Can I take Manmath Ras for low sexual excitement and premature ejaculation with 10 years of diabetes and high blood pressure? - #52808

Don’t worry Take Ashwagandha lehyam 1 tsp with warm milk at night Kaunch Beej powder 1 tsp in morning Shilajit gold 1 capsule or small pea-size, once or twice daily Aviod oily spicy food meat u ll get results Take 30days and follow up

Diabetes (Madhumeha) and High Blood Pressure (Rakta Vata) for a decade, the selection of Vajikarana (aphrodisiac) herbs requires a very cautious approach. ​The Ayurvedic Perspective ​In Ayurveda, sexual dysfunction in long-term diabetic patients is often classified under Klaibya, resulting from the depletion of Ojas (vital essence) and Shukra Dhatu (reproductive tissue) due to chronic high blood sugar. ​Manmath Ras is a potent herbo-mineral formulation. However, it traditionally contains Shuddha Parad (Purified Mercury) and Gandhak (Sulphur), along with various stimulants. In the context of 10-year diabetes and hypertension, there are two primary concerns: ​Renal Load: Long-term diabetes can affect kidney function; processing heavy metal-based Bhasmas (even if purified) may put undue stress on the renal system. ​Blood Pressure: Many stimulants in such formulations can occasionally cause a spike in heart rate or blood pressure. ​1. For Stamina and Vitality: Karpooradi Vati While traditionally used for respiratory issues, certain variations in the Kerala tradition focus on “stambhana” (retention). However, a more direct choice for diabetic patients is Liposem or Chandraprabha Vati for urinary/reproductive health. For specific sexual excitement, Extracts of Ashwagandha are preferred. ​2. For Premature Ejaculation: Musliyadichoornam This is a classical Kerala formulation used specifically for improving strength and addressing “Shukra Dosha.” It acts as a nutritive tonic that does not usually spike blood pressure. ​3. For General Nerve Weakness: Ashwagandhadi Lehyam Diabetes often leads to neuropathy, which contributes to low excitement. This Lehyam helps nourish the nervous system. Note: Since you are diabetic, you must look for the “Sugar-Free” or “Granules” version, or stick to Ashwagandha tablets/capsules to avoid the jaggery base. ​Before starting, it is imperative to check your current Serum Creatinine levels due to your diabetic history. ​ Ashwagandha Spark (Capsules): Take 1 capsule twice daily after meals with lukewarm water. This helps with stress-related low libido. ​Musliyadichoornam: Take 1 teaspoon (approx. 5 grams) twice daily mixed with a little warm milk (no sugar) or warm water, about an hour after your morning and evening meals. ​Chandraprabha Vati: Take 2 tablets twice daily. This is excellent for diabetic patients as it manages “Prameha” (diabetes) while simultaneously toning the reproductive organs. ​Important Clinical Precautions ​Monitor Pressure: If you feel any palpitation or sudden headaches, stop the medicine immediately and check your blood pressure. ​Blood Sugar: Some Vajikarana herbs can mildly influence glucose metabolism. Ensure you continue your regular Allopathic anti-diabetic medications. ​Medical Supervision: Given your 10-year history of chronic conditions, please consult an Ayurvedic MD in person to ensure your pulse (Nadi) and kidney function can safely handle these formulations.