Panchakarma and geriatrics dr prathibha

GERIATRIC PANCHAKARMA
Dr Prathibha C K
MD Panchakarma
Lecturer
Department of Panchakarma
Amrita School of Ayurveda

INTRODUCTION
Panchakarma- Shodhana
Bahudoshavasta
Avastitadosha
Oldage- vatavruddha
KaphaPittaKsheena
Praheenadhatubala (shareera & Manas)
Dr Prathibha Sharma CME Belgaum
18/05/2011
2

VAMANA
Procedure
Inv- ECG, Sugar level, LFT, CT BT, Ophthalmic examination
Snehapana -Sadhya
Honey & Saindhava
Madana, Yasti, Pippali, Saindhava,Milk
Shwasa
Kushta, migrain, thyroid problems, unmada
Avarashuddhi
18/05/2011
3

PROBLEMS
Heenasatwa
RaktaVamana
Parshwagraha, Angagraha
Agravation of locomotar symptoms
18/05/2011
4

VIRECHANA
Procedure
Virechana/ Nityavirechana
Anulomana & sramsana – Snigdha
Decrease vishramakala
Trivrut, Aragwadha, Triphala, ErandaTaila
Bulk forming purgatives
No Danti, Jayapala
Tridoshahara
Almost all diseases – locomotary, manasika, nuerological, RF, DM, HTN, skin
18/05/2011
5

PROBLEMS
Constipation
Habit
AvaraShuddhi
Dehydration
To stop
Pain increase
18/05/2011
6

BASTI
Ajanmamaranaat
ArdhaChiktsa
All dosha
Sarvarthakaari
NB, AB,UB
Yoga basti/kaalabasti/karma basti
18/05/2011
7

Krurakoshta prior to Virechana
MB indicated
AB – BruhanaShodhana
Mrudu NB- Continuous usage
18/05/2011
8

NIROOHA BASTI
Procedure
Erandamooladi-LBA
Dashamoola-Nuerological, locomotary
Ksheera-sandhigatavata
KshaaraVaitarana- LBA, Amavata, Bamboostick
Varunaadi – RF
Amruthottaram - Vatarakta
18/05/2011
9

Mustadiyapana- sarvagadapaha
ErandamoolaadiYapana – LBA
Piccha- IBS, Chrons disease
Yastimadhu- daha, manasika
Choorna – amashula
18/05/2011
10

PROBLEMS
Administration
No retention
Collapse
18/05/2011
11

ANUVASANA BASTI
Procedure
Sahacharadi-Nuerological, LBA
Dhanwantaram –Agantu
GHE- Constipation
Sukumaram- Constipation, bradna
GTG- SGV
Vastyamayantaka-Urinary
Indukanta- Kushta, Amavata
18/05/2011
12

Amrutaprasha- Debility
Mahamasha- Parkinsons
Karpasasthyadi- Pakshaghta, CS
Ksheerabala-CS
18/05/2011
13

UTTARA BASTI
Urinary route
Procedure
Urine Ph
Incontinance
18/05/2011
14

NASYA
Pratimarsha/ marsha
Procedure
No Shodhana
KB, Shadbindu, Anu, Kalyanaka, Panchagavya
Nuerological,Memory, balance,Ardita
No much problem
18/05/2011
15

SNEHA & SWEDA
Importance
Mode of action
Namayantiyathanyaam
Advantage – external
No risk
Avarabala
Best for vata
18/05/2011
16

SNEHANA
Snehapana
Murdhnitaila
Abhyanga
18/05/2011
17

SNEHAPANA
Shamana & Brumhana
Procedure
Kalyanaka, Amrutaprasha, Sukumara, KB
Balya, Tarpana, Deepana
Nuerological, Psycological,
Gastritis,IBS
18/05/2011
18

MOORDNI TAILA
Abyanga
Seka
Pichu
basti
18/05/2011
19

SHIROBHYANGA
Dinacharya
Indriyabalya
Head ache, Sneezing, Alasya
18/05/2011
20

SHIRASEKA
Procedure
Insomnia, headache,
Taila, Jala,Ksheera, kashaya, Takra
18/05/2011
21

SHIROPICHU
Talapodichil
Local
Nuerological
18/05/2011
22

SHIROBASTI
Procedure
Balya, vak, eye diseases
Balance
Pakshaghata
18/05/2011
23

ABHYANGA
Dinacharya
Jarahara
Padabhyanga
18/05/2011
24

Tarpana
Karnapoorana
Gandoosha
18/05/2011
25

SWEDANA
Valuka
CPS
DPS
PPS
SSPS
KayaSeka
TailaDroni
Local basti, pichu
18/05/2011
26

Better snigdhasweda
BP
Avoid MahaSweda
18/05/2011
27

RAKTAMOKSHANA
Jalauka
Pracchana
Siravyadha
18/05/2011
28

AGNIKARMA
Twakdagdha
Bindu, coin
18/05/2011
29

Conclusion
Basti karma can be adopted with due care in oldage.
Snehana and swedana are the therapies of choice in geriatric problems.
18/05/2011
30

THANK YOU ALL
18/05/2011
31

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Panchakarma and geriatrics dr prathibha

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