Restoration of Seminal Health by Balancing Pitha and Vatha Doshas: A Siddha-Based Case Study

A 38-year-old male with a four-year history of primary infertility presented to the Siddha outpatient department at the Primary Health Centre, Malankinaru, Virudhunagar District, Tamil Nadu, India. The patient had well-controlled Type 2 Diabetes Mellitus and Hypertension and reported no history of smoking or alcohol consumption. Clinical evaluation revealed normal secondary sexual characteristics with bilaterally small testes and no palpable varicocele. Semen analysis showed oligoasthenospermia, with a total sperm count of 18 million/mL and 20% motility. Based on Siddha diagnostic principles, a combined disturbance of Pitha and Vatha doshas was identified. A three-month Siddha therapeutic regimen comprising Thaneervitan Nei, Venthamarai Chooranam, Amukkara Chooranam, Silasathu Parpam, and Seeraga Thylam was administered, accompanied by specific dietary and lifestyle modifications. Post-treatment evaluation revealed remarkable improvement in seminal parameters, with the sperm count rising to 52 million/mL and motility increasing to 85%, along with improved sperm morphology. No adverse effects were observed. This case highlights the potential of Siddha-based integrative therapy in improving seminal quality by addressing underlying dosha imbalances associated with oligoasthenospermia.