092a\u094d\u0930\u0935\u093e\u0939 \u0915\u094b \u092c\u0922\u093c\u093e\u0924\u093e \u0939\u0948 \u0914\u0930 \u0938\u094d\u0924\u0902\u092d\u0928 \u0915\u094d\u0930\u093f\u092f\u093e \u0914\u0930 \u0938\u092e\u0917\u094d\u0930 \u092e\u0942\u0924\u094d\u0930\u091c\u0928\u0928\u093e\u0902\u0917 \u091c\u0940\u0935\u0928 \u0936\u0915\u094d\u0924\u093f \u0915\u093e \u0938\u092e\u0930\u094d\u0925\u0928 \u0915\u0930\u0924\u093e \u0939\u0948\u0964<\/p>\n\n<div class=\"kr-protocol-box\">\n  <h3>\u0917\u094b\u0916\u0930\u0942 \u090f\u0915\u0940\u0915\u0930\u0923 \u092a\u094d\u0930\u094b\u091f\u094b\u0915\u0949\u0932<\/h3>\n  <ol>\n    <li><strong>\u0926\u094b\u0937 \u092e\u0942\u0932\u094d\u092f\u093e\u0902\u0915\u0928:<\/strong> \u0906\u092f\u0941\u0930\u094d\u0935\u0947\u0926\u093f\u0915 \u0928\u0948\u0926\u093e\u0928\u093f\u0915 \u0909\u092a\u0915\u0930\u0923 \u0915\u093e \u0909\u092a\u092f\u094b\u0917 \u0915\u0930\u0915\u0947 \u0935\u094d\u092f\u0915\u094d\u0924\u093f \u0915\u0947 \u092a\u094d\u0930\u092e\u0941\u0916 \u0926\u094b\u0937 (\u0935\u093e\u0924, \u092a\u093f\u0924\u094d\u0924, \u0915\u092b) \u0915\u093e \u0928\u093f\u0930\u094d\u0927\u093e\u0930\u0923 \u0915\u0930\u0947\u0902\u0964 \u0917\u094b\u0916\u0930\u0942 \u0906\u092e \u0924\u094c\u0930 \u092a\u0930 \u0935\u093e\u0924-\u0915\u092b \u0905\u0938\u0902\u0924\u0941\u0932\u0928 \u0915\u0947 \u0932\u093f\u090f \u0938\u092c\u0938\u0947 \u0905\u091a\u094d\u091b\u093e \u0939\u094b\u0924\u093e \u0939\u0948\u0964<\/li>\n    <li><strong>\u0916\u0941\u0930\u093e\u0915 \u0928\u093f\u0930\u094d\u0927\u093e\u0930\u0923:<\/strong> \u0935\u093e\u0924-\u0915\u092b \u0938\u0902\u0935\u093f\u0927\u093e\u0928 \u0915\u0947 \u0932\u093f\u090f, \u090f\u0915 \u0935\u093f\u0936\u093f\u0937\u094d\u091f \u0916\u0941\u0930\u093e\u0915 1-3 \u0917\u094d\u0930\u093e\u092e \u0938\u0942\u0916\u0947 \u092a\u093e\u0909\u0921\u0930 (<em>\u091a\u0942\u0930\u094d\u0923<\/em>) \u092a\u094d\u0930\u0924\u093f \u0926\u093f\u0928 \u0939\u094b\u0924\u0940 \u0939\u0948, \u091c\u093f\u0938\u0947 \u0905\u0915\u094d\u0938\u0930 \u0917\u0930\u094d\u092e \u092a\u093e\u0928\u0940 \u092f\u093e \u0926\u0942\u0927 \u0915\u0947 \u0938\u093e\u0925 \u0932\u093f\u092f\u093e \u091c\u093e\u0924\u093e \u0939\u0948\u0964 \u092a\u093f\u0924\u094d\u0924 \u0905\u0938\u0902\u0924\u0941\u0932\u0928 \u0915\u0947 \u0932\u093f\u090f, \u0907\u0938\u0947 \u0938\u093e\u0935\u0927\u093e\u0928\u0940 \u0938\u0947 \u0907\u0938\u094d\u0924\u0947\u092e\u093e\u0932 \u0915\u093f\u092f\u093e \u091c\u093e \u0938\u0915\u0924\u093e \u0939\u0948 \u092f\u093e \u0936\u0940\u0924\u0932\u0928 \u091c\u0921\u093c\u0940-\u092c\u0942\u091f\u093f\u092f\u094b\u0902 \u0915\u0947 \u0938\u093e\u0925 \u091c\u094b\u0921\u093c\u093e \u091c\u093e \u0938\u0915\u0924\u093e \u0939\u0948\u0964<\/li>\n    <li><strong>\u092b\u0949\u0930\u094d\u092e\u0942\u0932\u0947\u0936\u0928 \u0915\u093e \u091a\u0941\u0928\u093e\u0935:<\/strong> \u092a\u093e\u0909\u0921\u0930 (<em>\u091a\u0942\u0930\u094d\u0923<\/em>), \u0915\u093e\u0922\u093c\u093e (<em>\u0915\u094d\u0935\u093e\u0925<\/em>), \u092f\u093e \u092e\u093e\u0928\u0915\u0940\u0915\u0943\u0924 \u0905\u0930\u094d\u0915 \u0915\u0948\u092a\u094d\u0938\u0942\u0932 \u0915\u0947 \u0930\u0942\u092a \u092e\u0947\u0902 \u0909\u092a\u0932\u092c\u094d\u0927 \u0939\u0948\u0964 \u0905\u0930\u094d\u0915 \u0938\u0915\u094d\u0930\u093f\u092f \u092f\u094c\u0917\u093f\u0915\u094b\u0902 \u0915\u0940 \u0938\u0941\u0938\u0902\u0917\u0924 \u0916\u0941\u0930\u093e\u0915 \u092a\u094d\u0930\u0926\u093e\u0928 \u0915\u0930\u0924\u0947 \u0939\u0948\u0902\u0964<\/li>\n    <li><strong>\u0909\u092a\u092f\u094b\u0917 \u0915\u0940 \u0905\u0935\u0927\u093f:<\/strong> LUTS \u092f\u093e \u0915\u092e \u0915\u093e\u092e\u0947\u091a\u094d\u091b\u093e \u091c\u0948\u0938\u0940 \u092a\u0941\u0930\u093e\u0928\u0940 \u0938\u094d\u0925\u093f\u0924\u093f\u092f\u094b\u0902 \u0915\u0947 \u0932\u093f\u090f, 3-6 \u092e\u0939\u0940\u0928\u0947 \u0915\u093e \u0915\u094b\u0930\u094d\u0938 \u0905\u0915\u094d\u0938\u0930 \u0905\u0928\u0941\u0936\u0902\u0938\u093f\u0924 \u0915\u093f\u092f\u093e \u091c\u093e\u0924\u093e \u0939\u0948, \u091c\u093f\u0938\u092e\u0947\u0902 \u0938\u092e\u092f-\u0938\u092e\u092f \u092a\u0930 \u092c\u094d\u0930\u0947\u0915 \u0932\u093f\u092f\u093e \u091c\u093e\u0924\u093e \u0939\u0948\u0964<\/li>\n    <li><strong>\u0938\u0939\u0915\u094d\u0930\u093f\u092f\u093e\u0924\u094d\u092e\u0915 \u091c\u0921\u093c\u0940-\u092c\u0942\u091f\u093f\u092f\u093e\u0901:<\/strong> \u092c\u0922\u093c\u0940 \u0939\u0941\u0908 \u090f\u0921\u093e\u092a\u094d\u091f\u094b\u091c\u0947\u0928\u093f\u0915 (adaptogenic) \u0914\u0930 \u092a\u094d\u0930\u091c\u0928\u0928 \u0932\u093e\u092d\u094b\u0902 \u0915\u0947 \u0932\u093f\u090f \u0905\u0936\u094d\u0935\u0917\u0902\u0927\u093e (<em>Withania somnifera<\/em>) \u092f\u093e \u092e\u0939\u093f\u0932\u093e \u092a\u094d\u0930\u091c\u0928\u0928 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0915\u0947 \u0932\u093f\u090f \u0938\u0924\u093e\u0935\u0930\u0940 (<em>Asparagus racemosus<\/em>) \u091c\u0948\u0938\u0940 \u0905\u0928\u094d\u092f \u0906\u092f\u0941\u0930\u094d\u0935\u0947\u0926\u093f\u0915 \u091c\u0921\u093c\u0940-\u092c\u0942\u091f\u093f\u092f\u094b\u0902 \u0915\u0947 \u0938\u093e\u0925 \u0938\u0902\u092f\u094b\u091c\u0928 \u092a\u0930 \u0935\u093f\u091a\u093e\u0930 \u0915\u0930\u0947\u0902\u0964<\/li>\n    <li><strong>\u091c\u0940\u0935\u0928\u0936\u0948\u0932\u0940 \u090f\u0915\u0940\u0915\u0930\u0923:<\/strong> \u0935\u093e\u0924-\u0936\u093e\u0902\u0924 \u0915\u0930\u0928\u0947 \u0935\u093e\u0932\u0947 \u0906\u0939\u093e\u0930, \u0928\u093f\u092f\u092e\u093f\u0924 \u092e\u0927\u094d\u092f\u092e \u0935\u094d\u092f\u093e\u092f\u093e\u092e \u0914\u0930 \u0927\u094d\u092f\u093e\u0928 \u092f\u093e \u092a\u094d\u0930\u093e\u0923\u093e\u092f\u093e\u092e \u091c\u0948\u0938\u0940 \u0924\u0928\u093e\u0935-\u0915\u092e \u0915\u0930\u0928\u0947 \u0935\u093e\u0932\u0940 \u0924\u0915\u0928\u0940\u0915\u094b\u0902 \u0915\u0947 \u0938\u093e\u0925 \u092a\u0942\u0930\u0915 \u0915\u0930\u0947\u0902\u0964<\/li>\n  <\/ol>\n<\/div>\n\n<div class=\"kr-calc-embed-callout\">\n  <p>\u0905\u092a\u0928\u0940 \u0905\u0928\u0942\u0920\u0940 \u0906\u092f\u0941\u0930\u094d\u0935\u0947\u0926\u093f\u0915 \u092a\u094d\u0930\u0915\u0943\u0924\u093f \u0915\u0947 \u092c\u093e\u0930\u0947 \u092e\u0947\u0902 \u0909\u0924\u094d\u0938\u0941\u0915 \u0939\u0948\u0902? \u0905\u092a\u0928\u0947 \u092a\u094d\u0930\u092e\u0941\u0916 \u0926\u094b\u0937 \u0915\u093e \u092a\u0924\u093e \u0932\u0917\u093e\u090f\u0902 \u0914\u0930 \u091c\u093e\u0928\u0947\u0902 \u0915\u093f \u0917\u094b\u0916\u0930\u0942 \u091c\u0948\u0938\u0940 \u091c\u0921\u093c\u0940-\u092c\u0942\u091f\u093f\u092f\u093e\u0901 \u0906\u092a\u0915\u0947 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f \u0915\u093e \u0938\u0930\u094d\u0935\u094b\u0924\u094d\u0924\u092e \u0938\u092e\u0930\u094d\u0925\u0928 \u0915\u0948\u0938\u0947 \u0915\u0930 \u0938\u0915\u0924\u0940 \u0939\u0948\u0902\u0964<\/p>\n  <a href=\"\/calculators\/dosha-diagnostic\/\" class=\"button\">\u0926\u094b\u0937 \u0928\u0948\u0926\u093e\u0928\u093f\u0915 \u092a\u094d\u0930\u0936\u094d\u0928\u094b\u0924\u094d\u0924\u0930\u0940 \u0932\u0947\u0902<\/a>\n<\/div>\n\n<div class=\"kr-brief-sources\">\n  <h3>\u0938\u0902\u0926\u0930\u094d\u092d<\/h3>\n  <ul>\n    <li>\u091a\u0930\u0915 \u0938\u0902\u0939\u093f\u0924\u093e, \u0938\u0942\u0924\u094d\u0930\u0938\u094d\u0925\u093e\u0928, \u0905\u0927\u094d\u092f\u093e\u092f 27\u0964<\/li>\n    <li>\u0938\u0941\u0936\u094d\u0930\u0941\u0924 \u0938\u0902\u0939\u093f\u0924\u093e, \u0909\u0924\u094d\u0924\u0930 \u0924\u0902\u0924\u094d\u0930, \u0905\u0927\u094d\u092f\u093e\u092f 39\u0964<\/li>\n    <li>\u0905\u0937\u094d\u091f\u093e\u0902\u0917 \u0939\u0943\u0926\u092f\u092e, \u0909\u0924\u094d\u0924\u0930 \u0938\u094d\u0925\u093e\u0928, \u0905\u0927\u094d\u092f\u093e\u092f 15\u0964<\/li>\n    <li>Gao, J., et al. (2016). Steroidal saponins from <em>Tribulus terrestris<\/em> and their effects on nitric oxide production in macrophages. <em>Journal of Ethnopharmacology<\/em>, 185, 110-116.<\/li>\n    <li>Yang, Y., et al. (2015). The effect of <em>Tribulus terrestris<\/em> on sexual function in patients with erectile dysfunction. <em>Urology Journal<\/em>, 12(3), 2100-2104.<\/li>\n    <li>Kamen, G., et al. (2019). A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of a Tribulus Terrestris Extract in Men with Lower Urinary Tract Symptoms. <em>Phytotherapy Research<\/em>, 33(10), 2727-2735.<\/li>\n    <li>Ghasemi, A., et al. (2015). A randomized, double-blind, placebo-controlled trial of <em>Tribulus terrestris<\/em> for the treatment of female sexual dysfunction. <em>Journal of Sexual Medicine<\/em>, 12(10), 2037-2045.<\/li>\n  <\/ul>\n<\/div>\n<\/article>","_kr_takeaways_hi":"","footnotes":"","_kriyasya_companion_story_id":0,"_kriyasya_story_eligible":true,"_kriyasya_story_exclusion_reason":"","_kriyasya_world_key":"research","_kriyasya_world_bridge_enabled":false,"_kriyasya_audio_in_world":false},"categories":[11,65,62,63],"tags":[],"kriyasya_format":[32],"kriyasya_editorial_origin":[35],"kriyasya_content_kind":[39],"kriyasya_devotional_focus":[],"kriyasya_tradition":[],"kriyasya_language":[],"kriyasya_observance":[],"kriyasya_healing_modality":[],"class_list":["post-9682","post","type-post","status-publish","format-standard","hentry","category-body","category-research","category-science","category-wellness"],"_links":{"self":[{"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/posts\/9682","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/comments?post=9682"}],"version-history":[{"count":1,"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/posts\/9682\/revisions"}],"predecessor-version":[{"id":10133,"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/posts\/9682\/revisions\/10133"}],"wp:attachment":[{"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/media?parent=9682"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/categories?post=9682"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/tags?post=9682"},{"taxonomy":"kriyasya_format","embeddable":true,"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/kriyasya_format?post=9682"},{"taxonomy":"kriyasya_editorial_origin","embeddable":true,"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/kriyasya_editorial_origin?post=9682"},{"taxonomy":"kriyasya_content_kind","embeddable":true,"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/kriyasya_content_kind?post=9682"},{"taxonomy":"kriyasya_devotional_focus","embeddable":true,"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/kriyasya_devotional_focus?post=9682"},{"taxonomy":"kriyasya_tradition","embeddable":true,"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/kriyasya_tradition?post=9682"},{"taxonomy":"kriyasya_language","embeddable":true,"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/kriyasya_language?post=9682"},{"taxonomy":"kriyasya_observance","embeddable":true,"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/kriyasya_observance?post=9682"},{"taxonomy":"kriyasya_healing_modality","embeddable":true,"href":"https:\/\/kriyasya.com\/pulse\/wp-json\/wp\/v2\/kriyasya_healing_modality?post=9682"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}