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,


IntroductionPanchakarma 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


AyurvedaPanchakarma 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


PanchakarmaPanchakarma in Geriatrics

03

• Panchakarma includes 5 chief eliminative procedures –– Vamana (emesis) – Virechana (purgation) – Vasti (enema)– Nasya (inhalation) – Rakta mokshana (Blood letting)


Ayurveda PanchakarmaPanchakarma in Geriatrics

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• 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


Panchakarma MaterialsPanchakarma in Geriatrics

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• 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…


Genetic DiscPanchakarma in Geriatrics

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http://technoayurveda.wordpress.com/2014/07/13/genetic-disc/�

• 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)


AgeingPanchakarma 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)


Ageing resultsPanchakarma in Geriatrics

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Decades Years Losses (Vagbhata) Losses (Sharangdhara)First 0-10 Balya (Boyishness) BalyaSecond 11-20 Vrddhi (Growth) VriddhiThird 21-30 Prabha (Luster) Chhabi (Beauty)Fourth 31-40 Medha (Intellect) MedhaFifth 41-50 Twaca (Skin) TwacaSixth 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 (LocomotorActivity)


Ageing in Ayurveda


09


Life - AgeingPanchakarma in Geriatrics

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• 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


Ayurveda offer for Happy AgeingPanchakarma in Geriatrics

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12Forces 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



13Equilibrium of

Dosha, Dhatu & Mala

Bio Psychological Rasayana Model For Psychosomatic apotheosis

PersonalityEndocrinal

Immune system Neurotransmitters

Social supportStressful life events social

norms

GeneticEmotionsMotivation

Biological Spherefactors

Psychological Sphere factors

Social Sphere factors



14


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


Modes of RasayanaPanchakarma in Geriatrics

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• •Sirtuins (SIRT1–7) 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.


Small molecule SIRT1 activators for the treatment of aging and age-related diseases


17

http://www.cell.com/trends/pharmacological-sciences/abstract/S0165-6147(13)00231-9


Panchakarma for Cognition Panchakarma in Geriatrics

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• Loss of Buddhi (cognition) / Loss of Smriti (memory)• Shiro Vasti - It is procedure of retaining

medicated oil on the head in flexible container brimmed over head• This procedure clams the mind and

enhances the intellect – commonly prescribed in psychological / psycho somatic disorders

• Shiro Dhara - It is procedure of pouring medicated oil / milk / butter milk on the fore head from a container• It induces smoothening effect to regulate the

stress and there by the stress induced disorders


Panchakarma for senses Panchakarma in Geriatrics

19– Akshi – visual problem

– Regular eye wash with medicated decoctions and NetraTarpana, a procedure of moistening the eye with Ghrita(Lipidophilic and Hydrophilic herbal ghee)

– Nasa – loss of smell– The loss of smell or any other conditions referral to ENT

or CNS are treated with nasal route administration of medicine, periodically

– Karna- loss of hearing – Many ear problems of ageing are treated with regular ear

drops before head bath and also as a treatment module– Jihwa – loss of taste

– Kvalabraga / Gandusha (gargling) and Ksheera Dhoomaare the methods of treating tongue and oral cavity

• The skin is the most exposed organ to the atmospheric conditions loose its elasticity and protective mechanism

• Regular 7 posture Abhyanga (massage) and Phizichil (Kayaseka) at least once in 7 days retains the skin tone and protects from diseases of skin and nervous system


Panchakarma for SkinPanchakarma in Geriatrics

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• Many disease of lifestyle annoys in the later stages of ageing viz. DM, HTN, Joint pains, etc.

• Ayurveda Panchakarma do suggest different measures of temporary and permanent solutions – if the patient is ready to change his / her life style


Diseases of AgeingPanchakarma in Geriatrics

21

• What did I say till now?– Millions of year old traditional

Indian Medical system –Ayurveda with its Panchakarma Procedures induce Rasayana (rejuvenation) effect in prophylactic and therapeutic ways to combat ageing


Panchakarma in GeriatricsPanchakarma in Geriatrics

23

• Do you wants to be for ever young and beautiful?

• Try Ayurveda Rasayana Panchakarma from your 30+ ages

• Thank you one and all



Geriatric panchakarma

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