Geriatric panchakarma

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DR KSR Prasad at at School of Advanced studies, DMIMS(DU)< Nagpur on 28-07-2014

Text of Geriatric panchakarma

  • Panchakarma in Geriatrics Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda 28-07-2014
  • Healthy living and happy ending is the expectation of the people who understand the secret of life. Ayurveda supports all the ranges of ages from birth till salvation Panchakarma is a procedural part of Ayurveda offer many modalities to prevent ageing and support relief from Age related problems, Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Introduction Panchakarma in Geriatrics 01
  • From 70 plus millions of Indian continental (Jambu Dweep) history, present day Ayurveda oldest doctrines emerge 14000 years ago Ayurveda is a holistic approach where the soul, body and mind are interconnected for health and disease Typology of Ayurveda distribute in 8 parts viz. Kayachikitsa, etc. One out of 8 branches of Ayurveda is the care of aged and preventing the ageing by Rasayana Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Ayurveda Panchakarma in Geriatrics 02
  • Panchakarma a specialized area of procedural administration by which the Ayurveda eliminates and regulates the Dosha and Body components Panchakarma mainly of external (Abhyanga, Phizichil, etc) and internal (Vaman, Virechan, Vasti, etc) Ayurveda Panchakarma is a green revolution in medical practice treating the patient naturally by nature available Ayurveda concerns about diet and regimen regulations of day, night and seasons of ones individual There by the correction of self made mistakes derived life style disorders are treated Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Panchakarma Panchakarma in Geriatrics 03
  • Panchakarma includes 5 chief eliminative procedures Vamana (emesis) Virechana (purgation) Vasti (enema) Nasya (inhalation) Rakta mokshana (Blood letting) Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Ayurveda Panchakarma Panchakarma in Geriatrics 04
  • The Ayur- Ergonomics are so developed from centuries and precise to fit for the needs of everybody. All the equipments used in Panchakarma are nature friendly to prepare, use and incinerate Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Panchakarma Materials Panchakarma in Geriatrics 05
  • An extraordinary and awesome Disc in hard black stone that on its two facades encloses the Secrets of the Life. Regarding the stone dating, even if being it has not been possible to assign it a precise historical period, it seems manufactured approximately 6000 years ago Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Genetic Disc Panchakarma in Geriatrics 06
  • Ageing (British) or aging (American) is the accumulation of changes in a person over time Age is measured chronologically, and a person's birthday is often an important event. However the term "ageing" is somewhat ambiguous. Distinctions may be made between "universal ageing" (age changes that all people share) "probabilistic ageing" (age changes that may happen to some) "social ageing" (cultural age-expectations of how people should act as they grow older) "biological ageing" (an organism's physical state as it ages) Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Ageing Panchakarma in Geriatrics 07 http://en.wikipedia.org/wiki/Ageing
  • Loss of Buddhi (cognition) Loss of Smriti (memory) Loss of Indriya (sensory) Akshi visual problem Nasa loss of smell Karna- loss of hearing Jihwa loss of taste Twacha wrinkling / loss of elasticity Loss of lung compliance IGT (Rasa Kshaya) Increased Vata (Constipation, joint pains, bone loss, etc) Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Ageing results Panchakarma in Geriatrics 08
  • Decades Years Losses (Vagbhata) Losses (Sharangdhara) First 0-10 Balya (Boyishness) Balya Second 11-20 Vrddhi (Growth) Vriddhi Third 21-30 Prabha (Luster) Chhabi (Beauty) Fourth 31-40 Medha (Intellect) Medha Fifth 41-50 Twaca (Skin) Twaca Sixth 51-60 Sukra (Sexual Ability) Drsti (Vision) Seven 61-70 Drsti (Vision) Sukra (Sexual Ability) Eighth 71-80 Srotrendriya (Audition) Vikram (Strength) Ninth 81-90 Mana (Psyche) Buddhi (Wisdom) Tenth 91-100 Sparshanendriya (Psychomotor function) Karmendriya (Locomotor Activity) Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Ageing in Ayurveda Panchakarma in Geriatrics 09
  • Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Life - Ageing Panchakarma in Geriatrics 10
  • Rasayana Therapy Long model includes all Panchakarma along with internal medication periodically Short model includes regularity in Diet, Regimen, Sleep, work, etc. Rasayana Panchakarma A relatively easy model to regulate body seasonally eg: Vaman in Vasanta ; once a year and so periodically the virechana, Vasti, Nasya, etc. Monthly once purgation Weekly once full body massage, steam, Weekly twice head massage Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Ayurveda offer for Happy Ageing Panchakarma in Geriatrics 11
  • Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Panchakarma in Geriatrics 12 Forces acting on cell injury Pressure (Vata) Intra capsule temperature (Pitta) Mass resistance (Kapha) Bubble Cell Surface tension External forces pressure (Gravity), Temperature & Mass resistance Cytosolic calcium (Vata) Oxygen toxicity (Pitta) Free Radicles (Kapha) Ischemia (Rakta)
  • The Modes of Rasayana Effect Rasayana Rasa (Nutrient Value of plasma) Agni (Digestion and Metabolism) Clear & patency of Srotas (Microcirculation& Tissueperfusion), Bio availability)Improved Nourishment Improved quality of Tissues Longevity (Jaranasa) Immunity (Vyadhi Nasa) Mental Competence (Medha Vriddhi) Rejuvenation Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Panchakarma in Geriatrics 13 Equilibrium of Dosha, Dhatu & Mala
  • Bio Psychological Rasayana Model For Psychosomatic apotheosis Personality Endocrinal Immune system Neurotransmitters Social support Stressful life events social norms Genetic Emotions Motivation Biological Sphere factors Psychological Sphere factors Social Sphere factors Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Panchakarma in Geriatrics 14
  • Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Rasayana Reclassified Panchakarma in Geriatrics 15 Drug / Food Sheeta Veerya (Cold rejuvenation) Ushna Veerya (Hot rejuvenation) Disease Doshanuroopa vyadhi (Swasa, etc) Kaalaanuroopa (Jara, etc) Patient Adhya (Wealthy) Kuchela (Poor) Result Vayasthaapana = Ajara (Youthfulness) Amarana (Longevity / Eternity) Procedure Kuti (Concealed) Vatatapika (Reveled) Achara (Behavioral) Kamya (Desirable) Naimittika (Purposeful) Tissue Preservatives (Necrobiosis, Cytokinesis, Bio availability) Transfusions (Blood), Transplantations (Bone marrow, etc)
  • Tissue and Organ Specific Rasayana Twak = Twacya Rasayana for Skin Kesha = Kesya Rasayana for Hair Akshi = Caksusya Rasayana for Eyes Twak = Varnya Rasayana for Complexion Hrudaya = Hridya Rasayana for Heart Mastishka = Medhya Rasayana for Brain Sukra = Vrisya Rasayana for Fertility Stanya = Stanya Rasayana for Lactation Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Modes of Rasayana Panchakarma in Geriatrics 16
  • Sirtuins (SIRT17) are NAD+-dependent deacylases that promote homeostasis. SIRT1 activation shows promise for the treatment of aging and age-related diseases. Natural and synthetic SIRT1 activators (STACs) have been discovered. There is a common SIRT1 activation mechanism mediated by an N-terminal domain. Clinical trials indicate that STACs are efficacious but questions remain. New studies indicate that both natural and synthetic sirtuin activating compounds (STACs) work via a common allosteric mechanism to stimulate sirtuin activity, thereby conferring broad health benefits in rodents, primates, and possibly humans. Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Small molecule SIRT1 activators for the treatment of aging and age-related diseases Panchakarma in Geriatrics 17 http://www.cell.com/trends/pharmacological- sciences/abstract/S0165-6147(13)00231-9
  • Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda Panchakarma for Cognition Panchakarma in Geriatrics 18 Loss of Buddhi (cognition) / Loss of Smriti (memory) Shiro Vasti - It is procedure of retaining medicated o