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Chirayu 2008

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  • 1. i:. *:,ii, G.* €,:1+28th , l :VentKalqHuru *:i * g3 Medical College rcle, Sayyaji Rao
  • 2. His Highness Sri Jayachamarajendra Wodeyar laying foundation stone of the Hospital BuildingPhilanthropist Sri Ragimandi Chowdaiah speaking during the occasion Vaidyarathna Asthana Vidwan Sri Gundlupandith Lakshmanacharya .":
  • 3. CONTENTSo Messages 03o From Principals Desk 11o Souveni r, Committee Report 12o Note from Organising Secretary 13o List of Committees 14o List of Former Directors 17o List of Former Principats 18o List of Former Lay Secretaries 20o List of Former RMOs 21o Sub-Comm ittee Photographs 22o Clorious History of 100 years 34o lnvited Articles 59o Cuest Speaker Artictes B6o Teaching Faculty Paper Presentations "a07o Post Graduate Schotars Paper Presentations 123o Advertisements 136o List of Patrons & Donors 148 w t ( ..
  • 4. TTPCft srsq€C. 3r=fil {f,T (€dw?ql-q) {gqfr trqi, ffiq qTqtflisrt {qr €q*)ffiiFlsqci d*aeaee W",a* 0 ffu=o, n dVnr, {@ I 9*f {!F".{l, * l&lo {ro,u ) dffi Pranl*u *11ooo4 l t rfetue*, *a t, .i4,,ol tro7,,1, -. 4/,,,,,u, . r:,i"o ffs/& -/I(ift(tt MESSAGE The President of India. Smt. Pratiblra Devisingh Patil. is happy to knor.v that tlre Department of Ayush of the Govemment Ayurveda Medical College atld Hospital, Mysore is celebrating its Centenary on November 28, 2008. The President extends lier warm greetings and felicitations to all those associated uith the Institution and sends her best rvishes lor the success of the Centenarl Celebrations. & |tu- Officer on Special Duty (PR.
  • 5. e ri I :r. ri jl g :-.:,:. rt?l wt t* r1 w ir l- c hiF. J.f JJ oav?.3 +, ;?5#rcd ;JEFJ:.-:-:fi{J-,++ :-! r-. ^:- rlg. :fr3;n=* & :6-:3 .,"r !:P :*r;itn :3 **ocrue ?008 ubql $oded *-:i"tO* *tr;FCI $oa}dred slejrx; * ddr JJ Jgdr"lt edu*tiq $*s$ xi) g_$Sui SSEas S0r1,b, so$)dFrdd gngrt * u{,$oS:S* o$)is;*-* dqgc*} 3sE-groJ)€ e.:$o*di, $r tctgc*: rFd&rnJ: **dndd,ertqt abaicrktdc,sd *cdd e$Sc$"ee{o:nrtmduJ:. ojr:$de S0{0i}.cC6?XdS_ deS tdrn*e msrdaufi *-3":..$d*:id r$*r"rcsb dcsubd d*$, x:!Srtgc.* We, *g{dsdi$ u{.a. LCC* gd*r}ddddrt 6iaiEd**d d*:e*ffin Ss$ Sned r.cE$ *q:rdscs Fd $$*dlddddel udotl_d*d. * uoqtd 5{$d rticd.Etqd i-ccb *do:)+A *&lour fi*acq *-..c"*-cb* A-:rlsg d.r* diari tnoS€erte mt*"et,r.:rsS roo*treqd. a,+f$_ * dr$d:m *ur ccttd: m#S dld,: *dr#ur{*t +:otE1s$$*J3*S s3"r*d mc. xc{air .rg6?i. *dei ucd us$, E!**-A}qrjq;b, e_;"*clt$d db{. urls: .tQrl+ {, r"$ r{sc* u d$u: d Suu ra* ait*w*,a sddrj,oEiEsn d:-reu$eJcu* r*bxi:{ed. .adr *cdigrd{ Snrf"t{,Sd..d de:a;au; $d$&61) alo*r+$ri*d *rlisaF g{*€so* gedd*onddoc3: sa{{r{ed. .n *s iQ*,laf,:) r (084 ! i as48aa0,,a54eza t * *i{-r :_s4sl t., :gs,r+e : Wa?y} zsz?z3rz;,zv.z4 i*8?1) 2548?fl1 * qr44 : ?54*218 ;s6naiis{d : rird,er:fi rffi, *ort+"?;t :{0gC} ?23i0101 * Fr#* ,2297qi00 * e-maii : lssaslrni(i:,:senehsnicr.rn
  • 6. $qFs FC a]. ns. o$Bo$).ad{ E:o 3f;n aJorls*tcb * <.. h ol !" <^ r ra -tl - F.*, $,ir,h{t,,,t-l ;r;5 !ii t I tt sincr !.11...1.i.. "Y.::... $$ doded a$eld..oAd dsasO e+obdsed rade$ abq e*{$ dddmdned"dd$d €s ddE e*ad0l,:$d>{dl d:oun *odnedd &and. erntudEed €e dod d,do dde. hddmdtrlgod dndelLlu EdQridq en:dolnehir:q ra"toodl dderl€od da3:n {pdre*d: €e 4,d, d€go!$4 zrdt:sa uo6qd. e*ollderd ege?Ad ddEriCO na6e zsrl$d dabd f€ofDgd. e*g:td dnd*ro5Bodern Saaddo*nrld erded eraolelrid,l epoildEed d{9o}od dOesdararb{d oou:dr dddde"ld. dtrdo0d draE0 ero$:dred aadee$J drtd euod: dddrad6od So{eddemn eruqd} rbeoa3:*udd1 raoig*nodt a:obd. de raelezu d.n& ddE d1adei,$d dodaJrd0 dndd&q$d drdea doagf e*oirderd a-a5f* douoesdod erudotld dD8o.goilq r"drtno&dO. "adOod dlo6d eoegrirl {,otnead;nrlO,rodr ee$to{ed. ans erdnegr sadld, agodlaaodr, drorO e+o$,dEed {,dr$eo3l rae}euo rir{ od$, ..5 :Sdndr
  • 7. enaJru{c$ rfad, *.;1., f.q., n+l.-..{. elrdamr6: dtSS : 22258563 ddd6fcd! SA16 sz3frcb 22033454 ;3.:dl. ;s:oed, l3etE sU4Gb St ld{,} ixrpx :233A7544 23347544 *ida io4: ?31, 2i3r dlda SFd #d, rJorl*.r+dr - 560 0O1 d&ug ,.,...... doasr: dred/ds/ I 6iblzooe 18.11.2 608 &cf $sd!g dror6 eeol:)dead drdrseoJc roeJea: E$6J- erd,JdJo[1 E J.i$u"Od F"eddo$on drodJ 6jdr 6,:oeb J6drdd,iocdr;Jdd;* $eJOdJ&_dJ€c$ eldrou Soaoedd Fo.ig. dr dod*oJ:: ooq,6q eesdog Eo0ato erql:)c3rrd Sod*dd$. r-oo-oEanro, id dC dCdO_ ;Fon* g_d. 5g-tirod.o€6nd SoEiqiicJe_ cdrd eg4ddge dd o.J"aeeddqr.: roa$rdodd, ald;d_e9d. eo-d €r sodki..Jd_ ajoaolel-2QQ$ oou eaerreofl er odr: dee cJ xid;uetr Jddi odF A detrn d_:, e dd d$ dd & mfl drdea doe5do$dr{ ?SECJrld drod€rarug d. trotl;lerd$ qpd,ifrq5: dddddr;o8qtroric3o, eldd, erud easd $ers$r dE.ord€r r.tdeaFsct. eaert €c e3*1}idesd Elddd dde8cbeZ tdd& d€"{ esd{ ei,,oe*-9 dr€?$ wd_d; dCdcarto$and. d{ Sod*at d66*odraeddd 614} ooaiLeob ero$rdercs d cJ.:oe €d rl it S er, c ql r8c*,: o d d; dt- e g r dvo ca F eF n d d aJc d o d: dr d roe aodn&d_eS. --flq-{-,,y}1 ^t^l ,--f -t ow (mdoeEodrFd) -t dot0}oo fao$FciDr ddd:od.6es^,d d$o g - 2 0 0 I 5raF0 eroJtajerd E-oeJrail afi6r ee6.d. u I sd ed.dqjo..J.g J doJ,:o.&m& ^,O,J 8d. e}Jd6!lo61.
  • 8. dractrF *doqd dod;m# : O8O-22251?98 rD.Soeln?ldn -3rdr .UO J 22033489Sot*c$efgowe ig3ddJ *n$A *oSo: 316, 316.), 3S( aStda do. rE.o.do,6155loe SpS dtd, ztorlstrrb , 560 OO1 t3 t1.200e 6il)od ........ doded drorO eel,derd oJrcJr*eoJc r-oefe*,r 6JJdJ_ cas*gai, l90gds ia-o*eb doro fl ee ?p da % d trdE d$r iladdr dd;fuodo dud.j&n 0 u, o qf ddo d e o era3Od; 3-dcqic$ ddoodJ Sdo&,o-0fl d. -,?.",J;S -,H} -q,e i,3:*{:::,;,.";k*33 XH: re oS r 6 iltJ rJ d d;u d$orr"oo b d: { do u%#,$ e ojl roodJ F Fd n d. * Soq:dedaid doai6ab: o,dd,:z.locJ sroO, eeeidJ.iA^dd Lt0-b6i*drJd eeaJstoedd 6$6L erslxdlrcd d%oocj e"rrroi-r4-o; efea:dn-Jd,,qdrluaod dn$mdozSdaloo,:o d.roddr*€_*q*, 6go-ouedrraoSlra-oflcJ. * dsdca doa{datr: rixoBd &rprfrJ E#"oua?oiror*doded el$r;d"acar efea:oriddran€rg,roo&cb{rdocJ; ,"ss&;o-o_ Jddxd,.oedual daCndoqtqi olrdtaoJ,:orJeJoc* d.:rJ oodratu4ed. .Sl*.gk k44r4qr (d.roeryo ddoa-o C) rl: a-0. egd.;aed fr"dJrd, -- oacd;aoocb, du"or0 e*o,J*derd rseJea*: *,6;; rsd.r$, $doeSoda*u aldd_, ds*-%€crod ud, 6tJds.?ctl-5?i) 021.
  • 9. Hajiv Gandhi University cndexs rnoQ ud-oerloof Health Sciences ,,.H@ 66-Ji)a.l c^J 6rereJ ( I V .4 Gl^-^i^.J- c^J i2,eJ (^)cj^triJ-}j cj ?)Karnataka darora.gd4thT Block, Jayanagar, Bangalore - 560 041. trFtr 4deti x:ar6, Eo${rlcj, llcrltrau: - 550 041 2696 1926, Fax I 080-2698 r927 ra; Off.:Dr. S. Ramananda Shetty, r,l os email : vcdrshetty@yahoo.comVice-Chancellor vc@rgulrs,ac.in No. P5/9o i 2008-09 11-11.2008 MESSAGE I am very happy to observe that on of the oldest Government lnstitution impartingeducation in our nations ancient, indigenous medicinal science Ayurveda is into the 100* yearof its establishment. I am glad to note that the institution and Department of AYUSH is planning someconstructive programmes for the welfare of the students as well as patients. I hope the souvenir will contain interesting and explorative articles about the worldrenowned science of healing mind and body. I take this opportunity to congratulate the organizers, faculty members and students onthis occasion and wish the Centenary Celebrations a grand success. J^".,$_^.i Dr. 5. RAMANANDA SHET-ry To Dr. Ashok D Satpute Principat Department of AYUSH Government Ayurveda MedicaI Cottege lllysore
  • 10. G.tm T "AYUSH" d;idtq eng{u q fu€ srgqiqrq qRqq qrgq frtrF dl:T.:llr: riq, ::]; l:in 11 ilc i r, rnfir- -1r,.1 "jarii :r:41)7i i)ti,l,tlt ia;t :1ru$if; .rl;1fi!I;l liil.ld ;fl. rrs.;r€aq 0EFITRAI 0(lUl{Clt f{,n BEstsRcH ltl AYuRvt0A & $lB0llAfq-tcis Department ol AYUSHOR. G"S. LAVfKAR i.{n aulonofiau$ organllattotr. Minislry oi H$aith & f ;mtiy lireits.€. Govefnmenl of lrioraD]RECTOR Jaw€h*t Lal Nebru Bnertrt-a Chtkiisa Avum Hon]o€oFalhy Afrt"i$an$har nhawen .{tissA(Jti I *ni glacl tu knorv that uor. ;ru^ccJic r.ledicai Lotege ;u*i rispiral. llys*rc is eelebrutirrg irs c(ntcn{r} riuLing ?n*g anrl un riis auspiiroun u*.uriirn., x-ntionai corilbrencr on A!uredic p*rop*r:iir* olCer.r*trie , s e hirul.u is also hrirrg Ilre {}oiernrnent Alu^eciic (airege. N.l.vs*r(, is one r6anired, ollhe pr.inrc arriest l.slitrire :*^ing the eornrunil!. r"rarr5 .schorlrs ti*m rhis rnstirute or*g;;;Jn;;. itigir nusitionr aird inr,; br:,u5lii i!prrrc iil this institure. I hope this lnstitutt, rrill ire a rorch bearcf oJunuicnt helitage ()l.Ai.urvedii to rliise*iinale the ancient *i.cdonr ar:rsr the ,vorid. lrhe der.errriecr .,r,,ni.i.rur" looking. torvards A1*un,eda i.ts a ra). erl hopr as iln el.lertirr",. sal! grd naiur.c. li.ierrJil ,rltrrrr.ltr(.lrolr.richualthLJr.L,{:rcn) lrr,ur.hds!!nirr!r.ri"r.rp,,,,.iLrfjj,;";fr;lf helitage lnstilutc has nranilbiel iirereased. flrccdueation and researi:h gu hand iiranti. thir is essentiar in proiesrit:ntir ;:i::::,]li^],:l 1:li]l atrd rdse;LtCh iS rcqUtrctl.uf *ident based nr*dieirre: ,il;,;;; rlre preserr{ nciessirl llrlfJgJ dl udrr!Jll()rt I ujsh thsr rhis Institute rvill *:rvr. rhei.ap1.. aesrjcnric a14 resrarclr rj*lclr r,ur the n*ble eausc o1he*lth. tG.Si. t.AvEXARt tltRE{rt(}R e1-$s, €ftT{*clffi qitqr, x3e * q{r6, in;Rt:*, ;d kd-ligos8 $1Sg lr$1al*l:*ft*,,Ar#a. *ps n Slock Janakour! New Deini-1i0058 Fhoft*s I ?S5:4451 J 2$5:552t Tele"fax I t11=?8520:48 Fax : Ci1-28525-q5g Websitelr$#yrccfa$.ntc.rft.!s*v"#;lrdranmedi*lnenrcin €-m:il ;ccras dr.l.Anr.rr!idrqslavekarayanocaorn
  • 11. ?,1;5$r drDr$d 2ll{16" ;-::;ll1 :.:s- +; q : :::-!Ai:..a.0. t3. ad. dro# ineiri : 22*70i.!3 &d.rdddi tladsecj* dd t* d$$rt#c drs] ..1 DTRarCTOR a&?c6;ro!$ide Frdrtd;asoi: tr{ogS d"", :.iorl*td} - eigo oct DJRICTOR OF INDLdi SYSIEMS ol. lul:tcrNlt AND l t0htolt0FA?tjl DI LAIVANIARI fiOAD BANCAI.ORg ir60 009 rq.1L08rc.i*::*. etaJrd: 97 :Se$:88s_G N0. d,:qtdoded afudFf,oed dror0 etslnderd dudn8eatu d:a-o&aoue-:o.Xi dJd,l- *-*g$1:.: 2308dt ds aJdrde) UdaCrod.oeaud eredsd,rS-drddr edrod dod;oedcJ Sarod * sod-shr door€*t sa?sdcJee e*oClderdcJeS- wd-dc 5d*co e ddzie€ .0ed;d A*sde* erud-dr &-ddd 6fia6&d*6$ * e*dQalcd- m-o$sod: dEqSodod ddddddq do{,tu erstlderdAeJ ead0ri erud-d,: ded e:?pfu addel. * dde8 a;rf., e-e>d drsdodod diadldd- dd+do{ el&rfuduaod; a*Segc*andJd-d. * dodrair: ac:loeldlrJ Adri"te- edlu ddtudf sa$dar:#.:n tiiedod8. anutudqnerJ8d aod: dozso:{ed. ddaJrodoedual a-sr{-ra eldd egortd-d8 d$;"d"raoAdJd cadg ;J;{J*d clsJ:;sieEd ddlredd aJ:d1 aero* aeoJ.:rdd)rJdo a*ji"amrfO. * dododa.trdeg- doddderorJ:qed dndca dce.lJo::"* d&tgoa3od m-srio dl€fud" eroJr:dercc d**sod ad*J+e;"r{Jn eft*:dr{dduaudrfu*sdJ esair:a$trd d;:gd ?-odr esQe,;*:- gleS.;et**d s-orL+ dr:a:u du&&a3rorld aod: doh< **quSod-u*. *g.Stu**tdo;Ja$dq es#6t*:9-d":d dt dodroJ: efddc&rlrl s*dc?ddrcrdd ac*ddtun ee$do&doe-o- * doqafu 618r d*d-dr+o an:dnurirodneS aec$ d:z/ oodudld-ld [. -^ -{ [.,Ij1i F] : rLf_ , (so. tJ. aoe-. *ro#; - Sd*rddd,:
  • 12. !6t eztr. .oA;n ct/.r,tl L g u/e ... .6Congratulations to you all ! Who else could be more fortunate than me, to bre a part of this memorable eventcelebration of centenary of this great institution? As a past student of this almamater and afaculty memberand now to head this institution makes anybody proud and happy. With the history of hundred years, this Covernment Ayurveda Medical College musthave gone through many ordeals and must have achieved many laurels to be one of the premierinstitutions in the country. We must cherish the past because it is shaping our presence as well as future. We mustbe grateful to all those who have done so much to establish this and those who have developedthis to this extent. Our institution is trying to build a centre of learning which can make an Ayurvedicstudent a good Ayurvedic doctor. There is always an apprehension thatthey go out and practicesomething else. But the trend has changed. Majority of those who have passed out from here,practiceAyurveda. Manyexpressthatwhateverthey learn here has madethem self sustained. Whatever we have achieved so far is a collective endeavor a team work. Starting fromthe faculty, all of them, the doctors, office staff, nursing staff, pharmacists, librarians, paramedical staff and group D workers supported each other to bring this institution to this status.Even the Ayush directorate and government have given the support. We are going ahead with several dreams. New P.G block will be established, hundredbed panchakarama Hospital will raise, new PC courses will come up, college building andhostel s wi I I be expanded. No, they are not d reams, they are real ities now. With all the grandeur and ecstasy, the celebration will start on 2Bn of Nov 2OOB.This is not merely an extravaganza, but a feast of knowledge also, as National Conference onCeriatrics Chirayu is a part of the celebration. This souvenir brings a sense of nostalgia, as it contains history as well as memories ofmany. The articles give an insight in to Ayurvedic perspective of geriatrics. Let us be part of this event of centenary .lt is a great moment to all of us. The cherishedpast, the beautiful presence and very bright future will definitely inspire us to achieve more, towork hard and take this institution to lofty status. Congratulations to all those who are part of this centenary of this center of the learning,Covt. Ayurvedic Medical College, Mysore. Dr. Ashok. D.Satpute
  • 13. goao*-,2, G"r."*ilL- g-la"t ... rd This cherished souvenir which is in your esteemed hands has been published to mark the centenary of Government Ayurvedic Medical College, Mysore. To consolidate the story of hundred years in few pages is a Herculean task. But an effort has been made to present the panorama of events of this illustrious college is an attractive and consolidated form. . Err:c% The theme of the seminar being organized on this occasion is "Adding Life to years". lt is theessential pre requisite for lndian or global population as we are having more aged people than before.Taking care of the old has become a social responsibility. We have done this exercise to alleviate thesuffering of elderly citizens. Lots of trials and tribulations from the most trivial to tremendous have taxed the souvenircommitteemembers. Gettingthephotosofthepeoplewhohaveshapedtheprogressofthisinstitutewasareal toughjob. Thankstotheinnovativeideasofallthecommitteemembers. Wecouldtracethehouses of the dignitaries and collect the copies of the photos. Getting adveftisements at a short notice was also a challenging issue. But the enterprisingqualities of our well wishers have blessed the souvenir with attractive adveftisements from advertisers,munificent patronage from patrons and donors have made this endeavour a self sustainable one. Stalwafts of Ayurveda have responded to our request and sent their rich experiences in theform of scholarly articles. Our own staff and students have worked day and night to improve thescholastic value interspersed with attractive items. I thank Dr. Aruna for scrutinizing the scientific articles and giving them in printable form. Ithank Dr. Umashankar for verifying the articles related with our college and giving them in printableform. Among members of souvenir committee Dr. Anand Katti and Dr. Yogesh, need specialmention for their very valuable contribution in each and every aspect of the souvenir right fromconception to the printing stage. I will be failing in my duty if I dont acknowledge the invisible face ofthe Dr. Anant Desai, who has worked behind the screen and given constant encouragement. Ourprinter, Prasad, M.V. M/s. MicrodotCreators, whom lwantto be symbolicallycalled as Canesha Prasadrepresenting Ganesha of Mahabharata time who could understand the techn ical jargon and present thesame in palatable form. thank my stars, for being able to serye as H.O. D. of both the P.G. Departments of our college Iie. Kayachikitsa and Ayurveda Siddhanta in different periods of time. I feel that this is an occasion forserving my mother institute. I completed my P.G. Diploma in Naturopathy and Yoga from thisinstitute. Thus I am twice blessed of being student and teacher at the same time. ln a humble way I am submitting this honest attempt fructified as the souvenir. I salute lordDhanwantari, the eternal God of Ayurveda, forthis opportunity bestowed upon me.Thanking you,Regards, Dr. N.A. Murthy Chairman Souvenir Committee
  • 14. Uok /rn nt Oegn*itargt.q""o"l-rry.. rd I wish a warm and cordial welcome to you all delegates, guests, speakers,volunteers and all others who have gathered here to participate in this mega event "TheCentenary Celebration" of our college and "Chirayu 2OOB National Conference onAyu rved ic perspective of Ceriatrics. This souvenir is brought out to commemorate the mega event. Erudite scholars ofAyurveda across the country have contributed the contents. The scholastic value of thismagazine is further enriched by invited articles, abstracts of scientific papers along withthe glorious history of this great institution. Exploring the pages of history, communicating the icons of those days, reaching task. Apt suggestions in amicable manner by allout to all office bearers was a mammothseniors, alumnis, government officials, esteemed political leaders made this eventpossible. Teaching and non-teaching staff of this college and hospital, all post-graduateand undergrad uate students of our college have extended their whole hearted support andstrenuous efforts made this tough job easy. Support extended by sponsorers, advertisersand members of various committees is worth remembering. I am highly indebted toeach one of them. My special thanks to Dr. Ashok D. Satpute, Principal for his kind cooperation, Iextend my thanks to my beloved friend Dr. N.A. Murthy, editor of this magazine, withoutwhose effort this would not have been possible. I also thank Dr. Aruna for her efforts inproviding essence of Ayurveda knowledge by taking chairmanship of ScientificCommittee. I am highly indebted SriT.S. Siddalingappa, Secretary CAMC & H, Mysorefor his cooperation, advice and sharing all the responsibilities in making this mega event agrand success. The Chairman and committee members of all sub-committees haveshouldered my responsibility in organizing this Centenary event systematically andmemorable one. Thanking you all, WithRegards, S.G.Mangalgi
  • 15. 1 ddoFo3d irordd noo;.i, dla)-d:o.3d9c 5!-!J:- I tvudoo oa &J2 ddoFo3d irordd ioand drdrSec$ aEro iz3dcb "wos*3 ddoFt3d iaordd nocr{ udce/5 d)d: $utoD denueo iz3dcb n(^);Jd(.)4 drdiJadr x$o$ noj, w*.-3o iz3ddr dCJ ndc)J5 d)"Jr"oc) {e9a xoot-:, s€rditrr idid. A(,dd()J6 zod:ooa; iegd naJ""+ oeidd> n(J&doJ7 $dLrad) dejojr ;Fiid/iaeJdods"/oD86 idoi "rea noon{ idrdd) no)&d(I)8 ge gedoddd a"doio" t-ii^ drod ejoediqro id{d) daddwI Foa1)FdgFilgJ. Lrd-3[c6 Sdse ?ero&j n(ldd(]J10 aoo$rd9rr19;, vue ril d)A $€^l)os, den co ?elsd ACJndqj11 so3::{d:, s&arir- ;re. S!^r:ozJ denro dediig;, eSod$od:. d CJ AdCiJ12 d)r*no CeQaonv: &(Jdd(.J13 $,Jdr?6 -ild*i3i *eo3:or dadSw14 cddd)/scbdd. q-^*dJ .Jdoaqlddo @eu-oO n(Jddcij15 djdFie=d i6rF5EdJ. :ln*o. d),tud dOddO.JtL -Pan1o+ -{?^x <*<tu ugv^J v&uw. :.J *,^!9w !tt9 nOdd()17 0derdd6, cc3>f ldredooe;ojr, ziod9od> ncJddcij18 dre;d9i19:. G8€Jt- -EoQ sdJaelb CE-SJd9 e4e6odeo$ A(JASCJ19 $sdgilS:, q-.,ro n4nm6Aeon, $dnJOdJ dCJnC(.}J20 roa$Fmed acdioid. d-eed.oedo3oetr qenr3. S",tu6. daddw2l o.oo.o. €idctS ({:i.:o: ;zp:nt nO dJCiJ22 aedr. q-^*d) 5)a6:t aisa;: ^.)CJdd(.).J2l o6dd). dOder i;.9. f:^.€a n(JddOO24 ooll z3d*and, Odoq Ad€.ddd:, $d-Arnd. dadcw d.sO. Qedodd:o€r, fi,-g25 aoll =od:eeod:, d:dtud, daddw26 aoll d.a. oofideogiooa., Ddrg -t.Fr*dd), d)diJadJ /.)(,^duJ27 eJ€ igoJo, iForo ero$deFd ddd"8€oi riejer: *{ drddod) d CJ ddQ "#,28 aoll ar.*. abode.:A, e,gDdddd, i6EFo soJ:cderd radeei:, dJdnJEdJ. ?^+r): dvcf/WNV -^l-lA- a?a OVp-29 qzoo3:rd:, i6oF0 eJod)derd adee;:, *ddod) ))) r- oo(J.!t- cJai- J ^cJ^"()30 no{ol: d$o$ c6DdQril9 denaed: 5i.9OQi19:.
  • 16. coM01 Shri G.T. Devegowda o2 Dr. S.M. Angadi03 Dr. R. Balasubramanyam 04 Sri H.V. Rajeev05 Shri Bhaskar 06 Dr. Mohan Alva07 Dr. Jayaprakash Narayan 08 Dr. Prasad U.N.09 Dr. Prasanna Rao 10 Dr. Ramakrishna Sharma11 Dr. Baava 12 Shri K.B. Ganapati13 Shri Rajashekara Koti 14 Dr. Vamana Rao Bapata15 Dr. Kamath K.R. 16 Shri. Curu17 Shri. Lakshman 18 Dr. Puttabasappa19 Dr. A.S. Chandrashekar 20 Dr. M.G.R. Urs21 Dr. Chandrappa 22 Dr. Shrinivas Bannigol23 Dr. K.C. Ballal 24 Sri Curunanjaiah25 Dr. Shivarajappa 26 Dr. Lakshminarayana Sameer27 Dr. Ananthabhat 28 Dr. Sharath Kumar29 Dr. Jagannatha Shenoy - COMMITT Dr. Ashok D. Satpute Principal / Member Secretary Dr. S.G. Mangalgi Professor / Organising Secretary FINANCE COMMITTEE CORRESPON DENCE COMMITTEE Dr. Gajanana Hegde Dr. Shanthala Priyadarshini Sri Siddalingappa T.S. Dr. Vijayalakshmi Dr. Ramachandra Nayak Dr. Rajesh Bhat Dr. Vasudeva Chate Dr. Aparna Sri Raju Sri Shivarudrappa Dr. Naveen K. Sri C. Venkatesh REG ISTRATION COMMITTEE FOOD & CATERING COMMITTEE Dr. Naseema Akthar Dr. Shantharam Dr. Madhumati Dr. Adarsha Dr. Suman Dr. Annapoorni Dr. Nagesh Dr. Parveen Sultan Dr. Moose Bairy Sri Shankar Singh Sri Srikantaiah Sri Curu Siddappa Sri Dakshina Murthy Smt. Jayalakshmi . Smt. Sharada Sri Prakash
  • 17. SCIENTIFIC COMMITTEE ACCOMMODATION COMM ITTEEDr. Aruna Dr. Sanjay Kumar M.D.Dr. Sujata Dr. Srinivas YadavDr. Shashirekha Dr. Anuradha NadakarniDr. Anant Desai Dr. Geetha. PDr. Shilpa. P.N. Dr. Mahesh HiremathDr. Beena. M.D. Smt. MaheshwariDr. Akarshini. A.M. Smt. Muddu MeenaDr. Datta Sharma Sri Ankaiah Sri Robert RajuSTALT COMMITTEE ADVERTISING AND FELICITATION COMMITTEEDr. Gopinath. G PRINTING COMMITTEE Dr. S.V. AyyannagowdarDr. Negaluru Dr. Anand Katti Dr. PrameelaSri Govinda Raju Dr. Pallavi Dr. VenkateshDr. Pankaj Pathak Dr. Vyasaraja Thantri. A Sri Timmappa GowdaDr. Ranjith Kumar Shetty Sri Ganesh Cudi Dr. Pushpalatha TSOUVENIR COMMITTEE TRANSPORTATION AUDITORIUM ANDDr. N.A. Murthy COMMITTEE SOUND COMMITTEEDr. Umashankar Dr. Radhakrishna Dr. Ksheerasagar T.D.Dr. Rajendra Dr. Raju Kurane Dr. Siddaram CuledDr. Vijayalakshmi Dr. Venkatesh Dr. Abdul Khadar PatelDr. Yogesh Dr. Ananthashayana Dr. KiranDr. Triveni Kalgare SriAshwath NarayanaDr. RameshEXHIBITION COMMITTEE SECURITY COMMITTEE MEMENTO COMMITTEEDr. Chandramouli H.M. Dr. D.L. Balakrishna Dr. T.C. RameshDr. Anuroopa Dr. Shivanand S.H. Dr. Sameena SindhagikarDr. Shivanand Sri Eshwar Rao Sri PadmanabhanSriVenkate Gowda Sri P.T. Shivanna Sri Devi SinghSri Siddaramu SriVishwanathSTAGE DECORATION CULTURAT COMMITTEE STUDENT CO-ORDINATORSCOMMITTEE Dr. Mythrei Dr. GurubasavarajDr. Shakunthala Dr. Nalini Dr. ShantaramDr. Mamathashree Smt. NarasammaDr. Nusrath Ali Dr. Sowbhagya Bilagi PC Students Co-ordinatorSmt. Sumithra Bai Dr. Kalyani A. Bhusane Dr. L.N. ShenoyDr. Savitha Hiremath Smt. CirijambaDr. Chitralatha Smt. Gayathri UG Students Co-ordinatorDr. Savitha Shenoy Sri Ramaraju
  • 18. DIR Department of lndian System of Medicine & Homeopathy Government of Karnataka Dr. Sadashiva Sharma 02/01 / 1 97 5 to O2/O1 / 1 97 7 Dr. Lalitha Michel 03/01 /1977 to 07 /06/1980e Dr. J.S. Saxena ol 06/1980 to 28/04/1981e Dr.Channabasappa 29/04/1981 to 3O/O4/199O€ Dr. S.M. Angadi 01 /Os/1990 to 31 /O5/200o Dr. B. Curuswamy 01 /06/2000 to 31 /05/2003 Dr. B.S. Nataraj 01 /06/2003 to 30/06/2O05 Dr. Channabasappa Dr. S.M. Angadi Dr. B. Curuswamy Dr. B.S. Nataraj
  • 19. ER PRIN Government Ayurveda Medical College, Mysore.01 Dr. C. Dwarakanath 1949 - 195602 Dr. Channabasappa M.N. 1957 - 195803 Dr. f.T. Ramalingam 1958 - 1959o4 Dr. Srikanta Murthy 1959 - 196205 Dr. N. Laxminarayana 1962 - 196706 Dr. B.M. Sharma 1967 - 1968o7 Dr. Venkatanarayana Rao. S 1968 -OB Dr. B.M. Sharma - 197109 Dr. Madhava Swamy. S.N. 1971 - 197410 Dr. Channabasappa 1974 - 197811 Dr. Chappanmath. C.P. 1978 - 198312 Dr. S.M. Angadi 1983 - 198713 Dr. Chappanmath. C.P. 1987 - 198914 Dr. lndumathi. S 1989 - 199115 Dr. Laxminarasimha Shastry 1991 - 199216 Dr. fagannath Rao Y. 1992 - 199217 Dr. Laxminarasimha Shastry 1992 - 19931B Dr. S.C. Hugar 1993 - 199519 Dr. Laxminarasimha Shastry 1995 - 199620 Dr. Shobha Kulkarni 1996 -199721 Dr. V.K. Deshpande 1997 - 199822 Dr. R.P. Hosmath 1998 - 200023 Dr. Shobha Kulkarni 2000 - 2006
  • 20. R PRIN Government Ayurveda Medical College, Mysore.Dr. C. Dwarakanath Dr. J.T. Ramalingam Dr. Srikantamurthy Dr. B.M. SharmaDr. Channabasappa Dr. Chappannamath Dr. S.M. Angadi Dr. Indumathi Dr. S.C. Hugar Dr. Jagannath Rao Dr. Shobha Kulkarni Dr. V.K. Deshpande Dr. R.P. Hosamath
  • 21. -s Government Ayurveda Medical College, Mysore.1) Sri Mrutyunjaya 25/06/ 1 97 6 Io 22/07 / 1 97 62) Sri A. A. Rahim 1 7 /O9 / 1 97 6 to 31 /O3/ 1 9833) Sri S. Krishnamurthy (l/C) 01 /04/1983 to 20/02/1 9844) Sri K. S. Venkatachalapathy 21 /02/1984 to 17/06/1987s) Sri M. Shivayya 29/06/ 1 987 to 3 1 / 1 2/ 1 9BB6) Sri T. S. Siddalingappa (l/C) 01 /01 /1989 to 23/oB/1989 Sri S. Shankara Murthy 24/08/1989 to 03/06/1 993B) Sri M. Sadashiva Shetty 03/06/1993 to 08/06/1 99se) Sri B.R. Chandrashekar (l/C) 09/06/1995 to 07/1 2/1 995 Sri M. Shivayya Sri Shankara Murthy Sri Sadashiva Shetty Sri Chandrashekar
  • 22. AL Government Ayurveda Medical College, Mysore. 1) Sri Yatiraj lyengar ?I Dr. J.V. Apte 3) Dr. Sadashivayya 4) Dr. M.S. Math s) Dr. Mathad 6) Dr. Srinivasa Murthy 7) Dr. Manonmani B) Dr. Lingaiah e) Dr. Dayanand 10) Dr. Narasimha MurthyDr. M. Sadashivayya Dr. B.C. Mathad Dr. D. Srinivasa Murthy Dr. A.K. Dayanand Dr. L. Lingaiah Dr. D.N. Narasimha Murthy
  • 23. ,4imrrooc.e.(6oryun;th,ug.gAtl,z-lfa", Gamm;tke
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  • 32. ,@ee SgB*€*#+€ r P=EB € -.*,u#ffi U htnzr/ yzzrz,9lddanl^, - fleruiot t gi*cilyean.9l,n lzn lt $tntnot 9ee.onzdye.z9t*rLenl*
  • 33. %at grea,rr.q/adz,nld. - 9"*oo,tu%btgwan. 9l4u1z2"la. {,an;,o,2*
  • 34. 9t r"tz*zthan* - g/rz. 9ro"{*oltor" Aa.y, 2006 -o 7gazutc.nn fre/eaae. gtnuted* - JVtlin o-t 9en;tnan aruSo;.rt[ "/ Uaor.dea, - 2oo4 @ ffi w ,,U99To/,tu"L",aa,ilailry.9/o?anoad/ooraa/n4"f ariila Qu ,4,9. lframnz/?a, rVgg A#ir.4"
  • 35. GLORIOUS ITISTORY OF 7OO YEARSl---- -" ./ v--i ----1.l L ?atlero yoqrself after lle rtery besf people in yoor field.
  • 36. SAGA OF GOVERNMENT AYURVEDA COLTEGE AND HOSPITAL, MYSORE Dr.K.S.Umashankar. MD (Ayu) Assistant Professor It was about 132 years ago, His Highness Sri Chamaraja Wodeyar (1S63-1891)ordered to start a Sanskrit College in Mysore for systematic study of Veda and other lndianlearnings. The course he started there was Vidwat (Mysore Vidwan). Vaidyashastra wasone of the subjects offered for Mysore Vidwat course. His Highness Chamaraja Wodeyarwho had adhered to Vedic culture had made it a policy in his reign to encourage, improveand develop all indigenous culture and education. His Highness understanding the lacunaof practical training in optional subject vaidyashastra, decided to start a new course makingvaidyashastra itself as an important branch instead of optional subject; the course forwhich he named it as Ayurveda Vidwat (Ayurveda Vidwan) in 1890 at Sanskrit College.He appointed his court physician 5ri Agaram Puttaswamy Pandit as the first teacher ofAyurveda course (section). First batch of successful students came out in1893 with thediplomaAyurveda Vidwan. Sad demise of Agaram Puttaswamy Pandit and also HisHighness Chamaraja Wodeyar resulted in setback for the continuation of the AyurvedaVidwat course. ln 1902 His Highness Krishnaraja Wodeyar lV adored the crown. Knowing the setback of Ayurveda vidwat, he took suggestions from his court physician; Sri Amble Anniah Pandit, revived the course, ordqred to setup a separate school for Ayurveda in October 1908 in the existing Sanskrit College premises itself. Considering the suggestions of the Pandit, his Highness attached a Hospital section for the course since vaidyashastra requires practical training. H.H.Shri Krishnaraja Wodeyar lV As there were no sufficient and appropriate place to accommodate the Hospital section, His Highness ordered to shift the school and the Hospital to the northern block of Devaraja market where three rooms were allotted in 1910, two rooms in first floor and one room in ground floor. One room each was to accommodate theory class, small,pharmacy and an out patient department. Scholar Kempurama Pandit was appointed as the chief physician cum head of the school. This institution was named as Covernment Ayurveda Pathashala and Sri Kempurama Pandit as the Headmaster. Vaidya Biligiri lyengar was appointed as Assistant Physician. Kempurama Pandit became popular physician and people of Mysore started recognizing the Hospital as Kempurama Pandit Hospital. Students came forward to study Ayurveda. All went on smoothly till 1915. As the students strength increased there resulted in shortage of space in all the three rooms. When it came to the
  • 37. + +++++++++++++++€>++++ +++++ ++ + + + + +notice of his Highness Krishnaraja Wodeyar lV, he setup a committee to study and givesuggestions for the improvement. Then he ordered to shift the Ayurveda Pathashala toSiddappas Anathalaya building temporarily for few months. Finally got shifted to northwing of Chamarajendra Art and Technical lnstitute (present CAVA building), in 1915. The advisory committee headed by Sri Narasimharaja Wodeyar, the then Yuvaraja of Mysore suggested to construct a new and independent building for the Pathashala. King Nalwadi accepting this suggestion ordered to procure land and start construction work in 1928. ln appreciation of the utility of this institution, philanthropic gentlemen like Sowcar D.Banumaiah and his brother Chowdiah came forward with generous donation of Rs.10,000/- along with another philanthropic Ayurveda Vaidya Sri Cundlu Pandita Lakshamanacharya with a liberal donation of Rs.1 6000/- for the construction of present bu ild ing. Construction was completed in two years. lnthe meantime Covernment of Mysore also acceptedand implemented another suggestion made by theadvisory committee that the nomenclature of theAyurveda Pathashala to be changed as AyurvedaMaha Pathashala (College) and the Head master asthe Principal. During the construction period onlyit was decided and the King ordered to appoint Dr.YLakshminarasimha shastry, a popular Ayurvedascholar and practitioner of that time as the Principalfor the College. After assuming the charge he devotedhalf of his official time to supervise the construction Gundlu Panditawork. He had put his heart and soul to see that the Lakshamanaacharyawork should be completed in time. The building was completed in 1930 and was opened in the same year by Sir M. Mirza lsmail, the then Dewan of M1sore- {s per the order of Mirza lsmail, Unani section was also accommodated in the new building. The building was named after the do,nor a= Cundlu Pandita Lakshmanacharyas Ayurveda and Lnanr taira Pathashala (College). The first floor was named in mernon of Lakshminarasimha Sh astry Mr.Doddiah, who is father of donor sowcar D. Banumiah.
  • 38. MANAGEMENT: For managing the College, a committee was setup comprising of Sri Dsouza,commissioner, Muzarai department, as Chairman; President of city municipal council,two important members of the public and two Ayurveda Pandits (Dr.S.N.pandit andVd.Palyam Venkatachala Pandit) as members. Committee used to give suggestions atappropriate time. After opening of the new building, College and Hospital OPD whichwere housed in Agrahara and Chamarajendra technical institute got shifted to the newbuilding. Many problems got solved by this. For some years there were no probleins atall.AYURVEDA HOSPITAL: When large number of patients started coming to Hospital seeking medical care,the existing room became insufficient to cater the needs of the people. Students numberalso increased. The existing two rooms each in ground and first floor became insufficientto accommodate both Hospital and College section. Managing committee endorsing thesuggestion of Sri Narasimharaja Wodeyar, Yuvaraja of Mysore, appealed to His HighnessNalwadito sanction one more separate building to house Hospital with inpatient facilities.The vacant space adjacent to the College building was procured for the purpose. Andagain it was Dr. Lakshminarasimha Shastry the Principal, approached prominent donorsof Mysore to raise the fund for construction work. An another important step in the growthof this institution is the accomplishment of the need for a separate building for Hospitalat an estimated cost of Rs.20,000/- was made possible out of the handful gift made by SriAmble Subramanya lyer (Rs.6,000) and Dr.T.M.Siddappa (Rs.2,000). Another Rs 2000which was at surplus after the completion of Ayurveda Sammelena in 1930 was alsodonated for Hospital work. The remaining amount was supplemented by Covernmentgrants. After completion of the building in 1938, inpatients and outpatients departmentswere housed in the new Hospital which was opened by Sri Narasimharaja Wodeyar, thethen Yuvaraja of Mysore. 12 beds were allotted for Ayurveda and 6 beds for Unani sections.Mortuary and a cycle stand were erected behind the College in 1940 at a cost of Rs.2050.Dissection theatre and classes were forced to continue in the mortuary itself. Classes were going on without any problems in the new building. Students strength kept on swelling. They again raised the problem of classrooms. Covernment of Mysore once again sanctioned for construction of one more building comprising of two big rooms in ground floor and two big rooms in the first floor in the adjacent vacant site. ln 1959, H isighness H Jayachamarajendra Wod eyat, the Maharaja (Governor) of Mysore laid the foundation stone. Building was completed in 1960 (presently the OPD block and Yoga hall).
  • 39. +++ +++++ + ++ + + + + +@++ +++++ ++++ +++++Students who were forced to sit in the dissection hall cum mortuary for theory classesamidst the offensive odour of preservatives and also in congested place resisted to attendclasses in the mortuary. They went on strike demanding separate class rooms and dissectionhall. The dissection hall was made out,of wooden poles and zinc sheet (shed). As thedemands were not fulfilled in time, out of rage students torched the shed. Governmentordered to construct one more building in the eastern side in 1972, was completed intwo years (the present College building). The whole of this College was shifted to thisnewly constructed building. Library and laboratory were also accommodated andupgraded. Covernment was also pleased to sanction for one more floors in the easternwing of the existing building (2008), for which mason work may start within few months.When whole College was shifted to the new building in 1974, Covernment ordered toincrease the bed strength of the Hospital to 150, the number which could easilyaccommodate the need. Before that i.e. in 1959, Dr.B.V.Pandit, proprietor,Sadvaidyashala, Najanagud, an alumni of the College, donated Rs.10,000 for thedevelopment of Children ward and requested to name the ward after his mother Smt.Kenchamma alias Venkatasubbamma.. Grocery merchant Ragimandi Chowdiah alsodonated Rs.10,000 at the same time.EDUCATION / COURSES OFFERED: Till 1890, students used to study for Mysore Vidwat wherein Vaidyashastra wasone of the optional subjects. Vaidyashastra was made as separate course called Ayurvedavidwat in1B90 awarding a diploma called Licentiate in Ayurvedic Medicine and Surgery(LAMS). Successful candidates with these two qualifications were allowed to do privatepractice. ln these two courses, subjects taught were of more from Ayurvedic literature/treatises with less of modern knowledge and more of theoretical than practicals. Boardcomprising of three Ayurveda Pandits and Principal of the College used to conduct exams.It was during 1948-49, Dr.C.Dwarakanath, the then Principal, remodeled the wholesyllabus by introducing topics from basic sciences such as Physics, Chemistry, and Biologyetc.which attracted more number of students. There were continuous demands fromstudents to convert the existing LAMS diploma course into degree course. Craduate Coursein lntegrated Medicine (CCIM) was one more course existed for nearly B years after theLAMS course was removed. This course was also not University recognized course. Collegewas renamed asGovernment College of Indian Medicinein 1955. At the same time thecommittee headed by Mr.Vyas, a MP gave report to the Union Covernment to convert alldiploma courses offered in whole of lndia with different nomenclature into one uniformdegree and the Colleges to get affiliated to the respective Universities. Covernment of Mysore accepted half heartedly, increased the length of the courseby one more year to the present 4 years, withdrew the modern subjects but continued toname it a diploma course only as Diploma in Ayurvedic Medicine (DAM). Unhappywith the Govt. decision action, students went on strike to get affiliation of the MysoreUniversity and to upgrade the course to degree level.
  • 40. ln 1966 Government ordered to name it as 5 Yz. years degree course asBachelorin Shudda Ayurvedic Medicine(BSAM) andasked the universities to affiliate the courseand the College. Dr.D.Javaregowda, the then VC of Mysore University permitted the courseand the College to get affiliated in 1967. BSAM course consisted of 5 years of studyperiod and 6 months of Hospital training after the study period. Students who got admittedto DAM or students with DAM qualification were also permitted to get BSAM degree bystudying one more year (i.e. Extended BSAM). Many students completed this course. ln 1978 CCIM, an apex body of Ayurveda modified the syllabus and introducedthe degree called asBachelor in Ayurvedic Medicine and Surgery(BAMS). Keeping thesame syllabus with modification in the exam pattern and the training period, the degreeBAMS is still in vogue. The period of House surgeoncy has been increased to one yearfrom 6 months, during which practical training in different sections of Ayurveda Hospitaland various Hospitals in rural area were made mandatory. ln 1972, Covernment of lndia sanctioned Post Craduate degree course in Ayurvedacalled as Doctor of Ayurveda Medicine (D.Ay.M). Three years later it was renamed as Doctorof Medicine (MD). Both were of three years duration. The subject offered is Kayachikitsa.College also has PG course in Ayurveda Siddhanta since 2006. Both Post Craduate andCraduate courses are affiliated to Rajiv Gandhi University of Health Sciences, Bangalore.HERB GARDEN - CHANDRAVANA Another suggestion of the advisory committee was to sanction few acres of land for the development of herb garden. ln a step to implement this suggestion, King Nalwadi sanctioned 4 acres of vacant land near Kukkarahalli Lake in 1930. Land was ploughed and garden was developed. Seedlings, Saplings of trees having medicinal properties, Shrubs and Small plants the leaves of which can be used as medicine daily for the in- patients of the hospital were cultivated. Those saplings have become big trees now, there are about 250-300 speciesright now in the garden. Ashoka, Hijjala, Bhibhitaki, Haritaki etc. are some of the rare speciesseen. Fresh leaves to prepare Swarasa, dried barks to prepare Decoctions are being suppliedto the inpatient section of the Hospital in daily use from this garden only. Students of Secondyear BAMS visit the garden regularly twice in a week for practical learning.HOSTEL FACITITIES: There was no hostel both for boys and girls till 1962. Government permitted the then Principal to accommodate boys in a rented building and as such a building in Chamarajapuram was hired. 20 boys were accommodated there. But there were no provision and facilities for girls. They were asked to make their own arrangements. ln 1967 hostel got shifted to Mr.Rajaraos building in Bamboo bazaar. Here onlv 10 bovs were accommodated.
  • 41. IiJII ln 1980, Covernment allotted an old vacant building in KRS road suitable for hostel with sufficient vacant land. 40 boys were accommodated there. Covernment permitted to accommodate girls in Medical College Ladies Hostel. These arrangements solved housing problem of the students. After few years the Boys hostel started leaking. Rain water started collecting inside the rooms. Realizing the possibility of collapse, the Covernment ordered to demolish it and construct a new one, in the existing premises and as such got ready by 1985. One more building for Cirls was built behind the Boys hostel. STRUCCLE FOR EXISTENCE!?... An important event which occurred in the history of College can be placed on records is of the students strike. The students went on strike for 2 times during 1965-72 These seven years, College saw dissatisfaction of students for the inadequate facilities such as practical classes, shortage of space inside the classrooms and above allwith the existing diploma course. The courses offered during the period were DAM and DSAC both were of a diploma level. Students were in want of degree course. Their plea for conversion of thisDiploma into Degree coursewas not met. Students went on strike, in 1966 students were stubborn, agitated for nearly B months, many students lost their 1 year of academic life, met the VC and other higher officials several times and finally succeeded in their endeavor. Dr.D.Javaregowda, the then VC approved the course as a Degree course and affiliated the College to Mysore University in 1968. Another strike which took place during 70s was for the new building. Students who were made to sit in the mortuary to hear theory classes, many of them fell sick due to the offensive odour of chemicals and corpses as well. They reported the matter to the Principal and requested him to provide a separate place for classes. Their demand cold not met by the Principal as there was no power to him to order for construction. Students went on strike demanding the facility. This strike also went on for many days. A P Vivekananda, a senior student took the leadership. Displays of placards, shouting of slogans, bunking of classes were in the beginning which continued for many days. B.R.Radhakrishna, T.S.Bharadwajan, Kumara pandit, Narasimha pandit, C.B.Puttappa, M.Nanjappa, Sannappa, A.F.Krishnamurthy, M.C.R.Urs, L.Lingiah, M.G.Krishnamurthy,Bharathkumar, B.Curuswamy, Motte, J.G.Vishwanathiah, were in the forefront. Malini, Manonmani, L.Vasantha, Mallika were leading the women folk. Relay hunger strike started after one month of the agitation. All these actions yielded nothing. Students lost their patience. Out of desperation students intensified the strike giving it a violent turn. After gathering near the temporary shed (mortuary cum dissection hall cum classroom) they torched it. Within few minutes the whole shed was burnt to ashes. Police got the news, surrounded the agitated place and arrested the leaders. Students were in police custody for 2 A.P. Vivekananda days, tasted lathi beats and other police treatments.
  • 42. ++++++ +++ + ++++++@++ ++ + ++ + ++ +++ + + + After hearing the news, Sri Puttaswamy, the then Minister for Health sciences visitedthe College, studied the situation, got convinced about the demands, ordered on the spotto construct one more building for the College in the eastern side. Necessary officialprocedures followed later. Construction work was completed in 2 years. This action of student strike reminds us of activities of Bhagath Singh, Sukhdev,Rajguru, Chandrashekar Azad with their associates who fought for the same cause as thatof Candhiji, Nehru in the freedom struggle. lt seems without this strike there would nothave been a new building so early in those days - recall many old students.SUMMING UP With these odds, the College and Hospital have grown up well spreadingknowledge of life. College has produced many scholars who popularized Ayurveda inand out of the country. Dr. N. L. Bhattacharya, Dr.Ashwathanarayana, Dr.Mahadevashatry,Dr.K.R.Srikantamurthy have enriched the literature of Ayurveda. Dr.C.V.Satyavati,Dr.Chennabasappa, Dr.B.Curuswamy adored the highest ranks in Central and Stateadministrative posts. Dr.B.V.Pandit, Dr.D.Copalacharlu, Dr.M.C.Krishnamurthy,Dr.P.R.Sitaram and his son Dr.S.Sriram, Dr.S.L.Narayana, Dr.Kumara Pandit and hisbrother Dr.Narasimha Pandit have popularized Ayurveda by manufacturing genuineAyurvedic medicines. Dr.J.S.Raman, Dr.K.R.Kamath, Dr.Puttabasappa, Dr.Subbarao.B.Shave popularized Ayurveda by establishing Ayurveda treatment centers in their Hospitals.Dr. Aprameya Raman earned reputation as the founder of a Nursing school in Mysore" Atpresentthe Hospital is headed by Dr. S Pramila RMO, assisted by B Ayurveda Physicians,4 Unani Physicians,l Homeopathic Physician and 1 Casualty Medicai Officer. TwoNursing Superintendents, 10 Staff nursesl 10 Pharmacists, 4 Technicians and 15 Croup Dworkers are rendering services under the able guidance of RMO. College is captained byDr.Ashok D.Satpute, Principal who is navigating well with 10 professors, B AssistantProfessors and 20 Lecturers in the faculty. lt is essential to mention the name ofSri.T.S.Siddalingappa, Lay-secretary and an efficient officer who is providing an excellentadministrative support since a decade.Two office superintendents supported by 2Oassistants of land ll division are looking assisting the Lay-secretary in routine officialworks. College is updated with all modern facilities such as Digital Library with lnternetfacility with many systems to work forthe students, with modern teaching aids thus fulfillsthe norms of CCIM. As per the Covernment order the name of the College has beenonce again changed as Covernment Ayurveda Medical College in 2002. Both College and Hospital both are providing good knowledge and services tOstudentg and patients respectively. I feel proud to say that mv Alma-mater is regarded ASTHE BEST RESEARCH INSTITUTE" in lndia.
  • 43. ddaFoJoeg.od er?,todeD rrqon&d droso elo*pdsed rodets) E$$3 u{$o$ a LdroeB o. zdduid Odrd_ bdredddt, dtui.o&. ero$rdEed raeJez3J dO dtrdod,> draaoaas dodurd aaeJegd uodr zparldO_ 1908 gdoz/aao:o$. .adr .ao- agdoql*ri; *J,r* s%oir6 *oago €drJ, €r$ooa t,l3dn% doadct> eldoo oddd elqo3r, do6ddl uadro {drddr. .addc sos*dgeaaef- Laao aaoad" doo6, derd6ddg-o$e-:,o eraod o$d{d,>o doo6{d: elo_d eldaS:d uqd dudrcnn{dl. "edd ddg_ &de_d, oozsds- d>oucddabo dlafdood ene.:ude drdoar r-do$dt, ee?noJ% doadd eeaiDd a3eedeo$ girod 1908 do- sol>dged raeJeasd,:o iod*rd oae3edd e-ocJr paddO_ ddo$el ?""L ee.b*.g dougd,>. "aO_ raeJem agdotojaaoarl eco$)dgeddo- ecaod aao6drdrdo drg:orao doBddibo bo$so,ldogusaogo$. do{ aae-:ae)- a*3em Fae-:d, dr aoeJecsr {sndmd ddo$e-:c sro;$oors r.do$d *d{eb4 {do$aan aOa dedootc dodEt3d z.oc$ qodde)- aoe3er": ddde.:> doeooaiJ droaoosgdt cad6d dnadogob. de-r$ rae.:d dodd $gror&o doGddr eldxadrlood dodd eio$dEedde)- eaad aaoadrdrdu =b€oJ, doadddl ho$aoxrdooddt "add aoe-:d-O- tst+do- dodeide zrorzss socrpsrls,> a?FaR doduodd> sdorl eio$dEed DdJdaf ddso$Rb4 todoarbg-d1. "aoe. {srodad sae.:d d,oddoenrlg$o doederr dd,,on aaeJexdlo 1915do- wo$z:rod>qodeo{ €3s4def aqsjuodtf rl dnaEooderEogJdr ue.:_d ao. dodeolEfdibo rae3edd bobaoxEo$errob$. dr uoe3er$o wd-a$aon ddlDd wdedaod "*DsD6AdilD4n do-ogd *Dasorog) dsoeddcf edoE3 ddd$o {,rrdo[.f erRo$.ra ]e oa*o, a*Dqdef &de;dabo dddrd;nonoJm ho$aD,qi$. .addr dododeob crora.:6 bod dodalod a*q jae* deJdd as6. odr6. dJ ddad du. .e-:f,"ddaod engrldeb4 1927do- u{$o$ todoouiodo*6 erR ot-o*, $dreeo aaeJedd dorro"lo agz^ooJ,:rdqn detu.Rr$ erer-d .adorf ase. a. aaJp. aF6. e:ioJDdsea amlsoon ddde)r ddda$ zsEq dqe, doeq droodCrrld o{Be*nr abo dode.:; $d: eeArddr. elde giaad, uoXrrldr u{$o$o- doeflrierl tocd:d z36d.u url doed* ddlDd eso$)dged aordaf oer. a. adce. a:f. dds dodd .f dJ?ad b4ad{d:o drogd ?.qd>. {do$aan eoerem d$.de.:c dsardd elaba$g ddd 1928do- elqo$r, do6dd; a$d1 olnddArod uagddr so*odged c?pdr"bdsrad derd6d-d4 rbocd> doGdd$o doeoddr. elddr rareJeao dqd dgor t, ilao doaao3orldd,l toqrdr, drI dqd bdDreo rs3odu dDnogDeb. ere.:-d u{$o$ dqd dqr* aa. e:s*ndduo* **rjt+ g]aeotrrII addd ecoDd elro o3l, do&ddr 6 riasd doroogorld${ co.r,s.&d{ddd z naad doanoooo$d:oI ts:odo- d)eJdtdodo- ddd so$ldsed ddcreddd dgooood z EEsd doaoo:orld,> mddodaan elel-di dodd;, es{$ aga dQr., ddaaoo$aoros. dgd *oncnd rJEqde) oa{,r0orrr.trdo_ ddofuB-{I "{g uaeJeaabo don dQrddo ude>o9o& rz aa:rrfddd>o aadenoood:.i a;oiie A)?saE oe;iaoogocfdddc e "aeJi o$loa& sqtorld.b4 ddo$e-:l uq .raddr. epdd gluod ofuaab *"nDR dodz.locdorl aef. o$0.I aalf a€gdt dode.:c agdoroSoaocod,:. edoo roe.:d uoXrrld doegEo$ etd>md erumd anc. {d rDbds7Dd ?3 s. doedcb a$d1 droa zsdoddd.> aaeJe*d doleld erod:5d dqd saosier daao$ dnaddl. EdCdg dotnoo$d>o aaeJedd uoc$ r.rorldo- agdorfieRooo*, do$--aoa g&dd)4
  • 44. ++++ ++++ ++ + ++ ++*9* + ++ + + + ++ + + + + + + + amrpsrlC gdrs*ddeado" EdCrlC$d ei{go$ doenrlgrl etDdoiraendel, dodddo$dd aincne.ido* erdaad dO.duoogo$. daoso aoeleddO- ddc ddddd$4 daaso er{$, a{do, eloedef Soao a{dorfed derdd* iesxdo$o esdrodad>^. aef. a. oaJue. oxe. d>d1 aef. o$>. adrc. arie. az*d) oanaddorl $adef aoeieddO_ $9ddr oa$o. es. E. oE6. dO_ eraFri dndo eldadsdl. €rnarlete de.:ddr oa*J6. a. a. or6. dd0 ddadra4d. rs+sdO- c3or{$,odr cco$z:ad)oJcs eoBo$S eq*rurdt36 d iodotaaQdoorlcan* *. oa"droaneo ddd6b4 eso$dged aoeJedd agz,oo$sd;non ddaod bo$cotJ$. naddr roeJedd s?pddqrl gsDPr dd$a$, t3E6a^, dqe, doero* g$dO_ ilqadd aiaad$. .ldood roeJearl dedtd scJadQFrlC doaj, zsaXojoogodn. aaeleddo_ ,treul adrodrde d{,moood:. .ad$ areredd dqd agQardduanddr. 19s6dO_ deoqi ddodd elded*o$od rberuo9d eCIa$dddd xaodd.oed-d do{o$O- Be-ordaoah bo$codoad$. 1955 dO- nadel:o droEo aoeie$ uqi6 no6o$6io d)84,il6 ood> aldeno0DdsEogD6. oef. a. aa*f. ore. Integrated Course udood deed sdo$rl$ erqd q;n6gdrl 1958ood dodoJr ddEd so?dQFrlg$4 d>af,eo aera- el{$rl udl godCr mdgidzid, doenrl$ gorf,ddeod* oaO-rl dB€{, &6e-dAr. z3oedE u4e {,aexe noc oaoao$ar d>a:,ao doed* ddrr soxaddod erd,l SorlCdxo ddsg dmad dodd "ref. a. adue. axc. d$r"?dt:6 dod{ddl. m. &. oardaoeosdr drccuo8rl dod dddd agz,no$goon todl aoe> co. adf. aerc. t3dnud{u oa. uod>Oorla$6 ddd$4 bo$sDderrocDei: dodd el{grf 24 6"Arrlrldd)4 ?so1dDa .,qrS oa$c. o. E. ono. udddQ ancgcg doeadogerr, scrr6QErl9 md $dr3d aJnde.rr Oo$$derrcor$ 1959d dodd dd$d)dO_ {el* drord dma 5 1/2 ddsd 8. :r. ero$e. oa$c. doess agdoqJ*adcrrobs. ieo,r,doe$o .1. o*D. :r. er$;n .?ou.3d sDe6o$t,re elddraandl eco*DdEed ado$rlC dodrl d0ed Odo$rl9$o o$qa {rod rJoeairle-dd,>. aoxad dodd esd,) 9orl9 dFf ddsg dodd A. 3,. e:o$c. aaltr. ddo tod9-dcb. teo_d €r roeJar Fa$eoO de>rdor Baattrgdrotf elao$O-d r,lodl tlSodr 200 do* dz{ t3. rr. e:o$o. a#. dudrdrrlCr daed drJdEeo$ u{$rldO- de.:d odsbdel erdrod #adenoood> 196odO- d:o$ratlo$rls-nq tl. a. zi8-oJrddr erofudEed aoeJe*rl eco$Ddred ddaddd agz,roo$soarlzSedocl> er* dDaddr. eler-d Integrated Course ddEd e. a. a#. doeros drudndr aoe3e8dO_ agdoqJaaooo$. aonaddorl rlgd>o r.lderaobA, dDoJr dt^3r.irdtS Eodo erdr gorld dxe ddsq elddrdanndl. dr doCqJsdO_ raelead {derf Eood rguno$edrriqan rooJrE0dsEoA,ddddl qe.radod?.,ddc dod-. elddrd9odd, aa. "loo. elfunuauooS>aourd, ao. E.aaJf. ddos, o.o;f.aa$e.erorl6, o.naoc$d>8, 6o.AFo. drotdmrat, a.d. :r. er. zddqdld, @. doeqn drerds6r, m: s. E. dedaaod d>d1 m. doddrd. deogi iaord uo*odredd* erud-erd dodld dd"ogood rbccurd uourd abo$rlmd doedoo aarxs dedrdddO- a-oc$ daoul Aoirao: edd bpdqddab{ Sader> eeAJd glrad elctl dda duagd). s L/2 ddsd; E.Af.a.ao. dd, $;$adzJedl, lDd€d rr{9, gioloerne.:o$, do3o, droOdoeaard afrdt erud-dr bd*dodaiedod> eler-d €r dd$* oe4 uazrrrldO-o$n e.ode oeg .eddetoc$ bfadq aiDa$. dgeoozi.dero sdgedaroero$ .qd?,3edoo deld 8ot!r$. .ed$o deoqi duosd t -rOo ":;$. eter-d Ad, Soar0eloilrLs/r €r doenesrlgebc edd Oo"60e)o$rl9r a*ndrd E$aB ddao$d1 dodzSeod> oeg cncsrrlerl g98,eb, eldd>o dd>, cncc, z."1$. er qiaod 1967-68 dO- o.axe. c}. oo. dd$$dd;-l- doaeOA, drudodr eJolDdred raele8dO_dld {mdad, eJ{$, {oloerne;o$, do3o d;ooaoddd:o doea bpdq a*rode.:r dqd nAcS ddrEoAr - eaele*dO-dld de;ddr"td*rd>n doea d&o8 aaeieasdl
  • 45. doderr ?"cI AFEdtD-& dDo"6be)o$d* deo*do$ol, doeflrld$o dddoo, dd$o$$4 S d$cJaoboo$Aod6JrJa$. deo6i irord apdrg daaq s ddEd eaoJrzsEug xaodEoed-d dds 6soJ})oro dd, doeilRr d>rdodr sd" soarelo${$*d eldrxad €r toexes ddd$ elddrsdrd aeg de;dddrlgeb4 1972do., ?"e|€b aeSytrnaoddoed-d doeirdon €s oejeado- dddeD, doefl dd& dda dode.:l crqqood cdr&oarbe;ojrd aoooord t odr dgddo- ddrlgrlc$o dddo ecdard{rndad d6$dorl,$. eler-d a.a.ai. qJo ddd aoarprrld t oo-o$d {ead A.axf.oao dda ddo$el "A,Lutlrd$4 roerd dodd aoarQsrld -$eJdro$ sddso"dhoo$d dDddd dd& E.af.o.ao. dds Eodorb.ldl. terfe.:{ d$drrlcr deJdoeoo"d dodes dndSd ddo$D.s-qd, aodd {mdadarn dds$do-tet{ daed Sdo$rld$n feolod Sdo$do-, dooJDd erqarddddl bo$ADiDd t^l{, OaxcoaoeCa" E.o).ao.ax. ddCefdorl t tlz ddsd adldrg dre&oo do$d tl{ afod5O doeoat^:ddd elded doodd el$zpadennd. e$d1 xbqaddrlmnd. ila$ 1954ood 19s8d ddrl €t roeJeadArD6QEo$"nd1, uoJudred aoaroe aef.a.ao.e)f. dds ddd) 1962Ood elqarddannde,lg64ood1966 roeJ€tsr ;$Damodd d€Brt$ rbruroo d% duc..l.o. ddcb QQarddaan4 €troo*FdandA erRelded add; doddrrlCdrn doeadd. ehrl eh aoeJezo t $oO xbqaddrleod eodd roeJerr d%der{g, t-Sro$ elWardddlrlgl $d1 AdrdQF, S6?dQFno$d aa{refrlCr, eld, delddr"trldd>o doobddsdoedt:;D qldedood eru-d-d: roeJexr aoo qiaror9dooa dddnsoed^d utSO$1d add* oad>eldrod iodoeddd>d-ed. dr aaeJet3d dlld LJddsddrl, adEeddoeoC>, daart.id droEd $d1 deo{ drasdd daoo$d$o q":rr,dodoeJea3ed.: ele;-de roeJe8d agz,rao$ecnd oo.egdJaed.a-radld *d1 rooJrrdbsrlsad $.ano.:.rdoorldddd eladd do$$de rodsa. oedood €s aJetet3) eroSDdEed 6dqrf I 9d$4 r^le4drddO- dodo$se-:-. bo erddJae$ dd^E$o$ d$*neS dn eerle$o$ *,)*ore$r uddorlaboS !,o uoogt uoogl uoog:tt ------ Quard your tfiougfits carefuffy, ( quatity of your thinking determines tfi-e quafitY of your W " .. -!, -"-:--:-_- ---
  • 46. The then Govt, College of lndian Medicine, Mysore "My Pride lnstitution" Dr.S.M.Angadi, Former Director ISM&H Bangalore. ljoined the govt service as an Assistant professor at CCIM, Mysore in 1968.Dr.S.Venkatnarayana was the principal then. When I joined as a faculty, Diploma inAyurvedic Medicine (DAM) and BSAM courses were running concurrently. I had theopportunity to teach for these courses. I was teachingRasashastrato DAM students andKayachikitsaincludingRasayana Vajekaranato BSAM students. I used to take bedsideclinics almost daily and students were very happy with my teachings. lwas officiallyposted to the Dept of Rasashastra. Since there was shortage of class roorns attached to Rasashastra department, wewere forced to conduct classes in the adjacent museums. When PC course (D.Ay.M ) wasstarted in Mysore during 1972-73,1 was shifted to PC Department. Dr.P.T.K.Nambishanwas Professor and HOD who insisted me to teach Rasayanaand Vajekarana subjects.Dr.S.N.Madhava Swamy, the then Principal used to encourage me during my teachingdays. I was transferred to Bangalore in 1977 as Professor and after getting promotion Icame back to Mysore, assumed charge as Principal in 1983. During my Tenure as Principal I tried to get funds from State and Central Covt.with recommendations of our Director Dr.Channabasappa and utilised the funds for theconstructions of additional block for Boys Hostel, purchase of books, Equipments etc.I tried hard to improve the college and hospital to the possible extent. I was transferredto Directorate office as Deputy Director of Ayurveda. I used to visit this institutionfrequently on official duties and solved many problems of Staff and Hospital that crept inday to day affairs. lwas promoted and posted as Director of ISM&H in 1990. As Director I used to idiscuss with Principal and Lay secretary about the measures to improve the institution. {My recommendation to the Covernment with regard to change of Nomenclature of all ICovt Ayurvedic Colleges was approved and Covt ordered to rename CovernmentAyurveda and Unani College Mysore as Covernment Ayurveda Medical College, Mysore. There was a continuous demand from ourteaching staff to enhance their existingpay scale and to equate it with the pay scale of their counter parts in Medical colleges. Isent a strong proposal with suitable Justifications for their demands, to the Financedepartment and also to the pay commission. As a result the pay commission enhancedthe scale and sanctioned modified AICTE scale. lam happy to hear that the college is celebrating centenary festivities. As apart of the centenary celebration, college is organising a 3days National seminar onCeriatrics named Chirayu, inviting reputed Ayurvedic Scholars to deliver lectures. Alsohappy to note that a special souvenier is also being brought out in this occasion. I wish the function a very grand success...
  • 47. My Hearts throbs with foy.......... Dr.K.R.Srikantha MurthY, Former PrinciPal,MYsore. With great pleasure and pride I am recollecting the memories of good old dayswhich I had spent as a student, as a teacher and also as a Principal of Govt Ayurveda andUnani College,Mysore-my Alma-mater. : ljoined the college in 1944.Then Prahlad Rao, K.N.Shivram, S.Copal Rao,Sheshachar and P.L.Ramchandra shastry were some of my classmates.Dr.M.Ramachandran.MBBS,FIM. was the Principal. Dr.J.Venkatachar,Dr.S.Venkatnarayana rao were in faculty,teaching modern subjects and few more from Mysore Medical College. Ayurvedic subjectswere taught by Dr.N.L.Bhattacharya, Dr.C.Ramachandra achar, Dr.K.A.Chettiyanna,Dr.T.K.Shastry, Dr.K.N.Rama iyer and Dr.S.Lakshminarayana. Dr.S.Lakshminarayana, an orthodox and faithful Ayurvedic teacher used to teachNidanaandKayachikitsasubjects amalgamating his clinical experiences withtheoretical knowledge. Dr.K.A. Chettiyanna, Professor, who became Superintendent andPrincipal in later years, a graduate of Astanga Ayurveda College, Calcutta used to do allParasurgical and some surgical procedUres explained in Sushruta samhita. He waspreparing Udumbara saara - a preparation which he had conceived for washing eyes. Heused to take all of us, to wards and minor OT to witness the surgical procedures which heused to perform. His teaching in theory classes was also extra ordinary as he had abundantknowledge both theoretical and practical. We used to get wonderstruck by his lecturesand also of his surgical skills. These two great teachers have influenced me much during my student days. I passed out of this college in 1948. Dr.S.Lakshminarayana picked me up to workin Muncipal Ayurvedic Dispensary. lworked under him till late 1949. ln 1950 lgotselected as lecturer. I reported for the duty with Dr.C.Dwarakanath, the then principal;the day still I remember. Dwarakanath asked me to teach Shareera Kriya. Time went on, I was enjoying teaching. Dwarakanath established contacts withCFTRI, brought a clinical research project to the college. He included me along withV.Shrinivasa murthy, Scientist CFTRI and Dr.M.Mahadeva shastry, a senior colleague ofmine, to work in that project titled "Agnidhara kalasara (Effect of Castric mucosa inJalodara) under his guidance. This gave me an opportunity to work with him. Associationwith him also gave me an opportunity to imbibe knowledge from him. He made us toread Caraka, Sushruta and Astanga Hridaya samhitas again and again. The project wascompleted in time; the results were good and appreciated by scientific committee ofCFTRI. Encouraged by the success of this project, Dwarakanath brought one more project- a clinical research titted "Pharmacopeic effect of Lasuna in Leprosy". He invited me towork in this project with him. We completed this project in stipulated time with goodresults. Both these projects brought laurels to the college.
  • 48. I was deputed to undergo PC course at Jamnagar during 1956-58. When I returnedto Mysore from Jamnagar after completing PC (HPA) was promoted as Professor andPrincipal l/c of the college. After assuming the post of Principal I gave priority to improvethe college library. I got separate sanction of money from the Covt. exclusively to purchasebooks for continuous 3 years. Cood numbers of almirahs were also purchased. Collegelibrary was flooded with books. Another work which I persuaded the Covt. much was the purchase and installationof X-ray plant. Covt didnt respond to my request proposal to purchase X-ray plant, sincethere were no strong recommendations from the Director of medical services. They wereof the opinion that Ayurveda College doesnt require X-ray plant as there were no teachingsof X-Ray (Radiology) in the course. I kept on clarifying and appraising about the necessityof the plant both for the benefit of students and patients as well. I insisted upon it in ameeting at Directorate office with Dr.V.R.Naidu, the then the Director of Medical servicesand succeeded in getting sanction. All these correspondences took one year and in theyear 1961 Plant was purchased and installed in the college. Dr.V.R.Naidu inauguratedthe plant. I deputed my colleague Dr.K.V.Raghavendra rao to receive training in radiology. My engagements with tutorial classes including practical bedside teaching inNidanawere simultaneously going on well along with administrative work. ln the leisurehours of evening and night, I started collecting historical and biographical aspects ofgreatAyurvedic scholars of lndia and Ayurvedic activities in Karnataka. ltook 3 years tocompile them in-order and finally published under, the title "Luminaries of lndianmedicine" in English and uKarnatakada Ayurveda ltihaasa" in Kannada. These 2 booksare the results of the wishes of my teacher at Jamnagar Dr.P.M.Mehta who encouraged inme to write. These books also fetched me name and fame in the field. College used to erect temporary pendals on the day of Dasara procession to offergarlands as a mark of respect to His Highness,the Maharaja of Mysore on his way toBannimantap. We, the officials of the college were offering flowers in Mysore RoyalAttire (closed collared silk coat,silk pant,Mysore turban and silk veil) under this temporarypendals; which still reminds me of the great royal era. I had an opportunity to get associated with my counterparts of Mysore MedicalCollege. Dr.Narayana Shetty, Dr.J.T Ramalingam, Dr.Naidu, Dr.Rudrappa, Dr.Jadhavand others who were all very great Professors/teachers. I was transferred to Bangalore in 1971 along with Dr.B.M.Sharma andDr.K.V.Raghavendra Rao. We got relieved from the college, we hired up a car to take upthe journey. When we came to board the car, students in large numbers came runningand surrounded the car, blocked half of the road, didnt allowed us to move. They werevery much unhappy about our transfer and to teave us. lt took more than one hour toconsole them. This incident still reminds me often.
  • 49. atleast twice I was visiting the college as an examiner or as a committee member of the collegein a year even after my transfer; was happily observing the developments Uttering,s of Dwarakanath, Lakshminarayan, Chettiyanna are still ringing in my green in myears. My foot steps in the college along with these great scholars are stillmind. My heart throbs with joy when I think of my Alma-mater. I;et fi,obte tlougbtd come t0 ud ftom sll Diteffiond Never argue about Price; always look for the reasons behind price obiections
  • 50. od& dodcrl9o cEo. d. d. adorod. Aqgod ugod>aae;do, $eJdJadJ ego3rcdred dla:srsre.loS: drr*ndr aar(n umuo IiEd;JaOdd a$eardddr onr. d. €r. ero$rdEed ;$aascn e.loJr oado ud$, dludodr. dr €g&bd drudodr daoEo eroJudEed dcaaaoo^e-:o$d1 .ede ddoud soosdO_ ddo dddndoed.udd$4 uz3o:rdodg{cJr erdrod ddguno$daad ddgo$ ado$aand,:gcJ: aoz.ll{dde)- ad& #r.9o-. * eso3Ddged droaaoare.:o$$ ooo dodd.,drlC &od, und drudodo nosgdd elddd druobeaasdaod qade.r-gd,>d-d. aae AND aDoddO_ eddO_o$rd ds*eor.ndddO_ uo$rdeed dqgo$ b{eadnbo zSoeqxbd doq, dodode do{otnn&dd .add d{ed. €r dodsr ecotudsedd dodrl iot5rdd$o zJoe6denrl,:9-d1. dddodd adrlCO- so$rdEedd dodrl oJ*oobo$ibo aado .edddd dodrl uod ddeo$ ufribd derd6 dq.so$ ae>a sdo$rlg$o add> dq.gd$O- eied zJed dor6dood qloeade;t ed$$d$o dodroo:l erddaadoduerrob$. nadood do{o$O_ bd*roao*n udrdacmrQedC doa3, rieoheo$aan dz,o,"olod>. .ade dd;nd ad*eo ddeo$d>o usnuoo$ do&d u-ootdaereso3Ddged d>aascn oo$dO_ a3dorf do uhd d,>rdodl ddrod s%et,q,d). dr sog tiEqddeofueldro$ e;dgo$D"ou>$. drriodt a$aascn e.:o$do* ddrlo ose-ooodeJe do€Jo oedtd-d. €r doalot ddJfro a*pod . dridroo Sdorl f,eo .ee)- f,ed dO-$dod aiae$. nec$ dd4 xbddd. €{ de&bd io{odrO_ deddO-$dc$ d>aaeparlr. oeaode)_ drrd,odl d>aasoarero$dO_ eco$JdseddO_ xaoddoed-d ddsofuaSdo{mooo$.(a: adr. o;3f.) .dr $rrd,Ja$ a$aa$caroo$d-O_ erdrod €eqd doc6d a3WarddcbrigrSed iO-:bg-ddt. eldde.:-d,o d>aa&aarso$ aarlo e;{go$ daasoReea Derlrl giat&dddl aouildedor ddr;orbd-d, €rde.ro fed d-O-t19-oood. dr d>aa$oaroo$dO- tcddo oee-esood d"e)d taroaf oeesod ddrl ddrl dda3q"ddda-Dnanrlo ao$z36aa.u a?.[odd dDsDd{il"n de.:d dndd too3oed{ dodsdl. url "lo_d ddaod ie.:drl$daao$6od oe.:-do drzSldod Dqtorld-O- derd dnaded rftdL d>aaacroreio$d aprlrrcn geDArdd.l%S ddrl .ed aado ee.-e-o6ca ood e-oL-o6eas d ddrl dr €eebd do{o$ e*dpdzSrao*e6o$$o Eoao$rd fr:oSoerl{ ddmndl. egddod dr do{o$-O_ a3odraoe-:;on ded dO_*ded.dr eldpoJ,:O- d>aascrorso$ aarlo oSoerl abdt €dd.g rJs% do{o$ €rDq-gnan d:d:dBdrdacnded dQ,rrd^ed. dt-.dodr s-d"saare.:o$d doerrldo$O-, oloerl at)dt €dde dEd.,,o$O- dda toedr$o o O e) oJ O ct 6 -l -J -e,- -- - -^J--- -nqgdozpdo $ao,lded. deoSid daao$6od Fbd%d s6"6qFbo$d dde rbd dA,d hdosead* z^ne;dhederooood> €r draascn e.:oJc{ eldrod €rlros dos6d dsd^dddt* a3q"6ddd$a z3oetdd,:iiddpudedrodd$n €r otsu8* dd1 dedEu Eoddobn bead, elddo_do €r $aaAcsaroo$dO_ &oarrprddebo*Dn&d z;Ddsdr aa$oanqd. dr dddDdoed^d xbdodoqirdy etdrod sarorfi"toCood ddoJrO,dddodoo$D ae.:_ddoo eJb€drddO, oo_drl,o d>odCaarlO. * dodo3w wd-doed_d eped.l% dooo-Uo$ elodduo.geo$ d>gdO_ &zsrotfdO ooc3r oe.:_do ttrlaaoe C{odoo**lo ogesdoeeo.
  • 51. uadr aa odraaeJoJvoun rl J ca. doeqn.0.d:eldc6s s€od qodroaodr, so*pdEed d>aaaoarelodr dru*od.>. ddrlod ar€ogoo-d dodoed. dle sooo ddo oae)rf Aeddd gdc{ ddd ndpeed*r{, 6d.ad,god: a$relrldr. ad.god aoedrlCt. u oo-dd>n $d:rd eJ adde uodl godlaae3oJnd d*eo-$drd d*ca. nzrdo* e-d,>n d>odstnq. {eoSor4do d{enSd bea, sDD& dodoedrlCdro dozSdood o)eJa- eigoeo$d d:orbdod dqqdeO:,d1. deO ... deO ... $eeJeod. t-ad acrordo{, a3dd, ?.Jd3,d Aoa6do{o$ Dsoau%oo3Ddeeerooo$ ddoirderododo dd$ doddde.:-. duddd- ror6d, rbdrbooJroogoeo$d drql oadrdddde.:, enboc$ ele.:odo:,d edd. "ro-do drrnrodo$toeo, etdddd ddedrrlerl doeoad oado elde,aad> e.ot3;ro? elqdadOel_ . udd-dd aadrldr, d:cnogorldr, dOd rbsaa dd$rldr,. tl;n:rd €{delddldq&. S,oeB, dd, Oe* ood> dedrdoedg. ecdd, draAd bo6d dddrlsl wdrlelrlCd-dridel-dPdod aaazgoo$abo $aa&da"R dodeEtpd dod sdd$tr-dt. oa;b udd-ddd zS€d esddsridaid)4 dg_d dd4 r$odd naraddrl naaonddr. Sd daaeJe? dod duoele? adodd- d8{ddo oo;b d:t^!, zJCddA ao-dB trio{aao$d drdnao$ aarb dudrEeo$ E$ddddO-. ecdoddmdrlCdl drdxd gedod;raCd deiaead{, sidd) arodddr. oaab d>udnorl.d,odel srao uoo"Rdddd d?* d:rdr, ddod &el-oJmnq. da$"dde.:-dd"* z3IJP, uo6rl uodo@ndt. eldd ?Jod Addeddnad d:rfra"rldd ddhaodrlgr eladde6eo$. obd eJeeDboOoodem da;rl*$o drn6dend. $udoortoddriJa dr aoardo{rlo "edrd douofr erCoaqnd, eorl tfgdoddou qndoadnd ti-;rrd elazpoco,dd6dl. dodrl cood aosoddeode)_ ee*J {el", zrxoc,>ddo d$ra bed)d fDd)d)d {eotlC)abdo$uod{. !.d> ;$Dn:r dodd>aad n{O- doudodr? erod>doodderl rrod} elt{o. deiddrrld{reSdd do ed1. d>d- dean4aii, dod8oad {rled. $ode rleeor eld;od sDD&o$O-q. ad*ed5 ad>od$rnoJDqd ad:oddd$e ddd drod.) no{o3: dd>ad soodddsrRd> iloddoq. ddn deddd d€d nild)d€dda rQo3:e. lDeD drcsD dd rodreorrls delir dreeloerldd0*lddn dd+d,g tld.ddod olnOgdd:odfg$uijd d$f$od a3$od. e-dop"u a$ddp dd*S doe{dci$ddd6 doendslooozl ug"eo$ OcrarQrrltiooode,ocJocrorl :rrbd :baDdd od ag1. Bdrlsdod oe3 drlrd idoedoreflrlclraoari doaoJ:dd, roeodE,r{vogeaordrlsgdB ddo$o sdod ;ortddS deOfidog{dt. eddadddrD xoQideddrod {erE* dotl AJaqdd)Am6 frodoSo ag dodd eroo{d$ s6?6QFrlst. 6"n.oRdo{d oodeandd.o ero. fed n$a{edodd, erd)og rtr&boo3:d nodo$ og idoedorehrt$ iaoo$d{d gieedde doddr aS{*dg. dd* aarb nodol>ael erdoed-dd9$. Effraa*d,o$oeio {oQtud Eeogi aarto cnas, iaordd eto$ar eetoeJd drdqdrld$o dede.:r 6J{gvddrdo$end. dddodoe{dd erz3ddodr nod$rdS ddd drodd aood no{o$ EeBr wd:odtedO. elotoderda.$id EeSrdsoE a;rlfld dlod droerrl$Jg aooodO. *odo$oon d>6ard"Sdt{ood$ drddodrnodo$g t"drd, ded dsird erdrodddlo erOded d{oao Oedeiod: eoodrir{ed. -aorldudo de3n
  • 52. drudndr ego$DdEed roele8dO_ dd4 is dd$rl$c ccD. f,. e. cn$deo€ -ac sddd_ ogOardddr oad> drogo eroJ,>rdEed roeJedrl oeaodO_ deod. eJrlt;dorf eco$)dsed oodd r-ou3:uo%d $doeryod ddrlo oarle nd1. udd dudr;on ddnzr fed dmda3edoal doale.: aldCondl.dodrl ddn {e6.ddrrlqnd aa.d.a:ie.ood>ef ;3:d1 drrdood fD€,lg de$ dr4a.o. dodxa"soo$ddres 6?eJedd deo{d>. erdd$o aadl oere*d ado$on s?iDo$6"r1 ecdcbrlcl,) dr roeieddO_ ero$Ddgeddlog dOxbd1aer_, uCrhd deJd6 b*coddq doc$d-doc$ ggPrcnrl ;neb dedziedoa: egio:ood aaeiez3rlfeoa:e|,. oad> feoanrl aa.:r cro"ddaaqe aoaldddr agodtoaocnnqs. $ardo du{"rlend uddra3odruoe.:<nh uod dreeJ roeJe8rl uod> dS uoad1. epddt uod dodd roeJearl dede3erodd qredtl, feddeuondl. edd+ duoz3 ero$cdEed roe5edrl dedrd 6&d>rlorl drardoodeJe aoarer dedddod>9-ddc. ;nd1 ?-d,>aarl uaeJeddO agodrroode-:-de 6".eEJ;rooo$eo, 60.d,>aaded enri^,aa.rfoeaaooao d{d, sJ.suJe:ad*d>" cea.d.s.ssroo3,>s a3oderod etudoarddcbrldl .addl. .ad;,a3oefd x,eiroari€e oen_ dd$$rlddl dd:rdoocdr doerbg-ddr. nedood surrdQFrlerl $d:5rldabpadadOe.:_. uodtdgeddedoe do ecdd u$>bd deJd6 cqddO_ doodJER dds,See doode,SeEoaldeeldd eepogo$. dr el?igo$d$4 ryo$me.:d rl$dtd dodS. ndd:o a$ddod #oatood a3odrraeidt€r do o dd rl 9d:o do aa ddrod: d h qd O_ s crodQ s rl $ el ib q3 s fo 9-$ d do odd rl d $n ;3 O d e e 6a o rl g rle$d1 daordd rl*dfr doddr. aJ. d. a. er z:oo$ r a3l d1 6a. eL€ ;ia <rro$ so ddcb u {> b d derddd{.g o$ erg b dSn do o a do o d {cadd>rf 89dd1 aaddd>o degEou$9_dcb. .ad scrDQrrlgrl :ororld> aod) .9gcb .edd* a;saddodrodziedoa oddaod agoebamerdO- a$dcdoa ddd doe8ddabo dd>, aoeSedd uocJ: aad dedododdoaddr. addrlgo_ ab6def uaejedbod wd;n dddrl$l uoc$ eldddd doroeo$ oodrld$o oeoad de-:aSoeQxb9-ddr. dd$"$dedoe dooJon dld>rld $dAArl b6o$rdooocDd). sdd, Btrdef dr-agnadOe;_. dodrl rye"derrf eribdoe.rrod dgd d,Jad ndOer_. dr dfo$O_ adl atnddetoucl:o#oorln doSoS>e)o_: r-od: 6dd erRd dDsDa$o$rlmnd g(dro.F ddla$odo$rdddr dd>, roe3e*rf elhoeldzfeu3o$ibo dogdr. tcddr uoadld :bfod:$4 ggdr OcrorQrrl*anq "5.eJcF.3i€sooodf, oodroaod,oad>ae, bdcraabo$d, d>eo g{S, $dlSg3 d:ooaodddr *osDrdro$o$dd dodo$-O_ aoeledrl a.duo3>dgd re.:_. Bfideilrl elabd,roe.rso_ Ao?J e)ejrre, Dddrldd)d d.tr?. e:o*Ddeed ,i{gif dn$ aocfsrlgd.eseJoedgo$ dr.Lorood Ado ee_ aodr drdDdroadoorsod eeddr d.uO.u{$ drdl r,Selaaoa:u{$odxbo erudo3oed a*taed"ro$ aod> .g94.}d&. url agod:aascnd csa.cn dd;nndddr .rddu%€ddo dqqrd. udd gloSoerdaodOe.l_ ooc3r d:oeDr$o$o$dorl .9e:rddr. .add>o eed edd)
  • 53. +++++++++++++++t@+++++++++++++++erRd E. e:o6. :bdootSodoge ernq 6". s. erd. ilaq*B ddd$o dd:, er{g a$d1 r5e.:laoou el{$o$dr d*eoaodei soJndEd uaeJe*d soarQrrlgrlo d. ecd. ,i{g $q derraaou u{$rlCO- ugtJdefdegd>doo doadod:dod er$ dnadood dd>rler- udC eldodoeraDc$d). srl dradef roeJeddaoarerrlCt dadr. oadldCo dedtoinnd ood dooddofraarbg.,dOe.r-. ec6do ddrnO-ei d) drJo & el_do a^l cb ol o-dd>o aad> 9-d1. d. escr6. d>q dsraaou u{dooood dd>, roeSxrl *oeDraan udrg-dddc cso. oaooo$sa "{gFadsD d%$, ao. dodcso u$d>do, 60. A. tJ. aF6. elo3>rottod, m daoozsoo0> dod, co. Oodcar,co. t3rrld ald{ droodddr. d;$n roe3e*dO_ roeb ig {oloerooo$d d>o, dro$, dd- doe{rfoc$ .rd1. ndd>o da3cnrb dr rls/ad cD. g e doda$,ogr dddr do e Ado 999_ddt. dgdo dd duoc$dodo$ wdin ddurn zJd)g-Ad). .adder-d ardrl narstsoeoojrod aa. aaooo$coE. sd. u{$oClO_ rtstrdefrf o. uddoatc eldxs, aa.erodddel, oa. dr{d:o9g dddr ,z3o>;raozJdO_aa.d$;$odedcF, cn.daroemogoe doed ndrg_ddr."ado_ ddddl ocao ood o6sea de .adsoC>)33q)c) I l. d todoJrO_ dd,l" tneieddO_ ooarQrordddl don* cso.uodtr3oqi oot^ldddr o6-ae gd)o exe gdoQrrdcb .z.od> der elddr t g doenrl dqOFfl oaodd*;f eleboz3oozooSoo$O_ Bteldd danamdo$O_ Eod8-oaod eldd$*cdq, &meno0oS url *aaao$d udoert $o$oJnndd&dnd, enogerre ffo dddr url erdd$n ?raxbdddr dd>n qgoebaaerdr r^ld9 d{,ddzJeacoodr rodeacso. cnd>z3o{ddorl d8$dilo ndOer_. eldcb ecetodef a3 afJac$do9de;_. url dd>, s6r6Qrd$r 6trFod8qddc rl d)dso$$4 dO_de3eraoeo$. da$s oorird-O_ dd{ddJ nadOe.:_. dodd da35 ago$aaooadca. rr. co"drosaqs dd:s do$-d46od u$cAxo eco$)dEear roeie*dO_d Board of Studies inIndigenous Medicine Kil Pauk hod AClass Registration doarrddr. nadood da$rlo_ udct-CuoJraao0ldr. .addoel- 89d *po6d aordQrrlsrod ooqadr{, Adeadod, bdoo;$e, ?orodcgrS, odro. 8.erd. eldrie, d. d. sddirado$6, a3rrdo"oxoS>.adde dodendddcrlCc dceOod dleeJ ddsodrldab4a$oa Eood .ad dae rld$4 tdslr ,-dro$ dgdrlCr udrdod r$d} d8$dale zSnecgoEriDn €o$.94$d&.drtf dBSdS zSoeadr oad. ge drrdo d. {rqrsaraoo$dcb edoerl dlo$oJooaflbod raeJe6) z-odnode o€-&-eidO_rr?.pddqo$6b4 ddc$ €3 6dd oarrd e.oc$ dod ddoaod ecojDdEed oeJemnd ood> dedrdda-oc$ ddlo$ odo$annd.
  • 54. RAGH U.SHASHI.AVI.BALU MEMORIAT TECTURE Dr.K.S.Shantaram u.o Assistant professor 18thMar1984 was the darkest day in the history of CAMC, Mysore. A group ofstudents belonging to PC and UC classes together had been to Balmuri for Picnic. Thepicnic was arranged by a small group of students who couldnt attend the tour to Northlndia along with other students. The picnic consisted of about t5 students and they reacledBelagola village by a private bus. The food was carried to spot by 2 motorcycles. Thestudents reached the spot by walking a distance from the main road. I still rememberDr.Fatima singing a songf alala falala dhaare...........while walking the distance. lt wasa pleasant beautiful morning. After reaching the spot, they chose to sit on the mantapsituated on the shore of river Kaveri. We were enjoying the scenic beauty where the riverKaveri was flowing very peacefully. The Vessels containing food were still tied to thebikes, which were parked, by the side of the Mantap. Fifteen minutes later, our attentionwas dragged by the sound of a villager, who started shouting that a student was drowning.We looked towards the sound, we could see a first year student was floating with hishead down inside the water. Two other students who were on the shore were frightenedand were in a state of frenzy. As soon as this sight was spotted by two brave students ofthe college they went running towards them and jumped into the water to save him evenwithout removing their socks-shoes etc. Few other students from the shore also jumpedinto the water, with in fraction of a minute all the five students were dragged by the whirlpool of water. I could see only two senior students trying to save other three juniorstudents. Finally one senior student shouted at the others to stop trying to save anotherand asked them to swim towards the shore. Alas! At last only one succeeded to reach theshore saving him-self. Suddenly atmosphere became gloomy and all started crying. I justlost my conscious by this ghastly incident. lt took nearly two months to recover andregain back my mental strength. Dr.Puttabassappa and other students handled the situationvery bravely and managed efficiently to control the group. Staff of College andHospital, Students of the college including those who were back from North lndia tour,felt very sad about this incident. Dr.S.M.Angadi, the then Principal inspired and insisted the students to do something concrete to remember those friends. And as such a committee was set up consistingof students and the Principal as the advisor. Committee decided to arrange a one-dayscientific lecture session once a year called Raghu-shashi-Avi-Balu Memorial Lecture.For this, a programme called Bhavaprakasha was arranged at centenary hall, Mysore fromwhich we raised a corpus fund. ln the name of four departed souls nam ely Raghunath,Shashidhar, Avinash and Bala Krishna.
  • 55. The amount collected was deposited in Canara Bank. The interest generated bythe fund was utilised, to conduct one day CME on interesting topics in the college, whichcontinued for nearly two decades. Responsibility of conducting the lecture was given tothe respective students Union, every year. The committee members used to assist them.A senior Police officer was invited each year for the seminar to render our respect to thePolice Department, which had helped the students during the tragedy immensely.Dr.Gurubasavaraj helped the student union to conduct this seminar every year. Sincefive.years Students Union has not conducted seminar for Lack of leadership. The memoryof this great tragedy which was painfully remembered in right perspective, should continueto happen. Hope the respective students union will take note of this and continue toconduct scientific sessions in the coming years. Sarve janaaha sukhino bhavantu. - -y"l"uilatr is the abitity;;;--- ..<: s --.---.-* EXTRAORDINARY achievement -/ ./ from ORDINARY people ./ ---
  • 56. National service scheme in GAMC, Mysore Dr. H.M. Chandramouli Prof. HOD& P.C. Faculty : Pept.of Dravyaguna Vignana CAMC, Mysore. The national service scheme which is popularly known as NSS is a Nationalprogrammer under the leadership of universities is distributed among all colleges bothprofessional and non professional. Which has programmes as like week end and specialcamps camps. Week end camps will be conducted in and around the college will haveshramadhan, i.e., cleaning of college/hostel premises, growing trees/ plants, helping oldage people for their needs as like taking to Hospital, providing cloths, food in needy timeand special camps once in a year for 10 days at any remote village which is deprived ofsimple civic amenities as like Road, House, Health, Hygiene, entertainment. ln return,the so called city college students who are not at all know about the village or village lifewill get an experience of life and bane of villages and how to cope with daily problemsof village as like water scarcity, food storage, conveyance shortage, dearth of Health andHygiene amenitities and also make them aware of the necessity of cleanliness education,dowry, patriotism, child labour & other burning problems of day to day life. ln ourcollege from the year of opening the unit of NSS till now so many NSS officers wereappointed. After serving for 3 to 5 years handed over next officer after contributingsomething special to the crown of college. All the NSS officers have done their job by dedicating their valuable leisure timefor the sake of NSS. Under the guidance of NSS officer, NSS volunteers by adoring orremodelling college, department, library, hostel, hospital wards so on & being MedicalCollege conducting Health camp both in weekend & special camps for slums & backwardareas, giving awareness camps to primary & middle school students, donating blood tothe needy persons who are at the surgery, blood loss conditions & Health lectures dailyin different topics . Some camps were too close to the villagers who wept & requested to the campofficers to have next camp at the same place or near to them, which inspired NSS officers&volunteers to have or attend or enroll for next camp also. The camp conducted at villageswere so popular the villagers use to come to the Hospital, College for meeting doctors,camp volunteers & hardened their bondage.
  • 57. Now at present our College has a list of NSS officers to its credit. First being Dr.B.CCopinath, who conducted 1t camp at Varakodu village with excess number of volunteersinaugurated by Mr.C.T Shivappa Gowda, NSS coordinator University of Mysore &congratulated the officers &volunteers. Second Dr.B.A Venkatesh in his tenure at Mirlevillage with the help of ASl, reinstalled the Naraasimha Swamy Temple which was ruinedby the ages. Third being Dr. S.C Mangalagi in his tenure Megalapura village was declaredas smokeless village/ ASTRA village by constructing ASTRA ovens in every house. Fourthbeing Dr.B.L. Balakrishna he at Mulluru village conducted 24 hours OPD of differentspecialities as like shalkya& Panchakarma & benefited 3600 patients, distributedNarikelanjana with droppers, planted 1000 medicinal & 200 mango nurseries in & aroundthe village.Dr.B.S.Natraj being the next NSS officer conducted camps at Suttur & Devlapur underthe blessings of JSS Sri. Shivaratrishwara Swamiji. Next being Dr.J.C, Vishwanathaiahconducted camps with good response from local persons. Next officer was Dr.Radhakrishna Rama Rao, in his tenure he constructed apermanent stage At the Covt.Higher Primary school, Tandavapura & fenced the Higherprimary school campus of about 4acres at Mandakalli with donors from local & surroundingareas. Dr. H. M. Chandramouli was incidentally appointed as NSS officer & he in histenure distributed spectacles to the needy persons free of cost with contribution of Mr.Vasu, Ex-Mayour of Mysore City Corporation & cataract operation by District Blindenesseradication Unit headed by Dr,Thimmashetty, Kavisammelana under the presidentshipof well known poet Prof. C. P. Krishnaswamy & daily free medical checkup & freedistribution of medicines by specialists of different disciples of both Ayurveda & Modern& Yoga for village people under the guidance of Dr.shalini C.Eli at Kallumadahalli.Palahalli camp was popular for animal checkup of cattles - pet animals with thecollaboration of State Bank of Mysore and Veternary doctor. Our unit has contributed abagful of rice, dal and medicine boxes to the needy persons at quake hit area at Kach,Gujarath state. Dr.Cajananan Hegde was next NSS officer who conducted camps with local well-wishers who appreciated the camp for its concern villagers. Next NSS officer of ourcollege was Dr.T.R.Dattatri along with special camps, regular weekend camps were preparation of Nurseries of Medeicinal Herbs & tree species as like Amruta,.utilized for Bringaraj, Nirgundi, Nimba,Astisrinkhala, Jalabrahmi & Kumari. Which are distributed
  • 58. The present NSS officer is Dr.T.C.Ramesh, who conducted special camp atGopalapura made it memorable by distributing vridhapyavetana, Vidhava vetana, Sandyasuraksha vetana, Angavikala vetana, Masashana certificates to the deserving villagers.With the assistance of Zilla Kanoonu Sgva pradhikara, President Honorable ShekharSubhash, Member Secretary Lingana Couda Jantli, members being Sri p.S. Kantaraj,Tahasildar & DC Sri N.S.Channappa Cowda & others. NSS unit of our college is doing yoemen job by adopting different public utilityprogrammes for the benefit of needy people &keeping the college name memorable. Wi& 8e# €"e$.#rrr#,ie rhs r,r;rkers er yff;Tjot* ilIEERI [$m:i"-u. $yFrrss il; FESErrfi? Fdfi65 ir{ltr.A.ELE : la {r* * tdlfn f.tr r, t IirLYquFF D E. S.rrtr,trr ijsxEd $:.in;f n I rr.1r {16rs141 t, fH*EE Pt.US G.r:srtrr:.+dr Hewly Arrived i r,[ti454 Er{l.fif aru Drf bsl F+r+;-$ rd ilYconHAl,?rrltnn t Imrtert*l Lr:r-iiltrrr.t, .4 rHY*Otrl fiyir,Grp t rtirtrtl 1.t"r .aiiou cunpais r/ ,AHRq{D {qre.Srtr unl * S,tr*rnr.* lr+ti:r$ Fut.qf -,r,flt f. ilrrtiu,tcd{ Ul zIlrHErSyFTri. - $a.ffittlf nlli olr,k. ftrillilil ,1 tlUtCsLT FOflrE -iB i Ar+urttrxlc !trtB.n ul rnlffOEtt firrr,t;+: L 51116+ tr.trFt sljt t..:l drr:g( tsnrjdf il- r$vtrsF+ 3!r. trffiMt-i}trvl]*Ea g! LrU[i0ttE riro t3sttwn.#t truru{r r{aHl*.r* rJ r $EttlElllo J+, txZru+aj tlcH I l. N6&t(t/ Cf t+arnr* r, JWEX trp r j{!i..ll t,.rr:t+ nilir r/..trot li! Hr.Ed lil!,cAlt0i,t$ l, AHAl-Et TFb l} FlFl|i+Bt ro. j8hlx.nn a ,t:t ,r itritfhl ,,tdflt tt llfrtftlnttror al*rn/l |jlltnD i it D{hf,li.f:Jr I Fr*g;r;1.*tt !ill.#gr .l ifcrgic;rt ,n t}ifJ t} Td*t* gbfft4;: i; fffr*:fi! pilFarrer.ly ffil*-,. *^*ffifiH"ffi ;1,,.,,,,,o ,.], cl,ttn.ridi :;a.i6h.htl.:l*.1. ri;gr--fi.itj,t*,,,,tr- srs *E-tt5_l_lE&a.{-*;J{-" -a/ ffi i
  • 59. 8E ACTIOTI . ORIETITED ! LEAO, FOLLOW, or get out of the wa,y,..
  • 60. ACHARA RASAYANA Prof. Dr.M. Srinivasulu Professor and HOD, Department of Basic PrinciPles, A. L. Covt.Ay.Col lege,Warangal, A. P. Ayurveda is science of life which is aimed to keep up the health in healthy complete book ofcondition and to treatthe disease in the diseased.charaka samhita the 2 AturasyaAyurveda classified the treatment into two aspects. 1 Swasthasyorjaskararogan uth, ,, U ri ah a p r as asth atam bh av am adh adh ati iti Swasths yor1 askar am " c.c. 14 :4 Swasthsyorjaskara means the measures or drugs or means which keep the healthand provides the best of the best dhatus for better maintanace of health. lt is again Vaajikaranasubdivided into two aspects, one is Rasayana and the other is Rasayana means that "which produces the best of the best tissue (dhatu) in the vihara)body, it may be a drug treatment or may be any other measure iephysical(aharaor mental (vihara or any psychological activities) The term rasayana has been defined as that one ameliorates senility (jara) anddisease (vyadhi). Rasayana helps to restore ones youthful state of physical and mentalhealth as well as expand our state of happiness. Who ever makes proper use of Rasayanaattains both longevity on the earth and after death follows the path of sages to reachimmortality. Rasa means nutritional essence of food. Yana means vehicle, flow or channel or (to the tissues). Rasayana is the routes. Rasayana means that which delivers the nutrition process by which all the body tissues are nourished, by which regeneration revival revitalization of dhatus takes place 1. Rasayana therapy accords comprehensive physiological and metabolic restoration 2. lt is used for maintaining the health of healthy and improve the resistance power of combating capacity against a disease (naimittika rasayana) 3. Nourishes and maintains the cell life (neutriaticalation) 4. Provides healthy integrity, develops positive health, improves mental faculties and provides resistance and immunity against a disease 5.Keepthebalancebetweenmindandbody(adaptogenic) immunomodulatory Thus Rasayana therapy possess the nutritional, regenerative, properties through pharmacological antioxidant and adaptogenic actions. lt delivers these mechanisms or through psychoneuro means (drug theraPY), and through some biochemical
  • 61. prasasta rasamechanisms. Rasayana delivers its action by enriching nutrition i.e throughby improving digestion and metabolism i.e keeping samagni and by improving microcirculation at srotas level. Charaka classified the rasayana in two aspects 1.Vata tapika 2.kutipraveshikaAchara rasayana is essential pre-requisite for any type of rasayana. :Achara Rasayana-Achara- custom, tradition, procedure, behaviorRasayana karma attaining through these measures is called achararasayanaAcharaRasayana is a means to acquire Rasyana effect through social and personal conductAcaraRasayana mentioned by Caraka broadly can be studied in three aspects1. Personal behavior: Satyavadhi, Akroadha, Nivrutha madyamaithuna, lapa, Soucha, Nitya tapasvi2. Social behavior: Ahimsa Kamana, priyavadi, Deva, co, Bramhana, Acharya, Guru, Vriddha,Vachanaratam (Respecting their speech), Desakalapramanajnayanam (Following the lawsof the land), Respecting elders and theists.3. Satvika ahara (food having with Satwaguna):Samajagaranaswapnam (timely sleep and awakening), Daily intake of Chee and MilkAchara Rasayana acts as rasayana in three dimensions.1. lmproving the PersonalitY2. lmproving the social relation ship3. lmproving the physical health by maintaining the normal state of mind Now majority of people in the world are suffering with psychosomatic disorders. The prime cause of psychosomatic disorders proliferation is stress. What is stress? Anything that makes you tense, angry, frustrated or miserable is the stress. One man,s stress may be another mans pleasure as seen in WWF games. lt is a matter of adjustment to environment. Elimination of stress is a easy process by adopting the adjustment to environment, which is possible to learn and practice through the adaption of AcharaRasayana. people have tendencies to act or think in certain ways regardless of the situation which is the causative factor for the disorders i.e Prajnaparadha. Adjustment to environment i.e kalaparinamas is another cause which can be encountered with achararasayana. Stress I Release of catacholamines .) adrenaline c) increased catabolic activities Dhatuksaya +Ojoksaya 4 Lowered vyadhi kshamata 4 Im m u nod eff i cien cy di so rde rs
  • 62. AcharaRasayana + keeps sustainable normal psychological activity. *Normal hormonal balance 4restoration of normal anabolic activity 4samadhatu vridhi * Ojovridhi * lncreased vyadhikshamata +Enhanced lmmunity + Psychoneuro immunity This is possible by practicing Achrarasayana concerned with the self modulationby adopting Satyavadi, Niviritta, maithuna, Akrodha, Soucha, samajagarana, swapna etc.Social relation ship: Man is impeccably a social being because of his dependence on society and nature.Hence WHO included the social wellbeing as part of the definition of health. Socialperception like anger (krodha), jealousy (asuya), kindness (karuna), orientation towardsaspects of environment (following ritukriya), respecting elders and theists (Urdhanaam,asthikaanam), social interaction (relation with guru, Bramhana and Daiva etc) which arethe prime factors of acara rasayana helps in shaping the behavior towards the society.WHO definition: Health is a state of complete physical, mental and social wellbeing and not merelythe absence of disease or infirmity. Health promotion comprises efforts to enhance positivehealth and reduces the risk of ill health, through the overlapping spheres of health,education, prevention and health protection. The realization of certain values is necessaryfor the flourishing of human society and humanpersonality. ln view of its commitment to change the individual and social values healthpromotion is a politically sensitive activity Positive health - Sukha - Manoanukulavedana - wellbeing/ Fitness Negative health - Dukha * Manopratiulavedana Health Positive Physical Negative (Hea (Disease) Mental<-+Social
  • 63. The overall goal of health promotion maY be. summed up as the balanced positive health coupled withenhancement of PhYsical, mental and social facts ofprevention of PhYsical, mental and social ill health. Attitudes Values Liking val uesq ruidely e contrnudrrLe ur and indeed must for the continuance of society. Values which are widely shared and@ Values again which are necessary for individual flourishingq The autonomous cell is social self are@ Person exists in emotional relationship with others and these relationships essential to their identitY. Respect human nature whether in your own person or in that another Personafval ues Social vZlues Self determination, Dont harm, HelP if you can Sense of ResponsibilitY, act justify Self development ACHARA RASAYANA (BEHAVIoURAL REf UNIVATOR) (Psycho neuro immunitY) BE+ HAVE = BEHAVIOUR a SPEAK TRUTH CAIN BLESSINCS OF ELDERS & SPIRITUALS o WITHOUT ANCER REQUISITE SLEEP & PHYSICAL ACTIVITIES a AWAY FROM CONTROL OF SENSES ALCHOHOL &OVER SEX a AVOID OVER STRA]N MILK & CHEE a SPEAK KINDLY STANDARDS OF COUNTRY & TIME a CLEAN KNOWLEDCE OF LECAL & ETHICAL ASPECTS a BOLD CUSTOMS & TRADITIONAL SUBJECTS a RESPECT ELDERS a COMPASSIONATE
  • 64. Thus Achararasayana helps the individual in understanding the society to know the role of individual in society (Desakaala pramanajnam) and promotes the equilibrium in the physical, mental and subtle levels of our existence. The mention and practice of acara rasayana suits the modern mechanized, economy based world situation as stressed in WHO definition of health. Thus Ayurveda plays a vital role in bringing homeostasis of body and as well assense organs by concepts of Satvavaiaya chikitsa, Medhya rasayana, and Achara rasayana. Since Ayurvedictreatment is culture based, it is easily acceptable to patients andhence itis highly effective. ooooo To achieve something youve never aehieved loefore. you rnust becorne sorneone youve never been before ...
  • 65. Management of Clinical Problems of Kalaia fara (Aging)Prof Gurdip Singh Dr. Mandip KaurPh.D., Tripled Cold Medalist Y.61. (Ayu), Ph.D.Director PC Studies Lectu re rSDM College of AYurveda Hassan Department of KaYachikitsa IPCT&RA, Cujarat AYurveda University Jamnagar a group of natural diseases underthe heading of Svabha- . Sushruta has mentioned are ofBala-pravritta Vyadhi, which includes aging (Jara) also. Further the natural diseasestwo types i.e. Kalaja (mature) and Akalaja (premature). Therefore Jara (aging) according Akalajato Ayurveda is a natural phenomenon which is of two types viz. Kalaja Jara andJara (Sushruta Sutra 24:B).. According to Charaka, old age starts from 60 years onward while Sushruta considersit 70 years onward. Therefore the aging appearing after 60 years is Kalaja Jara (Mature (lmmature aging)aging), while aging occurring before 60 years of age is Akalaja JaraOut of these two types of aging Akalaja Jara (lmmature aging) can be avoided by sufficient (maturecare of daily and seasonal regimen or by the use of Rasayana, but Kalaja Jaraaging) is incurable. However Chakrapani is of the opinion that though Jara isNishpratyanika i.e. it can not be completely eliminated, Rasayana can delay the appearingof aging as well as can provide relief in its symptoms Sushruta advises the use of Rasayana drugs in the middle age or prior to it (PurveVayasi Madhye Va) for the prevention or delaying of aging, but if it has already appearedthen its symptoms can be managed by the use of Rasayana as well as by symptomatictreatment. Aging is a vast subject; however, here some common problems occurring duringKalaja Jara and their management is being discussed in brief. Nidana Parivariana points ln Ayurveda first measure of the treatment is Nidana Parivarjana. Following pertaining to the Nidana of aging may be avoided or corrected to prevent further of deterioration of the condition as well as to provide the relief in the existing symptoms the Kalaja Jara. Diet & Habits and Aging: Urban (Cramya) diet and sedentary habits have been considered as the cause of all the ills of the body leading to Jara, which may be avoided. Some of the important points are described as hereunder. Salt A Kshara and Aging: lf a pregnant lady eats excessive salt then her child will suffer from Vali, palitya and Khalitya, which are also signs of aging (Charaka Sharira 8:21) Excessive taking of salt leads to Vali, Palitya and Khalitya (Charaka Sutra 26:43). Similarly (Charaka Vimana excessive taking of Kshara (alkali) also leads to Palitya and Khalitya l :17).
  • 66. As wrinkles and gray and falling hair is thecommon features of aging, therefore intake ofsalt and Kshara may have some role in aging, therefore excessive use of salt and Ksharashould be avoided to prevent aging.Habits and Aging: Day sleep, excessive sex pleasure and wine, giving strain to body byfaulty posture or inordinate indulgence in exercise and over work (Charaka Chikitsa 1(ii):3)are the causative factors of aging which should be avoided.Mental Factors and Aging: Mental factors like fear, anger, griet, greed and infatuationare responsible for ill health including aging (Charaka Chikitsa 1(iv):3). Therefore thesefactors should be avoided.lll Health and Aging: By following the rules of Svasthavritta (daily and seasonal regimen),the Dhatus remain in healthy condition; thus free of diseases. The healthy tissue growthleads to delay in aging (Charaka Sharira 7:48). Otherwise aging may appear earlier orwith troublesome symptoms.Contraindications in Aged: ln Vriddha and Bala the treatment with Agni, Kshara anddrastic purgatives are contra-indicated, but if necessary then their mild form may beperformed (Sushruta Sutra 35:32).Management of Some Common Geriatric Diseases Following four are considered as the most common causes of incapacity in aged,which are termed as Ciants of Ceriatrics: - Delirium (Acute confusion) - Urinary incontinence - lmmobility - Falls ln addition depression, Mild Cognitive impairment (MCl), dementia and Parkinsonsdisease are seen.Depression The followings are the common causes of depression in aged which may be takencare by counseling: - With recent medical illness such as stroke, fracture, - Bereavement, - Lack of social support, - Recent nursing home admission, - Loneliness and living aloneTreatment:Principle of treatment is Ushna, Tikshana, Medhya and mood elevator drugs, Vajikaranaand Nasya
  • 67. The drugs include Jyotishmati oil, Ashvagandha, Vacha, LashunaSymptomatic Management; take care of underlying causeSatvaavajaya - Counsel ingUrinary lncontinenceUrinary lncontinence is a mosttroublesome problem to the patient as wellto the familymembers. ln addition to integrated control of lower urinary tract, the following problemsoutside the bladder may result in urinary incontinence(A). Delirium: ln cloudiness of mind, the aged person may not recognize the need of void as well as to locate the nearest toilet. lt resolves on clearing of the delirium lnfection: Urinary infections may lead to urinary incontinence, which should be treated to provide relief in the symptom.(c). Atrophic UrethritisiVeginitis: lt occurs in women and may be treated with low dose of estrogen or vaginal estrogen creams.(D). Psychologicat: Depression and psychosis are uncommon causes but treatable(E). Excess Urine Output: lt may be due to the use of diuretics, alcohol, excess fluid intake, and metabolic abnormalities such as hyperglycemia, hyper-calcaemia and diabetes insipidis. Nocturnal incontinence may also be due to mobilization of peripheral edema. Restricted mobility in aged may further hamper the access to a urinal or commode.(F). Stool impaction: Removal of impaction relieves the incontinence. (G). Stress lncontinence: lnstantaneous leakage of urine occurs in response to stress. It is most common in females and rare in males.Management: Urinary continence requires adequate mobility, mentation, motivation and manualdexterity (skillful performance), which may form the part of toilet training. Toilet training should include encouragement to anticipate the urge or regularemptying the bladder at regular interval of two hours or so. Facilitate access to lavatory.Adjust the dose of diuretics; Remove the fecal impaction; ln case of hypertrophy of bladderthen prescribe bladder relaxant-oxybutinin aiong with toilet training.ln case of stressincontinence exercises for pelvic floor are prescribed. lf the cause is prostrate, then manageit accordingly. As a last resort physical devices as catheters, urinals, incontinence padsor marsupial pants may be used. Mild Cognitive impairment (MCl) The cognitive changes particularly memory loss is a part of normal aging. ln between normal aging and Alzheimers disease (AD) there exists a stage known as Mild Cognitive impairment (MCl).
  • 68. ln MCI the person experiences a memory loss of greater extent than for that age. ltmay impair the capacity to perform every day activities significantly in the aged. Suchpatients may have high risk to develop Alzheirners disease.Management:1. Drug Therapy: Brahmi, Mandukaparnai and other Medhya Rasayana drugs which facilitate learning and improve memory may be used to manage cognitive deficits2. Diet: Mono-unsaturated fatty acids like Tila Taila and olive oil have protective effect. Caffeine in coffee may improve cognitive performance. Tea has also similar but little weaker effect. Carrot is very beneficial. Antioxidant food such spinach may be beneficial. Higher Vitamin C and beta-carotene levels have been shown to have a better memory performance.3. Lifestyle Changes: Mild exercises may show beneficial effects on psychological and cognitive functioning and well being in older people. Cetting for a walk may be enough to modify the usual age related decline in reaction time.4. Nutritional Supplement: lt has been shown that 1500 mg/day of acetyl-L-carnitine delays onset of age-related cognitive decline and improves over all cognitive functions of aged. lt has been reported that 300 mg /per day of phosphatidylserine causes significant improvement in behavioral and cognition. 30 to 60 mg/day of vinpocetine improves the symptoms of dementia and age related cognitive decline. Vitamin B6 (pyridoxine): Deficiency of B6 is common in aged. lt has been shown that 20 mg/day of 86 improves memory performance particularly of long term memory. 812 deficiency is not uncommon in aged and its supplementation may improvecognitivefunctionsinaged. Selegilinel0mg/dayandVitaminE2000 lUperdaydelaythe occurrence of loss of the ability to perform ADL and dementia.Melatonin is a hormone secreted by the pineal gland, which regulates sleep-wake cycle.Cognitive function is linked to adequate sleep and normal sleep-wake cycles. lt has beenshown that taking of 6 mg of melatonin two hours before bed time significantly improvessleep, mood, and memory including ability to remember previously remembered items.300 mg of Bacopa extract (Brahmi) enhance the several aspects of mental functions suchas learning ability and memory. Mandukaparni has been shown to enhance the immediate memory.Turmeric contains cucurmin, which is a potent polyphenolic antioxidant. ln experimentalstudies it has been reported that it is a promising drug for the prevention of AD.Cinkgo supplementation is considered as a safe and effective treatment of ARCD.100 to 150 mcg of Huperzine-A isolated from Chinese herb Huperzia (Huperzia serrata)given two times a day improves cognitive functions. lt was found more effective thanpiracetam in improving the minor memory loss associated with ARCD (age relatedcognitive deficit). l I . l
  • 69. Delirium (Tandra) from Delirium is a state of confusion with alternation of consciousness ranging a diurnal variationmild clouding to coma. ln aged the onset is generally rapid and has Visual or auditoryThe patient may not be able to recognize place, person and timeillusion and hallucinations are common. Memory pertaining to recent and immediate common symptomsevents is impaired but remote events are paradoxically recalled. Other cycle ie"are restlessness, hyper or hypo activity and sleeplessness. Reverse sleep-wakeday time drowsing and waking in the night may be there. Nocturnal walking or wandering may be theremay be there. The patient talking and performing like his occupationCauses of Delirium:physical Diseases: lnfections-high fever, hypoxia from cardiac or respiratory failure, severeanemia, fracture, seizure-related or structural changes in brain waterMetabolic causes: Hypoglycemia, diabetic pre coma, hepatic failure, uremia,depletion, water intoxication, hypokalemiaDrugs: ln elderly overdose of barbiturates, digitalis, anti-arrythmic drugs, tranquilizers,L-Dopa, anti-hypertensive etc may cause confusionNutritional Deficiency: Vitamin B12, Folic Acid, and nicotine and correctManagernent: Tandra Hara drugs, Buddhi prasadana, Svedana. Avoid the causethe deficiency. Nasya is also beneficial. Falls Fall may be defined as a sudden unintentional change in position causing the aged land on the ground or on lower level, but it should not be due to major intrinsic or extrinsic hazards like seizure and syncope. poor positional control, weak muscles, postural hypotension and uneven surface may be the main causes of falls. Sense of position in space is maintained by interaction between the vestibular system and sensory inputs by visual and sound and muscles ln aged, homeostasis is impaired due to loss of sense of sight and sound resulting in unsteadiness and fall. The aged persons when rise from the bed, due to decline in sensitivity of baroreceptos, they get orthostatic hypotension leading to fall. A. lntrinsic Causes of fall: 1. Neurological: Cognitive impairment, Postural instability, Visual impairment, Parkinson I gaildisorders/strokes, peripheral neuropathy 2. Musculoskeletal: Foot disorders-hammer toes, bunions (A painful swelling of the bursa of the first joint of the big toe), lower limb muscle weakness, osteoarthritis 3. Cardiovascular: Arrhythmias, vasodepressorsyndrome, aorticstenosis 4. Drugs: polypharmacy, sedatives/hypnotics, diuretics/vasodilators, antidepressant
  • 70. B. Extrinsic Causes of fall:1. Uneven ground surface, slippery floors2. Loose carpets, low lying objects3 Poor lightening or glare from lamps4. Low lying furniture or chair without arm support5. lnappropriate walking aids and foot wearsManifestation: The fall may result in subdural hematoma, may result in major injury likefracture, dislocations, lacerated wounds, Minor injury like contusion and abrasions andsoft tissue injuries like sprainManagement of Fall:o Fall Related Education: The patient is advised to rise from bed slowly to compensate orthostatic hypotension. During walking they may be advised to use canes and walkers. To improve sight and hearing proper glasses and hearing aids may be suggested.o Fault of the floor, lavatory, etc may be corrected.a Medication regimens may be modifiedo lmprovement in strength, balance and endurance may be achieved by muscle specific exercise of lower extremities. lt may help in improving the strengththereby improve walking capacity and prevent fall.o Endurance can be improved by repeatedly sitting and standing or walking with gradual increased speed exercise indoor or outdooro Aged should protect from infection or toxins to minimize the old age declining of the tissues as well as to increase the strength.Care of the health Problems of Aged Male and Female Health problems of male and female differ to some extent. ln male care should betaken for diabetes, hypertension, coronary artery diseases, prostrate problems, colo-rectalcarcinoma while in female osteoporosis and breast or cervical cancer are the problems.General Measures: Following general measures are suggested to keep the elderly free ofd i seases:o Ceneral health promotion by Rasayana:o Not to use tobacco, alcohol,o Vaccination/Naimittaka Rasayana to prevent frequent illnesseso Diet with supplements of Vitamins etcO Physical activities/moderate exerciseo Participation in social and community activitiesa Living in pollution free atmosphereo Yoga practices including meditation
  • 71. Roleof Rasayana in Management of Health Problems of Aged promoting effects of Singh G. (19g2) conducted a clinical trial on the immunityRasayana in Aged and reported that Mandukaparni (Hydrocotyle asiatica) significantlyincreases the serum lgC and lgM levels of the aged persons. Thus boost their capacity tofight out the infections. It was also found that Mandukaparni (Hydrocotyle asiatica) provides significant and dyspnearelief in the physical health problems of the aged such as fatigue, weaknesson exertion and increased appetite and ability to work. lt also provided significant fatigue and significantlyimprovement in the mental problems such as insomnia and mental Rasayana drugs can beincreased enthusiasm and immediate memory span. ln this wayused to manage many problems of the aged Further Hejamadi and Singh (1989) evaluated the Role of Rasayana in themanagement of health problems of 108 Aged persons. The results of this study showed increasesthat Balya Rsayana comprising of Bala, Varahikanda and Kapikacchu significantly improvedthe capacity of the aged in their adoption to stressful situations. lt significantlythe cardiovascular response and increased their memory. The other group of the aged in the same study was treated with Vayasthapana Rasayana containing Amalaki and Cuduchi. This Rasayana provided significant improvement in the age related parameters like renal filtration and skin wrinkling [t also significantly increased their capacity to adaptation to stressful situations. Y""I .otne1 but it is not scientific trials have been condueted to prove the efficacy of Rasayana drugs, feasible to quote all such research work here Ayurveda has been maintaining separate branch of Rasayana since time immernorial the which specifically deals with the problems of aging and advocates not merely adding years to life but believe in adding life to the each year of life. Hence Ayurveda has all the potentiality to deal with the health problems of the aged provided is given a chance to practice it with Government support and encouragement r------F --: -Integritv is the most valuab" -?------ ^-,-- #,i:;r;liinrrrhipt; Always keeP Your word ...
  • 72. Jara Shastra::A study of Dhatupaka Prof. Dr. K. Shiva Rama Prasad , M.D.(KC), C.O.P. (Cerman) M.A, Ph.D (Jyo) doctorksrp rasad@gma i l.com H.O.D., Dept. of Kayachikitsa (PC), DCM Ayurvedic Medical College, Kalasapur Road, Cadag- 582103, Karnataka. (cell: + 91-9448746450), doctorksrprasad@gmai l. com Ceriatrics (branch of medicine or social science dealing with the health and careof old people) and gerontology (the study of old age and the process of ageing) are definedas "branch of medical science that deals with diseases and problems specific toold people". The Ayurveda used the words such as Vruddha, Vardhakya, Jara, etc., to denotethe senescence i.e. ageing is defined as "The organic process of growing older and showingthe effects of increasing age under the influence of fourth dimension - Time". To be clearno where any importance is drawn to clarify or attribute disease origin with reference toage or age related condition descriptions are noted in Ayurvedic literature. Aging is a natural process of being and ultimately the being is subjected for death.The Vata out of Tridosha is prime factor for ageing which gets increased; Kapha inverselyand proportionally gets decreased. Rather than becoming old aged, Ayurveda describethe ageing as "Vruddha" i.e. growing further, as a state of development. The secondDosha in the process of ageing is Pitta, relates with Jara and Jarana. The word "Jara",personified as daughter of Death, is often used for digestion than to old age in Ayurveda.uCeri" of contemporary geriatrics developed from Jara denotes Dilapidation or Decrepitudei.e. state of deterior,ation due to long use or usage of body tissues or old age. The Jaraunderstood as "Paka" i.e. conversional process. The Dhatupaka, probably identified astechnical term with reference to tissue ageing in Ayurveda is suitable. Where the tissuesare growing older and transformed from active building state to the morbid state. Ofcourse the morbid growth is disease and the morbid melancholic state is death. Ayurve.dicliterature specifies the usage of medicaments for long living or retarding Dhatupaka,understood as retardation of ageing or slowing the Dhatupaka, termed as Rasayana. Common understanding to ageing is wrinkling of skin, loss of vision, teeth, etc,and in case of females we observe even the dropping of Breast. Bhavamishra, describingMahamarichadi Taila in Kusta compliments that, "if Mahamarichadi Taila Nasya is doneat the "Pradhame Vayasi" (puberty) of lady - even after attain the old age the breastnever drops". This statement is complimentary but not shown any specificity / significancetowards the Vardhakya janya Vyadhi or Jara Vyadhi. Many more researches are undertaken to observe the aging and its related pathologyto study from contemporary medical field and boosted the Ceriatrics as a specializedbranch. But in Ayurveda this branch neither has any significance nor importance, because
  • 73. the fundamental concept of Ayurveda defines bio-availability and sustenance of toxicfree tissue building and maintenance by Bio-fire, through out the life span and ultimatelya voluntary termination of biological needs. Thus, no wherein the Ayurveda death isdefined, but casually designated it as inevitability and transpiration of Life. Centenarians, though rare at a prevalence of approximately one per 10,000 inindustrialized countries, are among the fastest growing segment of our population. Familialstudies indicate that exceptional longevity runs strongly in families, but as of yet, few genetic :variations have been found to account for this survival advantage. lt is likely that the prevalenceof centenarians is increasing because achieving exceptional old age is multi factorial A number of factors important to such longevity are becoming more prevalent withmodern public health measures and interventions. Such a multiple trait model would predictthat the more extreme the phenotype, the more likely discernible environmental and geneticcharacteristics are to be discovered that are important to achieving very old age, much of itdisability-free. Thus studies of families highly clustered for longevity or studies of super-centenarains, people age 110 and older, hold promise of facilitating such discoveries. Frailty, The state of being weak in health or body - especially from old age is acommon phenomenon. The process of biological aging is a complex phenomenon,depending on a manifold of different parameters, including nature of the organism,lifestyle, diet, and so forth. ln order to compare different aging phenotypes, a globalqualitative and quantitative proteomic analysis of different species is necessary. The development and application of high-throughput methods to study aspects ofaging-related biology are among the key forces driving the field. New hypotheses arebeing developed, and new questions are being asked on a genome-wide scale. High-throughput technologies offer many advantages over traditional methods, but they alsopresent new pitfalls for the unwary. The U.S. National Library of Medicines Online Mendelianlnheritance in Man (OMIM) catalogs human genes and disorders. Although it doesnt focus onaging-related conditions, it contains information about many diseases that disproportionatelyaffect the elderly. For example, searching for "Parkinsons Disease" produces a list of severaldozen gafi€s; Telomeres are the physical ends of linear eukaryotic chromosomes. ln many organisms, including humans and yeasts, telomeres are composed of short repeated DNA sequences and their associated proteins. Many human somatic cells do not express sufficient telomerase activity to preventtelomere repeat loss, resulting in cellsenescenceordeath when telomeres shorten to a critical length. This telomere length checkpoint for aging and cell growth is also seen in yeast whose genes for telomerase components have been deleted, allowing yeast to serve as a model for telomere linked senescence and aging in human cells. Neurodegenerative diseases are characterized by progressive impairment of brain function as a consequence of ongoing neuronal cell death. Apoptotic mechanisms have been implicated in this process, but the immature brain differs from the adult brain in its sensitivity. Several observational
  • 74. studies have shown that elderly men experience a steeper decline in cognitive function and have lower cognitive performance than women. ln a study of 150 elderly men and women withotlt dementia, positive associations were found between endogenous estradiol levels and performance on verbal memory tasks in women but not in men. Traditionally, the onr"i and progression of menopause in humans has been attributed to ovarian follicular decline. Because the follicles are the primary source of circulating estrogens, these age-related changes lead to a number of symptoms such as hot flashes, mood swings, irritability, and depression, as well as increased risk of osteoporosis, cardiovascular disease, and age-associated diseases. Recent research indicates that along with the ovarian changes at menopause, the hypothalamic and pituitary levels of the reproductive axis also undergo significant changes during reproductive aging. Nutritional lnterventions Based on Mitochondrial Aging, Free Radicals and Caloric Restriction studies opens new dimensions in the field of long living. Evolution by natural selection works through differential reproductive success. lndividuals with higher reproductive rates and better survival of themselves and their offspring pass more genes to future generations. By managing the flow, distribution, and rate of consumption of finite supplies of glucose and fat among competing physiological needs, hormones implement trade-offs between investment in growth, reproduction, and survival. lncreased circulating glucose benefits the basic metabolic function of important tissues such as the brain, which is entirely dependent on glucose. Thus the Ayurvedic Rasayana and Vajikarana are necessitates for long living underthe influence of Vata (genetically and neurologically) and pitta (Hormonal and enzymatic).Many questions arise in the process of understanding these branches of Ayurveda. WhileAyurvedic fraternity is dreaming about their past glory, the contemporary medical branchesare leading towards success. It is very much necessary for the Ayurveda to define, demarcate, declare, discriminate,distinguish and demonstratethe Rasayana as "Jara Chikitsa". The study may be framed at Two tire/ states of study, viz. 1) Structural based Rasayana study include tissues /Organs i.e. muscle, bone; brain, heart, etc. 2) Functional based Rasayana study include immunity, fitness, sexuality, sense activity, transportation, etc. The third method of study is Problem oriented study where the weight loss, obesity, dehydration, anorexia, insomnia, etc. conditions commonly observed with old age or a direct study of Disease oriented study in old age such as Hypertension, Parkinsonism, Alzheimers disease, anemia, constipation, etc. are considered. Ayurvedic doctors wakeup irnmediately; long walk is ahead.,Further reading: o P. Michael Conn, Handbook of Models for Human Aging, 2006, Elsevier Academic press, 30 Corporate Drive, Suite 400, Burlington, MA OIBO3, LJSA . John E. Morley & David R. Thomas, CER|ATRIC NUIR/T/ON , 2007 by Taylor & Francis Croup, LLC o Stephen C. Stearns and lacob C. Koella, Evolution in Health and Disease, Second Edition, 2008, Oxford lJniversity Press Inc., New Yorka NA TA LIEL. RASCON, fhe Effectsof EstrogenonBrainFunction,2OO6,ThelohnsHopkins Un ivers ity P ress, B alt i more
  • 75. Active Ageing and Healthy Life Expectancy: Ayurvedic PersPective Vaidya Pawankumar Godatwar Assistant Professor, National lnstitute of Ayurveda, Jaipur The goal of life is to die young as late as possible Astle montegue.tntroduction Ageing is inevitable, everybody knows this. But it is a universal desire to beyoung always. Many efforts have been made to understand the mystery of the ageingSince the time of the Vedas these efforts are continuing. The phenomenon of ageing isunwanted by everyone more so When it occurs early or prematurely. Stories abound in ancient lndian philosophy depicting the vagaries of ageing andold age. The triad of suffering common to mankind and which becomes aggravated duringthe old age are: the fear of death, the despair of the absurd and not knowing the lifesmeaning (apavarga) and the sadness of loneliness. Approach towards some of these areoffered by the instances of a cheerful acceptance of death by king Parikshit and summoning ofdeath voluntarily by Bhishma (lchhamrutyu). ln contrast, there is the pathetic attemptyayati to cling to youth.l According to Shankaracharya the anxiety and distress of old age arise from unending and unabated desires and difficulties of adjustment-"The body has worn-out; the head has turned all grey; the mouth has losf all its teeth. The old man goes about leaning on stick; yet he hugs himself to a bundle of desires"2 sn This specter of old age was a spectacle of misery artd sorrow which gave the impetus olcl aseto a prince 2500 years ago to renounce everything and attain the status of BUDDHAThis revulsion for old age is also seen in the legend of Alexanders quest for immortality ofx{ere Nexander (eRaRqet mttno(ati1 and e,hsoses death over otd age on the verge drinking the Aabe-hayat (water of lmmortality), when he is shown the miserable lives of old men by his guide Khizr.3 ln sharp contrast is the approach of the Upanishads - active and joyful ageing: " Kurvaniveh Karmani !ijivasat satam samh: evam tvai naanyatathosti na karma lipyate nare" (in this world one should desire to live a hundred years but only by performing actions; thus and in no other way can man be free from the taint of action).4 Bhishma gave a long discourse on longevity in Mahabharata. This discourse pertains to the code of conduct that would prolong life or diminish longevity. The latter alludes to and lack of fine suctr negative features like atheism, licentious living, negative emotions, art skill; on the other hand periodical dwelling in the forest, consuming of milk, Codaan, sleeping habits, diet, bathing, and performance of holy rituals, healthy sexual and excretory habits and cleanliness of body and clothes help to prolong life.s This, coming from a man bestowed with the power of lccha-Mrityu implies that ageing gracefully with dignity is but a matter of lccha -choice. ln charaka samhita it is stated that by using
  • 76. ,Chyavanaprasha (a Rasayana Yoga) in proper way and dosage Chyavana who wasvery ord turned young (charaka chikitsa. 1172). Further it is said that consumption of age (Jarakrita Rupa) but also gives aChyavanaprasha not only eradicates the signs of old in detail with the problemsyouthful appearance (Charaka chikitsa 1t7/i) AYUrveda deals generally used for old age in Ayurvedaof ageing, premature ageing, senility etc. The word is fARA. , t.a Ageing that takes place before its l The term Jara literally means loss in life spanKala (time) i.e. premature aging is called Akalaja Jara For old persons terms like Pravaya are used as synonyms The term Pravaya indicatesJirna, sthavirrya, vriddha, and Jaran term sthavirrya indicates about the incapacitythe elapsing of the years after the birth, the Vriddha is used for the mature personor the impairment of the movemenu the termwhereas Jirna and Jaran are indicative of the increased cataboric and degenerative processesAccordingtoAyurveda,oldageisanaturaldiseasewhichisirremediable.ln disease which is meant to be treated contrast premature old age is an unnatural ContemPorarY issues has been observed The clobally, a significant increase in the life expectancy mortality rates has resulted in large and combination of low fertility67 and declining old age as successively larger cohorts step into rapid increases in the elderly population, is beginning to narrow the age structure at its The transition from high to low fertility population base and broaden the same at the top, contributing to the expected shift from a improvement in life expectancy at all ages pyramid to a population tower.s ln addition, people thus intensifvi.n.q the ageing process has resulted in the survival of more elderly of the elderly within the population has The resultant higher growth in the proportion phenomenon.e rhe proportion of the elderly in been referred to as the population ageing theworldpopulationisexpectedtoincreaserapidlyfroml0.0%in2000,15.0%in2o25 that Too6 of the worrds elderly population and 21.1% in 205o.ro rt has been estimated ln lndia, the second rnost populous country in are and will be in developing countries.ll theworld,thereisarapidlygrowingpopulationofolderadults.Theabsolutenumberof 137 million by the year 2O21 a drastic increase the elderly in lndia is projected to reach ageing population in lndia has been faster from B1 million in 2002. The growth in the thanin,otherdevelopingcountries.lnlg4T,whenlndiabecameindependentofBritish years The life expectancy has nearly doubled rule, life expectancy wavered around 32 to 74 years by 2045-205012 While. to 63 years in 2000 with the projected increase years, lndia has seen this over a period of 125 countries like France experienced the shift life of approximately 35 years while extended change in a greatly condensed timespan does not mean that extra years will be healthy expectancy is a great achievement, it the elderly Health Challenges in.lndia: Disability among on the social, economic, and health Ageing is saii to put an increased burden to ensuring the quality of life of the ageing care demands of all countries. A challenge developing population is the double Oud"
  • 77. alongcountries. These countries still struggle with infectious diseases and malnutritionwith the recent, rapid growth of non-communicable diseases such as diabetes,cardiovascular diseases, and hypertension, as well as disability caused by age-relatedchanges in physical health; including mobility and ability to perform activities of dailyliving.r3 ln lndia, 75olo af the elderly individuals are afflicted by physical disabilities suchas vision and hearing problems, locomotor and speech difficulties and mental healthissues.ra 7S1, otdisabled live in rural areas and only 25% reside in urban areas. Similarly,vision and mental disabilities have been higher in urban areas as compared with ruralareas. On the other hand, hearing and movement disabilities are higher in rural areas. lnmapping chronic disease patterns, similar trends are observed for the prevalence of chronicdiseases. Sixty percent of old age population above 70 years in lndia are reported to behaving at least one chronic ailment, and 40% of rural elderly women and 36% of ruralmen suffer from joint pains.l5Active Ageing and Healthy Life Expectancy The World Health Organization (WHO) discussion paper on health and ageingindicated that "we can afford to get old if countries, regions and international organizationsenactactive ageingpolicies and programmes that enhance the health, independence,and productivity of older women and men. The time to plan and to act is now".16 Active ageing is the process of optimizing opportunities for physical, social and mental well-being throughoutthe life course in order to extend healthy life expectancy. Here active refers to continuing involvement in social, economic, spiritual, cultural and civic affairs, not just the ability to be physically active; active ageing refers to the process of extending healthy life expectancy, productivity, andiquality of life in old age. Similar outlooks have been conveyed in the 2002 lnternational Strategy for Action on Ageing and other national strategies on aging such as the lndian National Policy on Older Persons (1999) and the Older Persons (Maintenance, Care and Protection) Bill (2005).1z It is now understood that life expectancy alone does not serve the purpose ofnreasuring health status any more for the ageing population with increasing prevalence of disability and chronic diseases. lncreased longevity without quality of life is worthless. Healthy life expectancy combines information on mortality and morbidity to indicate the health of a particular population. lt is very important to monitor the level of and change in physical and/or mental well being of a population. The concept of healthy life expectancy was developed by Sullivan in 1970s.t8,re Recently there have been a number of studies examining healthy life expectancy in the OECD countries (such as Canada, United States of America, & Australia), Brazil, Japan, Netherlands, Lithuania, Russian 2t Federation, China and other parts of the world.2o,
  • 78. Role of Ayurveda in healthy life expectancy The studies world over have shown differentialsin healthy life expectancy basedon factors such as age, gender, socio-economic status, regional variation, and lifestylepractices such as smoking and diet. For centuries, Ayurveda has been emphasizing theregulation of these factors in terms of dinacharya, Ritu charya, sadvritta and other aspectsof Swastha vritta for healthy life expectancy. ln the 25h chapter of Sutra Sthana, while describing the best Bhavas, Charaka hasmentioned Jara as Yapya. Yapya is partial amenability of disease to treatments. A personlives with the disorder without complete cure but without getting overwhelmed by thedisease if proper treatment is taken. lt is said that in Yapya stage, the disease recursimmediately after the treatment is withdrawn. This means, a healthy life expectancy canbe achieved with measures such as proper diet, Rasdyana and other measures likeAbhyanga etc, so that its ill effects of age are controlled. RasAyana is not the completetreatment for Jara, as it can just check or delay the process of ageing for some time, but itcannot be retarded and as soon as the effect of RasAyana is over the process of ageingstarts again. While describing the Samanyaja Vyadhi Sushruta has given reason for prematureageing as "Apariraksanakrita Akalaja.1 Here the word Apariraksana Krita means thosewho have not followed the Dinacharya (Daily regimen) and Ritucharya (Seasonal regimen)properly, and did not undertake Shodhana at proper time and in proper way. Dinacharyais described in such a way that the adverse changes in the Dosha, Dhatus etc. may bemade reversible or minimized as per circadian rhythm. The same is about the Ritucharya.lf one is not following Dincharya and Ritucharya properly he may get disturbance in hishomeostasis. lf this process continues for some time, then the person may get ageingearlier than the prescribed time. Lifestyle was a prominent cause of diseases and ageingin the ancient times also (Charaka Chiktsa. 1(ll)/3); some of the lifestyle issues affectinghealthy ageing are as follows:Diet articles and habits:Satt and lara (Ageing): Charaka mentions that if a pregnant lady eats excessive salt, then her child willsuffer from Vali (wrinkles), Palita (grey hair) and Khalitya (baldness) which are also theexternal sign of aging (Charaka Sharira 821). Excessive use of Lavana, by a person also leads to Vali, Palita and Khalitya (charakalutra 26:43, Charaka vimana 1:18). Similarly the excessive use of Kshara also leads toKhalitya and Palitya (Charaka vimana "l:17). As wrinkles, grey hair and baldness are the important signs of old age, so, possiblythere may be any relation of excessive taking of salt and Kshara (alkaline substances)with ageing. Vagbhatta has mentioned the use of Atilavana Rasa as Achaksusya-harmfulfor,eyes. The modern medicine has also found a causative relationship between high saltintake and Hypertension - a disease mostly found in old age.
  • 79. Habits and ageing: There are few habits relating to town dwellings, which have also been heldresponsible for ill-health and ageing. These habits are excessive indulgence in sexualpleasure and alcohol, staying awake for long hours in the night, giving strain to the bodyby faulty or inordinate indulgence in exercise and over work (Charaka Chikitsa 1 (ll)/3).Mental factors and ageing: Factors like fear, anger, grief, greed and infatuation have also been consideredresponsible of ill-health including ageing (Charaka Chikitsa 1 (ll)/3)lll-health and ageing: Charaka clearly mentions that if one follows the rules of Svasthavritta (daily andseasonal routine for health) then Dhatu (Tissues) remain in healthy conditions, thus-therewill be no disease. ln this way the tissues will grew or regenerate in proper mannerwhich result in delaying the Jara (Charaka Sutra 7148). From the above observation itmay be said that the remaining of bodily tissues in the healthy condition delay the ageing.On the other hand if the bodily tissues frequently suffer from ill-health or remain inunhealthy state, then aging may come earlier.Environment and Allied Factors: Charaka is of the view that life span of an individual is determined by the twofactors viz. Daiva (action of the previous life) and Purushakrita (action of the presentlife). A weak Daiva get subdued by a strong Purshakara. Similarly a strong Daiva subduesPurushakara and because of this it is said that the span of life is invariably predetermined.Effect of strong Daiva is invariably manifested, but the time of this manifestation isconditioned by the availability of a congenial atmosphere (Charaka Virirana 3/33-35). Chakrapani clarifies thatthe Daiva may be conducive to long life, but if it is weakand the individual resorts to unwholesome diet etc. which if strong enough maylead tohis death. On the other hand when in spite of suitable treatment one dies then theconclusion drawn is thatthe death is predetermined by Daiva. Time of manifestation ofthe effect of such action is, however, cpnditioned by the availability of congenialatmosphere. For instance people who go in for a battle are more likely to be killed withdeadly weapons in comparison to others. Similarly an earthen jar of water is exposed todamaging forces and is likely to get destroyed sooner than an ornamental vessel which isnot exposed to such damaging forces. ln this way the span of life depends by and large tofavourable and unfavourable conditions (Chakrapani on Charaka Vimana 3/33-36)ln ancient lndian Mythology, Amrita the divine Nectar of Cods was said to provide eternalyouth and as Acharya Charaka states, Ayurveda is foremost among the amritas - Ayurvedo amritaanaam.22 Ayurveda can contribute significantly to the concept of Active ageingand healthy life expectancy.
  • 80. References I Mahabharata 2 Rajagopalachari C. Bhaja Covindam, Bhartiya Vidhya Bhavan, Mumbai. 1965 s lslamic mythology. Mirza Chalib has succinctly captured the irony in his couplet:Kya kiya Khizr ne Sikander seAb kya kise rahnuma kare koi. a lshavasya Upanishad 2 5 Anushasana Parva, Mahabharata 6 Carlson E, Ciwercman A, Keiding N et al. Evidence for decreasing quality of semen during the past 50years. BMJ 1992; 3O5:609-1 3. TJacques A, et al. Decline in Semen Quality Among Fertile Men in Paris During the Past 20 Years, NewEngland Journal of Medicine, Vol 332, No. 5, February 2, 1995, pgs 281-2858 Johnson CS, Ageing and Healthy Life Expectancy, Journal of The lndian Academy of Ceriatrics,Yol.4,No. 2, June, 2008 e United Nations Population Division, Department of Economic and Social Affairs, United Nations Secretariat.The Ageing of the Worlds Population,2002. 0 United Nations Statistics Division. Demographic Yearbook 1999. United Nations, Geneva. Availablef rom : http://wryw. u n. orglN ews/Press/do csl 2OO 1 I dev 2342.doc. htm " World Health Organization. Healthy Ageing. A WHO publication, Ceneva, 2001. r2 United Nations Population Division, Department of Economic and Social Affairs, United Nations Secretariat.The Ageing of the Worlds Population , 2OO2.13Manton KC, Stallard E, Corder LS, Thedynamicsof dimensionsof age-related disability 1982 to 1994inthe US elderly population. JCerontol A Biol Sci Med Sci 1998;53:59-70.a National Sample Survey Organisation. The aged in lndia: a socio-economic profile. A Socio-EconomicProfile Report No.446 http://mospi.nic.in/repto/o20_%20pubnl446_(inal.pdt s Cupta l, Sankar D. Health of the elderly in lndia: a multivariate analysis. lournal of Health & Populationi n D ev e I op i n g Co u ntr i e s /http://www. i egi nd ia.o rgld is_i nd_46. pdf 16 World Health Organization. Healthy Ageing. A WHO publication, Geneva, 2001. r7 United Nations Population Division, Department of Economic and Social Affairs, United Nations Secretariat.The Ageing of the Worlds Population,2OO2. s Sullivan DF. A single index of mortality and morbidity. HSMHA Health Rep 1971;86:347-354. re Sullivan DF. Disability components for an index of health. Vital and health statistics.Series 2(42) Rockville,MD. National Centre for Health Statistics. 1971.20 Mathers CD, Sadana R, Salomon JA, et al. Healthy life expectancy in 191 countries,lggg. Lancet2OOl;357:1685-1691.2Mathers CD, lburg KM, Salomon JA, et al. Clobal patterns of healthy life expectancy in the year 2OO2.BMC Public Health 2OO4;4:66. 22 Charaka Sootra Sthana 25140
  • 81. ANTI OXIDANTS IN RASASASTRA - AN ANALYTICAL APPROACH IN NEURO. DECENERATIVE DISORDERS Dr Prashanth.A.S Assistant Professor Dept of PC Studies in Kaya chikithsa AYURVEDA MAHAVIDYALAYA HUBLI lntroduction: A substance capable of neutralizing the oxygen free radicals which internally retards or prevents , deterioration or destruction of cells caused by oxidation. The body contains its own natural Antioxidants but there is growing medical interest in the possibility of controlling cells and tissue damage by means of supplementary Antioxidants. Evidence is accumulating of these substance can reduce the incidence of a number of serious d i seases. Role of oxidation in Neuro- Degenerative Disorders: The oxidation hypothesis suggested that free radical damage resulting from Doparnine oxidative metabolism plays a role in devetopment or progression of degenerative disorders. The oxidative metabolism of Dopamine teads to Hydrogen peroxide, which is cleared by Clutathione. lf.Hydrogen peroxide is not adeq.uately cleared it may lead to formation of highly reactive Hydroxyl radical, which react with cell membrane lipids to cause lipid oxidation and cell damage will occur Brain as well as nervous system is more sensitive to free radical damage. ln parkinsons disease substantia nigra gets attacked by which they cannot generate neurotransmitter dopamine due to oxidant effect. Another major chronic neurological disorder, Alzheimers disease, is also due to free radical reaction where in the increased intracellular deposition of neurotoxin substances occur. lt is believed that oxidants may attack normal bio molecules to create antigens and may contribute to cell damage. When lesions are wide spread and auto antibodies are present against many tissues leads to the neurological disorders. Ctassification according to PATHOPHYSIOLOGTCALSTRUCTURAT aspects l.Related with progressive dementia with /without prominent neurologic signsi" Eg:Ii Alzheimers disease - Rajoguna dusti, vata kopa, Majja dhathu ksaya. Picks disease - Rajoguna dusti,Vata koPa. Huntingtons disease - Avrita Vata(pranavritavyana laxanas are observed) 2. Classification according to abnormal Gait/Movements Eg Paralysis agitans vata kopa, rajoguna dusti and majjadhaatu kshaya manifested (Parkinsons disease)
  • 82. Striaton i gral degeneration Snayu Cata vata Tortion dystonia Snayu Cata vata/Dhamani gata vata Spasmodic torticollis - greeva hundana, manyasthamba Familal tremor vepathu- kampa3. Wasting disorders with or without sensory system involvementtgAmyotrophic lateral Sclerosis Vata kopa , Majja dhaathu kshayaSpinal muscular atrophy Maamsa kshayaPrimary Lateral Sclerosis Vata kopa, Majja dhaatu kshayaHereditary Spastic Paraplegia Sarvanga RogaPeroneal muscular Atrophy padabh ramshaHypotrophy i nterstiti alPolyneropathy Supta vata4. Related with ANS FailureEgShy- Dragger syndrome- Majja dhatu Kshaya,Aavruta Vaata(prana-apana Vata involvement)5. Related with Progressive visual lossEgRetinitis Pigmentosa - Tarpaka Kapha kshaya, Alochaka pitta, Majja dhathu kshayaHered itary optic atrophy - Tarpaka kapha vikrithiUnderstanding of Degeneration through Ayurveda: Bala is the functional co- ordination of various cells tissues, organs & system asevident from various classical descriptions. The importance of food ,as said by Charakais that Ahara sambhavam vastu Rogaschaahara sambhavaha lntake of healthy food considering the different condition is a must for themaintenance of dhaatu sthiratwam .lncompatibility which happens during processing, inthe quantity, potency; time, place of collection, method of usage, digestive capacity ofthe person, order of intake etc. produces endogenous toxins inside the body. lt producesserious disease like infertility, rheumatoid arthritis, blindness, and skin diseases.so on.The physiological and biochemical changes happening inside the body are very muchinfluenced by these factors and causes degeneration.Causes of Oxidation:Endogenous ExogenousEx : Energy Ceneration - Bacterial , fungal or viral infections from Mitochondria - Detoxification reaction involving the liver - Cigarette smoking - gas phase rich in
  • 83. Cytoch rome P-450 systemfree radica.ls Drug metabolism - Paracetamol Radiation -x-ray, ult.ra violet lightAction of Antioxidants:o They may reduce the energy of the free radicalo Preventive (Suppress radical formation)O Radical scavengers( Break chain propagation)o Repair ( Repair damage and reconstitute membranes)Sources of Oxidants:Enzymes Eg:- Super oxide dismutase (SOD), Co-EnzymeQ.10Hormones Eg:- Melatonin t :N utrients Eg:-Clutathione, Alpha LipoicVitamins Eg:-:Vit, A,C,EMinerals - Egr- Zinc, Selenium, Copper, Cold, Manganese, SilverNote.: Metals such as mercury, cadmium and lead are exogenous sources of free radicalsespecially in improper form.RASA SHASTRA(Ayurvedic alchemy): Rasa shastra is a specialized field of Ayurvedic pharmaceutics which deals withminerals, animals and herbal products fdr therapeutic purpose.lThe oblect of Rasa shastraare Dhaatu vaada and Deha vaada, The main aim of Deha vaada is RASAYANA in otherwords they prevent the degeneration. This reflects that Rasa dravyas are having AntiOxidant propertiesSelection of Therapeutics:1. AmpachanaEg. Hinguleshwar Ras Shankha bhasma Kapardika bhasma Agnitundi rasa2. Shamana Mallasindoora Thalakeshavar Ras Candhaka Rasayana3. Rasayana yogas(bhasmas) Swarna bhasma . Roupya bhasma Tamra bhasma Abhraka bhasma
  • 84. +++ ++ ++ ++++++++ +@+ + + + + ++ + + + + + + + + + Trivanga bhasma Yasada bhasma Vaikranta bhasma Loha Bhasma Swarnamakshika BhasmaAnti Oxidation by Metals in Neuro- Degenerative Disorders: The metallic value in body is very less but they had active participation incounteracting of free radicals which are caused by Oxidation. Certain areas of the brainex-: Clobus pallidus and substantia nigra often contain high amount of iron. Excess ironenhances oxidative reaction and consequent injury to the nervous system. lt is thereforenot surprising not that antioxidant supplement have been successfully used to improvethe functioning of the brain in people who are aging normally as well as person sufferingfrom neurodegenerative disease such as stroke Alzheimers and parkinsons disease etc.A few metals have been have recognized as having anti oxidant property by the modernscienceCopper (Cu): Copper is essential component of protein ( eg.throcuprein, hepatocuprein) andenzymes (eg. Lysylhydroxlase, dopamine beta- hydroxyls). This metal is thought to act as a catalyst in the storage and release of iron to fromhemoglobin (American Medical Association, 1995) lts ability to catalyze the oxidationof ferrous ions to the ferric state ( ferroxidase activity) makes it an important anti oxidantin CNS Degeneration. It is also having the effect on centers of brain ex- vomiting center etc because ofits anti oxidant property. The medicinal forms which are related to copper are swarnamakshikabhasma, taamra bhasma , thutha bhasma and pittala rasayana.Manganese (Mg): Manganese shows a free radical scavenging activity. The chain breaking antioxidantcapacity of manganese seems to be related to the rapid quenching of peroxyl radicals(Cossin .M). According to some authors, it is considerd as Vaikranta and included undermaharasa groupZinc (Zn)z According to some publications of United Kingdom, nutrient intake for Zinc is 7mg for women and 9.5mg for men. Zinc is essential component of many enzymes including carbonic anhydarase,alcohol dehydrogenize and alkaline phosphatase. Zinc has been shown to have an antioxidant role in defined chemical systems. Two mechanisms of activity are postulated ie., sulfhydryl group against oxidation and the inhibition of the production of reactive oxygen by transition metals. Administration of pharmacological
  • 85. ++ ++ + + ++ + + + + + ++ +@+ + + + + + ++ + ++ ++ + + + pro-oxidants, Dietarydoses of zinc has a protective effect against general and liver specificzinc deficiency caused increases susceptibility to oxidative damageSelenium: Selenium is part of enzyme glutathione peroxidase which prevents hydroperoxidase from accumulating in lipids of cell membrane and prevents the degeneration consideredAs per the author of Rasa Tharangini, Chapala, is co-related to selenium andas one of maharasas. Among the medicines which are explained in Rasa Shastra, Cold, Silver, Copper mediaand Abhraka are having hopeful result in CNS Degeneration but administrative BBB becauseare important. The Chrita which contain anti oxidants and also helps crossingof fatty content in it and madhu is also explained as anupana.Combination of drugs -in C.N.S. degeneration:- Swarna Bhasama with Bala moola kwath - shiraha kampa- Swarna Bhasama + Rasasindoor +Abraka Basama with shanka pushpi Choorna - Apasmara(Epilepsy) Roupa Bhasma with Purana Chrita- smruti Nasa(Amentia) - Tamra Bhasma with Trikatu - Hasta, Creeva kampa, pakshaghat (Hemiplegia) CONCLUSION:- Some of the herbomineral preparations like Brhatvata Chintamani rasa, Yogendra Rasa, Kampavatari rasa, Vatakulantaka rasa, Smritisagara rasa, Brahmi vati(svarnayukta), Apatantrakari rasa etc pharmaceutical preparations are widely indicated in CNS disorders and Neuro-degenerative disorders with specific Anupana can be explained as having effective rasayana benefits, antioxidant effects, neuro-regenerative effectiveness. Anions and cations in mineral compounds helps in electron exchange as well as having stimulatory effect over neuro endocrinal, neuromuscular and sensory motor pathways. The use of Vasantakusumakara rasa(swarnayukta) in diabetic sensory motor neuropathy, application of Swarnamalinivasanta in nutritional disorders and advocation of Kaminividravana rasa in male erectile dysfunction etc has got definitive neurotonic effects.
  • 86. ARTICLESI GUEST SPEAKERS
  • 87. "RASAYANA" - PAST, PRESENT AND FUTURE Dr. N. Anjaneya MurthY M.D. (Ayu), Sahitya Shastry, F.|-C.A, (USA) Professor and HOD Department of P.C. Studies in Ayurveda Siddhanta CAMC., Mysore.. Ayurveda deals with_the prevention and cure of various diseases, while it givesmore emphasis on preventive aspects. Further this f reventive aspect is divided into twotherapeutic branches i.e, Raiayana Tantra andVajeekarana Tantra. Rasayana tantradescribes different ways to achieve positive health and not merely disease free stage byusing different drugs originated from herbo, herbo- mineral, metallic and animal products.The term Rasayana used in Ayurveda denotes a specific meaning. Drugs, diet and regim.enwhich promote longevity by retarding the process of ageing and preventing diseases. ln anrlt shell, Rasayana therapy enhances the Vyadhi kshamatva and serves the mankind inmanifold ways. ln our classics we have detailed description of Kuti praveshika Rasayana whichhas seen many ups and downs. What we find in present day text books is only in the formof fossil science representing a glorious elaborate practical science. We scientificcommunity, have done experiments on several aspects of Rasayana including Kutipraveshika Rasayana. There are very bright plans for the future. ln the full paper detailsabout the past, present and future of this elixir of humanity i.e. Rasayana with interestinganecdotes will be presented.
  • 88. ALZHEIMERS DISEASE AND AYURVEDIC APPROACH By Prof. Y.K. Sharma M.D.(Ay) Kayachikitsa, Ph.D (Ceriatrics), Prof. P.D.Department of Kayachikitsa, Rajiv Candhi Covt Post Craduate Ayurvedic College,Paprola-Himachal Pradesh - 1761 15. E.mai l: dryks2@gmai LcomDefinition: Alzheimers disease (AD), one form of dementia, is a progressive, degenerativebrain disease. lt affects memory, thinking, and behavior. Memory impairment is a necessaryfeature for the diagnosis of this or any type of dementia. Change in one of the followingareas must also be present i.e. language, decision-making ability, judgment, attention,and other areas of mental function and personality.The rate of progression is different foreach person. lf AD develops rapidly, it is likely to continue to progress rapidly. lf it hasbeen slow to progress, it will likely continue on a slow course. About 10 percent of allpeople over 70 have significant memory problems and about half of those are due to AD.The nuniber of people with AD doubles each decade past age 70. Having a close bloodrelative who deyeloped AD increases your risk. This is one of the presentations of Akalajaradescribed in Ayurveda though the Mansik componant is more involved in this comparedto Shararirik.Causes: The older you get, the greater your risk of developing AD, although it is not apart of normal aging. Family history is another common risk factor.ln addition to age andfamily history, risk factors for AD may include:a Longstanding high blood pressureo History of head traumao High levels of homocysteine (a body chemical that contributes to chronic illnesses such as heart disease, depression, and possibly AD) Female gender - because women usually live longer than men, they are more likely to develop AD The cause of AD is not entirely known but is thought to include both genetic andenvironmental factors. R diagnosis of AD is made based on characteristic symptoms andby excluding other causes of dementia. Prior theories regarding the accumulation ofaluminum, lead, mercury, and other substances in the brain leading to AD have beendisproved. The only way to know for certain that someone had AD is by microscopicexamination of a sample of brain tissue after death. Though Ayurveda considers Jara oroldage as a Swabhawaja or natural phenomenon still premature aging or dispropornateloss of mental faculties compared to Sharirik Can not be considered as natural . Accordingto Ayurveda Bhuddhi or cognitive functions of an aging individual should start regressingonly when one is in eighties any loss before that is definitely premature. The BiologicatAge(Vaya) of a patient is out of proporation to Chronological age( Ayu) in AD.
  • 89. Types: There are two types of AD - early onset and late onset. ln early onset AD, symptomsfirst appear before age 60. Early onset AD is much less common, accounting for only 5-10% of cases. However, it tends to progress rapidly.pathophysiology: The brain tissue shows "neurofibrillary tangles" (twisted fragments ofprotein within nerve cells that clog up the cell), "neuritic plaques" (abnormal clusters ofdead and dying nerve cells, other brain cells, and protein), and "senile plaques" (areaswhere products of dying nerve cells have accumulated around protein). The brains ofindividuals with Alzheimers have an abundance of plaques and tangles. Plaques aredeposits of a protein fragment called beta-amyloid that build up in the spaces betweennerve cells. Tangles are twisted fibers of another protein called TAU that build up insidecells. Although these changes occur to some extent in all brains with age, there are manymore of them in the brains of people with AD.The destruction of nerve cells (neurons)leads to a decrease in neurotransmitters (substances secreted by a neuron to send a messageto another neuron). The correct balance of neurotransmitters is critical to the brain. Bycausing both structural and chemical problems in the brain, AD appears to disconnectareas of the brain that normally work together.We in Ayurveda can compare this state with a state where Sadhak Pitta is not functioningproperly leading to loss of cognitive functions and loss of mental alertness. The intracellularinclusions too can be attributed to Dhatu and Bhutagni Mandata. Tarpaka Kapha too isnot as per required functions leading to a state of Manokaryakshaya. PracticallyAgnimandya and Srotorodha can be considered as important factors responsible for this diseaseSymptoms: ln the early stages, the symptoms of AD may be subtle and resemble signsthat people mistakenly attribute tonatural aging." Symptoms often include features thatcan be attributed to Mano Kshaya such as impairement of pravritti of Dhee, dhritti, Smruti,Gyan Vigyan, Kama, Krodha, lobha, Moha, lrshya, Dwesha and feelings of Sukha, Dukha.There is loss of Sankalpa, Vikalpa, Tarka, Vitarka capacities also. Among all of them theloss of Smruti or Memory is marked which results progressive loss of memory dependentfaculties which are routnly obsered in patients in form of: a Repeating statements o Misplacing items o Having trouble finding names for familiar objects o Cetting lost on familiar routes o Personality changes o Losing interest in things previously enjoyed o Difficulty performing tasks that take some thought, but used to come easily, like balancing a checkbook, playing complex games (such as bridge), and learning new information or routines ln a more advanced stage, symptoms are more obvious: o Forgetting details about current events o Forgetting events in your own life history, losing awareness of who you are
  • 90. +++++++ +++ + +++++@+++ ++ + + + + + +++++o Problems proper choosing clothingo Hallucinations, arguments,.striking out, and violent behavioro Del usions, depression, agitationo Difficulty performing basic tasks like preparing meals and drivingAt end stages of AD, a person can no longer survive without assistance. Most people inthis stage no longer:o Understand languageo Recognize family members Perform basic activities of daily living such as eating,.dressing, and bathing andthe effected person is completely dependent on family members for care. Ultimatelytowards terminal stage vegetative existance occurs.Exams and Tests:The first step in diagnosing Alzh,eimers disease is to establish thatdementia is present. Then, the type of dementia should be clarified. A health care providerwill take a history, do a physical exam (including a neurologlcal exam), and perform amental status examination. Tests may be ordered to help determine if there is a treatable condition that couldbe causing dementia or contributing to the confusion of AD. These conditions inciudethyroid disease, vitamin deficiency, brain tumor, drug and medication intoxication, chronicinfection, anemia, and severe depressibn AD usually has a characteristic pattern of symptoms and can be diagnosed byhistory and physical exam by an experienced clinician. Tests that are often done to evaluateor exclude other causes of dementia include computed tomography (CT), magneticresonance imaging (MRl), and blood tests. ln the early stages of dementia, brain image scans may be normal. ln later stages,an MRI may show a decrease in the size of the cortex of the brain or of the area of thebrain responsible for memory (the hippocampus). While the scans do not confirm thediagnosis of AD, they do exclude other causes of dementia (such as stroke and tumor).Treatment:Unfortunately, there is no cure for AD at present. The goals in treating ADare to:o Slow the progression of the disease.o Manage behavior problems, confusion, and agitation.o Modify the home environment.o Support family members and other caregivers The most promising treatments include lifestyle changes, medications, andantioxidant supplements like vitamin E and Ginkgo biloba.LIFESTYLE CHANGES:The following steps can help pirople with AD:
  • 91. Walk regularly with a caregiver or other reliable companion. This can improve communication skills and prevent wandering.o Use bright light therapy to reduce insomnia and wandering.a Listen to calming music. This may reduce wandering and restlessness, boost brain chemicals, ease anxiety, enhance sleep, and improve behavior.o Cet a pet dog.o Practice relaxation techn iques.o Receive regular massages. This is relaxing and provides social interactions. Ayurved too believes that undisturbed Sleep, oil massage, regular bath, etc helpdelay physical and mental decay.Diet: Ayurved believes that Use of Madhur and Sanigdh diet delays jara. Similarly Cowsmilk is also considered beneficial to delayJara. Use of Meat soups and judicious use ofalcohol also restores mental alertness. Salt and Kshars should be consumed in less quantity.DRUG TREATMENT: Several drugs are available to try to slow the progression of AD andpossibly improve the persons mental capabilities. Memantine (Namenda) is importantapproved chemical molecules for the treatment of moderate-to-severe Alzheimers disease.Other medicines include donepezil, rivastigmine, galantamine, and tacrine. These drugsaffect the level of a neurotransmitter in the brain called acetylcholine. Other medicinesmay be needed to control aggressive, agitated, ordangerous behaviors. These are usuallygiven in very low doses. It may be necessary to stop any medications that make confusion worse. Suchmedicines may include pain killers, cimetidine, central nervous system depressants,antihistamines, sleeping pills, and others. Patient should never change or stop taking anymedicines without first talking to your doctor.Role ofRasayanas in Management: Rasayana formulations of Prankamaya andAyushyakamya as well as Medhya Rasayanas can prove useful in prevention, delay andmanagement of AD. Formulations like Amalaki, Ashwagandha, Man{ookparni, Jatamansi,Brahmi, Sankhpushpi, Jotishmati, etc can be used Drugs like Amalaki, Amruta,Ashwagandha having antioxidant properties can specifically be useful.Use of f eevaneeyadrugs like Kakoli, Jeevanti, etc and also of Vayasthapana drugs like Amrita, Abhaya,Sweta, Shatavari, etc is also beneficial.Use of Brahmrasayanas is also advocated.Panchkarrna and AD: Brinhin Nasya with medicated oils, Siropichu, Sirovasti as well asBrinhan Vastis like Matra Vastis can be employed in patients of early Alzeihmer diseaseafter Shodan karma.Other ayurvedic drugs in AD: Cold based formulations like Swarnbhasma, Yogendrarasa,etc and drugs like Smrutisagara rasa, Sarasvataris.ta, Brahmighritta, etc can also be usedin patients of this disease.
  • 92. Autourine therapy: Bhavmishra has advocated the use of Male urine therapy to arrestaging but no specific description of it is availabe in other classics of Ayurveda.SUPPLEMENTS: Folate is critical to the health of the nervous system. Together with someother B vitamins, folate is also responsible for clearing homocysteine from the blood.High levels of homocysteine and low levels of both folate and vitamin B12 have beenfound in people with AD.Antioxidant supplements, like ginkgo biloba and vitamin E, scavenge free radicals. VitaminE dissolves in fat, readily enters the brain, and may slow down cell damage. ln a study ofpeople with AD who were followed for 2 years, those who took vitamin E supplementshad improved symptoms compared to those who took a placebo pill. Ginkgo biloba is anherb widely used in Europe for treating dementia. lt improves blood flow in the brainand contains flavonoids that act as antioxidants. Although many of fhe studies to datehave been somewhat flawed, the idea that ginkgo may improve thinking, learning, andmemory in those with AD has been promising.SUPPORT AT HOME:Someone with AD will need support in the home as the diseaseworsens. Family members or other caregivers can help by trying to understand how theperson with AD perceives his or her world. Simplify the patients surroundings. Civefrequent reminders, notes, lists of routine tasks, or directions for daily activities. Cive theperson with AD a chance to talk about their challenges and participate in their own care.OTHER PRACTICAt STEPS:The person with AD should have their eyes and ears checked.lf problems are found, hearing aids, glasses, or cataract surgery may be needed.Those with AD may have particular dietary requirements such as:o Extra calories due to increased physical activity from restlessness and wandering.. Supervised meals and help with feeding. People with AD often forget to eat and drink, and can become dehydrated as a result. The Alzheimers patient requires to wear an identification bracelet. lf he or shewanders, the caregiver can contact the police.Eventually, 24-hour monitoring andassistance may be necessary to provide a safe environment, control aggressive or agitatedbehavior, and meet physiologic needs. This may include in-home care, nursing homes,or adult day care.Outlook (Prognosis) : Currently the probable outcome is poor. The disorder is usuallyprogresses steadily. Total disability is common. Death normally occurs within 15 years,usually from an infection or a failure of other body systems.Possible Compl ications:o ability to function or care for self Loss ofo Bedsores, muscle contractures (loss of ability to move joints because of loss of muscle function), infection (particularly urinary tract infections and pneumonia), and other complications related to immobility during end-stages of AD
  • 93. o Falls and broken boneso Loss of abilitY to interacto Malnutrition and dehYdrationo. Failure of bodY sYstemso Reduced life sPano Harmful or violent behavior toward self or otherso Abuse by an over-stressed caregiver lo Side effects of medications are some practicesPrevention : Although there is no proven way to prevent AD, there if you have a familythat may be worth incorporating into your daily routine, particularly especially thosehistory of dementia. Talk to your doctor about any of these approaches,that involve taking a medication or supplemento Consume a low-fat diet. o Eat cold-water fish (like tuna, salmon, and mackerel) rich in omega-3 fatty acids, at least 2 to 3 times Per week. o Reduce your intake of harmful fats.. plenty o lncrease antioxidants like carotenoids, vitamin E, and vitamin C by eating of darkly colored fruits and vegetables. Use Rasayanas like Amalaki and Ashwagandha regularlY a Maintaih a normal blood pressure. o stay mentally and socially active throughout your life. (NSAlDs) and Statins o Consider not taking non-steroidal anti-inflammatory drugs pros and cons that may help lower your risk of AD. Talk to your doctor about the of using these medications for prevention ln addition, early testing of a vaccine against AD is underway.
  • 94. +++++++++++++++{@>++++++++++++ +++ + ESSENTIAL HYPERTENSION AND STROKE - AN AYURVEDIC PERSPECTIVE Prof. K. Nishteswar M.D. (Ayu), Ph.D. Vice PrinciPal Dr. N.R.S. Covt. Ayurvedic College, Vijayawada The view of the contemporary Ayurvedic scholars in understanding the diseaseHypertension in terms of the basic principals and concepts of Ayurveda are divergent,some equating it with Dhamani praticaya and some going to the extent of coining newterms like Rasabhara, Rakta bhara, Vyanabala, Raktasammarda etc. Raktasammarda isonly al literal translation of the blood pressure. ln classical literature of Ayurveda we do not come across the words likeRaktasammarda. Raktabhara or Rakta Pidana. But certain conditions involving Rakta aswell as the channels of circulation have been described. Vata is the prime dosha in all the above conditions and circulating Rakta (rasa - are the Adhishtana. Because rakta compex) is the Dushya and Srotases carrying the Rakta case of Agni dushti of association of Rakta with pitta pittalakshana also may be seen. ln and it may cause being present in the circulating rasa- Rakta complex there will be Ama and srotorodha in Ama or Sama disorders including srotorodha. Anxiety, worry, tension kidneys and blood vessels induce hypertens,ion of pressure substances especially from supra renal glands in the first two stages of Sanchaya and Prakopa. lf the exciting factor (excited) dosha is operates repeatedly or.constantly the locally accumulated and vitiated its own in the third stage of diverted from its places and travels the channels other than ptace in the p(esence of vitiated dosha prasara. The dosha Dushya s SammuTchanatakes produced first in the vessels rasa - rakta wherever there is khavaigunya. The lesion is samsraya causing Purvarupa of the disease vaha srotases. This is the fourth stage of sthana amount of Medas (cholesterol) due to This srotorodha may be transient or and increased known as Dhamani praticaya Agni - Dushti gives rise to arteriosclerosis or atherosclerosis fluid This is the fifth stage of resulting in the peripheral resistance to the circulation Vyaktileadingtofullmanifestationofthefullnupu.lllisns.*l"n.thlinvolvementof (includinB Madhyama roga Marga takes place various types of Hridrogas Baste Rogas. vr.ikka rogas) and murdha rogas including Ardita, Pakshaghata etc are seen The various nephropathy and hypertensive types of Mutra Rogas, Siroroga like hypertensive encephalopathy,comaarethechiefcomplicationsinthelaststageofKriyaKalasin Bhedavastha. inflammatory and one of the classification of hypertension as degenerative, Doshas viz Vata or dominance of different atherosclerotic only fbr,ru* the involvement keeping with karakas pitta and Kapha in those conditions respectively. This is quite in
  • 95. inclusion of Dhamani praticaya under the Kaphaja Nanatmaja diseases and description of raktavata and other avrita vatas under the vyadhis. With the help of Ayurvedic concepts of Srotas, Agni, Agni - Dushti the aetiopathology of hypertension can be understood. ln short the hypertension (Raktasammarda) is some what akin to the different conditions described under Vatavyadhi in Ayurveda taken together Rakta vata, raktagata perhaps being nearer to essential hypertension, Raktavrita vata and Siravata representing, more advanced stage leading to hypertensive vascular diseases which are to be treated on the line of Vatavyadhi Chikitsa ingeneral and vata shonita in particular. The following Ayurvedic drug regime can be adopted based on the diastolic pressure values. I Mild Hypertension (DBP 90-105) (A) Aswagandha +Arjuna +Cokshura -- Kshirapaka prepared with these drugs at the dose 50ml B.l.D (B) Sarpagandha + Jatamansi + Tulasi (in equal parts) -- Powder at the dose of 1-2g daily twice ll Moderate Hypertension (DBP 106115) (A) Arogyavardhini Rasa --- 2tablets twice a day (B) Chandraprabhavati ---2tablets twice a day. Itt Severe Hypertension (DBP > 115) (A) Brihatvatachintamani --120mg twice a day. (B) Cokshuradiguggulu -:) tablets twice a day. Among the Ayurvedic gold preparations Brihatvatachintamani, Vasantakusumakara rasa, Yoganidra rasa and Rasaraja are found to be very useful in preventing complication like stroke, lschemic heart diseases and sexual failure. The Yogas like Nagarjunabhraka Rasa, Prabbhakaravati and Hridayarnavarasa may be useful in preventing ischemic heart diseases. Garlic containing yogas like Hingutriguna taila and Lasunadi are useful in relieving the symptoms likei flatulence and indigestion and may be useful in prevention of atherosclerosis- The yogasi consisting of Cuggulu and Shilajatu namely Arogyavardhini Rasa and Chandraprabhavati by their hypocholesteremic action can significantly prevent atherosclerosis and may be helpful in prevention of complications like stroke and lschemic heart diseases. The combination of Haridra and Amalaki suggested in Prameha Chikitsa is also useful in toning up the kidney function by reducing the substances like Renin and Angiotension ll which are powerful Vasoconstictor agent . Hypertension kills a person prematurely by causing (1) Cerebral haemorrhage (2) Coronary thrombosis ( Myocardial infraction), (3) Cerebral thrombosis (4) Renal failure (5) Enlargement of the heart followed by congestive cardiac failure
  • 96. lf a patient takes regular life time treatment for hypertension in such doses so asto keep the blood pressure all the time below 150/90 mm.of Hg. He would certainly notdie of cerebral haemorrhage, congestive cardiac failure or renal failure. The main problemcomes when the drug and dose which causes satisfactory control of the hypertensioneither cannot be afforded by the patient or causes serve side effects. ln this situation thedoctor should coax the patient to get rid of the risk factors e.g. reduction of over weightwith regular exercises control of diabetes, stopping the smoking, reducing salt intake byavoiding pickles, papads etc in the diet and controlling the anxiety or mental tension byyoga and meditation.Stroke: Uncontrolled hypertension leads to Hemiplegia (stroke). The disease picture of Pakshaghata described in Ayurvedic classics is more or less akin to the condition of stroke. Pakshaghata has been mentioned under Nanatmaja Vyadhis. Charakas Ardita includes Pakshaghata. General etiological factors described for Vataroga are to be considered since there are no specifically mentioned etiological factors for Pakshaghata. The Ruksha, Laghu dravyas and Katu, Kashaya Tikta Rasas aggravate vata. Under Kashaya atisevanajanya vyadh is (excessive intake of Kashaya Rasa) Charaka en umerated Pakshavadha. Marmabhighata (Trauma of the vital points) and Manobhighata (injury to the mind) are two important factors which are contributing factors for Pakshaghata. Among all the Marmas Siras, Hridya and Vasti (Trimarmas) are given prime importance ih view of the prognosis of diseases involving these Marmas. According to Charaka the head (Siras) is the substratum of eleven vital breaths (Prana) and all sensory faculties and occupies the first place amongst the vital organs of the body. He enumerated Ardhavabhedaka, sirobhrama (vertigo / giddiness) sirahshoola (headache) Nasa, Karna, Akshi Rogas (diseases of Nose, Ear and Eye) Ardita, Hanugraha and similar vata vyadhis under Siroroga. Chakrapani commented that Abhighata of Siras (head) leads to fatal vata vyadhis and vata dosha. Dridhabalas enumeration of certain diseases in the involvement of Siras includes Ardita roga and chestanasa (loss of movements) Chinta, Soka, Bhaya (grief, apprehension) etc are included under Nidana of vata and Siro Rogas. Commenting on Abhighata of Manas Chakrapani adds Krodha (Anger) along with Bhaya (fear). Bhela notes Manas is enclosed between Siras (head) and Talu (hard palate). lt is sarvendriya para (the controller of all lndriya) and receives the objects of the senses viz Rasa (taste) Candha (smell) Sparsa (touch) and Sabda (sound). The power of all lndriyas (Cnana and karma) is derived from Manas. ln Pakshaghata impairment in the functions of lndriyas (both Cnana: and Karmendriyas) resulting in Vaksanga (Aphasia), Vichetanatwa (loss of consciousness), Akarmanyata (loss of function of half of the body mainly involving upper and lower limbs etc., Considering all the above points one can safely conclude that the Adhishtana for Vata Prakopa in Pakshaghata is Siras where in all the vital centers including Manas are situated. Vata is the prime dosha in Pakshaghata and circulating Rakta (Rasa Rakta complex) is the Dushya, Srotas carrying Rakta to lndriyamula are the Adhishtana.
  • 97. Basti, Vireka and Vamana are the principal sodhana measures for correction ofVata, Pitta and Kapha respectively if they are abnormal. Though Pakshaghata is a Vatadisorder, Virechana is mainly advocated along with Snehana and Swedana. Charakaenvisages the concept about Pharmaco - kinetics of Vamana and Virechana drugs in theKalpa sthana as follows:- "The drugs that are Ushna (hot), Tikshna (acute), Sukshma (subtle) Vyavayi (diffuse)and antispasmodic reaching the heart by virtue of their potency (Virya) and circulatingthrough the large and small blood vessels pervade the entire body. Once can safely conceive that Virechana drug dissolves the thrombus or act likethrombolytic by its Tikshna and Ushna Cunas. ln the case of Avarana or Samsarga byPitta and Kapha Pittahara measures must be given priority in view of its Asukaritwa andwhen ever Ama Lakshanas like srotorodha, Balabhramsha, Anila mudhata are seenDeepana, Pachana measures should be adopted. Srotorodha Lakshanas particularlyLakshanas pertaining to Dushti of Rasavaha, Raktavata Srotases are seen, the generalSr.oto sodhana measures like administration of Panchakola Kashaya, Shaddharana churna,Lasuna, Cuggulu and Shilajatu containing preparations can be prescribed. Trials had been conducted all over the world to find out the agents which couldreduced serum cholesterol, and enhance fibrinolysis for preventing the incidences ofcerebro vascular and ischemic heart diseases. Recent researches have revealed a fewdrugs possessing fibrinolytic and hypocholesteremic activities. Drugs like Lasuna, Palandu,Punnaga, Arka, Snuhi are the indigenous anti-coagulant agents and they could be utilizedfor prevention of strokes. Cuggulu significantly reduces the cholesterol and lipid levelsand highly used to treat the condition of hyper cholesteraemia. Clinical trials with Sunthi churna (Sunthi + Rasona) in Pakshaghata patients showedencouraging results. The powder administered in the dose of 3 gm with honey for a period ofone month showed improvement in the feeling of well being and Ruja (pain) has significantlyreduced. Statistically significant improvement was noticed in Crahana Shakti and UtsadanaShakti though the response on the hypertension was not significant. The response of themedicine on the symptoms like Supti (neuritis) and Vaksanga (aphasia) is very slow. Byincreasing the dosage and duration of treatment better results may be obtained. About 25olo o( patents die in the first stroke and 20% of patients who survive froman attack of stroke, usually suffer another stroke between the next one or two years. Afterthe stroke, one third of the patients recover completely, one third recover with left-overfunctional incapacity, and one third remain completely bed-fast permanently inspite ofthe best treatment. ln a known hypertensive patient, the combination of Sunthi and Lasunaacts similar to Aspirin for preventing coronary and cerebro-vascular accidents. All thegeriatric patients having the history of hypertension must be given Rasayana Churna(Cuduchi + Amalaki + Cokshura) combined with Aswagandha for preventing cerebraland coronary ischemia.
  • 98. RASAYANA - AN UPDATED VIEW By Dr. Vasudevan Namboodri Principal, Covernment Ayurveda Medical College, Trivendraum. Rasayana therapy acts at the sub-cellular level and it is having neutriceutical actionalong with.regenerative action and immuno-modulatory action. The anti oxidant propertyof the commonly used rasayana drugs contributes to its action against pathological lesions.It helps to normalise the Programmed cell death and hence is a sure treatment againstboth degenerative diseases and malignancy. The application of Bhallathaka ksheera asrasayana in the treatment of Oral carcinoma proves the effect in pain, malnutrition andcachexia. Cancer is a disease of the aged and rasayana delays ageing process. ln mattersof immuno-deficiency associated with malignancy, rasayana drugs withimmunomodulatory action are being employed. All rasayana aushadhas are agni deepanain action and hence it counters the loss of appetite seen in cancer patients. Rasayanadrugs fight against the instinct of recurrence where as shodana therapy only cures thedisorder. An evidence based study on the action of Tuvaraka taila in treatment of Psoriasisvulgaris shows the increased efficacy of Rasayana therapy in comparison with Shodanatherapy. Rasayana drugs act at the level of dhatus and is the treatment of choice in ageingprocess and degeneration. Joints and CNS are mainly affected in degenerative processand the administration of Chrita in preventing CNS degeneration is clinically proven. lnthe future era where application of genome code helps to develop a disease free universethe chief therapy employed will be rejuvenative and hence will be based on rasayanas.
  • 99. ROLE OF AYURVEDIC PREPARATIONS IN THE MANAGEMENT OF MUTRASTHILA VIS AVIS BPH By Prof. Shripathi Acharya G, Vice Principal MIAMS, Manipal.Abstract : Ayurveda, the indigenous system of medicine has its own importance in themanagement of geriatric diseases. By the practice of Ayurveda, we can effectively managethe problems of old age like Alzheimer disease,Parkinsonism etc. BPH is one of suchdisease where Ayurveda can give a better result. Some preparations when taken internallynot only decrease the size of the prostate but also signs and symptoms of BPH. lt can alsoavoid the raising of complications from the same. Ayurvedic physicians aresuccessfullytreating the cases of BPH. So an effort has been made to evaluate effect the of certainformuiations in the same. Ten such cases of BPH had been selected from Ayurvidya clinicand Research Centre, Udupi and are given following medicines for the period of 3months.l.Chandraprabha vati 1 TDS.2. Varunadi Kwatha 20 ml TDS. Certain clinicalcriteria like constipation, frequency of micturition, abdominal pain, size of the prostateas well as laboratory criteria like Hb o/o etc. are taken for the assessment of results.Considerable improvement was noticed in the patients in both clinical as well as laboratorycriteria of assessment. The present paper highlights about the role of certain Ayurvedic formulations in thetreatment of BPH vis avis Mutrasthila cases.
  • 100. CLINICAL APPROACH TO OSTEOPOROSIS IN AYURVEDA Dr. S.Copakumar MD (AyI MD - Roganidana, MD - Kayachikitsa Assistant Professor Dept of Roganidana Covt Ayurveda College, Thiruvananthapuram E-mail : drgopakumarT3 @yahoo.com Osteoporosis is defined as a systemic skeletal disease characterized by loweredbone mass and microarchitectural deterioration of bone tissue with consequent increasein fragility and susceptibility to fractures. The WHO defines osteoporosis based on bonemineral content (BMC) and bone mineral density (BMD). ln osteoporosis the bone mineraldensity (BMD) is reduced, bone microarchitecture is disrupted, and the amount and varietyof non-collagenous proteins in bone is altered. Osteoporosis is defined by the WorldHealth Organization (WHO) in women as a bone mineral density 2.5 standard deviationsbelow peak bone mass (20-year-old healthy female average) Osteoporosis is mostcommon in women after menopause, when it is called postmenopausal osteoporosis,but may also develop in men, and may occur in anyone in the presence of particularhormonal disorders and other chronic diseases or as a result of medications, specificallyglucocorticoids, when the disease is called steroid- or glucocorticoid-inducedosteoporosis (SIOP or CIOP). Civen its influence on the risk of fragility fracture,osteoporosis may significantly affect life expectancy and quality of life.BMD studies ofthe hip are the most reliable parameters to predict the risk of the fracture. Bone formation and resorption are in equilibrium in adults upto the age of 50years and therefore,upto this age the bone mass is fairly constant.The bone mass declinessteadily but slightly after the age of 50.Obteoporosis results from the excessive boneresorption compared to the formation. Eventhough the precise mechanism of osteoporosisis not completely understood,it is postulated that genetic factors plays a key role.Severalpotential candidate genes have been described especially the one for vitamin Dreceptor.Particular areas of the skeleton as such in metacarpals,femoral neck and vertebralbodies show higher rate of resorption.Maximum impact is on the axial skeleton.Theperipheral bones are affected to varying degrees.Pathologically two types of mechanismsoperate in osteoporosis.Type land Type ll are different mechanisms occuring aftermenopause.Type I is mainly seen in the women of age group of 51-75.|t is due to theaccelerated bone loss with fracture sites mainly in the vertebrae and distal parts of the radius. ln Type ll, trabecular bone is not affected.Cortical loss of bone occurs above theage of Z0 years.lt presents with multiple wedge fractures of the vertebrae and fracturesof the hip. Osteoporosis remains asymptomatic for considerable period,till bone loss hasbecome advanced.The vertebral bodies become soft and compressed.The intervertebral
  • 101. ++ +++++++++ ++++@++++++++++++++++discs herniate into the vertebral bodies and this results in the shortening of the vertebralcolumn.The clinical terms dowagers hump and widows hump are used to denote thedorsal kyphosis with exaggerated cervical lordosis brought about by the vertebral pains,losscompression. When symptoms occur, they include vauge mascular aches andof height of spine and kyphoscoliosis.Vertebral collapse,fracture of the neck of thefemur,Colles fracture develop as a result of trivial trauma or even spontaneously. Thesesites may become painful and even tender for varying periods before demonstrable fracturredevelops. ln general, the fractures heal within 4-6 weeks with normal treatments. Skiagram reveals reduction in density of the vertebral bodies in the early stagesand the vertebral trabeulations appear more prominent.The vertebrae becomes biconcaveand this is called cod fish vertebrae.Vertebral collapse in the late stage results in anteriorwedging of the vertebral bodies.The medullary cavities of the long bones are expandedwith thinning of the cortex The most reliable investigation is to measure bone mineral density by DEXA.Theserum calcium, phosphorus and alkaline phosphatase are normal and this distinguishesosteoporosis from osteomalacia in which calcium and phosphorus are low and alkalinephosphatase is elevated.As a result of the excessive resorption of bone,urinaryhydroxyproline is elevated during the active phase of the disease. Acute episodes of fracture should be managed in the usual orthopaedicline.Calcium supplimentation given as calcium gluconate,lactate or carbonate 500-1000mg/day orally helps to improve bone mineralisation. Achieving a higher peak bonemass through exer.cise and proper nutrition during adolescence is important for theprevention of osteoporosis. Exercise and nutrition throughout the rest of the life delaysbone degeneration. lncidence of generalised osteoporosis can be reduced by ensuringregular exercises and proper intake of proteins,vitamins and calcium in persons abovethe age of 65 years. Osteoporosis - AYurvedic View Ayurveda highlights the impor.tance of dhathus and their related srotases in the maintance of a positive health. Asthi dhathu which has the Dharana function- carrying the weight of the body- is directly related with the principal dosha,Vatha. Being the principal seat of Vatha dosha,Asthi related rogas generally show a vatha dominance in pathology.Vatha dosha which is ruksha,laghu,sukshma and khara has a functional association with asthi dhathu which is also khara in structure. Embryologically,asthi is derived from Prithwi mahabhootha. Here the sthira guna of prithwi is improved by the khara guna of Vayu,thus making it a strong structure to carry the weight of the body.ln other words,there exists an anatomial balance between Prithwi mahabhootha and Vayu in asthidhtahu. When this functional equlibrium is altered by any reasons,there arise the chances of bone related nija types of pathology.
  • 102. ln Ayurveda both vridhi and kshaya are mentioned as the pathological states of dhathus.Osteoporosis can be placed under the spectrum of Asthikshaya. ln the classics,asthi andmajja related pathologies share certain common features due totheir dependency. lnmajja kshaya also,Asthisushiratha is mentioned as a cardinal feature. Here in osteoporosis, the primary stage in the samprapthi is vathakopa by slowlyprogressing events due to relevant vathakopa nidanas of the individual. Beejadosha canalso be also related to the pathogenesis of this disease as evident from the modernscience.Certain prakrithis like Vatha dominant prakrithis may have more susseptibility todevelop osteoporosis. While analysing the causes of vitiation of Asthivaha srothus andMajjavaha srothus,it can be seen that,Vathala aharas and Virudha aharas play a pivotalrole in the Asthi dhathu related diseases. Here the Vathala aharas represent low nutrientdiets which aggravate the bone resorption rate.The Virudha aharas impair the metabolicprocesess, hampering the dhatwagnis. The compactness of asthidhathu is attributed tothe khara guna of it. As per Charaka samhitha sareera as sthana,Khara guna is the specialproperty of Prithwi mahabhootha.Because of the combinaion of sthira and khara guna inthe asthi dhathu,it is able to do the dharana karma. When this sthira guna is reduced bythe rukshajanitha vathakopa,there occurs the chances of deterioration of bone tissue. Asa result of this dosha-dooshya sammurchana, the Asthisara will loose significantly leadingto the chances of Asthibhagna. When Acharya Vagbhata describes the Vathakopa lakshanasin suthrasthana,he adds suslriratha as one among them. lt is very important to highlightthe three aspects of Asthisara vardana here, as explained by Arunadatha in the commentaryof Ashtangahridaya in the context of the treatment of Asthikshaya. Arunadatha explainsthat the drug or the drug combiation with the three properties- snighdhatharsoshana andkharathwa will result in the Asthiposhana and Asthivardana. On further analysis, it canbe seen that in osteoporosis, the properties which are opposite to these combined threegunas get more strength due to the specific sannikrishta and viprakrishta hethus. Moreover the concept of Asthigathavatha mentioned in the context of Vathavyadhiis also quite applicable in osteoporosis. ln Asthigathvatha as told by AcharyaVagbhata,Asthi-sakthi-sandhi soola and Theevra balakshaya are the main clinicalmanifestations. lt is to be remembered that All stages of Asthigathavatha need not end inosteoporosis. But a- chronic pathology of Asthigathavatha with definite phases ofAsthisaraheenatha can lead to Asthisushiratha - Osteoporosis. Ayurvedic treatment for osteoporosis mainly aim the improvement of Asthisaraand vathasamana.Vathasamana can be brought about by the proper administartion ofsnehana and swedana followed by the mild sodhana. Acharya suggests very specialtreatmentfor Asthikshaya. According to this,the medicated ksheera or ghritha preferablyby thiktha rasa dominant drugs are the first choice. The vasthi chikitsa by the aboveksheera-ghrithas has unique role here. Thiktharasa when combined with ksheera or ghrithawill improve the dritatha of Asthidhtahu. For Asthivardhana,there should be thecombination of snigdhatha,soshana and kharathwa as explained by Arunadatha in
  • 103. I +++++++++++++++]@+++++++++++++++ Ashtangahridaya. since there exists no drugs with all these properties,Acharya selected kalpana is the best this combination of ksheera or ghritha with thiktharasa drugs. Vasthi related dooshya- treatment for the vitiated vatha dosha. when vatha gets vitiated in its own vasthikalpanas Asthi-the strength of the samprapthi will be more severe.Hence medicated play a key role in the samprapthivighatana of osteoporosis. in lnternal and external administr.ation of sneha dravyas is the line of management proven actions Asthi-Majjagatha vathavyadhi. Culguluthikthaka ghritha which is having in deep seated dhathus can be given for snehapana. Candhathaila,mentioned in fracture management, which is rich with Krishna thila is one other drug of choice The administration of gandhathaila in ksheera will be more ideal in osteoporosis The Nidighika- ksheerapaka prepared with Panch athiktha- Nimba,Amritha,Vrisha,Patola and etc can is also given in practie.For external use,thailas like Kethakimooladi,Balathailam be selectd due to their specific action on asthidhathu strength Here in osteoporosis, Kayaseka (Pizhichil) will be beneficiary,since it adds more to bones.Kayaseka being a combination of snehana and swedana, increases the dhathusara choice and dhathudritatha by regulating the dhathugatha vatha. Mahasneha is the ideal in chronic cases because it is indicated in Asthi-Majja related avarana vathavyadhis. Since there is an impairment of dhatwagni in osteoporosis,it is better to administer a mild sodhana. Ksheeryukth virechana can be done initially.Processed dranda thaila is better,since it will bring vathanulomana without any complications. After the virechana,a vatharaktha course of Ksheera vasthi is essential.lt is to be kept in mind that in gambheera with definite involvement of Asthi dhathu,Ksheeravasthi is the treatment option. Administration of Rasayana is also essential as the disease shows the signs of dhathukshaya. Rasayanas like Krishnathila are"recommended in these conditions.Krishnathila gives more strength to Asthi dhathu there by increasing the Asthisaratha. Natural calcium containg Rasoushadhis are also relevant in the management of osteoporosis. Kukkutanda twak bhasma,Pravala bhasma,sankha bhasma etc can be can administered with ghritha and madhu. The bhagna chikitsa mentioned in Ayurveda also be effectively combined with classical vathavyadhi chikitsa for getting better results in osteoporosis.The special oushadhayogas and medicated aharas mentioned for Asthisandhana in bhagna chikitsa should be further explorred. ln short,by correcting the dhatwagni and making vathasamana,osteoporosis can be effectively controlled.Proper aharas and viharas are supportive to the main stream treatment. Vathahara aharas with good nutritive values and regular exercise will increase the Asthisaratha naturally. Normal maintanance of the functional axis of VathaAgni- Asthi is the target in the management of osteoporosis.
  • 104. PARKINSONs DISEASE Dr. Anant S. Desai M.D. (Ayu) Lecturer- Dept. of PC Studies in Kayachikitsa CAMC, Mysore. Tel : 94481 85896; E-mail : anantdesai3O@yahoo.co.inlntroduction This common progressive neurodegenerative disease was first longently describedby James Parkinson in 1817. Certain aspects of the natural history of the disease are ofinterest. As a rule, it begins between 40 and 70 years of age, with the peak age of onsetin the sixth decade. lt is infrequent before 30 years of age and most series contains asomewhat larger proportion of men. Trauma, emotional upset, over work, exposure tocold, rigid personality, and so on, among many other factors have been suggested aspredisposing to the disease, but there is no convincing evidence to support any suchclaims. The core syndrome of poverty and slowness of voluntary movement, resting tremor,stooped posture, axial instability, rigidity and festinant gait makes this disease a uniqueone. The early symptoms may be difficult to perceive and are often overlooked.Advancing years have a way of rendering the spine and limbs less pliable and elastic andin the senium the gait may become a short stepped and then reduced to a shuffle. Thevoice tends to become soft and monotonous. Hence it is all too easy to attribute theearly symptoms of Parkinson disease to the effects of aging. For a long time the patient may not be conscious of the inroads of the disease :.atfirst the only complaint may be of aching of the back, neck, shoulders, or hips and vagueweakness. A slight stiffness and slowness of movement or a reduction in the naturalswing of one arm during walking are ignored, until one day it occurs to the physician orto a member of the family that the patient has Parkinson disease. Sleep disturbance,depression and dementia may also occur in the course of the disease. The symptomsmay vary from patient to patient. These symptoms may be subtle and progress overmany years before reaching a point, where it interferes with normal daily activities. Though not specific, certain disorders similar to parkinsonism are explained inAyurvedic classics, kampavata, vepathu, sirakampa are explained in Charaka. Aggregationof rukshaguna of vata causing sira kampa is explained in Charaka Siddhisthana. Vepathuis enlisted among 80 vataja nanatmajavikaras, Madhava explains vepathu as generalized
  • 105. kampa of body, including head. Basavarajeeyam tells about kampavata, bahukampaetc. Many of such reference told above does not exactly correlate with parkinsonism. ln such instances Charakas version o"funderstanding the disease depending oncause, afflicted part etc. is beneficial, Vagbhatas way oft thinking the disease dependingon desha, dushya, bala, kala, prakrities should not be forgotten. Parkinsons diseasewhich has major defects of movement indicate the involvement of chala guna of vata.Specially vyanavata is responsible for chesta (body movement) and Sati (gait). Two symptoms like kampa and stambha are interdependent and occurs in vitiatedcondition of vata chala guna. Kampa is manifested when sheeta guna is associated withrukshadi gunas and when sheeta guna associates with snigdha, stambha may be manifested.lnvolvement of medodhatu and its upadhadu snayu is also to be considered. Becausethe defects that occur to snayu may manifest the symptoms of stambha or kampa.AetiologyParkinsons disease is manifested due to following causes.1. ldiopathic2. Toxins (manganese)3. Drugs (Reserpine etc.)4. Viral infection (encephalitis)5. Repeated head trauma6. Secondary to other diseases of brain. ln the Ayurvedic classics the administration of ruksha, kashaya, katurasa, sheetaguna padartha will cause the syndrome complex of stambha, kampa etc. vataja vikaras.Chinta, shoka cause vatavikara due to manasika kshobha. Oxidative stress is the majorcause in manifesting many diseases. The present food habits and stressful life style is themain cause for this oxidative stress. Dushivisha and sthavira visha will also cause vepathu and stambha according toSushruta. Jara will cause major brain diseases is the concept of Sharangadhara. Doshajashiromarmabhighata is also one of the causative factors in the manifestation of these syndromes.Pathogenesis Depending on the symptomatology, the pathogenesis of Parkinsons disease canbe done as follows. As it is a vatavyadhi, the major pathological changes will be (a)Dhatukshaya or, (b) Avarana.
  • 106. Dhatukshaya could be age related and for any other reason, this may be in theform of degeneration. This causes vata prakopa and due to khavaigunya and take itsasharya in snayu causing stambha and kampa (Snayugatavata). Avarana type ofpathogenesis should include vata getting avarana by kapha. Kaphavritavyana, kaphavrotaudana, then anyonyavarna is the progressive mode of disease.Management When we know the nidana, samprapti, lakshanas of a disease the managementcan be done. Following dinacharya, rutucharya and sadvritta may help in someway inarresting the progression of the disease. Brimhana nasya with masha taila is beneficial.Kayaseka seems to be useful in stambha condition. A course of matrabasti with masha taila showed beneficial results in a studyconducted at GAMC, Mysore. Procedures like snehana, rukshana seems to be beneficial.Prasaranyadi kashaya, Sahacharadi kashaya, BVC with gold, etc. depending on thecondition should be selected. However, because of the location of the dosha is in gambhira sthana and occurrencein aged condition makes the prognosis bad (Krichrasadhya).Referencesa Charakasamhita - Sutrasthana, Siddisthanaa Madhavanidanaa Basavarajeeyama Ashtanga Hridayam - Nidana Sthanaa Sushruta Samhita - Sutra Sthanaa Manual of Practical medicine by R. Alagappan
  • 107. WK PAPER PRESENTATIONSr Teaching Faculty
  • 108. #+++++++++++ +++ t*@++++++ ++ ++++++++ CONCEPT OF HYPERTENSION AND ITS MANACEMENT THROUGH AYURVEDA DR. M.A. HULLUR M.D. (Ayu.), Ph.D., 8.A.M.5. (lnt.) PROFESSOR AND HEAD, DEPT. OF KAYACHIKITSA, AYURVEDA MAHAVI DYALAYA, H U BLI INTRODUCTION Acharyas have opined that various kinds of diseases can manifest in accordance with time, geography and etiological factors affecting the human systems. Hypertension is the commonest condition, affecting the human race. The control of blood pressure, being an important factor to the health and longevity of man, the study of Hypertension continues to be one of the most intellectually simulating challenges. Needless to say Hypertension is a curse of modern, ultra urbanization. Physical and Mental stress and strain are the main two culprits playingthe major role. The illness, essential Hypertension is so common thatthere cannot be any day in clinic without the attendance of Hypertension. ln this 21st century anxiety, more stress, sedentary lifestyle, irregular food habit etc., are playing major role in causation of different ailments. Moreover with the industrialization and civilization man has become vulnerable for many ailments including Hypertension. Several psychosomatic diseases the cardiovascular diseases are produced which are due to Hypertensive conditions. WHO has estimated about 1B to 2o"lo of the adult population is diagnosed and around 50o1o of the total cases remain undiagnosed. WHO has rightly stressed that any study of Hypertension is incomplete, unless further studies are done to determine the presence of specific etiological factors and presence or absence of complication, the symptoms usually seen in Hypertension are headache, giddiness, vertigo, epistaxis, palpitation, chest pain, some times blurring of vision etc. Explanation of Hypertension is not at all found in Ayurvedic literature or any resemblance of Hypertension. Charaka has mentioned that due to the time and geographical change, new disease would occur and the physician of that era should diagnose and treat disease according to dosha, dushya, vicharat. According to Su.Su.35/1 - Anuktamati doshanam lingai vyadhimupacharettu: Based on the dosha, lakshana and Nidana, a lakshana or diseases can be treated. According to the Satkarya vada there is no effect without cause. So Ayurveda provides three fold approach to manage any disease i.e. Hetu, Linga and Aushadhat2. Cha.Su.1124. Understanding essential Hypertension in this perspective, vitiated vata dosha is thought to be the main culprit. Dhatugati (Rasagati or Vikshepa) is produced by vayu
  • 109. itselfr3. Cha.Su.,8149. Pitta and Kapha dosha compliment the effect of vitiated vata andaid the process of the Hypertensive condition. While Rasa and Rakta being the chiefmediator of vitiation, hence involvement of tridosha is confirmed in Hypertension. Here the determinations of etiological factors are not only for sake of diagnosisand treatment but also for preventive aspects of Hypertensive complications. There is nopermanent cure for Hypertension in modern science. Ayurveda can extend comprehensive,economic, efficacious and easily available treatment, keeping in mind Dosha, Dushyaand Sroto siddantha.Two groups were taken for clinical trial, each group consisting of50 subjects. Croup A was given Cugguladi yoga (1 cap. thrice daily with warm water)along with Atenolol (50 mg OD) and Croup B was given Atenolol 50 mg OD with Placcebo(1Cap. Thrice daily with warm water). Here colour of capsules was maintained same forboth the groups.oB,ECTTVES1. To assess the anti-hypertensive efficacy and safety of Gugguladi yoga in mild to moderate hypertension. To reduce the dose of conventional anti-hypertensive drug. To prevent, any addition of anti-hypertensive drugs.Review of Literature Though Hypertension is a little older than a century, but its relevant organs likeHeart and relevant physiology like blood circulation etc., can be traced back in our epics.The knowledge of nadi has been known since ancient times. Description of Bloodcirculation is found in Vedas.Materials and MethodsMaterials:1. Anubhota dravya Cugguladi yoga 500mg Capsules containing choorna of Shuddha Cuggulu, Cokshura, Jatamamsi, Shankhapushpi, and Brahmi.2. Atenolol 5Omg Tablets.3. Placebo 500m9 capsules (containing Jawar flour).METHODSPlan of research work: The clinical study was 24 weeks, prospective, randomized, double blind study.Subjects were selected from outpatient department of Ayurveda Mahavidyalaya, Hubli.Subjects fulfilling criteria for selection were divided into two groups in random manner.Subjects recruited in Croup A received conventional anti-hypertensive treatment alongwith the study drug. Subjects recruited in Croup B received conventional anti-hypertensivetreatment with Placebo. Uniformity was maintained regarding external appearance ofstudy drug as well as Placebo.
  • 110. Change in the dose of conventional anti-hypertensive drugs was recorded on acase paper. Each subject was asked to contact investigator immediately if symptoms ofhypotension were seen. Minimum of 50 subjects in each group were studied. Each subjectwas studied for 24 weeks with follow-up examination after every two weeks as shown instudy flow chart.Selection Criteria: The selection criteria of patients was totally based on clinical featuresand blood pressure reading which was of mild and moderate hypertension (systolic bloodpressure reading above 140 and below 180 mm Hg and diastolic blood pressure readingabove 90 and below 110 mm Hg in Supine position).Exclusion Criteria:1. Patients below 35 and above 75 years of age.2. Secondary and Malignant hypertension patients.3. Patients with signs of organ damage such as Ml, CRF, retinopathy etc.Criteria of accessmentSubjective- relief of symptoms such as headache, giddiness, palpitation, epistaxis andfatigue etc. every sign and symptom was scored according to severity and observationswere noted.Objbctive- Both systolic and diastolic blood pressure were recorded. Laboratoryinvestigations such as haemogram,BSL, BUL, Serum Cholesterol, Lipid profile, LFT, Urineroutine, ECC and X-Ray chest were done for all the patients.Preparation of trial drug - Gugguladi yoga:lngredients: 1. Shuddha Cuggulu- 250mg 2.Cokshura - 62mg 3. Jatamansi - 62mg 4. Brahmi - 62mg 5. Shankha pushpi - 62mg This is one of the Anubhuta yoga, which doesnt have any classical reference.Shuddha guggulu was prepared at our college Pharmacy and fine extract powder of thisCuggulu 250mg was taken along with Cokshura, Jatamamsi, Brahmi, Shankhapushpi 62mgeach were taken and mixed well and filled in soft gelatin capsules. This combination wasfound to be sufficient during the previous study at PC level.Dosage: 1 Capsule thrice daily with warm water.Atenolol: 50 mg tablets purchased from market in blister packingDosage: 50mg OD with water on empty stomach.Storage: Store in a tightly sealed container away from heat and direct light.Placebo: 500 mg Jawara floor was filled in each capsule. The dosage was 1 capsule thricedaily. Uniformity was maintained regarding external appearance of study drug as well asPlacebo.
  • 111. Discussion:On Subjective parameters in Group A and Group B: Out of 52 patients in group A,86.S4"lopatients showed excellent response and13.46"1o patients showed good response on subjective parameters. Out of 48 patients allpatients (100%) showed excellent response on subjective parameters in Croup B.On Objective parameters: Systolic and Diastolic BP:Regarding objective parameters systolic blood pressure of Croup A, 50 patients (96.15%)showed excellent response, 2 patients (3.S5%) showed good response and none showedModerate or No response.ln case of objective parameters, systolic blood pressure of Croup B, 33 patients (68.75%)showed excellent response. 04 Patients (S.33%) showed good response. And 11 patients(22.g1olo) showed moderate response.Regarding Diastolic blood pressure of Croup A, out of 52 patients (100%),47 patients(90.38?") showed excellent response,2 patients (3.84%) showed good response and 3patients (5.771") showed moderate response. No Patient showed No response.The Diastolic blood pressure control in Croup B,4O patients (83.33/") showed excellentresponse and I patients (16.67t showed good response. And no patients showed mod-erate or No response.CONCLUSION:After sustained theory and systematic clinical work following conclusions are drawn.@ Hypertension, a commonly seen condition has been explained in our classics under different headings.e The incidence of hypertension is more amongst middle-aged persons, in females, in Muslims and in mixed diet people.e The incidence of hypertension is found to be more in married, sedentary workers and in people with disturbed sleep.q The incidence of hypertension is found to be more in Alcoholics, Smokers and in people who drink tea, coffee excessively.e Majority of hypertensive patients had Headache, Palpitation, Ciddiness and Tinnitus as common complaints.q ln all the groups Blood pressure was controlled wonderfully well after treatment.€ Group A patients showed marginally better results than Croup B.q lt can be said with full confidence that Essential Hypertension can efficiently and effectively be managed with Gugguladi yoga and conventional drug i.e. Atenolol, along with the life style modification, habits and food habits in accordance with the principles told in Ayurveda and the complications be prevented. Ultimately the goal of Ayurveda is " Sarvesanthu N i ramaya"
  • 112. PLASMA GLUCOSE : MADHUMEHA -DISEASE MONGERING Dr. Basavarai S HadaPad *Associate Professor, Department of Ayurveda KasturbaMedicalCollege,ManipalUniversity,Manipal,lndiaAbstract: good is plasma on the surface every thing looks good. How good is good? Howglucose screening? Statistical medicine, sold all over as very scientific originates from head of the medical statistics, Londonscandal of poor research says Douglas c Altman, criteria of DiabetesAyurvedic health care providers following lnternational diagnostic proved to be disease mongeringMellitus for diagnosis of Madhumeha. This was recently that history takingand selling sickness. Many studies have consistently demonstrated in arriving at correct diagnosis,and physical examinations are the most important factors palpably illogical laboratory findingswhereas lab tests play only minor role and too oftenare accepted without question. Ayurvedic physicians should strictly foilow classical method of diagnosis of Madhumeha. The quotation from a cardiologist Mimi cuarneri ,,Beyond the power of most sophisticated medical equipment is a physicians humanity - throughout time", holds good the listening ear, the healing touch, the devices of healers at this juncture glucose; screening; Disease mongering Key words: Madhumeha; Diabetes Mellitus; plasma lntroduction: (1) Majority of Ayurvedic physicians, having a great influence of poor research based western medicine gradually are going away from clinical symptoms of diseases in general and Madhumeha in particular based on laboratory results. lf laboratory reports and drugged or operated are abnormal, asymptomatic healthy person is "medicalised upon,,(2), irrespective of truth whether he or she is suffering or not. lt is unfortunate out of mind" in lndiais that such a greqt Science Ayurveda which has existed for "Times Diagnosis even in slowly deviating to follow the Modern Medical system of Laboratory treatment of the "Well" segment of the population. Even in the Western Medicine asymptomatic Hyperglycemia has been shown to be futile, if not dangerous Even the glucose Tolerance has been newly invented disease in Western Medicine ICT or lmpair:ed like Rosiglitasof shown to benefit more by life style changes rather than modern medicine in a large studY. ,,Euboxic,, Ayurvedic doctors have been neglecting the definition of disease defined both the body and mind in different classics of Ayurveda (3) (a) (5), as a "state in which also defines disease which is are subjected to pain and misery". chambers Dictionary body or mind; a disorder illness similar to Ayurvedic definition as an unhealthy state of (7). The laboratory diagnostic criteria of Diabetes or ailment with distinctive symptoms (6) Mellitus of western medical science which is flourishing with unscientific practice (8)
  • 113. should not be followed for diagnosis of Madhumeha, because The medical profession is being bought by the pharmaceutical industry, not only in te.rms of the practice of medicine, butalso in terms of teaching and research," says Arnold Relman, a Harvard professor and former editor of the New England Journal of Medicine. Madhumeha vis-i-vis Diabetes Mellitus Prakarshna Prabhutam Prachuram Varama Varam Va Mehati Mutratyagam Karoti iti Prameha" Prameha is characterized by increased quantity of urine associated with or with out the increased frequency of micturation (9). Poly urea (prabhoot mutratwam) and turbidity of the urine (avila mutratwam) are the two cardinal features of this disease (10). Prameha refers to repeated, excessive and turbid urination in terms of frequency, quantity and clarity. The term "prameha has two parts. pra meaning abundant , and Meha meaningpassing of Urine. Thus prameha means passing of large quantity of urine. Ayurveda fixed the normal quantity as 4 Anjalis (1600 ml) and puts frequency of at 6 (11) The aggravated Bahudrava Shleshma by its specific hetus initiates the process of manifestation of prameha because of the saithilyata developed in the body. The bahudrva shleshma comes in contact with Rasa, Rakta, Mamsa, Meda, Majja, Shukra, Kleda, Lasika, Vasa and Ojas and while spreading it first gets mixed with medas because there is an increase in the quantity of medas which is.-also asamhata and aghana and also because kapha and medas share identical qualities. The specific nature of samprapti of Madhumeha brings sara and dravabhaga of involved dhatus to basti leading to prabhoot, Avila and Madhura Mutratwam. (12, 34). Ayurvedic diagnosis of Madhumeha should have this samprapti not mere increase in the plasma glucose Diabetes term is derived from Creek word dia and bainein means through and to gg respectively and diabetes literally means pass through. Mellitus means sweet. Thus Diabetes mellitus means passing of sweet urine which gives similar meaning of Madhumeha (honey like urine). Sweet taste of diabetic urine is noticed in 1670 by Thomas Willis and later is showed that sweetness of urine is due to sugar by Mathew Dobson in 1776. Bouchardt and Peligot in 1B3B proved that the sugar of diabetic urine is glucose. Qualitative test for urine sugar was perfected by Hermann Fehling in 1848 and semi- quantitative test by Francis Benedict in 1908 (13) The understanding of diabetes mellitus also started with passing of sweet urine not plasma glucose but present day health care providers diagnosing it based on only plasma level (14). Diabetes Mellitus is known disease from very ancient times. Charaka in his treatise gives a very elaborate clinical description of Madhumeha, which can not be surpassed by even modern text books. So Ayurvedic physicians should follow classical method of diagnosis of madhumeha not euboxic diagnosis which is very recently born for disease mongering and to sell sickness. Ghost of Plasma Clucose and Screening Random glucose more than 200 mg/dl and Plasma glucoseof 126 mgldl or higher after an overnight fast, documented more than one occasion with associated symptoms[._
  • 114. are the essentials of Type 1 diabetes mellitus diagnosis. The essentials of diagnosis ofType 2 diabetes are plasma glucose of 126 mg/dl or higher after an overnight fast onmore than one occasion and after 75 gm oral glucose, diagnostic values are 200 mg/dl ormore 2 hours after the oral glucose. Polyuria, polydipsia. ketonuria and weight lossgenerally are uncommon at time of diagnosis. Candidal vaginitis in women andBelanophosthitis in men may be an associated initial manifestation .Many patients havefew or no symptoms (15). This so called international diagnostic criterion with nosymptoms takes liberty of life and puts healthy individual into bottom less pit till lastrespiration Total body scan (TBS) including plasma glucose has become a routine amongeducated, economically rich people and national program in developed countries. Wholebody scanning is currently marketed in the medical field to make healthy individual illand who will rarely become healthy as Professor lsan burg says. A study reported inJournal of the National Cancer lnstitute says that routine screening for prostate cancerusing the prostate specific antigen (PSA) leads to over diagnosis (16). ln Netherland, in.l982 around 1000 children were referred to pediatrician after a positive screening resultwhich was shown to be false for congenital hypothyroidism (17). More test, more false-positive result (1S) (19). This type new born and children screening programs with falsepositive results create potential parental stress (20) The Pap smear screening program for cervical cancer in Bristol to prevent cancer,where in 13000 women needed to be screened over 20 years to prevent one death (21).To prevent.one cardiac event per year about 1000 patients needed to treat with newlyintroduced Polypill which is nothing but old wine in new bottle (22). This is the use ofscreening which could damage public health and national treasure (23). The plasmaglucose scanning will show natural normalcy in asymptomatic person as abnormal andencourages physicians with linear thinking to drug healthy mind and body by creatingghost fear. Epidemiologists to cause epidemics (24) predicted that Diabetes affects one in20 adults world wide and 333 million cases are predicted world wide by 2025(25) and toselldrugsto increase mortality ratewhich has been proved by recentclinical trail(26)(27).Statistical science is one of the leading causes of death in United States of America (28).To prevent and stop disease mongering The Pew Charitable trust has given US$ 6 millioncampaign by nameprescription projectto reduce the influence of pharmaceuticalindustry marketing on US physicians and doctors-in -training Qg)Linear versus Nonlinear Science Professor B.M.Hegde Sir in his classic "What Doctors Dont Cet to Study in theMedical School" says "The problems lie in medicines difficulties in defining normality,the devil of "false positives, and our limited understanding of the natural history ofdisease. The most common way of defining normal is that the measure lies within twostandard deviations of the mean" (30). So defining normal and abnormal plasma glucoselevel in a dynamic non- linear human body which has the natural super power to manage
  • 115. altered internal environment to great extent is impossible by linear science. EuboxicAyurvedic physicians should follow the time honored diagnostic methods of health andmake use of Trvidha, chaturvidha, shadvidha, ashtavidha, dashavidha pareeksha and nidanpanchaka for diagnosis of diseases in general and madhumeha in particular except inrare conditions as Sushruta says to make use of other sciences to come to a conclusion(31). Lest they shall all fall in the trap of Modern statistical science of Medicine. Twentieth century great physician, Lord Platt a great teacher of medicine at theuniversity, in 1949 wrote that "lf you listen to your patient long enough, s/he will tellyou what is wrong with her/him," which supports Ayurvedic Nidanapanchaka concept.Later his students did prove that with a very well executed prospective, double blind,randomized, hi-tech based (even PET scanner) study of the role of history taking, physicalexamination, and investigations in medical diagnosis. The study showed that 80% of thefinal accurate diagnosis and 100% of the future manageme-nt strategies could be arrivedat the end of listening to the patientand reading the GPs referral letter. This is refinedslightly by examination and investigations! (32) Diabetic Medicine 1999 published a revolutionary study report on the effect ofinsulin on symptomatic and asymptomatic hyperglycemic patients. Quality of life andplasma glucose in insulin treated diabetics clearly showed real relief only in those patientswho were symptomatic before treatment. Asymptomatic hyperglycemic patientsexperienced more problems with social functioning and pain with treatment (14).This isthe proof for efficacy of drugs in symptomatic hyperglycemia and adverse effect ofmedicalisation. Authors humble request to Ayurvedic practitioners is to stick to theirown diagnostic criteria rather than slavishly follow the modern medical criteria. We mustunderstand that Ayurveda is a Holistic, non linear dynamic science unlike the Reductionistscience of Western medicine.Conclusion: Madhumehi needs a Vedasindu to understand madhumeha, not a machine. ln otherwords of Sir William Osler, lt is a safe rule to have no teaching without a patient for atext, and the best teaching is that taught by the patient himself"(33).References:1. Douglas C Altman. The scandal of poor medical research. BMJ 1994; 308:283-2842. Ray Moynihan, lona Heath, David Henry. Selling sickness: the pharmaceutical industry and disease mongering. ,BM) 2OO2;324: 886-8903. Sushruta Samhita of Sushrita with Nibandhasangraha Commentary of Sri Dallnacharya edited by Vaidhya Jadavji Trikamji Acharya and Narayanaram Acharya,Sixth Edition 1gg7,6-11234. Charaka Samhita by Agnivesha, revised by Charaka and Dridabala with the Ayurveda Dipika Commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamji Acharya, Fourth edition 1994, pp 194-1/55. C. Dwarakanata. lntroduction to kayachikitsa, second edition 1986, Chaukhamba Orientalia, pp 186. Richard Smith. ln search of "non-disease; BMJ 2QO2;324:883-8S5
  • 116. 7. Stedmans Medical Dictionary, lllustrated 23rd lndian Edition, pp 401B. Richard Smith. Unscientific practice flourishes in science. BMJ 1998; 316:1036g. Madhavanidana of Madhavakara with Madhukosha Commentary of Vijayarakshita and Shrikantadatta, edited by Yadunanda Upadhyaya, twelth edition 1992, pp 1-331110. Ashtanga Hradayam composed by Vagbhat with commentaries of irunadatta and Hemadri, edited by Bhishagacharya Harisashtri Paradakar Vaidhya, eighth edition 1998, pp 5A2-1O1711. A.R.V.Murthy, R.H.Singh. Ancient Science of Life 1989;9:71-7912. Charaka Samhita by Agnivesha , revised by Charaka and Dridabala with the Ayurveda Dipika l Commentary of Chakrapanidatta, edited by Vaidya Jadavaji Trikamji Acharya, Fourth edition 994, pp 212-416-713. DM Vasudevan, sreekumari S. Text book of biochemistry for medical students, fourth edition, 200514. p. p. M. Goddijn, H. J. C. Bilo, E. J. M. Feskens, K. H.Groenier, K. l. van derZee, B. Meyboom- de Jong .Longitudinal study on glycaemic control and quality of life in patients with Type 2 diabetes mellitus referred for intensified control. Diabetic Medicine 1999; 16: 23-30)15. Stephen J. McPhee. Maxine A. 2OO7 Current Medical Diagnosis and Treatment, forty sixth edition. A Pp1 21 9.16. PSA Screening leads to over diagnosis, study says BMJ;2OO2:325-6117. T. Tymstra. False positive results in screening tests: Experiences of parents of children screened for congenital hypothyroidism. Family Practice 1986; 3t92-96lB. Beth A, Tarini, Dimitri A, Christakis and H, Cilbert Wetch. State Newborn Screening ln the Tandem Mass Spectrometry Era: More Tests, more False-Positive Results. Pediatrics 2OO6;118:448-45619. Susan E. Waisbren, Simone Albers, Steve Amato, Mary Ampola, et el. Effect of Expanded Newborn Screening for Biochemical Genetic Disorders on Child Outcomes and Parental Stress. JAMA. 20O3; 29O:2564-257220. Elizabeth A, Gurian, Danial D. Exapanded Newborn screening for biochemical disorders: The effect of a False- Positive Result. Pediatries 20O6; 117:1915-192121 . A E Raffle, Balden, M M Quinn, PJ Babb, MT Brett. Outcomesof screeningto preventcancer: . analysis of cumulative incidence of cervical abnormality and modeling of cases and deaths prevented. BMJ 2003; 326:9O1-90422. Costantino C, Ceriani E, Rusconi Am. BMJ 2OO7;369:18523. Editorials. Screening could seriously damage your health. BM) 1997; 314;53324. Do epidemiologists cause epidemics? Lancet 1993; 341 :993-99425. M Thompson, R Perera. Prevention of diabetes. BMJ 2006; 333:764-76526. Nesto RW, Bell D, Bono RO, et al. Thiazolidinedione use, fluid retention, and congestive heart failure: a consensus statement from the American Heart Association and American Diabetes Association. Diabetes Care 2004; 27:256-6321 . James McCormack Trisha Creenhalgh, Seeing what you want to see in randomized controlled trials: versions and perversions of UKPDS data. BMJ. 2000; 320: 1720-1723 29. Barbara Starifield. ls US Health Really the Best in the World. JAMA 2000; 284:483 29. Michael McCarthy. US campaign tackles drug company influence over doctors. Lancet 2OO7;369:73O 30. B.M.Hegde. What Doctors Dont Cet to Study in the Medical School, first edition 2006, pp 25031. Sushruta Samhita of Sushrita with Nibandhasangraha Commentary of Sri Dallnacharya edited by Vaidhya Jadavji Trikamji Acharya and Narayanaram Acharya, Sixth Edition 1997, pp 18-417 32. B.M.Hegde. Leave the well alone. BM) 2aO7;334 (20 April) 33. Christopher A. Feddock. The Lost art of Clinical Skills. The American Journal of Medicine 2007; 12O:374- 378 4
  • 117. +++++++++++++++t@+++++++++++++++ A CLINTCAL STUDY TO EVATUATE THE COMPARATIVE EFFTCACY OF RUDRAKSHA (ELAEOCARPUS GANITRUS) IN THE MANAGEMENT OF ESSENTIAL HYPERTENSION Dr. Chaudhary Viiay : M.D. (Ayu.) Ph.D., Senior Lecturer, P,G. Deptt. of Kayachikitsa R.G. Govt. P.G. Ayurvedic College Paprola {H.P.} Dr. Sharma Pankaj M.D. (Ayu.) Former research scholar, P.G. Deptt. of Kayachikitsa R.G. Govt. P.G. Ayurvedic College Paprola (H.P.) Abstract ln an open clinical trial 25 patients of grade-l and grade-ll uncomplicated essentialI hypertension of either sex aged between 25-70 years, were given Rudraksha (ElaeocarpusI ganitrus) Churna in a dose of 100mg per kg of body weight per day in two equal divided doses for a duration of 60 days. At the end of trial period their systolic blood pressure was reduced from J48.9 mm of Hg to 132.6 mm of Hg and diastolic blood pressure was reduced from 97.1 mm of Hg to 86.4 mm of Hg. Pulse pressure, mean blood pressure, and various clinical features were also significantly reduced after the therapy. No untoward effects were reported by any patient and their biochemical and haematological parameters also remained with in normal limits, both before and after the therapy. Thus trial drug i.e. Rudraksha may prove an ideal drug for the management of grade-l and grade-ll essential hypertension. Key words : Essential hypertension, herbal, untoward effects.
  • 118. COMPREHENSIVE CERIATRIC ASSESSMENT. THE NEED OF THE HOURDr. A. Harini Dr. K.S. fayashreeLecturer, Dept of Dravyaguna, Former professor & Head,5.D.M.C.A, Hassan Dept of Dravyaguna, C.A.M.C, Bangalore.Abstract Jivema sharadah shatam, shrunuyama sharadah shatam, prabravama sharadahshatam... (Yajurveda-36-24 proclaims the ancient lndian hymns. lt has always been thecherished wish of our ancient lndians to live in perfect health for at least 100 yrs. ln thepresent scenario, though the life expectancy at birth in lndia is 64yrs, the sad realityshows thit greater the longevity, higher the chances of disability and frailty. ln advancingyears, many aged related disabilities begin to appear. Mobility suffers, hearing is impaired,and there is gradual loss of eyesight and memory. The immune system weakens makingaged persons more vulnerable to infection and disease. Therefore, the aled require specificattention. r Our ancient acharyas, in the quest for longevity had seriously considered theproblem of aging and its prevention. Probably this paved way to a full- fledged clinicaldiscipline, Jara chikitsa in Ayurveda. Successful aging is themantraof the era and thiscan be achieved through the judicious use of Rasayana and could form a majorcontribution to Global Ceriatric Health care. But assessment parameters for Vardhakya, Rasayana differs, by emphasizing onfunctional ability and quality of life. Worldwide, modern gerontologists follow thecomprehensive geriatric assessment (CGA) which aids in diagnosis, treatment, follow upand co-ordination of geriatric care. The CCA can be suitably adapted to Ayurvedicprinciples to assess the Rasayana effect in the elderly. The paper highlights the necessityof objective parameters to assess Rasayana effect in Ceriatrics with a clinical study carriedout using CCA to evaluate Rasayana effect in elderly.
  • 119. ISSUES AND CONCERN RELATED TO GERIATRIC PROBI.EM.A SWOT ANALYSIS. . Kamath M*, Pattanshetty S*, Mudgal M M*, Prabhudessai S U*. *Dept of Ayurveda, KMC, Manipal. Manipal University. * * Dept-of Community Medicine, KMC,Manipal.Manipal University. Contact address: Dr.Kamath Madhusudhana. D. Pharm, M.D Asst, professor. Dept of ayurveda. KMC. Manipal University. Manipal. Cell:9 448759365, e. mai I :d rbmn k@gmai l.com Abstract. Key Words: Ceriatrics, Ayurveda, SWOT. Problem Background: Ageing, which is an inescapable reality of the human existence on the planet earth, plays a crucial role in the global demographic transition. India is an enchanting country entering the grey population .and Longevity has been spectacular achievement of our country, but whether it is a boon or a bane is a question. Objectives: Cost effective ,scientific as well as socio economical ways of managing the issues of geriatrics. Technique: Survey Materials: National Socio-demographic goal, Reinforcement of the primary health care system, effective and scientific use of Ayurveda. METHODS: Effective use of scientific use of Ayurveda in geriatrii care with conventional one, As national demographic goal 12,in particular emphasizes on integration of indig- enous medicine with current health care delivery system. Effective use of Coals of Geri- atric Care ,as it comprises of physical, psychiatric, socio- economical, family, nutri- tional and rehabilitation aspects. RESULTS: The strength of the system is the increased awareness with the ageing popula- tion. Cost effective Complementary and alternative medicine with conventional one is in greater demand. The weakness of the system is confusing laws. OPPORTU N ITIES :PLENTY. Conclusion: To evolve a comprehensive health care for blderly population we have to think in terms of all the elements As Tonybee rightly said" The Life span of any citizen can be measured by -the respect and care that it gives to its elderly citizens and those societies with contempt have the seed of their own destruction within thgm".ba*-
  • 120. A HOLISTIC APPROACH FOR PROMOTION AND PRIMARY PREVENTIVE ASPECTS IN SENESCENCE Dr. Manjunatha N.S Lecturer, Dept. of Swasthavritta JSS Ayurveda Medical College Mysore - 570015 E-mai I :d rmanj unathans@red iffmai LcomAbstract The old age changes are called senescence. The world is slowly ageing and so isits population. The increasing life expectancy resulting in an increase in the greypopulation calls for jubilation, but this phenomenon is accompanied by several medical,social and economic concerns. We all know that ageing is inevitable and irreversible. However, no one quiteknows when the aging process starts. All that can be said is that it is progressive andassociated with physiological and biological changes. Promotive and preventive geriatrics implies that the process of aging should besmooth and physiological rather than pathological. Unlike the problems of other agegroups, problems of elderly or older people comprises a group Whose needs aremultidisciplinary and require not only medical but also social, environmental and mentalsupport. This focuses on promotion of quality of life and prevention and reduction ofdisability in the elderly.
  • 121. NOOTROPIC EFFICACY OF SOME AYURVEDIC RASAYANAS IN ANIMAL MODETS RELEVANT TO ALZHIERMERS DISEASE *15 M. Biradar, lHanumanchar f oshi, 2Dr.Pramod Katti and lV. H. KulkarniI Dept. of Post graduates studies and research , SETs college of Pharmacy S.R Nagar Dharwad."2 Dept. of Kayachikitsa, Shri C B Cuttal Ayurvedic medical college and Hospital, Dhairwad. Memory is the recording, retention and retrieval of information. lt accounts for allknowledge gained through experience. Specific neurological disorders, such as globalamnesia and Alzheimers disease can affect some forms of memory while leaving othersrelatively intact. Dementia is a syndrome characterized by a catastrophic, progressiveglobal deterioration in intellectual function, and is one of the main causes of disability inlate life. AD is an irreversible, progressive neurodegenerative disorder that occurs graduallyand results in memory loss, unusual behavior, personality changes, and a decline inthinking abilities. Recent estimates suggest that 18-25 million people world wide wereaffected in 2000, a figure that may double to 32-40 million by 2020. AD is accompaniedby the main structural changes in the brain: diffuse loss of neurons, intracellular proteindeposits termed neurofibrillary tangels (NFT ) consisting of hyperphosphorylated tauprotein and extracellular protein deposits termed amyloid (AA) or senile plaques,surrounded by dystrophic neuritis. Presently no satisfactory remedy is available for AD in allopathic system of medicine; traditional system of medicine such as ayurvedha can be useful in management of AD. ln the present study various ayurvedic rasayanas were assessed employing various psychopharmacological models such as Exteroceptive behaviour models: Radial arm maze,Passive avoidance apparatus,Morriss water maze,Elevated plus maze, Hebb Williams maze,Y-maze and Z-maze and lnteroceptive hevaviour models such as amnesia induced by A-amyloid,lbotenic acid,Scopolamine and ethanol. These rasayanas exhibited profound nootropic activity in various models relevant to AD. The salient findings will be presented during the conference. * presenti ng author: smbi radar@red iffmai l.com
  • 122. EFFICACY OF AN INDEGENOUS PREPARATION ON MENOPAUSAL SYNDROME By DR. Prathviraj Puranik mo ( nyu.) Asst. Prof. & HOD, Dept. of Prasooti tantra & Streeroga MIAMS, Manipal.Abstract : At the end of Middle age every woman experiences menopause due to droppingof hormonal level specially progesterone and oestrogen. Menopause is applied to thepermanent cessation of menstruation. The average age for natural menopaus e is 47 years.Due to decrease in the amount of female hormones in the body they can have wideranging effects from short term symptoms such as hot flushes, night sweats, vaginal dryness,mood swing and with a long term symptoms like osteoporosis, heart diseaseetc. lnmodern science, HRT is a treatment of choice in menopause. But it has wide range ofside effects from head ache to Ca of reproductive organs. Hence there is scope forAyurvedic approach to look for safe and successful approaches for the management ofthe condition. ln Ayurveda, menopausal symptoms are called as Rajonivratti lakshanas. lt isdue to cessation of menstruation and Dhatukshaya.Menopause is a very first sign of agingor Jara. According to our Acharyas, Jara comes under Swabhavika vyadhi . Jara can betreated only with rasayana and not by the other treatment methods.lnfact the role ofrasayana in Jara Chikitsa is not to stop or reverse the aging process but to arrest or tominimize the fast regression of Dhatu.Rasayana promoting the growth of dhatu and bythat virtue it slows down the aging process. A clinical study was carried out in menopausalsyndrome for one year duration of time with Shatavari Ksheera paka to evaluate the efficacyof it in the management of the condition.
  • 123. PAPER PRESENTATIONSr Post Graduate Scholars
  • 124. A BIRDS VIEW ON GERIATRIC EYE DERMATOLOCICAL CHANGESScholar- Dr. Anupama. BAMS. Guide - Dr.Raghavendra Uduppa. BAMS. MDPC Scholar Asst. ProfessorDept.Of Basic principles Dept.Of Basic PrinciplesAlvas Ayurveda Medical College Alvas Ayurveda Medical CollegeMoodbidri. Moodbidri.Ph.No 9480274045E-Mai l-dran u pama-ayu rveda@red iff ma i l.com Jara is identified as Swabhavika Vyadhi. Today with medical and technologicaladvancements, life expectancy has also considerably increased. Hence number of peoplein geriatric group is more and solution for the problems faced by geriatric group is thedemand of time. One of the organs which are readily noticeable is skin and in geriatric group wefind many dermatological changes which include onset of wrinkles, reduced elasticityand suppleness of skin, variation in complexion etc. ln the present era where beauty and looks also form a part and parcel of idealpersonality where people are beauty conscious, adopt many measures to preserve verygood texture of skin. presently a natural, herbal costeffective management is needed forthe hour. Hence in this paper a sincere effort will be made to unfold facts explained inAyurveda about anatomical and physiological dermatological changes in geriatrics.Scientific interpretation for it and conditions like Valee etc. Role of Dincharya, Ritucharya,Achara Rasayana other modalities in the management and treatment of dermatologicalchanges with scientific analysis and explanation. will be presented which is a blend of Ayurvedic facts and modern A detailed paperscientific interpretation which would be time validated approach to geriatricdermatological chan ges.
  • 125. BALA - NEW HOPE FOR POST MENOPAUSAL SYNDROME Scholar- Dr. Archana.A.R. BAMS. Guide - Dr.Raghavendra Uduppa. BAMs. MD Dept.Of Basic principles Dept.Of Basic Principles Alvas Ayurveda Medical College Alvas Ayurveda Medical College Moodbidri. Moodbidri. Ph.No 94801 83923 E-Mai l-archana_rahulakumar@rediffmai l.com ABSTRACT Menopause is a unique experience for every woman. lt is the end of a womans monthly menstrual periods and ovulation. lt also signals other changes to the body and mind, because the body begins producing lesser amounts of the hormones oestrogen and progesterone. Menopause is not a disease. lt is a natural process in a womans life. Ayurveda links menopause with aging. Old age isVatapredominant stage of life. The symptoms of menopause experienced by some women are similar to the symptoms seen when the Doshas rises and upsets thg normal balance of the body. Diet, regimen and drugs play a major role in balancing hormones during and after menopause. Acharyas had cited the drug Bala (Sida cordifolia) as VataPitta Samshamana and also the word Bala literally means the strength hence, that which bestows strength is a tonic in general and rejuvenative. Here in this paper an attempt is made to explain the utility of Bala in Postmenopausal syndrome. The paper includes short explanation regarding the Menopause, post menopausal syndrome, the drug Bala, its properties and in depth scientific analysis regarding mode of action of Bala in various conditions developed due to hormonal imbalance and Dosha vitiation.:
  • 126. EVALUATION OF ARIUNA DHAARA( BY USING TERMINALIA ARIUNA LEAVES ) IN GENERALIZED ANXIETY DISORDERDr.Balukolarll year P.G.Scholar, Department of P.C.Studies in Dravyaguna, S.D.M.C.A, Udupi.Dr. Niranjan Rao, M.D.(Ayu.) c.A.uClinical advisor, Folklore Medicine Research Centre, S.D.M. College of Ayurveda,Udupi.Dr.T. Sridhara Bairy M.D.(Ayu.)c.A.u, PhD.Director , FMRC , S.D.M College of Ayurveda , Udupi.Abstract Ceneralized anxiety disorder is characterized by excessive, uncontrollable andoften irrational worry about everyday things that is disproportionate to the actual sourceof worry. People with Ceneralized aryiety disorder exhibit a variety of symptoms includingfatigue, headaches, nausea, muscletension, trembling, insomnia etc. ln a single blindstudy with a pre and post test design conducted at S.D.M. Ayurveda Hospital, Kuthpady,Udupi , 20 patients frrlfilling the criteria of Ceneralized anxiety disorder were selected. Dhaara jala prepared out of matured leaves of Ariunawas used externally in the form of Shirodhaarafor 45 minutes for a consecutive period of seven days. lt was found that thedrug had relaxant effect on the mind and undisturbed sleep observed by patients.Symptoms like anxiety, palpitation, exhaustion, iriltability, headache etc decreasedsignificantly. lnterventions, observations and results will be discussed elaborately withthe conclusions by supporting the folk claim.Key words:Arjuna, Arjuna Dhaara, Ceneralized anxiety disorder, Shirodhara, Dhara jala
  • 127. "TREATMENT OF AGE RELATED MACULAR DEGENERATION"Dr. Chaithanya. M. Dr. Ashwini M.f M.s (Ayu)Presenifng Author: Cuide:2"d Yr. P.C. Scholar, ProfessorP.C. Department of Shalakyatantra, P.C. Department of Shalakyatantra,S.D.M.C.A. Hassan. S.D.M.C.A. &H., Hassan. Age Related Macular Degeneration ( A.R.M.D ) is a degenerative condition of thephotoreceptor cells in the macular area of the retina. Macula is the central part of the retina and is responsible for Visual acuity andColour vision. : : A.R.M.D. is one of the leading cause of irreversible blindness above age of 50There are nearly 3 to 4 Crores of people suffering from this disease world over. lt is amultifactorial disease, though its exact aetiology is unknown. Predisposing factors - Genetic, Age, Nutrition, smoking, exposure to sunlight &Diseases such as Hypertension, Diabetes There is no satisfatory treatment for this disease in modern medicine. So a searchwas done from Ayurvedic literature to find out a medicine for this entity. A clinical trial was conducted on 10 patients with Amalaki churna as Rasayana atS. D, M. C. A. & H., Hassan. The results were assessed in pre and post treatment designedproforma. The detail description of the study, related data will be presented in full paper.
  • 128. EFFTCACY OF RAJATA BHASMA rN PARKI NSONS DISEASEDr. Dasari Srilakshmi,I PG ScholarDr. T. Prasanna Kumar,Senior LecturerDr. T. N. NagarajaHOD & ProfessorDepartment of Postgraduate studies in Rasa Shastra,JSS Ayurveda Medical College, S. S. Nagar, Mysore - L5 Jara Chikitsa is one of the Ashtangas of Ayurveda. Every living being withpr:ogression of age is naturally prone for lara vyadhis. Prevention and treatment of Jaravyadhi along with Vayasthapana (i.e, the two chief airns of Ayurveda) are included inJara Chikitsa. Parkinsons disease is one of the Jara vyadhis/ Geriatric ailments occurring withincreased rate of incidence, probably due to the present day life style. Rajata bhasma is indicated in Urdhwa jatrugata rogas, Vata vyadhi, Dheergha rogaand is also Ayushya and Medhya. .- ln this paper an honest attempt has been made to put forth the Efficacy of RajataBhasma in Parkinsons diseaseKeywords:Rajata bhasma, Parkinsons disease.
  • 129. "PREVENTION OF EYE DISEASES IN GEREATRIC AGE GROUP"Dr. Goutham. S. Gundi Dr. Ashwini M.f u.s tevulPresenting Author: Cuide:P.C. Scholar, ProfessorP.G. Department of Shalakyatantra, P.G. Department of Shalakyatantra,S.D.M.C.A. Hassan. S.D.M.C.A. &H., Hassan. Shalakya Tantra is given utmost priority in Astanga Ayurveda for dealing with thediseases of the Uttamanga-the Shiras. . Eye being one of the sensory organ as well as vital part of our body is having avery unique functioning capacity that is perception of vision; hence care must be takenin prevention of the diseases of eye in day today life. Aging is an inevitable natural biological phenomenon, where in the function ofmost of the organs and metabolic activities are affected as a whole and are characterizedby degeneration of the bodily tissues. The earliest perceptible signs of aging are in those organs that do not have thecapacity of regenerating their cells, as in the brain or eye lens. Claucoma, cataract,retinopathy etc are some common examples for the age related disorders. An attempt has been made to highlight the same and provide a deeper insight toour ancient external ocular therapy. The elaborative analytical usage of Netra Kriyakalpaand different preparations in prevention of gereatric EYE disorders will be presented infull paper during the presentation.
  • 130. +++++++++++++++++++@++++++++++++ sHlLAf lTU RASAYANA PresenterUnder the guidance of Dr. feetendra S. GhorPadeDr. M.C. patil mO (Ayu) ll nd PC scholarHOD DePt Rasa Shastra DCM AMC & RC GadagDCM AMC&RCCadag.Abstract Rasashastra deals with minerals and metals among the different rasadravyas No drug of rasayana vajikarana and medoharamentioned in bruhatrayees in the contexthasb6engivensomuchtmportanceasShilajitunexttoParada. Shilajituhasbeenusedforthetherapeuticpurposesinceancientperiod.Acharya Vagbhata indicated and a best rasayana were as shushrutaCharaka has mentioned this as have mentioned chikitsa. Ail the ancient rasashastra crassics shirajitu for the.prameha value notes its importance in therapeutic shilajitu in maharasa group, which is responsible for the formation of The milky juice of plant Euphorbia Royenene Shilajitu.TherasayanaactivityofShilajitucanbeattributedtoFulvicAcidsandDiBenzo Alpha PYrones of Shilaiitu cured by urhere is no curable disease in the universe which is not effectively dose at an appropriate time in combination shilajitu when administered with appropriate methods" with suitable drugs by adopting specific
  • 131. EFFECT OF SUDHA VARGA DRAVYA IN GERIATRIC CARDIO VASCULAR SYSTEM MAHESH . B. HIRUIAL AYURVEDA MAHAVIDYALAYA, HUBLI. Sudha varga dravyas i5 an important group of rasashasthra.The some drug like shanka,sukthi,praval etc are mainly indicated in cardiac problems. The people old age commonly encountered by cardiovascular system problems like Ml, reduced heart rate , dilatation of aorta ,reduced elasticity of aorta cardiac muscle etc... Action of sud.ha varga dravyas on cardiac muscle : Sudha varga dravya are commonly composed of calcium carbonate along with organic elements . The liberated calcium ion [ca2+] has a work on different level of organization . the liberated calcium ion will move in to cardiac cells by the following: o Primary active transport I sodium pump ] . Non lipid soluble diffusion o Anti port The resting membrane potential [ -90 mv] forms voltage gated calcium ions which internally allowing calcium ions to enter cytosol maintains depolarization for 0.25sec and then calcium ions will binds to troponium which allows the actin and myosin filament to begin slid fast to one another causing contraction of fibers. The increased concentration of calcium ions in cytosol of cardiac cell will increases more contraction . CONCLUSION a By sudha varga dravya calcium concentration will increase in blood internally. Causeing increase in calcium ion concentration in cardiac cells strengthening contraction by regulating of sodium pump and antiport . o The voltage gated calcium ion stimulates the pacemaker. o So far better heart rate , in management and prevention of cardiac problem in old age the sudha varga dravyas are indicated and it also proves that ayurvedic drugs has effected cellular level of organization.h*
  • 132. +++++++++++++++@++++++++++++++++ DIFFERENTIAL HYALURONIDASE.I ACTIVTTY OF SERUM tN osrEoARTHRlTlS, DIABETES (TYPE tl) AND OSTEOARTHRITIS WITH DIABETIC PATIENTS.PresenterDr.Naveen KPC Scholar, Dept. of Kayachikitsa, CAMC MysoreDr.S.G.Mangalgi,Prof and Head, Dept of Kayachikitsa, CAMC, MysoreDr.Girish K.S.,Asst Prof, Dept of Biochemistry, Manasagangotri,Mysore.INTRODUCTIONo HA to be an acidic, negatively charged, high molecular weight polysaccharide having an uniformly repetitive, linear polysaccharide comprised of disaccharide units of N-acetyl-D-glucosamine (ClcNac) and D- glucuronic acid (ClcA).o ln cartilage, HA functions as the central filament of proteoglycan aggregates, which are responsible for cartilages resistance to compression.. ln mammals, a high concentration of HA is found in connective tissues such as umbilical cord, skin, synovial fluid and the vitreous humour.o,,Hyaluronidases" are endo-A-N-acetyl-hexosaminidasesthatdegrade hyaluronan, a multifunctional, non-sulfated, high molecular weight polysaccharide found throughout the animal kingdom, especially in the extracellular matrix (ECM) of soft con nective tissueso There are six hyaluronidase-like sequences in the human genome; hHyal-1 through -4,PH-20 and Pseudo gene PHYAL1. o Hyal-1 , Hyal-2, and PH-20 are associated with known hyaluronidase enzyme activities. RESULTS o Samlples of I normal individuals, 10 patients suffering from Diabetes Mellitus Type 2, 8 patients suffering from Osteoarthrits, 11 patients suffering from Osteoarthritis with Diabetes Mellitus fype 2, procured from CAMC & H, Mysore. o From our experimental data, we found that the augmented levels of hyaluronidase activity in osteoarthritis (OA), diabetic (DB), and osteoarthritis with diabetic (OA+DB) patients compared to normal individuals o Serum hyaluronidase activities were significantly higher in patients with either DB or OA or OA+DB when compared with the control subjects (P < 0.001) o ln addition, results suggested that there was twofold increased activity in OA + DB patients compared to normal individuals. Moreover, 1.2 and 1.4 fold increased enzyme activities were observed respectively for DB and OA compared to normal samples. d
  • 133. The obtained results clearly indicates that the enzyme activity increased ascending manner; normal > DB > OA > OA + DB. The statistical analysis (t test) was done wherep value (< 0.001)was significant between OA, DB, OA+DB and normal serum. The results from qualitative zymogram assay revealed that the significant increase in activity was also seen between serum samples of normal and OA+ DB patients. The minimal sedimentation rate and blood glucose levels were found to be 0-ZO mm/hr and 80-120 mg/ml for normal individuals. We observed increased ESR and blood glucose level in OA+DB compared to OA and DB alone. DrscussroN o Several investigators have also demonstrated that the levels or expression oiHAur", are changed in tissues, sera, or urine in diseases such as arthritis, cancer, and cirrhosis, suggesting an important role of the enzymes . HA is mainly produced by fibroblasts and other cells of connective tissue. lt has a structural role in connective tissue matrix and is involved in intercellular communication. Degradation and turnover of the ECM result in the release of HA and HA fragments into the systemic circulation, where the liver and lymphatics then clear them after endocytosis via a HA-specific receptor. o lncreased production and release of HA from arthritic joints are thought to reflect the localized inflammation occurring in synovial lining and, to a lesser extent, the carti lage degradation. o lt has been reported that as a result of the cartilage degradation and synovial inflammation, HA gets in to the circulation, and serum HA levels were increased . Additionally, it has been suggested that increased HA content in inflamed synovium contributes to the joint stiffness and edema seen in arthritis. Oral administration of corticosteroids has been shown to decrease serum HA production in patients with RA. . Diabetes mellitus is a metabolic disease characterized by hyperglycemia secondary to relative or absolute insulin. Using streptozotocin-induced diabetic Wistar and CK rats as models of type 1 and type 2 diabetes, respectively. Recent study demonstrates the increased serum hyaluronidase activity in type-l and -2 diabetic rats. a Further, researchers also observed augmented levels of enzyme activity with the increasing glr.rcose level, indicating that diabetes mellitus was accompanied by enhanced activity of circulating hyaluronidase from the early" phase of its development. . Several studies have been shown thatcirculating HA is increased in diabetes. This finding could help to explain why HA accumulates in arteries of diabetic patients. This could help furthermore to explain the mechanism of diabetic macroangiopathy, as there is little knowledge about the metabolic change in diabetes responsible for the modifications of extracellular matrix components of the arterial wall.&
  • 134. ALZTEMERS DISEASE VIS VIS AVARANAIANYA UNMADADr. POOfA B.A.Research ScholarDr. SHRIDHAR 8.S.,Prof & HODDept. of Panchakarma, GAMC, BangaloreABSTRACT Among the nija rogas the concept of Avarana takes a predominant role in some of .the major diseases. ln the list of geriatric problems Alziemers Disease is the one which hampers thegeneral routine of both physical and mental activity of the person in very high degree.Thiscan be called as Vataja Pradhana jara vyadhi. Most of the important causes of AD can be correlated to the Avarana of Vata inShiras.The signs and symptoms of the same are.compared with Vataja Unmada. An ayurvedic approach of chikitsa has been highlighted for the same. ROLE OF SILAfATHU RASAYANA lN BPHDr. Sunil K.S.Second year MS(Ay) Scholar,Alvas Ayurveda Medical College,Moodbidri, Dakshina Kannada.ABSTRACT, BPH is the disease of man after forties. lt is now established that hormonalimbalance happening in old age is the major causative faetor of the disease. so here i amtrying to use the ayurvedic principle s including anti aging therapy using the drug,SILAJATHUwhich has the property of chedana, lekhana and rasayanatva in themanagement of BPH. d
  • 135. MANAGEMENT OF HEMIPLEGIA THROUGH VASTI DR. RAHUL AGARWAL P.C. Scholar, Dept. of P.C. Studies in Kayachikitsa, Ayurveda mahavidyalaya, Hubli, Karnataka.It doctorshere@gmai l.com! DR. PRASHANTH A.S. Asst. Professor, Dept. of P.C. Studies in Kayachikitsa, Ayurveda mahavidyalaya, Hubli, Karnataka. The degree of distress and disability varied much in manifestation of enormous human problem iri the modern era. Life is full of competition in present day, to heighten ones own self esteem. The person undergoes frustration, depression and stress when such expectations are not fulfilled resulting to many new habits like alcohol consumption, smoking and drug abuse. All these leads to many "Life style disorders. Among which, Pakshaghata is a common presentation, leading to high incidence of morbidity and mortality. According to Ayurved.ic Classics, Pakshaghata is characterized by loss of function and mobility of half of the body either right or left, pain and disturbed speech. The cause of Pakshaghata is kupita vayu. ln Vata vyadhi generally depending upon the involved Anubandha Dosha or Dushya, treatment is advised. For Vata Dosha; snehana, swedana, mridu samshodhana are selective therapies. Vasti karma is the ultimate treatment modality advised for Vata vyadhi. This is proved beneficial therapy for Pakshaghata. Vasti, the most potent therapy to safeguard Marmas, is placed at the top place amongst Panchakarma. Some physicians even by suggesting vasti as half of the entire mana$ement.

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