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Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
Bahirparimarjana
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Bahirparimarjana

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  • 1. JIGNASA – 2004 BASAVABHAVANA, BELLARY BAHIRPARIMARJANA CHIKITSA Presented by : Dr. Jagadish Yaji V. Medical officer Govt. Ayurvedic Dispensary Kadajji, Davangere. Tq. and Dist.
  • 2. BAHIRPARIMARJANA CHIKITSA Definition : Bahyataha shudhikaram bheshajam Bahihi sparshamashritya abhyanga sweda pradeha parisheka unmardhanadhairamayan pramarsthihi tadbahihi parimarjanam. Skin is the largest protective barrier in the body which prevents invasion of microorganisms, foreign substances into the body. The main area of bahirparimarjana chikitsa is twacha and the treatment like abhyanga, swedana, pradeha, pariseka, unmardana etc. according to disease are known as bahirparimarjana chikitsa.
  • 3. According to Ayurveda twacha shareera (anatomy of skin) 7 layers as per Sushruta and 6 layers according to Charaka shareera. According to modern epidermis and dermis are the two layers of skin. Again 5 layers in epidermis and two in the dermis and totally seven layers. Among the pancha mahabhuta vayu mahabhoota is mainly in sparshanendriya. Prana vata which is responsible for indriya chittadruk helps for sparshajnana along with the rohinisirashrita raktha. Udakadhara twacha is also rasadhisthana. Twchashrita Bhrajaka pitta helps in the digestion and absorption of abhyanga, parisheka, alepadi which ever applied over the skin.
  • 4. I. CLASSIFICATION OF BAHIRPARIMARJANA CHIKITSA : 1) Sthanika chikitsa : 1. Sthanika abhyanga 2. Sthanika sweda 3. Sthanika lepa 4. Sthanika pariseka 5. Netra tarpana 6. Karna poorana 7. Kavala 8. Gandusha 9. Moordhni taila 10. Yoni pichu 11. Anjana 12. Aschotana etc. 2) Sarvanga chikitsa : 1. Sarvanga abhyanga 2. Sarvanga sweda 3. Sarvanga dhara 4. Udhwarthana
  • 5. II. DOSHANUSARA : 1) Vatasya upakrama : 1. Abhyanga 2. Mardana 3. Swedana 4. Vesthana 5. Seka (Dashamoola kwatha etc) 2) Pittasya upakrama : 1. Marakatadi manidharana 2. Karpoorachandanausheera lepana 3. Sheetambu dhara and sheetagruha nivasa (aircondition house) 3) Kaphasya upakrama : Rooksha vimardhana
  • 6. III. VYADHI ANUSARA : 1.Sarvanga vatavyadhi : Sarwanga abhyanga, sweda, dhara shasthikashali pinda sweda, salvanopa upanaha, moordhni taila 2.Ekanga vatavyadhi : abhyanga, swedana, patra potalisweda, isthikasweda in vatakantaka. 3. In Rasapradoshaja vikaras : Ushna jwara : Chandanadi taila Jwara Sheetapradeha, Pariseka Sheetajwara : Agarvadi taila abhyanga, avagaha snana pariseka Amavata – Valuka sweda Shothagna lepa Dhanyamla sweda Shwasa : Saindhava lavana + sarshapa taila abhyanga and nadi, prastara or sankara sweda.
  • 7. 4) In Raktaja vikaras : Twak vikaras (Rasa and Raktaja) - Maha tikthaka lepa - Kunkumadi lepa - Avalgujadi lepa etc Raktapitta : Abhyanga, periseka, sheeta dravya lepa In Visarpa : Udumbaradi pradeha sarivadi pralepa etc In Arsha : Avagaha sweda 5) Mamsa pradoshaja vikaras : kshara lepa 6) Medho rogas : udhwartana 7) Asthi and majjagata vikara : abhyanga, asthi sandaneeya dravya lepa in bhagna. 8) In visha chikitsa : Agada lepa 9) In vruna chikitsa : panchavalkaladi kashaya prakshalana and shodhana, ropanadi taila external application.
  • 8. IV. RUTUANUSARA BAHIRPARIMARJANA CHIKITSA IN SWASTHA : 1) In Hemantha rutu (winter season ) and 2) Shishira rutu (dewy season) a. Abhyanga b. Utsadana c. Murdhni taila d. Jentaka sweda e. Atapa sweda f. Ushnagraha nivasa 3) In vasantha rutu (spring season) a. Vyayama b. Udvarthana c. Kavalagraha e. Anjana f. Chandana, agaru lepa 4) In Greeshma rutu (Summer season) a. Sheetagraha (air-conditioned room) b. Muktamani dharana c. Chandana lepa
  • 9. 5) Varsha rutu (Rainy season) a) Pragharshana b) Udvartana c) Chandanadi sugandhita dravya prayoga 6) Sharad rutu (Autumn season) a) Raktamokshana (Alabu, Prachhanna etc.) V 1) Bahirparimarjana chikitsa as poorva and paschat karma to shodhana chikitsa (Panchakarma). a) Sarvanga abhyanga and sweda in Vamana and Virechana poorva Vishrama kala. b) Abhyanga and Swedana to Kati before basthi. c) Abhyanga and Sweda to gala, kapola, karna, anana before and mrudu panitapa sweda after nasya. d) Kavala, dhoomapana after Vamana and Virechana
  • 10. I : Abhyanga : It is a procedure of anointing oil on the body which ensures softness and unctuousness of skin. •Regular abhyanga builds up stamina. •Clears the srotases. •Improves blood circulation. •Prevents old age (Jaravastha). •Improves eye sight and induces good sleep. •Improves the complexion of the skin. •Gives strength to the body and reduces tiredness.
  • 11. Different Bahya Snehana mentioned in the classics are 1) Abhyanga 8) Gandusha 2) Lepa 9) Nasa Tarpana 3) Udvartana – Utsadana 10) Moordhni taila -sirastharpana 4) Mardana – Unmardana 11) Akshitarpana 5) Padaghata 12) Karnapoorana 6) Parisheka 13) Masthishkya 7) Samvahana 14) Snehavagahana Lepa: External application without applying any pressure. 3 types : 1) Pralepa 2) Pradeha 3) Alepa
  • 12. Indications : •Twaggata Vata •Mamsagata Vata •Snayugata Vata •In Vatavyadhi and Vatarakta - Sneha lepa •Kesha Vardhaka and Drudheekarana lepas Udhwartana : Rooksha and Snigdha according to Charaka Rooksha Udhwartana in Sthoulya Snigdha Udhwartana in Krusha According to Sushrata : a) Udhwartana – Pravilapana, Vimlapana b) Udhgharshana – Asnigdha dravya udhgharshana (Isthika etc.). c) Utsadana – Sneha and Kalka udgharshana.
  • 13. Parisheka Eg. Dashamoola Kwatha Sidha Ksheera Parisheka indicated in Vataraktha. Samvahana Gandusha – Is filling the mouth to its full capacity with liquid without allowing its movement inside and holding the liquid for a few moments. 4 types according to Vaghbhata a. Snigdha gandusha – In Vata roga b. Shamana gandusha – in Pitta roga c. Shodhana gandusha – in Kapha roga d. Ropana gandusha – in Vruna For daily use use taila or mamsa rasa.
  • 14. Moordha Taila Shirastharpana 4 types 1) Shiro abhyanga 2) Shirahaseka 3) Shiraha Pichudharana 4) Shiro Basthi - is the most potent form of moordhni taila Daily Shiroabhyanga prevents : •Shirashoola •Premature graying of hair •Hair roots become stronger •Induces sound sleep By shirobasthi and shirodhara both physically and mentally relaxation occurs.
  • 15. Important indications : 1. Stress induced problems like Insomnia, Hypertension – Takradhara. 2. In Psoriasis – Manjistadhi dhara, Aragwadha takradhara. 3. In Epilepsy (Apasmara) – Shirobasthi, dhara, Brahmitaila abhyanga 4. In Unmada – Jyotishmati taila shiroabhyanga or pichu 5. In Mentally retarded child – Brahmitaila pichu, Jyotishmati taila abhyanga. 6. In Congenital cerebral palsy : Ksheerabala Tailadhara. 7. In Ardita (Bel’s palsy) and Pakshaghata (Hemiplegia) : Ksheerabala Taila dhara or Shirobasthi. 8. Pittaja shirashoola : Ksheeradhara. 9. Peripheral neuritis (commonly in Diabetic) - Takradhara.
  • 16. SWEDANA : It is defined as the process by which the sweat or perspiration of the body is produced. Properties : 1) It reduces stambha (stiffness), 2) It reduces Guruta (heaviness) 3) It reduces Shaityata (Coldness). 4) It reduces shoola (pain) 5) Useful in sankocha (contractures) 6) Shodhananga swedana helps to liquefying the doshas 7) Dilates the srotasas and release obstructions 8) Swedana useful in vata, kapha and kapha vata vikaras. 9) By swedana agnideepti, mruduta and twak prasadana occurs.
  • 17. Types : 1) Anagni Sweda a. Vyayama b. Ushnasadana c. Gurupravarana d. Kshudha e. Bahupana f. Bhaya g. Krodha h. Upanaha i. Ahata j. Atapa sevana Anagni sweda useful in meda, kaphavruta vata. 2) Saagni sweda I. a. Sankara sweda b. Prasthara sweda c. Nadi sweda d. Pariseka sweda e. Avagaha sweda f. Jentaka sweda g. Ashma ghanasweda h. Bhusweda i. Kuti sweda j. Kumbhi sweda k. Koopa sweda l. Holaka sweda m. Karshu sweda.
  • 18. According to Sushrutacharya 4 types II . a. Tapa sweda b. Upanaha sweda c. Drava sweda d. Ushma swed III. 1. Snighda sweda – Vataja vikaras 2. Ruksha sweda – Kaphaja vikaras 3. Snighda IV. 1. Mrudu sweda 2. Madhyama sweda 3. Maha sweda
  • 19. Commonly used swedana in Ayurvedic practice : 1) Patra potali sweda – In sandhigata vata, Asthimajjagata vata, Pakshaghata, Vishwachi, Manyastambha. 2) Shashtikashali pinda sweda – Poliomyelitis Neuromuscular and Neurological disorders 3) Upanaha (Poultice) : Vidradhi, Inflammatory conditions. 4) Salvanopanaha : In sarvanga vata 5) Valuka sweda, Dhanyamla sweda : In Amavata . 6) Avagaha sweda in Arshas, Bhagandhara (Piles and fistula). 7) Nadi Sweda : Shoola and stambha hara 8) Pichzichil, Annalepana, dhanyamla sweda, Panasapatra sweda, Ksheeradhooma etc. are Keraleeya traditional bahirparimarjana chikitsas.
  • 20. Bahirparimarjana chikitsa are important contribution of Ayurveda to the world of medicine. Abhyanga, Swedana, lepas, seka, pichu, gandusha like classical procedures and many traditional treatments which are widely practiced by Ayurvedist are being accepted world wide in recent era. Vande Mataram Dr. Jagadish Yaji V. Medical officer Govt. Ayurvedic Dispensary Kadajji, Davangere. Tq. and Dist.
  • 21. Thank you

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