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तस्याशु क्षीयते शुक्रं ततः प्राप्नोति सङ्क्षयम् । घोरं व्याधिमवाप्नोति मरणं वा स गच्छति ॥१८६॥
In case the person indulges in coitus due to over exhilaration of mind, it leads to immediate loss of semen causing overall kshaya;
english translation
शुक्रं तस्माद्विशेषेण रक्ष्यमारोग्यमिच्छता । एवं निदानलिङ्गाभ्यामुक्तं क्लैब्यं चतुर्विधम् ॥१८७॥
which may further cause serious illness or death. Therefore shukra (semen) shall be conserved especially for those willing to conserve the health.
english translation
केचित् क्लैब्ये त्वसाध्ये द्वे ध्वजभङ्गक्षयोद्भवे । वदन्ति शेफसश्छेदाद्वृषणोत्पाटनेन च ॥१८८॥
Thus four types of the impotency have been described with the etiology and symptomatology. As per some other opinion, the two types of impotency, erectile dysfunction and kshayaja are incurable, also by penilectomy and orchidectomy.
english translation
मातापित्रोर्बीजदोषादशुभैश्चाकृतात्मनः । गर्भस्थस्य यदा दोषाः प्राप्य रेतोवहाःसिराः ॥१८९॥
Dosha due to beejadosha (genetic defects) of parents and ominous past conduct when penetrate into the virile semen system,
english translation
शोषयन्त्याशु तन्नाशाद्रेतश्चाप्युपहन्यते । तत्र सम्पूर्णसर्वाङ्गः स भवत्यपुमान् पुमान् ॥१९०॥
it causes destruction of virile semen, leading to an impotent man even after endowment of complete organs.
english translation