Manage Stress before it is too lateManage Stress before it is too late

Two fold aims of AyurvedaTwo fold aims of Ayurveda

TO MAINTAIN AND PROMOTE THE HEALTH OF THE HEALTHY

TO TREAT THE DISEASES OF THE SICK

Health according to AyurvedaHealth according to Ayurveda

A person whose

All the three Doshas(Humors) are in equilibrium

digestion is excellent

Body tissues perform their normal functions

Excretory Functions are perfect

Whose soul, sensory & motor organs , and mind are in optimum happiness/health

The Three Humors(Doshas)The Three Humors(Doshas) The human body is controlled by three divergent functional entities. They cannot be seen. They can be felt, studied, treated. To know them one must acquaint with the functions and properties allotted to them. These three Doshas are:

Vata: Musculo-skeletal functions: all movements

Pitta: Digestive functions

Kapha: Union anywhere in body& Lubrication

Properties of mindProperties of mind

Satva: Imparts knowledge

Rajas: Imparts activity and ambitions

Tamas: Blocks true knowledge, imparts

bad thoughts and sluggishness

StressStress

““Stress" difficult to define Stress" difficult to define may mean different things to different people in may mean different things to different people in

different circumstances. different circumstances. Stress is the uncomfortable gap between... how Stress is the uncomfortable gap between... how

we would like our life to be and how it actually we would like our life to be and how it actually is .if this gap is persistent (or even worse: is .if this gap is persistent (or even worse: growing) - despite our efforts to reduce it then growing) - despite our efforts to reduce it then our mind feels uneasy, restless, disturbed, our mind feels uneasy, restless, disturbed, agitated, frustrated, tense, heavy or strained,agitated, frustrated, tense, heavy or strained, we we are said to be under stress. are said to be under stress.

BENEFITS OF STRESS MANAGEMENT FOR BENEFITS OF STRESS MANAGEMENT FOR ORGANIZATIONS.ORGANIZATIONS.

Reduced turnover (loss of valuable Reduced turnover (loss of valuable employees costs a great deal of time employees costs a great deal of time and money to replace) and money to replace)

Reduced sick leave, workers Reduced sick leave, workers compensation and medical costs compensation and medical costs

Increased morale and decreased Increased morale and decreased conflict, dissatisfaction conflict, dissatisfaction

Enhanced performance, reduced Enhanced performance, reduced errors, mistakes, accidentserrors, mistakes, accidents

POSSIBLE PHYSICAL DISORDERS CAUSED BY POSSIBLE PHYSICAL DISORDERS CAUSED BY OR EXACERBATED BY STRESS:OR EXACERBATED BY STRESS:

Hypertension Hypertension Cardiovascular disorders Cardiovascular disorders Migraine and tension headaches Migraine and tension headaches Cancer Cancer Arthritis Arthritis Respiratory disease Respiratory disease Ulcers Ulcers Colitis Colitis Muscle tension problems.Muscle tension problems.

STRESS is the body’s response to STRESS is the body’s response to any demand put upon it any demand put upon it

Dr Hans SelyeDr Hans Selye

Definition of Stress

Causes of Stress : Causes of Stress : two typestwo types External stressorsExternal stressors: : include adverse physical conditions: pain include adverse physical conditions: pain

or hot or cold temperatures, stressful psychological environments or hot or cold temperatures, stressful psychological environments (such as poor working conditions or abusive relationships) , rules, (such as poor working conditions or abusive relationships) , rules, regulations, "red tape," deadlines. It also includes major life events: regulations, "red tape," deadlines. It also includes major life events: death of a relative, lost job, promotion, insults, being ignored etc. death of a relative, lost job, promotion, insults, being ignored etc.

Internal stressorsInternal stressors: : can also be can also be physical (physical (infectionsinfections)) or or psychologicalpsychological.Lifestyle choices: caffeine, not enough sleep, .Lifestyle choices: caffeine, not enough sleep, overloaded schedule. overloaded schedule. Negative ThinkingNegative Thinking: Pessimism, self-criticism, over-analyzing. Mind : Pessimism, self-criticism, over-analyzing. Mind traps: unrealistic expectations, taking things personally, traps: unrealistic expectations, taking things personally, exaggerating, rigid thinking.exaggerating, rigid thinking.Stressful personality traitsStressful personality traits: perfectionist, workaholic, pleaser. Vata : perfectionist, workaholic, pleaser. Vata and Pitta constitution people. and Pitta constitution people.

TYPE A BEHAVIOR PATTERN TYPE A BEHAVIOR PATTERN ASSOCIATED WITH ASSOCIATED WITH

CORONARY RISK.CORONARY RISK.

Aggression Aggression Irritation Irritation Anger Anger Impatience Impatience HostilityHostility

Physical SignsPhysical Signs Behavioral SignsBehavioral Signs Emotional/Thinking SignsEmotional/Thinking Signs

RECOGNIZING STRESS

Type of stressType of stress

Stressors can also be defined asStressors can also be defined as 1.1. Short-term (acute) Short-term (acute) 2.2. Long-term (chronic).Long-term (chronic).

Common manifestations of stressCommon manifestations of stress

DDIGESTIVE SYSTEMIGESTIVE SYSTEM. . stomachache or diarrheastomachache or diarrhea. This happens because stress . This happens because stress hormones slow the release of acids and the emptying of the stomach. The same hormones slow the release of acids and the emptying of the stomach. The same hormones also stimulate the colon, which speeds the passage of its contents. hormones also stimulate the colon, which speeds the passage of its contents. Chronic stress can also lead to continuously high levels of cortisol. This hormone can Chronic stress can also lead to continuously high levels of cortisol. This hormone can increase appetiteincrease appetite and and cause weight gaincause weight gain. .

Immune systemImmune system. Chronic stress tends to dampen the immune system, making one . Chronic stress tends to dampen the immune system, making one more susceptible to colds and other infections.more susceptible to colds and other infections.

Nervous systemNervous system. If fight-or-flight response never shuts off, stress hormones . If fight-or-flight response never shuts off, stress hormones produce persistent feelings of produce persistent feelings of anxietyanxiety, helplessness and impending doom. , helplessness and impending doom. Oversensitivity to stress has been linked with severe depression, possibly because Oversensitivity to stress has been linked with severe depression, possibly because depressed people have a harder time adapting to the negative effects of cortisol. The depressed people have a harder time adapting to the negative effects of cortisol. The byproducts of cortisol act as sedatives, which contribute to the overall feeling of byproducts of cortisol act as sedatives, which contribute to the overall feeling of depressiondepression..

Cardiovascular systemCardiovascular system. High levels of cortisol can also raise your heart rate and . High levels of cortisol can also raise your heart rate and increase your blood pressure and blood lipid (cholesterol and triglyceride) levels. increase your blood pressure and blood lipid (cholesterol and triglyceride) levels. Increased risk factors for both heart attacks and strokes.Increased risk factors for both heart attacks and strokes.

Other systemsOther systems. Stress worsens many skin conditions — such as . Stress worsens many skin conditions — such as psoriasispsoriasis, , eczemaeczema, , acne acne — and can be a trigger for — and can be a trigger for asthma attacksasthma attacks..

PHYSICAL SIGNS AND SYMPTOMS OF PHYSICAL SIGNS AND SYMPTOMS OF STRESSSTRESS

• Increased heart rate Increased heart rate • PalpitationPalpitation• HypertensionHypertension• Excessive Excessive

sweating:palmssweating:palms• Tightness of the chest Tightness of the chest

neck, jaw and back neck, jaw and back musclesmuscles

• HeadacheHeadache• DiarrheaDiarrhea• ConstipationConstipation• Urinary hesitancyUrinary hesitancy

• Tremors, twitchingTremors, twitching• stuttering and other stuttering and other

speech difficultiesspeech difficulties• Nausea; vomitingNausea; vomiting• Sleep disturbancesSleep disturbances• Fatigue; shallow Fatigue; shallow

breathingbreathing• Dryness of the mouth or Dryness of the mouth or

throatthroat• Susceptibility to minor Susceptibility to minor

illness, cold illness, cold hands,itchinghands,itching

BEHAVIORAL SIGNS AND SYMPTOMS OF BEHAVIORAL SIGNS AND SYMPTOMS OF STRESSSTRESS

SmokingSmoking

Aggressive BehaviorsAggressive Behaviors

Increased Alcohol Increased Alcohol

Drug Use Drug Use

Carelessness Carelessness

Under-eating Under-eating

Over-eatingOver-eating

Withdrawal Withdrawal

Listlessness Listlessness

HostilityHostility

Accident-pronenessAccident-proneness

Nervous LaughterNervous Laughter

Compulsive BehaviorCompulsive Behavior

ImpatienceImpatience

EMOTIONAL DISORDERS CAUSED BY OR EMOTIONAL DISORDERS CAUSED BY OR EXACERBATED BY STRESSEXACERBATED BY STRESS

Anxiety Anxiety Panic attack Panic attack Depression Depression Adjustment disorders.Adjustment disorders.

ATTITUDESATTITUDES

THAT ARE AT THAT ARE AT

"High Risk for Burnout""High Risk for Burnout" Having very high ideals Having very high ideals Always getting impatient/annoyed with others Always getting impatient/annoyed with others Feeling only your ideas are RIGHT! Feeling only your ideas are RIGHT! Blaming yourself ("shoulding on yourself") Blaming yourself ("shoulding on yourself") Having a tendency to always blame others Having a tendency to always blame others Feeling equally upset with minor hassles, etc. vs. Feeling equally upset with minor hassles, etc. vs.

something more serious something more serious Feeling you have more and more to do and less and Feeling you have more and more to do and less and

less time to do it in less time to do it in Accepting social obligations that you know you will Accepting social obligations that you know you will

not have time for later not have time for later Spending more time and energy on trivial tasks while Spending more time and energy on trivial tasks while

avoiding the more difficult onesavoiding the more difficult ones

Restoring health means what?Restoring health means what?

Bringing EQUILIBRIUM in :Doshas (Humors)

Agni (Digestive power)

Dhatus (Body tissues)

Malas (excretory products)

Happiness of the soul, mind and sense organs

MANAS DOSHAMANAS DOSHASattvaSattva: : laghutva, prakash, chaitanya, laghutva, prakash, chaitanya,

harsha, Uttam buddhiharsha, Uttam buddhi  

RajasRajas:: Ati- kriyasheela, Uttejaka, Ati- kriyasheela, Uttejaka, Iccha-utpatti, AkankshaIccha-utpatti, Akanksha

TamasTamas: : Guru, Sthir, Achetan, Nishkriya Guru, Sthir, Achetan, Nishkriya and a sign of Jadata.and a sign of Jadata.

SATTVASATTVA(MANASIK STARA OR MENTAL MAKE UP)(MANASIK STARA OR MENTAL MAKE UP)

1.   Pravar Sattva1.   Pravar Sattva2.  Avar Sattva: More prone for stress 2.  Avar Sattva: More prone for stress

borne diseases: prone to: vishad, borne diseases: prone to: vishad, Unmad, Moorchha, BhramaUnmad, Moorchha, Bhrama

3.  Madhyam Sattva3.  Madhyam Sattva

React React or or DealDeal

• • Watch more TVWatch more TV

• • Over/under eatOver/under eat

• • Blame othersBlame others

• • Smoke, drink, drug useSmoke, drink, drug use

• • Drive toofast/recklessDrive toofast/reckless

• • WithdrawWithdraw

• Exercise• Eat properly• Talk tofriend/ counselor• Join a support group• Be active with family

Dharneeya & Adharneeya VegaDharneeya & Adharneeya Vega

Dharneeya: Dharneeya: 1.  Manasika: 1.  Manasika: Lobha Shoka Bhay, Ahankar,Krodha, Lobha Shoka Bhay, Ahankar,Krodha,

Moha, DweshaMoha, Dwesha2.  Vachika : 2.  Vachika : Heena, Ati & Mithya yogaHeena, Ati & Mithya yoga3.  Kayika: 3.  Kayika: Those acts which harm others like Theft, Those acts which harm others like Theft,

Violence etc.Violence etc.Adharneeya:Adharneeya:

Thirst, Sleep, Hunger, Urge for Urine, Urge for Thirst, Sleep, Hunger, Urge for Urine, Urge for Stool, Urge for Jrimbha, Urge for Sex(Kameccha) Stool, Urge for Jrimbha, Urge for Sex(Kameccha)

SadvruttaSadvrutta

PersonalPersonal            Religious Religious                Ethical           Ethical          

Social rulesSocial rulesDiet Diet

Threat removalThreat removal

Deal with stressDeal with stress

• Music

• Hobbies

• Play

• Learning

• Vacation

Hobbies reduce stressHobbies reduce stress

Types of therapyTypes of therapy

Subsidence or palliative therapy (Shaman)

This involves the use of various drugs, exercise regimens, dietary regimens, and other methods.

Purificatory methods (Sodhan).

This involves the five methods of Biopurification

The Five Methods Of Bio-purificationThe Five Methods Of Bio-purification

(Panchakarma)(Panchakarma)

Vaman (Induction of Emesis)

Virechan (Purgation)

Nasya (Nasal medication)

Basti (Medicated Enematas)

Rakta mokshan (Blood letting)

Management of Manas rogaManagement of Manas roga

(1) (1)   Nidana parivarjana Chikitsa   Nidana parivarjana Chikitsa

(2)   Daiva vyapasraya Chikitsa(2)   Daiva vyapasraya Chikitsa

(3)   Sattva vajaya Chikitsa(3)   Sattva vajaya Chikitsa

(4)   Yukti vyapasraya Chikitsa(4)   Yukti vyapasraya Chikitsa

(5)   Naisthiki Chikitsa(5)   Naisthiki Chikitsa

SATVAVAJAYA MANAGEMENTSATVAVAJAYA MANAGEMENT

Sattvavajaya chikitsa is aimed at the control of Sattvavajaya chikitsa is aimed at the control of mind.One should keep himself established in his mind.One should keep himself established in his ownself after knowing the real nature of the soul & ownself after knowing the real nature of the soul & attaining the height of spiritual wisdom (Ch.Sha: attaining the height of spiritual wisdom (Ch.Sha: 3:21). 3:21).

Charaka defines the sattvavajaya as a method of Charaka defines the sattvavajaya as a method of control of mind by restraining or with drawing it control of mind by restraining or with drawing it from unwholesome 'arthas' (objects) (Ch. Su.11: from unwholesome 'arthas' (objects) (Ch. Su.11: 54). This is achieved by spiritual knowledge, 54). This is achieved by spiritual knowledge, philosophy fortitude, remembrance & concentration.philosophy fortitude, remembrance & concentration.

DAIVA VYAPASRAYA DAIVA VYAPASRAYA MANAGEMENTMANAGEMENT

Methods of DivineTherapyMethods of DivineTherapy Mantra, Aushadh, Mani, Hom, Mangal Karma, Mantra, Aushadh, Mani, Hom, Mangal Karma,

Upahaar, Bali, Prayshchit,Upavaas, auspicious Upahaar, Bali, Prayshchit,Upavaas, auspicious rites, pilgrimages & such other methods (Ch.Su. rites, pilgrimages & such other methods (Ch.Su. 11:54). 11:54).

These treatments would act by (1)   purification of These treatments would act by (1)   purification of the mind & body (2)   Reducing the mental the mind & body (2)   Reducing the mental tension (3)   Helping the person to control over tension (3)   Helping the person to control over his mind & (4)   Alleviating the abnormalities of his mind & (4)   Alleviating the abnormalities of mind.mind.

Sattva-avjaySattva-avjay ManagementManagement

GADGAD Dr. Hans Selye “father of stress research,” Dr. Hans Selye “father of stress research,”

discovered that hormones participate in the discovered that hormones participate in the development of many degenerative diseases. development of many degenerative diseases.

Hormonal responses aid adaptation to Hormonal responses aid adaptation to environmental change or stimuli; but they are environmental change or stimuli; but they are sometimes the cause of disease, especially if sometimes the cause of disease, especially if the state of stress is prolonged or intense.the state of stress is prolonged or intense.

When this occurs, the body goes through the When this occurs, the body goes through the three stages of what is called the "general three stages of what is called the "general adaptation syndrome." adaptation syndrome."

Stage One: Alarm-Stage One: Alarm-Cortisol releaseCortisol release

This stage has to function normally as it generates a This stage has to function normally as it generates a number of critical metabolic responses for any person. number of critical metabolic responses for any person.

Release of the stress hormones, adrenaline and cortisol, Release of the stress hormones, adrenaline and cortisol, occur in this stage. occur in this stage. Cortisol has wide ranging effectsCortisol has wide ranging effects on tissues throughout the body.on tissues throughout the body.

1.1. Immunosuppressive effect. Immunosuppressive effect. 2.2. Negative impact on energy regulation.Negative impact on energy regulation.3.3. Decreases the movement of glucose from the Decreases the movement of glucose from the

bloodstream into muscle cells (and several other bloodstream into muscle cells (and several other types of cell). This is meant to be a protective types of cell). This is meant to be a protective response, conserving blood glucose for essential response, conserving blood glucose for essential functions, such as brain activity. However, during any functions, such as brain activity. However, during any prolonged stress, cortisol decreases the availability of prolonged stress, cortisol decreases the availability of this energy. this energy.

Stage Two: ResistanceStage Two: Resistance This is the stage where adaptive This is the stage where adaptive

changes take place. changes take place. Increased fitness is a perfect example Increased fitness is a perfect example

of an adaptive response to physical of an adaptive response to physical stress. stress.

When the adaptation occurs, the When the adaptation occurs, the individual returns to "homeostasis" or individual returns to "homeostasis" or normal equilibrium. However, each normal equilibrium. However, each individual’s capacity to adapt is limited individual’s capacity to adapt is limited and completely unique. Overwhelm the and completely unique. Overwhelm the individual’s adaptive capacity, and you individual’s adaptive capacity, and you risk illness or injury. That’s when you risk illness or injury. That’s when you enter the final stage – exhaustion.enter the final stage – exhaustion.

Stage Three: ExhaustionStage Three: Exhaustion

This stage is characterized by This stage is characterized by the observed onset of symptoms the observed onset of symptoms of fatigue, including injury or of fatigue, including injury or illness. illness.

AdaptogensAdaptogens

Adaptogens do not block the stress response; rather, they smooth out the roller coaster highs and lows associated with the stress response. This conserves valuable energy in the alarm phase for use in the resistance phase.

AdaptogensAdaptogens

Adaptogens have the most broad-spectrum Adaptogens have the most broad-spectrum healing properties of any medicinal plant.They healing properties of any medicinal plant.They specifically relieve stress. specifically relieve stress.

The main effects of adaptogens are an The main effects of adaptogens are an increased increased availability of energyavailability of energy during the day, during the day, a a reduction of stress feelingsreduction of stress feelings, , increased increased enduranceendurance, , greater mental alertnessgreater mental alertness, and , and deep and restful sleepdeep and restful sleep. Adaptogens also . Adaptogens also significantly accelerate the recovery process after significantly accelerate the recovery process after illness and sports activities.illness and sports activities.

Herbs of adaptogenic Herbs of adaptogenic propertiesproperties

Ashwagandha (Withania somnifera)Ashwagandha (Withania somnifera) Brahmi (bacopa monniera)Brahmi (bacopa monniera) Shankh pushpi (Convolvulus pluricaulis)Shankh pushpi (Convolvulus pluricaulis) Vacha (Acorus calamus)Vacha (Acorus calamus) Madhuyashti (Glycrrhiza glabra)Madhuyashti (Glycrrhiza glabra) Amrita(Tinospora cordifolia)Amrita(Tinospora cordifolia) Amalaki (Embelica officinalis)Amalaki (Embelica officinalis) Mandukparni(Hydrocotyle asiatica)Mandukparni(Hydrocotyle asiatica) Tulsi(Ocimum sanctum) Tulsi(Ocimum sanctum)

Anti stress, fevers, Fights Viral infections, Immunomodulant, Anti stress, fevers, Fights Viral infections, Immunomodulant, Cough & cold, leaves juice 10-15ml. Cough & cold, leaves juice 10-15ml.

OCIMUM SANCTUM

OCIMUM SANCTUMOCIMUM SANCTUM on noise induced changes in on noise induced changes in plasma corticosterone levelplasma corticosterone level

Sembulingam K, Sembulingam P, Namasivayam A.Sembulingam K, Sembulingam P, Namasivayam A.Department of Physiology, Sri Ramachandra Medical College & Research Department of Physiology, Sri Ramachandra Medical College & Research Institute, Porur, Madras.Institute, Porur, Madras.

Ethanol extract of leaves of ocimum Ethanol extract of leaves of ocimum sanctum have shown antistressor actions sanctum have shown antistressor actions against acute and chronic noise stress in against acute and chronic noise stress in albino rats. Chromic exposure (4 hr daily albino rats. Chromic exposure (4 hr daily for 30 days) to noise with same intensity for 30 days) to noise with same intensity reduced the hormonal level significantly. reduced the hormonal level significantly. Treatment of animals with ethanol extract Treatment of animals with ethanol extract of Ocimum sanctum prevented the changes of Ocimum sanctum prevented the changes in plasma level of corticosterone.in plasma level of corticosterone.

WITHANIA SOMNIFERA

Good for Stress related & Degenerative diseases:

Adaptogenic, promotes mental & physical endurance, potent Stress-reliever, Vitalizer.

Delays aging process & helps in degenerative diseases like Arthritis, General debility, Hypertension.

Dose: Dried stem & root powder 3-5 Gms. Twice daily.

Neuroprotective effects

a

Withania somniferaWithania somnifera

Withania somniferaWithania somnifera

Thionin stained serial coronal sections (7 microm) Thionin stained serial coronal sections (7 microm) of brain passing through the hippocampal region of brain passing through the hippocampal region of stressed rats (E(1) group) demonstrated 85% of stressed rats (E(1) group) demonstrated 85% degenerating cells (dark cells and pyknotic cells) degenerating cells (dark cells and pyknotic cells) in the CA(2) and CA(3) sub-areas. in the CA(2) and CA(3) sub-areas. Treatment with Treatment with W. somnifera root powder extract significantly W. somnifera root powder extract significantly reduced (80%) the number of degenerating cells in reduced (80%) the number of degenerating cells in both the areas. The study thus demonstrates the both the areas. The study thus demonstrates the antistress neuroprotective effects of W. somnifera. antistress neuroprotective effects of W. somnifera.

Bacopa monieriBacopa monieri

BRAHMI, JATAMANSIBRAHMI, JATAMANSI Evaluation of comparative and combined depressive Evaluation of comparative and combined depressive

effect of Brahmi, Shankhpushpi and Jatamansi in mice.effect of Brahmi, Shankhpushpi and Jatamansi in mice.Indurwade NH, Biyani KR.Indurwade NH, Biyani KR.

Chronic Effects of Brahmi (Bacopa monnieri) on Chronic Effects of Brahmi (Bacopa monnieri) on Human Memory.Human Memory.Roodenrys S, Booth D, Bulzomi S, Phipps A, Micallef Roodenrys S, Booth D, Bulzomi S, Phipps A, Micallef C, G Dip App Psyc, Smoker J.C, G Dip App Psyc, Smoker J.Department of Psychology, University of Wollongong, Department of Psychology, University of Wollongong, Woolongong, AustraliaWoolongong, Australia

B. monniera may improve higher order cognitive B. monniera may improve higher order cognitive processes that are critically dependent on the input of processes that are critically dependent on the input of information from our environment such as learning information from our environment such as learning and memory.and memory.

CENTELLA ASIATICACENTELLA ASIATICA

CENTELLA ASIATICACENTELLA ASIATICA

MemoryMemory Circulatory Support varicose veins, venous Circulatory Support varicose veins, venous

insufficiencyinsufficiency Wound Healing scars, burns, ulcersWound Healing scars, burns, ulcers

SHANKHAPUSHPISHANKHAPUSHPI

IndicationsIndications: : The plant is The plant is memory-improving memory-improving drug. It is drug. It is used as a used as a psycho-stimulantpsycho-stimulant and and tranquilizertranquilizer. It . It is reported to is reported to reduce mental tensionreduce mental tension. The . The ethanolic extract of the plant reduces total ethanolic extract of the plant reduces total serum cholesterol, triglycerides, phospholipids serum cholesterol, triglycerides, phospholipids and non-esterified fatty- acids.and non-esterified fatty- acids.

Panchakarma for Panchakarma for stressstress

Very popularVery popular

Specific PanchakarmaSpecific Panchakarma

Shiroabhyanga Shiroabhyanga ShirodharaShirodhara ShirovastiShirovasti Sarvanga AbhyangaSarvanga Abhyanga

PROGRAM 1THE 7- DAY PROGRAM is geared towards revitalising an individual. Any prevalent weariness and fatigue can be cured by administering medicated herbal oils during the daily sessions of oil therapy. Internal medication as well as the prescribed yoga postures lead to a feeling of vitality and well-being.TAJ

CALICUT

INTERIOR VIEWINTERIOR VIEWPANCHAKRMA CENTERPANCHAKRMA CENTER

PIDICHIL PIDICHIL BEING BEING

PERFORMEPERFORMED BY D BY

YOUNG YOUNG DOCTORSDOCTORS

STEAM STEAM BOXBOX

SHIRODHARASHIRODHARA

SHIROBASTSHIROBASTII

STRESS FREE

Just relax