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0:05 Rasil TV. 0:12 In the name of Allah, the Most Gracious 0:13 , the Most Merciful. All praise is due 0:14 to Allah, Lord of the worlds. May peace 0:15 and blessings be upon our Prophet 0:17 Muhammad and his family. Peace be upon 0:19 you, and Allah's mercy and blessings. 0:21 Brothers and sisters, listeners of 0:22 silaturahim, and viewers of Rasil TV 0:24 who are blessed by Allah. Praise be to 0:27 Allah, we meet again this Saturday 0:32 morning for our Islamic health program 0:37 with Mr. Alvian BRMS, Trikes, ST, SUD, 0:42 BMED, M.Si., who has fortunately joined 0:47 us via Zoom. Let us greet Mr. Alvian 0:50 first. Peace be upon you, and Allah's 0:52 mercy and blessings, Mr. Alvian. And 0:53 peace be upon you, and Allah's mercy 0:55 and blessings. 0:56 Wow, how long has it been since we last 0:57 broadcasted together? 0:59 A very long time. 1:00 It feels like years. Praise be to Allah 1:02 for this chance to explore health 1:04 issues with you again, Mr. Alvian. 1:07 Praise be to Allah. 1:08 Praise be to Allah. Are you doing well, 1:10 sir? 1:10 I am well, praise be to Allah. 1:12 Praise be to Allah. Still in the 1:13 Jakarta area? 1:14 Still. Yes, still in Jakarta. Haven't 1:17 left yet. 1:17 I heard you keep traveling out of town 1:20 and abroad, Mr. Alvian. 1:22 Yes, a few times. 1:24 China, because you studied there, right 1:26 ? 1:27 Yes. In China too, sir? 1:29 Yes. 1:29 MasyaAllah. 1:30 Yes. 1:31 Today's topic is quite extraordinary, 1:35 Mr. Alvian. 1:39 It is a taboo subject, but it is very 1:42 important to discuss, isn't it? Yes, 1:46 there are many issues here. 1:49 Many men want to consult about their 1:52 sexual health, but they are often 1:54 embarrassed. Why is that the case, Mr. 1:58 Alvian? 2:00 Well, our culture in the East is shy 2:03 about these things, especially 2:05 regarding this topic. 2:07 Even though it is important for 2:09 domestic harmony, right? 2:10 Yes. Our theme today, brothers and 2:15 sisters, is herbal and Islamic male 2:17 vitality therapy. Now, let's see how 2:22 you will present the material today, 2:26 sir. Please, sir. 2:28 Very well. Thank you, sir. Peace be 2:33 upon you, and Allah's mercy and 2:34 blessings. All praise is due to Allah, 2:37 and peace and blessings be upon the 2:39 Messenger and his family. We express 2:43 our gratitude to Allah for His grace, 2:46 allowing us to gather again for this 2:49 Islamic health program. Today, I will 2:55 bring up a topic that is actually a 2:59 very common problem. Indeed, many... 3:06 Patients are often shy, but once they 3:09 consult privately, everything is 3:11 revealed. So, I will discuss this 3:16 briefly; let's keep an open mind 3:20 because it is crucial for male health. 3:26 Okay. It is also for overall health. 3:28 Correct. Okay, let's begin. Here is the 3:32 content. We will cover the introduction 3:35 , theory, analysis, conclusion, and 3:37 intervention methods. Here is the 3:40 introduction. Erectile dysfunction, or 3:44 male issues like premature ejaculation 3:49 or low libido—the loss of sexual 3:52 desire—affects more than 150 million 3:56 men worldwide. The prevalence in 4:00 Indonesia is increasing due to modern 4:03 lifestyles, stress, endocrine disorders 4:05 , and vascular health. I’ve even 4:09 heard lately that many in the younger 4:13 generation are facing these issues. 4:17 Yes, the youth of today. Perhaps it’s 4:21 their diet or lifestyle that leads them 4:25 to suffer from erectile dysfunction, 4:29 premature ejaculation, or decreased 4:32 libido. From the perspective of Western 4:37 or modern medicine, dysfunction is 4:39 defined as the inability to achieve or 4:42 maintain an erection. 4:45 Pathophysiological factors include 4:47 impaired blood flow, hormonal 4:48 dysregulation of testosterone, nerve 4:51 disorders, and oxidative stress. 4:55 However, in the East, or Traditional 4:58 Chinese Medicine (TCM), male virility 5:01 is viewed as a balance of Qi, Jing, and 5:05 Yang, with low libido and erectile 5:08 issues seen as Kidney Yang deficiency, 5:11 Qi stagnation, or Yin weakness. 5:17 Treatment is directed toward 5:18 strengthening the kidneys, improving 5:20 energy circulation, and revitalizing 5:21 the blood. So, while Western medicine 5:25 looks at blood flow, nerves, and 5:28 hormones, TCM looks at the balance— 5:31 the balance between Qi, Jing, and Yang 5:35 —and an integrative approach yields a 5:38 comprehensive, natural, and sustainable 5:41 therapy. The therapeutic modalities we 5:46 will use here are leech therapy, 5:48 acupuncture, and moxibustion or 5:50 sensitive moxibustion. And herbal 5:53 medicine, or phytotherapy. We will 5:56 integrate these, focusing on symptom 5:59 improvement and the restoration of 6:01 physiological and energetic functions. 6:05 So, it is holistic and integrative. 6:10 Usually, people might just rely on 6:12 herbal medicine alone. But we are 6:14 combining these; this integrative 6:18 approach is excellent and underexplored 6:22 , blending herbal medicine, acupuncture 6:26 , moxibustion, and modern methods. The 6:31 physiological mechanism of an erection 6:33 involves coordination of the central 6:34 nervous system, hormones, blood vessels 6:40 , and smooth muscles—or the 6:42 parasympathetic system—releasing 6:44 nitric oxide or NO. NO increases cGMP, 6:49 triggering smooth muscle relaxation and 6:51 increased blood flow and pressure in 6:53 the corpus cavernosum, compressing the 6:56 subtunical veins. Ultimately, an 6:59 erection occurs. The etiology and 7:04 pathophysiology of male dysfunction 7:08 include vasculogenic factors like 7:12 atherosclerosis, plaque, hypertension, 7:16 or diabetes mellitus. Because diabetes 7:20 has a huge impact; when a person's 7:23 blood sugar is high, blood flow is 7:25 impaired, and finally, 7:27 what happens is 7:30 weakness. Well, then nerves, yes, 7:33 neurogenic spinal cord injury or 7:36 peripheral neuropathy, or side effects 7:39 of hormonal drugs, such as hypogonadism 7:43 , hypothalamus, pituitary, or gonadal 7:46 disorders. Well, this transmits signals 7:49 , yes, to our brain. Or stress, anxiety 7:55 , sexual performance issues, or 7:58 depression. Well, side effects of 8:04 beta-blockers from medications, 8:07 antipsychotics, and also SSRIs. Well, 8:12 those are the side effects regarding 8:15 etiology and pathophysiology. Western 8:19 therapy approaches or pharmacotherapy 8:22 with PDE5 inhibitors. Well, hormonal 8:25 therapy. Now, in the West, they use 8:27 hormonal therapy. Testosterone 8:31 supplements, or they use psychotherapy 8:34 to address mental and emotional factors 8:37 , pelvic floor exercises, and lifestyle 8:40 changes; attention to movement and 8:43 lifestyle changes. But regarding the 8:48 pathogenesis and energy concepts in the 8:52 view of TCM medicine. Well, the basic 8:56 theory of Qi, Jing, and Shen. Qi is the 8:59 life force that drives all bodily 9:01 functions. Yes, Jing is the essential 9:04 substance for vitality, reproduction, 9:07 and endurance. There is also what is 9:10 called Shen. Yang is the masculine 9:13 energy that warms and directs Qi, from 9:15 our Eastern perspective. Now, 9:19 pathological patterns in TCM or 9:21 syndromes related to virility are 9:25 influenced by kidney deficiency. So, 9:29 there is a Yang deficiency in the 9:32 kidneys. Or the Shen is suppressed. 9:36 Well, coldness in the back, weakness, 9:38 resulting in premature ejaculation or 9:41 hypotension. Or there are issues with 9:45 Qi and blood stagnation, or Qi Yu. Well 9:49 , this involves unstable erections, 9:53 pain in the perineum, or damp-heat in 9:57 the lower jiao. So, below, from the 10:00 lower jiao, which is below our navel, 10:03 or what we call xia jiao; foul odor, 10:05 cloudy urine, and low libido. There is 10:09 also heart-kidney disharmony. So, there 10:12 is a lack of harmony between the heart 10:13 and the kidneys. Yes, finally leading 10:16 to anxiety, difficulty sleeping, 10:18 insomnia, and impaired erections due to 10:20 mental stress. Well, this is how TCM 10:23 views it. So, if in the West, it's 10:25 pathophysiology. Well, in TCM, it's 10:29 called syndrome differentiation. 10:32 According to the ICD-11. 10:37 Chapter 26. We can use acupuncture 10:42 points with neurophysiological 10:44 mechanisms. Like CV4, or Guanyuan, to 10:50 nourish the kidneys, or CV6, Qihai, to 10:55 boost Qi, or Bladder 23, BL23, also 11:00 called Shenshu, to tonify kidney 11:05 function. There is also ST36, Zusanli, 11:10 to increase energy. There is also 11:13 Spleen 6, Sanyinjiao, to balance Yin 11:16 and Yang. Now, these are the points 11:21 used for male vitality. They are 11:26 positioned in the front, back, and on 11:29 the legs. Next, there is leech therapy. 11:32 We are already familiar with leech 11:34 therapy. This leech therapy can improve 11:37 blood flow as an anticoagulant. It can 11:40 widen blood vessels, or vasodilation. 11:44 It acts as an anti-inflammatory or 11:47 improves microcirculation of the corpus 11:50 cavernosum. So, in the male genital 11:54 area or the penis. Now, there is also 11:58 moxibustion therapy. Moxibustion or 12:01 heat-sensitive moxibustion uses 12:03 artemisia or mugwort. In TCM, it can 12:08 warm the kidney meridian and improve 12:12 spermatogenesis activity. Now, there 12:17 are also herbs. I use Indonesian herbs. 12:23 Indonesian herbs that are found in 12:26 Indonesia but using Western and... 12:28 Western and TCM. So, through syndromes 12:32 and pathophysiology. 12:34 We already know that Tongkat Ali is 12:36 often used to increase testosterone 12:39 levels. There is also Purwoceng. It 12:42 acts as an aphrodisiac or vasodilator 12:45 to widen blood vessels. There is 12:48 Javanese chili for warming, ginger for 12:50 widening blood vessels or as an 12:52 antioxidant, turmeric as an antioxidant 12:55 , and Elephantopus scaber as a 12:57 hepatoprotector or for stamina and 13:00 energy. Now, this is the synergy 13:05 between the West and the East. The West 13:10 corrects biochemical mechanisms in 13:13 nitric oxide, cGMP, testosterone, and 13:16 vascularization; the East improves 13:18 homeostasis or vital energy balance and 13:21 Qi circulation. 13:24 This integration, combined into two, 13:28 can improve performance in male 13:30 vitality or the penis. Its effects from 13:36 acupuncture leech therapy strengthen 13:39 vital energy; it can use moxibustion 13:42 and herbs. There is also balancing the 13:46 neuroendocrine and psychological 13:48 systems. We can use acupuncture, 13:52 adaptogen herbs, and phytotherapy. Yes, 13:56 we can use that. That’s why if 13:59 someone has trouble sleeping, we can 14:01 also use acupuncture. Now, this is the 14:06 intervention protocol. So, when we do 14:09 something, there must be a protocol for 14:12 it. We use leech therapy, which can be 14:17 applied to the suprapubic area, 14:20 perineum, or inner thigh. These are the 14:24 locations for the application. However, 14:29 it must be sterile. It must be sterile. 14:31 We also must understand the bleeding. 14:35 Furthermore, the patient must not have 14:38 other disorders like hemophilia, low 14:40 platelets, low hemoglobin, etc.;patient 14:43 safety is a must. So, whether we are 14:48 learning as health workers or in 14:51 traditional therapy, there must be 14:54 patient safety and ethics. That is 14:58 essential; it is very important. Well, 15:01 we can use 2 to 3 leeches per session, 15:03 with a duration of 25 to 30 minutes, 15:05 yes. Frequency is 1 to 2 times per week 15:09 for 4 weeks. 15:11 Yes. Now, regarding acupuncture, the 15:15 main points are Ren 4, Bladder 23, ST36 15:19 , Spleen 6, and the GV points on the 15:22 back; GV refers to the Mingmen point, 15:26 or GV4, on the back. The needles must 15:31 be sterile; you can use 0.25 x 40 15:34 needles for a 30-minute duration, twice 15:37 a week for 8 weeks. Now, there is also 15:41 moxibustion, or we can combine 15:42 acupuncture and moxibustion, that is 15:44 possible. We can use Heat Sensitive 15:49 Moxibustion (HSM), or we can use moxa 15:51 placed on the needles; that is also 15:54 allowed. The main points are Ren 4, Ren 15:59 6, BL23, and GV4, using stick-on moxa 16:02 or heat-sensitive distribution, with a 16:06 duration of 10 to 15 minutes per point, 16:09 twice a week. Now, there is also the 16:13 combination with the herbs that I 16:14 mentioned earlier. 16:16 We can use them in capsule extract form 16:18 . Tongkat Ali, Purwoceng, Javanese 16:20 chili, ginger, elephantopus scaber, and 16:21 turmeric. Now, these have specific 16:24 dosages, such as 200, 150, 100, and 50 16:29 grams. We can also make massage oil, 16:33 which is fine, but there is a specific 16:35 method and technique, or we can consume 16:38 the herbs by decocting them. So, we 16:42 consume them with water, boiled over 16:44 low heat, adding the ingredients until 16:47 the water is reduced by half. Then, it 16:51 can be consumed in a 200 ml portion. 16:55 Now, there is also...integration of 16:59 therapy. In the initial phase, we can 17:02 perform acupuncture and moxibustion for 17:04 1 to 2 weeks. There is a circulation 17:07 improvement phase where we can use 17:10 hydrotherapy. There is a consolidation 17:13 phase from week six to eight, involving 17:16 phytotherapy with herbs, or what we 17:18 call jamu. Many patients have been 17:21 successful. 17:23 The results are fast, unless they have 17:25 diabetes or other underlying conditions 17:27 . Now, there is a principle. As I 17:31 mentioned earlier, there is ethics and 17:33 safety. So, while performing therapy, 17:36 we must uphold ethics and patient 17:38 safety. In research, we have informed 17:41 consent and an ethics committee. That 17:44 is the most important thing. The safety 17:46 principles are that it must be sterile. 17:48 Most importantly, the dosage must be 17:50 measured. The herbal ingredients must 17:53 meet BPOM standards or the Indonesian 17:55 Herbal Pharmacopoeia. Since I am the 17:58 head of the LSK, I know the standards 18:01 for herbal usage. Supervision by 18:04 trained medical personnel or health 18:06 workers is required. Now, this is...the 18:13 scientific basis or supporting research 18:15 or journals. So, there’s NZL 2013 18:19 stating that tongkat ali can increase 18:22 testosterone by 30%. There’s also 18:27 Liedal 2019, stating acupuncture can 18:30 improve blood perfusion to male 18:33 genitalia and increase plasma nitric 18:36 oxide levels, which facilitates 18:38 erections. Now, there’s CHO et al. 18:43 2020, showing that maca increases 18:45 luteinizing hormones and testosterone, 18:47 which is good for reproduction. 18:51 There’s also Kumar 2021, showing that 18:53 honey improves genital microcirculation 18:55 and reduces blood viscosity. So, it 18:58 thins the blood because, excuse me, our 19:01 male organ, or the penis, relies on 19:03 blood flow, so when it flows smoothly, 19:05 the results are good. Now, here is an 19:10 analysis from both Western and Eastern 19:11 perspectives. The West views the body 19:15 mechanistically, based on organs, 19:17 tissues, and biochemistry. Meanwhile, 19:20 the East views it as a dynamic energy 19:23 system based on the balance of Qi and 19:25 Yin-Yang, and the relationships of 19:27 organs and meridians. Now, Western 19:31 integration highlights vascular and 19:33 hormonal functions. While TCM 19:37 emphasizes vital energy and Qi 19:39 circulation. The integration of both 19:43 results in a psycho-energetic emphasis 19:46 that improves the body from the outside 19:48 and inside simultaneously. So, this 19:52 integrative approach is very effective. 19:55 Later, if I get research from G, 19:58 perhaps there is something we can do. 20:03 But for QA and, what was it yesterday, 20:05 if I'm not mistaken, liver fatty, 20:07 that's not quite in this direction, 20:08 it’s different. Now, Western 20:12 pathophysiology and Eastern 20:14 pathogenesis. Blood circulation, 20:18 endothelial dysfunction, and penile 20:20 microcirculation decrease. As a result 20:23 of poor blood circulation, the 20:24 endothelium eventually develops 20:26 problems. Disfunction occurs, and 20:31 microcirculation or blood flow 20:34 decreases. From the Eastern perspective 20:38 , they see it as stagnation and stasis. 20:42 There is stagnation of energy and blood 20:45 . That’s why this is viewed as 20:49 integrative. We can use acupuncture and 20:52 leeches to improve blood flow. That 20:55 answers one point. Then, hormonally, 20:58 there is a decrease in testosterone 21:01 levels, or hypogonadism. In the West, 21:06 that’s it, but in the East, it’s 21:09 seen as a deficiency of Jing and Yang. 21:14 Now, this Jing energy is something we 21:17 get from birth, and in the East, we 21:20 also get it from food. We can use 21:25 moxibustion and herbal tonics to boost 21:29 Qi energy, such as tongkat ali or horny 21:33 goat weed. 21:35 Now, there is also the effect of 21:37 psychoneurology. So, there are 21:39 consequences from the mind. That’s 21:42 why treatment must... 21:43 We must balance body, mind, soul, 21:46 spirit, and energy. So it’s not just 21:50 the physical; we have to treat the mind 21:55 and soul too. Yes. Because it’s very 21:58 influential; when people are stressed, 22:00 it eventually affects everything else. 22:02 Well, stress, depression, anxiety, or 22:06 laziness, basically it’s a problem 22:10 with the mind. In the West, it’s seen 22:14 as a result of stress, depression, or 22:16 anxiety, including sexual issues. In 22:20 the East, it’s viewed as a disharmony 22:22 between the heart and the kidney. This 22:27 is how it appears from the perspective 22:30 of TCM. The acupoints used are Heart 7 22:37 or PC6, combined with meditation. And 22:41 what is the purpose? To calm the mind. 22:45 We can combine this with mindfulness or 22:49 Dao Yin, as we call it in Indonesia. 22:53 Though it is pronounced "Doyin." That 22:56 can be utilized. 22:58 That is meditation according to TCM. In 23:02 Islam, we can use dhikr: inhale, dhikr, 23:04 exhale, that works too. Subhanallah, 23:09 Alhamdulillah, walailahaillallah, 23:10 Allahu Akbar. Hold for a moment, then 23:12 inhale again. That can induce 23:14 relaxation. There is plenty of research 23:17 showing it lowers cortisol hormones and 23:19 increases IgG. There are even doctoral 23:23 studies on breathing combined with 23:26 prayer. Then there is the metabolic and 23:29 oxidative aspect. Medically, this 23:32 involves free radicals and chronic 23:34 inflammation. From a TCM perspective, 23:39 it’s a Qi deficiency or too much heat 23:42 . Herbs used as antioxidants include 23:46 turmeric, ginger, and elephant’s foot 23:48 . Next is general vital energy. Western 23:52 medicine calls it systemic fatigue and 23:54 poor circulation. In TCM, it is a Qi 23:58 deficiency. We can use acupoints like 24:03 ST36, for instance. And tonic herbs to 24:08 increase Qi. This is an analysis of the 24:13 synergistic mechanisms of the 24:15 aforementioned therapies. Hirudo 24:19 therapy and microcirculation improve 24:21 blood flow through hirudin and bledin. 24:23 This refers to leech therapy. It 24:26 increases blood perfusion in the corpus 24:28 cavernosum of the penis. It boosts the 24:31 supply of oxygen, nitric oxide, and 24:33 glucose for smooth muscle contraction. 24:36 So, for the parasympathetic nerves. It 24:40 helps the body relax and feel at ease. 24:42 That comes from leech therapy. 24:47 From acupuncture, using points Ren 4, 24:50 BL23, and ST36 increases the release of 24:53 beta-endorphins, serotonin, and 24:56 dopamine. These are the hormones that 25:00 make you feel comfortable and relaxed, 25:02 and they help regulate heart rate. They 25:06 are used to boost sexual desire and 25:09 relax the nerves. They activate the 25:12 autonomic nerves from L2 to S3, sending 25:14 signals to the hypothalamus in our 25:16 brain. This stimulates 25:18 gonadotropin-releasing hormone, which 25:21 increases sex hormones. They become 25:24 reproductive hormones, ultimately 25:26 increasing testosterone in the testes. 25:29 This is supported by research. There is 25:33 also moxibustion for strengthening Qi. 25:37 The biothermal effect from the moxa 25:40 heat can increase local metabolism, 25:43 improve blood flow, and enhance 25:45 steroidogenic gene expression in the 25:48 testes, strengthening kidney qi, which 25:52 is the root of male sexual vitality. 25:56 Now, in TCM, there is something called 26:01 kidney. If kidney energy is deficient, 26:05 it must be boosted; that is why we see 26:08 white hair, and furthermore, in women, 26:11 reproduction has its limits. That is 26:14 how TCM views it. So, TCM is quite vast 26:18 ; since I studied it in more detail at 26:20 school in China, there is so much more 26:23 to the knowledge. Indonesian herbs and 26:27 endocrine regulation from Pasak Bumi 26:30 increase cell sensitivity to leptin. 26:33 L-procyanidins stimulate libido and 26:36 nitric oxide. Javanese chili and ginger 26:39 provide thermogenic effects to improve 26:41 circulation and reduce oxidative stress 26:43 . Turmeric inhibits free radicals and 26:46 improves blood flow to the male organ. 26:50 Elephantopus scaber strengthens energy 26:52 and supports testosterone metabolism. 26:55 Now, this is about the effectiveness 26:57 and safety analysis of those 26:59 combinations. The clinical 27:01 effectiveness includes increasing blood 27:04 flow to the male organ, raising serum 27:07 testosterone, and improving stamina and 27:09 ejaculation time. Regarding safety and 27:12 interaction risks, there is minor 27:14 bleeding, and if we are not sterile, it 27:16 can cause infection. The risk of 27:18 acupuncture is only local pain, 27:20 provided we know the correct and safe 27:22 points. For example, in the chest, it 27:26 is intercostal, toward the lungs. One 27:30 must be careful there because it can 27:32 cause pneumothorax; the lungs could 27:35 collapse. So, we must know the points, 27:39 or like Feng points, which are on the 27:41 back of the head at the occipital, 27:42 Fengfu, Fengchi. Those require some 27:45 caution. That is why we study anatomy 27:48 and physiology. That is the basis for 27:51 caution and ensuring safety. So it is 27:54 not just random; one must be trained. 27:58 The risk of moxibustion is the risk of 28:00 burns. If we don't understand or aren't 28:03 skillful, the moxa could fall and cause 28:07 a burn. Herbal risks are safe if the 28:10 dosage is appropriate. As long as we 28:13 understand and know how. Be careful 28:15 with the use of blood thinners. 28:17 Otherwise, the blood might become too 28:20 thin. Now, here is the philosophical 28:23 and biological integration. The concept 28:26 of Qi as electron flow, ions, 28:27 bioelectric energy, the androgenic 28:30 hormone system, and mitochondrial 28:32 activity, which is energy—the 28:33 integration of biochemistry, 28:35 bioelectricity, and bioenergy. This 28:38 brings us to our conclusion. We are now 28:40 at the end. Male erectile dysfunction 28:44 involves the main vascular system, 28:46 blood vessels, hormones, nerves, and 28:48 psychology. So our physical state, 28:52 nerves, psychology, and hormones must 28:55 all be stable. Well, Western medicine 28:59 has issues with endothelial dysfunction 29:02 , a decrease in nitric oxide, which 29:04 ultimately prevents the formation and 29:06 increase of erections from testosterone 29:09 , right. Circulatory disorders or 29:12 testosterone hormonal issues are 29:13 addressed here, right. Now, there is 29:16 also TCM. TCM looks at it because of 29:18 deficiencies. 29:27 I 29:29 Now, this is very, uh, beneficial. So 29:32 these therapies are very beneficial. 29:35 Now, the physiological results actually 29:38 increase nitric oxide, testosterone, 29:40 and perfusion in the male organs, and 29:43 the genetic results of selecting C, 29:46 jing, and yang are safer compared to 29:48 single pharmacological therapies like 29:51 PDE inhibitors. These are medical drugs 29:54 , sometimes they cause a racing 29:56 heartbeat. Like, like that V drug. 30:00 Integration of modern medical science 30:02 and Eastern wisdom. So it is very, very 30:04 important. So it is very good to 30:07 integrate them because I went to school 30:10 and I am currently pursuing my PhD, so 30:13 it is in line with research and 30:16 practice. Okay, that is all I can 30:20 convey. I return it to Kang Fahri. 30:24 Alright, thank you, Mr. Alpian. The 30:25 explanation is very clear, right. Very 30:27 detailed regarding, what you call it, 30:29 the causes earlier. And also what 30:31 becomes the problem of, uh, 30:33 reproductive health, the problem of, uh 30:35 , male vitality, right. Here at the 30:39 Islamic health program today, we are 30:41 discussing the theme regarding male 30:43 virility therapy through herbal and 30:45 Islamic methods. Don't be shy, right. 30:49 Uh, if you want to consult, you can. 30:51 Please send your WhatsApp. Whatever the 30:55 problem is, it will be discussed, uh, 30:57 in the next session, perhaps with Mr. 30:59 Alpian. If you want it to be more 31:02 detailed, you can come directly to 31:04 PLIAN, to the clinic, uh, 31:07 Sehat Alpian. 31:08 Sehat Alpian Clinic. The address is 31:12 Jalan Ruyung Blok A20 number 7, RT4 RW4 31:15 , Kapling PTB DKI, Pondok Kelapa, East 31:18 Jakarta, with Mr. Alpian's phone number 31:21 0813 83262040. Okay, earlier Mr. Alpian 31:30 discussed the problems of, uh, male 31:32 virility, right. What age can 31:35 potentially experience this, Mr. Alpian 31:38 ? What age range is usually vulnerable? 31:42 Yes. So as I mentioned earlier, 31:46 actually kids these days, the young 31:48 ones, already have many, uh, complaints 31:51 regarding virility. 31:55 Because of lifestyle, and maybe because 31:57 of food and 31:59 others, or stress, right. Now, there 32:02 are so many, it doesn't only happen to 32:04 older people, it turns out that in 32:07 young people it is also, uh, very 32:09 common. So, if we talk about the range, 32:12 we can't really say because sometimes 32:14 young adults who have reached puberty 32:17 also have problems. But mostly, the 32:20 majority are those who are starting to 32:23 be over 40 or 45 and up, they have 32:25 already experienced many complaints. 32:28 Now, especially if they already have 32:30 diabetes. If they have high cholesterol 32:34 , that causes blockages in the blood 32:36 vessels, or they have hormonal problems 32:38 , or they have stress problems, this 32:41 stress is quite common, or they have 32:43 problems with uh peace, yes, peace of 32:50 mind 32:51 psychological, yes, psychological 32:53 turns out it has an influence, it 32:55 really does, that psychology has a huge 32:57 influence. If someone is stressed, 33:01 sometimes they can't, they can't get an 33:03 erection because of, um, the wrong 33:05 mindset. So, where does the mind return 33:08 to? Back to religion. Yes, that's why 33:13 mindfulness is so important, through 33:16 dhikr, by, um, directing our thoughts 33:19 to Allah, 33:21 religion, yes. Now, that is very 33:24 important so that our hearts are calm, 33:26 relaxed, you know. like that. 33:30 Also, a decrease in hormones like that, 33:32 libido hormones usually, um, also 33:33 influence sexual activity, right, sir? 33:37 Yes. If we, it will cause, so, um, 33:45 problems. Our desire is gone, right. 33:49 Our passion is gone, right. That's why 33:52 many medical drugs increase hormones, 33:55 increase heart rate. Now, that is 33:59 actually about epinephrine, about, um, 34:03 relaxation hormones, serotonin, yes, 34:07 that's dopamine, that is 34:12 so besides physical factors, 34:14 psychological ones also affect stamina, 34:17 right, Mr. Alpian? Very, very 34:21 influential, if, for example, Kang 34:23 Fahri is, you know, stressed, sometimes 34:25 you're just focused on that thought, 34:27 right? 34:29 Not focused, the mind is scattered. 34:31 Scattered, yes, the focus is on that 34:34 problematic thought, well, that's why 34:36 the mind plays a huge, huge role, 34:38 indeed the problem is there. 34:41 There is a question here, Mr. Alpian, 34:42 from a servant of Allah, 34:43 assalamualaikum warahmatullahi 34:45 wabarakatuh, Mr. Alvian. 34:46 Waalaikumsalam warahmatullahi 34:47 wabarakatuh. 34:48 There are many herbal medicines or 34:49 strength-enhancing drugs circulating on 34:50 the market. How do you distinguish 34:53 between herbal concoctions that are 34:55 truly natural and those mixed with 34:57 chemicals? Because many people in the 35:01 market buy them because they are 35:03 tempted by the instant effects, sir. 35:06 yes. Well, you already have the answer, 35:09 right, you got the answer earlier. You 35:11 already got the clue, Kang Fahri just 35:13 said it, instant, right. Yes. 35:16 Well, if it's herbal and instant, 35:18 that's impossible. Herbal medicine is 35:21 definitely slow-acting by nature. 35:23 Because herbal medicine is 35:24 multi-component, many compounds. It 35:26 works on which receptors, which 35:27 receptors, you see. So, if an herbal 35:30 product is fast, that's a red flag. 35:32 Sometimes it contains BKO, medicinal 35:34 chemical substances. Well, it's easy to 35:37 check if it's in a capsule form. Well, 35:41 we can open the capsule, if there are 35:43 white granules inside, it usually 35:45 contains medicine, BKO. Well, it 35:48 shouldn't work instantly like that. For 35:51 example, if someone wants to have, um, 35:53 sexual relations, for instance, they 35:55 take it and get an immediate effect. 35:58 Well, be careful with that. Herbal 36:00 medicine usually improves things slowly 36:02 , but then blood flow becomes smooth 36:04 and it will be good. Well, things like 36:07 that are dangerous because the side 36:09 effects of those drugs are very 36:11 numerous. For instance, they might 36:15 experience a racing heart, headaches, 36:17 or even prostate issues; there are many 36:20 kinds of side effects. 36:23 Now, we can distinguish between powder 36:25 and extract; usually, when you mix 36:27 powder with water, there is still 36:30 sediment left. Whereas extracts usually 36:32 don't leave any sediment behind. But, 36:35 if there are medical drugs in it, or 36:37 BKO (adulterants), there will 36:39 definitely be white granules. 36:42 Basically, it's different; if you open 36:43 it and put it on a plate, it looks 36:45 different. That's it. 36:47 From the effects as well, if you feel 36:49 an instant result, there must be 36:50 something, there must be chemicals 36:52 involved. That's the clue. 36:55 Because herbal medicine is indeed slow 36:57 but sure, right Mr. Abian? 36:59 Yes. Yes. All this time, I’ve used 37:01 herbal medicine, it's impossible for it 37:02 to be fast. Herbal medicine is 37:04 definitely slow. Herbal medicine will 37:06 be slow. Well, herbal medicine won't be 37:09 fast because it works on the receptors, 37:11 but it will heal. That's why many 37:14 people say herbs hurt the kidneys or 37:16 the liver, but that's not true. Because 37:18 I have many patients who have......high 37:20 creatinine levels in their kidneys, and 37:22 now they are normal. Then their uric 37:24 acid was high and became normal. Their 37:25 declining kidney function improved. 37:28 Some had high SGOT or SGPT levels. And 37:30 now they are normal. If herbal medicine 37:32 caused problems, surely it would get 37:33 worse, or add more problems. 37:35 And is long-term use of herbal medicine 37:37 safe, sir? 37:38 It's safe. I’ve been using it for 15 37:40 years. I’ve been practicing for 15 37:42 years now. 37:43 So, I’ve been practicing for a very 37:45 long time. That's it. 37:47 Right. Next, there is a question from 37:49 Mr. Hilman in South Tangerang. Peace be 37:51 upon you, Mr. Alvian. 37:54 And peace be upon you too. In herbal 37:57 medicine, are there natural recipes 38:00 that can help improve a man's vitality 38:02 and energy without violating Islamic 38:04 medical ethics? That is all. 38:08 Yes. Herbs have been used for a long 38:11 time, actually, even the Prophet 38:13 Muhammad used them, like dates and date 38:15 palm shoots. That’s one, or Habbatus 38:19 Sauda (black seed), or olives; they are 38:23 even mentioned in the Quran. So, these 38:27 herbs have actually been around for a 38:28 long time. In my opinion, Islamic 38:30 medical practices are already 38:32 well-known. However, they have been 38:34 widely adopted by the West and the East 38:37 . In fact, the East is now the one 38:39 pushing them hard. Because they keep 38:42 records, they build museums, and they 38:46 document everything. Historically, we 38:53 see many companions migrated all over 38:59 the world. 39:01 Yes. 39:02 The problem is that it wasn't 39:04 well-preserved. So, these herbs have 39:07 actually been used for a very long time 39:10 . For example, to improve our fitness 39:12 when we are feeling weak, using 39:14 Habbatus Sauda or black cumin is fine, 39:16 but don't take too much because it's 39:18 usually quite "hot." Then for men's 39:22 fitness, we can use Pwoceng, pasak bumi 39:26 , Javanese chili, or ginger. 39:30 And what else, uh. Fennel, Javanese 39:35 chili. So, we can use those for stamina 39:38 . But for general fitness, we usually 39:41 use habbatussauda; that's good for 39:43 maintaining our body's stamina. Last 39:46 week, I discussed herbs for children, 39:48 like for coughs. Colds, and the flu. 39:51 Now, this is different. 39:54 Mr. Apian, each country or region has 39:56 different herbs, right? For example, 39:59 what are the herbs in China? And in 40:02 Arab regions, Africa, and especially in 40:05 Indonesia, there are also many herbs 40:07 that are good for male virility. But 40:11 how do we determine what suits us, for 40:14 instance, with ginseng, Pwoceng, or as 40:17 I mentioned, Javanese chili? 40:20 Yes. Yes, there are indeed many herbal 40:25 benefits, and they depend on the 40:28 climate and the soil; the active 40:30 substance content varies. That's why I 40:35 prefer using Indonesian herbs found 40:37 here in Indonesia. But we can combine 40:41 them with syndromes. For example, if we 40:45 want to check for deficiency syndromes. 40:48 Yes. Indonesian Herbal TCM. Like, for 40:53 example, a Qi deficiency, a zinc 40:56 deficiency, or 40:59 kidney deficiency, or if they have 41:06 That's like pathophysiology; if we look 41:09 at it from a Western perspective, 41:11 erectile dysfunction comes from 41:14 hormones, mental stress, or blocked 41:16 blood vessels, based on pathophysiology 41:19 . But in TCM, it's different; it's 41:23 viewed based on syndromes. Then the 41:25 properties and the taste of the herbs. 41:32 That's why if you study TCM, you have 41:35 to clear your Western knowledge; you 41:37 can't combine them at first. But 41:39 eventually, you'll find the common 41:40 thread. After looking into it, oh, I 41:42 found the common thread. That's why I 41:44 enjoy learning about it. Learning here 41:46 and there. Gaining the knowledge. 41:48 That's it. So, TCM views it as a 41:52 balance of energy, yin and yang, while 41:55 Western medicine uses the body's 41:58 pathophysiology and symptoms. We 42:04 combine them; first, we improve blood 42:08 circulation, and second, we boost 42:12 energy, or Qi. Third, we boost the 42:19 hormones. We induce relaxation. Fourth, 42:26 what else, the parasympathetic hormones 42:31 , blood circulation, and the mind. All 42:36 of that is very helpful. Increasing 42:39 hormones is very helpful. Now, there 42:42 are acupuncture points for reproduction 42:44 . Acupuncture points to warm the body 42:49 with moxa for blood circulation, to 42:52 boost the kidneys, the zinc, or the 42:55 essence, as we call it. Or to help with 43:00 the secretion. So, it is indeed a bit 43:03 confusing when you first start learning 43:05 it. As for, yeah, what is this, what is 43:07 this? 43:08 Yeah, what is it? Yeah, it's okay. 43:12 Slowly, we will eventually find the 43:14 common thread. But I explained earlier 43:16 that there is the western side and the 43:18 eastern side, right? Earlier. 43:21 Combined, I combined them, right? So, 43:22 to understand it slowly, right. But for 43:25 people who have studied it, they 43:27 understand it, they connect the dots 43:29 quickly. Oh, this is what Mr. Alvian 43:30 meant, oh, this is it, they will 43:31 definitely connect it. But by combining 43:34 it like that, isn't there, Mr. Alvian, 43:36 any, what do you call it, 43:38 contra-something with other ingredients 43:40 ? 43:42 Actually, that combination is very, 43:44 very good, it's integrative. 43:46 Yes, very, very, what should I say, 43:49 very complementary. 43:50 Complementary. Now, that's why I like 43:53 Indonesian herbs, but I use them based 43:55 on syndrome, syndrome deviation. 43:58 Because if we use Chinese herbs, it's 44:00 okay, we can. But Chinese herbs are... 44:04 uh, what is it, it's hard for us to get 44:06 them, and they are different from us, 44:08 there they have four seasons. While we 44:12 ... 44:12 uh, only have rainy and dry seasons, 44:15 right? 44:16 Yes. If it's other seasons, it's 44:17 different. The durian season, mango 44:19 season, that's different, right. 44:20 Yeah. Like that. 44:23 See, right? So we must empower 44:26 Indonesian herbs. We must love 44:30 Indonesia. 44:31 Correct. 44:33 Indonesian products. 44:35 Yes. 44:35 They are just as good, you know. They 44:37 are not inferior at all. There are many 44:39 Indonesian herbs. We just have to look 44:40 at the properties and taste. Then which 44:43 meridian they enter, we get that, right 44:46 . 44:47 Hm. Alright, Sir. Next, there is 44:50 someone asking without including their 44:52 name, from a servant of Allah. Peace be 44:54 upon you, Mr. Alvian. 44:55 And peace be upon you too. 45:00 Is it true that claims about herbal 45:03 medicines from various regions can 45:06 overcome various sexual problems, such 45:09 as from Papua, Papua leech, Javanese 45:12 chili, and so on? And are there any 45:16 herbal medicines on the market that are 45:18 safe, that are truly herbal, that Mr. 45:20 Alvian recommends? Thank you. If we 45:24 study herbs with pathophysiology, that 45:26 means we are studying what is called 45:29 herbal pharmacology. The mechanism of 45:32 action of the herbs. Herbs have active 45:35 substances from secondary metabolites. 45:40 Now, if we are talking about 45:42 aphrodisiacs or stamina, we look for 45:45 herbs that are aphrodisiacs, which 45:47 usually increase libido. Now, for those 45:52 herbs, we can look for the journals, 45:54 there is plenty of evidence-based 45:56 research now. If there is no clinical 45:58 trial, look for preclinical trials on 46:00 animals. There are so many herbs now 46:03 that we can explore. And those I 46:05 mentioned earlier have already been 46:07 used frequently. Tongkat Ali, Purwoceng 46:10 , fennel, Javanese chili. 46:13 What else, eh? 46:14 Is black garlic good, Mr. Alvian? 46:18 Black garlic is fine for blood flow and 46:19 circulation, because garlic is 46:21 definitely for arteriosclerosis. 46:23 Because it contains alanine, yes, 46:25 alanine. Well, that is to, uh, improve 46:28 blood circulation, yes, blood. So it 46:32 can be used, yes, it is usable. But 46:34 garlic sometimes, you know, some people 46:38 find it smelly, yes. Smelly, yes, and 46:40 if you are allergic to garlic 46:41 yes, it’s not very pleasant, right. 46:42 But black garlic isn't like that 46:43 because it has been fermented, it’s 46:45 fermented, yes. Yeah. 46:46 Well, it is, uh, heated using a rice 46:48 cooker, you know. So, through 46:51 fermentation, it usually isn't as 46:52 bitter, yes. But raw garlic is bitter, 46:55 like that. And for people with 46:57 sensitive stomachs, garlic can cause 46:59 stinging, yes, 47:00 like that. So, there are many herbs 47:03 that we can use, basically. The 47:05 important thing is we know the 47:06 pharmacology and the mechanism of 47:08 action of those herbs. Now, in TCM, we 47:11 know the syndrome differentiation, and 47:14 we know the syndrome. Then, we know the 47:18 properties, flavor, and the meridian 47:21 that the herb enters. 47:24 Now, that’s different, right. 47:26 Yes. So, we view it from two positions, 47:30 but they will become one, they meet, 47:32 right. 47:36 And for herbs, is it better as a 47:38 decoction or already extracted, like in 47:40 capsules, Pak Alb? 47:43 Or is it better as a decoction, where 47:46 the herb form is still visible? 47:49 Yes. So, for herbs, uh, for example, if 47:54 we have herbs that contain antioxidant 47:57 flavonoids, yes. Well, usually they 48:02 don't use heating; they usually use 48:04 maceration if we want to extract them. 48:08 But if they don't contain 48:10 heat-sensitive antioxidants, we usually 48:13 boil them over low heat, yes. Actually, 48:17 a decoction is already an extract, 48:21 right. We macerate it into an extract, 48:24 or we macerate the powder into an 48:26 extract, yes. It's just that for 48:28 capsule extracts, they are dried again 48:30 using an evaporator, you see. Dried 48:33 again. And then, fillers are added into 48:36 the capsules, yes. The comparison is 48:39 different; the dosage for extract 48:42 versus powder is far apart, yes. 48:45 Sometimes, for 1 kilo of dried simples 48:48 that we powder, 48:50 it only becomes 200 grams 48:53 as an extract, 48:54 yes. 48:55 It’s 5 to 1, very little. Sometimes 48:57 some are even more concentrated, yes. 49:01 So, the extract dosage is definitely 49:03 faster compared to the powder dosage, 49:05 or decoction, yes, 49:07 because we already use a different 49:09 ratio, it’s quite far. It is better 49:12 to use extracts. I personally prefer 49:14 extracts. 49:14 Yes, that’s extracts. 49:16 They are also more practical, right, 49:17 extracts. 49:18 Faster. Yes, 49:19 faster as well. 49:21 The dosage isn't too large because the 49:23 form is small, but the content is high. 49:27 The content is high, like that. However 49:30 , you have to be careful; it must be an 49:33 expert who knows the dosage and knows 49:37 how to use those herbs. Don't let, for 49:40 example, herbal extracts like turmeric, 49:43 which indeed can 49:46 reduce menstrual pain, be misused 49:48 because they improve blood circulation 49:50 to the uterus. However, for those in 49:53 early pregnancy, it can cause abortion, 49:56 can cause a miscarriage. So, you have 49:58 to know that, 49:58 you have to be careful too. 49:59 Yes. You must know about herbal 50:01 interactions, 50:01 don't just take any herbs carelessly. 50:03 You have to know what the effects and 50:05 interactions are. 50:06 Uh-huh. Interactions between herbs and 50:09 herbs, herbs and medicine, herbs and 50:11 food; that can happen. 50:13 That's why for us practitioners and 50:16 academics, it's very important. 50:21 Right. So it's true, if we want to 50:25 consume herbs, we must consult with an 50:28 expert first, Mr. Alpian. Yes, it's 50:31 very important. 50:32 Yes. Consult us. You can call or 50:34 WhatsApp us, too. 50:35 You can. 50:36 Don't just assume that because it's 50:38 herbal, it's safe. Consuming too much 50:39 immediately is also dangerous, sir. 50:41 There must be, what do you call it? The 50:44 right dosage. 50:45 Yes, the right dosage, especially for 50:47 extracts. 50:49 Uh-huh. There is also a question from a 50:52 mother here, Mr. Alpian. Is it okay to 50:54 join in, she asks? Yes, you may, Ma'am. 50:56 Peace be upon you, and Allah's mercy 50:58 and blessings. Mr. Alpian, can herbal 51:01 therapy that is good for men also 51:03 provide benefits for the wife, for 51:05 example, in maintaining fitness 51:07 together to keep the household 51:09 harmonious? 51:12 Does the herbal medicine have an effect 51:13 on the wife too? 51:14 Yes. Actually, if we are fit, our 51:18 bodies are in good shape, and our blood 51:22 circulation is good, we can become 51:25 energetic. So there is a connection 51:29 between the husband and wife. So if the 51:33 wife is fit and she also takes care of 51:37 her body, there is an influence. So 51:42 indeed, it must be synergistic between 51:46 men and women. So it’s good to 51:51 exercise together, for example, and 51:54 taking herbs to increase stamina or 51:57 fitness together is fine. It's just 52:01 that there are herbs for testosterone 52:04 and herbs for estrogen, so they are 52:06 different, but maybe there are 52:09 additional benefits. All right, sir, 52:15 the last one, it seems, from Mrs. Rahma 52:17 . Peace be upon you, Mr. Alpian. 52:20 We mothers often see 52:22 We mothers often see that husbands are 52:24 reluctant to drink herbal medicine 52:26 because it tastes bitter. How can we 52:29 introduce herbal therapy in a more 52:31 enjoyable way that doesn't feel like a 52:33 burden to them? 52:36 Well, actually, we can combine herbal 52:39 medicine. If it's a decoction, it can 52:41 be added with honey. You can also add 52:45 it to fruit juice, or if it's too 52:48 difficult, use capsules. 52:52 Capsules don't have a taste. 52:53 The extract ones, right? 52:54 Yes, the extracts. Now, for decoctions, 52:57 they are usually a combination. For 53:01 example, we can combine some fruit with 53:05 the herbal water, or add some mango or 53:09 orange, or perhaps some lemon garnish, 53:14 or even ginger. That makes it taste 53:18 much better, right? If it's bitter, 53:21 just add something sweet, or, well, 53:23 look at me, it'll turn out sweet later. 53:29 It’s easy, it can be worked around. 53:31 Sir. 53:31 There’s a lot of that. Yesterday I 53:33 made herbal medicine for kids; you know 53:35 how kids are, they don't want to take 53:36 herbal medicine. I made candy out of 53:40 herbs, remember? We learned that 53:43 yesterday. Hmm. 53:45 Yes, that. 53:47 But actually, even if it's bitter, we 53:48 look at the positive effects, right? 53:51 It's healthier, I don't mind the 53:52 bitterness. 53:53 It’s no problem for me if it’s 53:54 bitter, because that’s what herbal 53:56 medicine is. 53:57 Actually, my child likes it, he just 53:58 opens it, mixes it with water, and 54:00 drinks it. 54:01 My six-year-old, because he's already 54:05 used to it, you know. 54:06 Used to it. Alright, Mr. Alvian, we are 54:09 limited by time, perhaps before we go, 54:11 you could summarize our theme for today 54:13 . Sorry. 54:15 Alright. Thank you, Kang Fahri. Let’s 54:18 provide a closing statement. So today 54:22 we discussed integrative therapy. 54:27 Integrative therapy regarding men's 54:30 sexual health problems. Why did I bring 54:33 this up? Because many people are 54:35 embarrassed but interested. Embarrassed 54:37 but interested. 54:38 Embarrassed but interested. 54:40 This is quite common, yesterday I, what 54:42 was it? I wanted to, oh right. I had so 54:44 many patients, and eventually, they 54:45 would consult about this. So, I decided 54:49 to just open up about it because this 54:52 is about health, it’s not a taboo 54:54 anymore. And it turns out that 54:58 integrative medicine is very supportive 55:00 . For example, we combine Western 55:03 therapy with Eastern therapy, or herbal 55:06 therapy, or psychological therapy. That 55:09 is very, very, very, what should I say? 55:11 Very good. I’m planning to use a 55:16 study group (Majelis Taklim) for my 55:18 dissertation. A study group. 55:22 Perhaps Kang Fahri knows a study group 55:24 I could visit, maybe with 50 or 100 55:26 people. I will use the study group, 55:30 it’s not just for religious or 55:32 spiritual purposes. A study group can 55:36 also provide education and healthcare. 55:41 I will train the members of that group 55:43 with herbal knowledge and therapy 55:46 education. So it’s not just for 55:49 spiritual needs, but also for education 55:52 and health. That is integrative. It's 55:56 just like what I mentioned, leech 55:59 therapy, herbs, moxibustion. 56:03 And, what else was the other one? 56:06 Acupuncture. 56:06 Acupuncture, yes. That is integrative 56:10 therapy, therapy that unifies aspects 56:14 of TCM and Indonesian herbal medicine. 56:20 It is very supportive, they complement 56:22 each other. So, I'm planning to make 56:25 this the subject of my dissertation; I 56:28 want these Islamic study groups to be 56:31 more than just spiritual, but also for 56:33 education and health. Amazing, right? 56:37 Healthy in body and soul, you see. 56:38 Healthy in body and soul. Body and mind 56:41 . 56:41 Cool. Cool. 56:43 Soul, spirit, and energy, yes. Body, 56:46 mind, soul, spirit, and energy. 56:49 Okay, Kang Fahri. 56:50 Very well, sir. Thank you so much, Pak, 56:52 for the enlightenment and knowledge 56:54 shared this afternoon. Yes. 56:56 That concludes our time together on the 56:58 Islamic Health program with Pak Alvian. 57:00 Pak Alvian BRM, STRKes, ST, SUD, BMED, 57:04 M.Si., Master of Herbal Medicine. And 57:09 if you want to, what should I say? 57:12 Visit the Alvian Health Clinic, you are 57:14 welcome to come for further 57:15 consultation. Maybe you were too shy to 57:17 ask here earlier. Feel free to go 57:19 straight to Pak Alvian to ask for his 57:21 prescriptions. What those herbal 57:23 prescriptions are like. Just come 57:25 directly to the address at Jalan Ruyung 57:28 Blok A20 number 7, Komplek PTB DKI 57:30 Pondok Kelapa, East Jakarta, with phone 57:32 number 0813 82262040. 081383. 57:42 Yes. 08138326 2040, is that right, sir? 57:47 So if you want to go to the clinic, 57:48 maybe make an appointment first, sir? 57:51 Are you at the clinic every day? 57:53 Yes, please WhatsApp first. 57:54 WhatsApp first. 57:55 Yes, please WhatsApp first. I am 57:56 currently the head of a doctoral 57:58 program, so I have a lot of work. So. 58:01 Okay. Very well. 58:03 Thank you, Pak Alvian, once again, 58:05 thank you, and for all of you who 58:06 joined us, thank you very much, Iwan. 58:09 I am Fahri, accompanied by the da'wah 58:10 warriors, signing off. Wabillahi taufik 58:12 wal hidayah, wassalamualaikum 58:14 warahmatullahi wabarakatuh. 58:15 Wassalamualaikum warahmatullahi 58:17 wabarakatuh. 
