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February 2004
lead stories


Why not tongkat ali?
Alternative aphrodisiacs under scrutiny

Before the little blue pill followed by the orange pill, under-the-sheet romps were fortified with traditional soups, wines and teas made from herbs and other natural ingredients. Botanical, inexpensive, with generally fewer side effects than their man-made drug counterparts, traditional aphrodisiacs, too, can rise to the occasion. KHOO BEE KHIM talks to experts.

THE AYURVEDA WAY

In ayurveda, aphrodisiacs are viewed not only in a sexual but health context as well. Explains local ayurvedic physician Dr J Nirubha. “The ayurvedic point of view is that by increasing the strength of the sexual organs, the overall health of the body is also boosted.” To do that, eating certain combinations of foods or vajikarana recipes can nourish the reproductive fluids or ‘shukra’.

“The shukra is the cream of all the tissue elements in the body,” explains Dr Nirubha. “It not only has the capacity to create a new life, it also returns our cells to the vigour of youth.” However, for the vajikarana to work, Dr Nirubha notes that the patient must first be physically and mentally cleansed of undigested food matter and negative emotions and stress. The ingredients for the three Ayurvedic aphrodisiac recipes given below are available at many Indian herbal stores – try Serangoon Road.

Ashwagandha
With a name that means ‘smells like a stallion’ in Sanskrit, it is not hard to deduce what this pungent root (withania somnifera) can do for your horsepower. Ashwagandha replenishes reproductive fluids which, when depleted, can have adverse effects on general health. To help men stock up their internal ‘fountain of youth’, ashwagandha can be taken in the form of a jam, which is mixed with a tablespoonful of milk and eaten before bed.

Shatavari
The female equivalent to ashwagandha, it unabashedly means ‘she who possesses 100 husbands’ in Sanskrit. The star ingredient in the concoction is asparagus racemosus – a wild form of asparagus that has been relied on for centuries to bring relief to problems such as premenstrual symptoms and enhancing milk flow in breastfeeding mothers. However, not much scientific attention has been paid to this special plant for women.To “increase the capacity for love making”, Dr Nirubha explains that shatavari is a mixture of ghee, honey and a pinch of long pepper powder that is taken twice a day with a cup of boiled milk each time.

Amalaki
New-age guru Deepak Chopra wrote in his book, Grow Younger Live Longer, that this Indian gooseberry became an ayurvedic aphrodisiac owing to a mythology. In it, an elderly sage was asked by a king to marry his daughter. Concerned that he would not be able to satisfy his young bride, he turned to an amalaki-based jam that restored his youthful vitality.

Today, research shows that the Vitamin C-rich fruit is also a cholesterol-lowering agent, DNA protector, and carcinogen detoxifier.

To make “even the aged copulate like youths”, Dr Nirubha suggests mixing the gooseberry fruit with sugar, honey, ghee and long pepper powder, and taking just a tablespoonful of it, followed by drinking some milk.


TCM POINTS OF VIEW
From the Traditional Chinese Medicine point of view, sexual dysfunction is intrinsically linked to a yin or yang deficiency, or a combination of both, of the kidneys. Professor Wu Min, who practises at TCMS Healthcare Limited in Singapore, explains that even though patients may share similar sexual dysfunction, the combination of herbs prescribed can be different. “No two patients are alike as the root of their problems varies from person to person,” she explains. “So it is crucial that patients seek the professional advice of physicians when it comes to treating their sexual problems with Chinese herbs.”


Rou Cong Rong
Sweet and salty in nature, the rou cong rong rhizome (cistanche salas) is often prescribed to reinforce kidney yang, and benefit the body’s essence and blood. Boosting these elements is crucial, as Prof Wu claims that a deficiency in them is believed to be the leading cause of impotence, sterility and spermatorrhea (involuntary discharge of sperm without orgasm). “The dosage and herbal combination are customised to meet the patient’s needs after consultation with the physician,” notes Prof Wu.

She adds that 10 to 15g of the raw root is commonly used if it is to be made into a brew. In its extracted and concentrated form, the dosage can start from 1g; extractions of rou cong rong can also be made into a tea.

Jue Ming Zi

Sometimes, sexual problems can be manifestations of too much yang. In such situations, jue ming zi, or the ripe seed of sickelpod (cassia obtusifolia), may sometimes be prescribed. This is because the slightly ‘cold’ nature of the fruit is excellent for ‘cooling’ down the body.

“Jue ming zi is highly valued in ancient Chinese medical annals,” notes Prof Wu. “The bitter and salty fruit has also been credited as an eyesight booster.” In extract form, as little as 1g can sometimes be prescribed to bring the heatiness down. Again, do consult a professional.

Sha Yuan Zi
This dried herb, commonly known as astragalus seed or milkvetch seed (astragalus complanatus), has a bittersweet taste and, according to Prof Wu, is considered ‘warm’ in nature. “It acts on the liver and kidney channels to reinforce the kidney,” she says.

Sha yuan zi treats symptoms caused by kidney yang deficiency such as impotence, seminal emission and spermatorrhea.

Again, its dosage and herbal combination have to be determined by a physician. Generally, in its raw form, 6 to 9g is sufficient per dose. Like rou cong rong, it is also available in extracts that can be made into a tea.


NATUROPATH BELIEFS
As the name suggests, naturopathy is based on natural remedies and the belief that the body can heal itself. To create the optimum healthy environment to promote self-healing, here are some suggestions:

Yohimbe
This ancient aphrodisiac gets its name from its origin as the inner bark of the tropical
West African tree, corynanthe yohimbe. Though relatively unknown in Asia, this herb has been widely recognised as a sexual tonic for centuries by South Africans.

Yohimbe owes its reputation largely to its ability to flood blood vessels in the genitals, and raise levels of the neurotransmitter norepinephrine, which stimulates areas controlling sexual response in the brain,
even in low doses. Yohimbe is available in capsule form, but do get a qualified person to determine individual doses, especially if you have heart and blood pressure problems.

Tongkat ali
A popular aphrodisiac from Malaysia, this herb works on the supposed premise of stimulating the hormones that are responsible for both mental and physical arousal. Fans of tongkat ali (Latin name: eurycoma longifolia jack) even claim that it is easier to maintain control over erections. Folklore or fact? Studies done on rodents at the School of Pharmaceutical Sciences at the Universiti Sains Malaysia in Penang, Malaysia, showed that indeed, root extracts of the tree can increase libido in middle-aged male rats.

For tongkat ali to work on humans, the dosage varies from person to person. However, the general guideline is to boil 20g of roots in 500ml of water for 30 minutes, and drink the water twice a day. The roots can be boiled again three to four times until the bitterness is gone. Repeat the whole process with new roots until the desired effect is achieved.

Chrysin
The female hormone, estrogen, is also present in men but produceded in minute amounts as a by-product of the natural testosterone conversion process. Chrysin, a bioflavanoid extract present in several types of plants, has been found to prevent this conversion, says Dr Irfan Qureshi, a naturopathic physician from Complementary Health Care.


“Chrysin can be used to overcome deficiency of testosterone, increase fertility and libido, and increase sperm count in men,” adds Dr Qureshi, citing one study which showed that men who used chrysin had a 40 per cent increase in levels of free testosterone, and a 40 per cent decrease in levels of estrogen. Tablets or capsules of chrysin are commercially available in health food stores.

Nettle root
This root herb (Latin name: urtica dioica) for men is said to increase circulation of the blood to the sexual organs to prolong erections.
Dr Qureshi adds that it also has a beneficial effect on prostatic enlargement, which can be a cause of decreased libido in some men.

Nettle root works by attaching itself to the Sex Hormone Binding Globulin (SHBG), a naturally occurring substance in the body that binds itself to testosterone. “When SHBG receptor sites are bound by nettle, more free testosterone can be used by the body to promote libido and fertility,” says Dr Qureshi.

Meanwhile, other studies have also uncovered nettle root’s other use – improve orgasms. Apparently, the root extract allows contracted blood vessels to vasodilate or relax. This increases the blood flow through the vessels (including to the sexual organs) to increase the force of contraction. Nettle root can be consumed in capsule, tablet, or as an herbal tea, which are available in health food stores. The dosage varies from person to person, but in general, it can be taken twice daily in 250mg tablets or capsules; or one to two cups of herbal tea daily.

Muira Puama
This South American folk medicine is derived from a shrub (ptychopetalum olacoides) which grows in the Amazon region of Brazil. Also known as ‘potency wood’, it has been used to enhance libido, increase stamina, and boost the ability to maintain erections.

According to Dr Qureshi, a study examining the effect of muira puama on the lack of sexual desire, or the inability to attain or maintain erection, reaped results that were promising. “Sixty-two per cent of the patients with loss of libido rated the treatment as having a dynamic effect,” cites Dr Qureshi.

In another study, muira puama use led to significantly increased frequency of intercourse in 66 per cent of the couples sampled. Seventy per cent reported intensification of libido, while 55 per cent found that the stability of erection during intercourse was restored.

Muira puama can be consumed in capsule, tablet, or as an herbal tea. In general, a 1.5g dosage in capsule or tablet form is advised daily, or drink one cup of the herbal tea daily. Available in health food stores.

 

 


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