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Blood circulation in Ayurveda

  1. ‘Blood Circulation’ in Ayurveda Literature Kishor Patwardhan Professor, Department of Kriya Sharir, Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu University, Varanasi
  2. Blood Circulation
  3. Who? When? Proposed what ? Egyptian Physicians in Medical Papyrus 1500 BC Arterial pulse, its character and force in understanding health Hippocrates 460 BC – 370 BC A clear description of the ventricles, the vessels (recognizing the difference between arteries and veins), and the semi-lunar valves is found in his writings. He also does recognize the property of the valves that allow for only uni-directional flow. Recognized contributions: Blood Circulation
  4. Who? When? Proposed what ? What was the error? Aristotle 384 BC – 322 BC Described that the heart was central, mobile, and well supplied with structures which served to communicate between it and the rest of the body. The heart had three chambers, and there were two significant vessels connected to it: the vena cava and the aorta. The right chamber had the hottest blood and the most abundant blood; the left chamber had the coldest blood and the least abundant. The middle chamber had the purest and thinnest blood in the body and a medium
  5. Who? When? Proposed what ? What was the error? Erasistratus 304 BC - 250 BC Air, attracted by the Lungs, passed into the pulmonary veins, from there into the left ventricle, and from the left ventricle it passed into the arteries, which distributed it to all parts of the body. He proposed the existence of two systems: One that carried air (arterial or air system), and the other that contained blood (venous or sanguiferous system).
  6. Who? When? Proposed what ? What was the error? Claudius Galen 129 AD -217 AD Arteries contain blood, not air. The ‘Chyle’ was carried by veins into the Liver, and there it was converted into Blood. Liver added ‘Natural Spirit’ to the blood. The veins that originated in the liver, carried blood to all peripheral parts of the body. The ‘Vital spirit’, ‘Pneuma’, was derived through the act of respiration and was mixed with the blood in the left ventricle, and a portion passed through the septal pores into the venous blood of the right ventricle. Inter- ventricular septum was perforated.
  7. Who? When? Proposed what ? What was the error? Ibn al-Nafis 1213 - 1288 Stated that the inter-ventricular septum was not porous and proposed the existence of pulmonary circulation. Did not know about the greater circulation. Leonardo da Vinci 1452-1518 He established through experiments that air doesn’t enter heart from lungs. He also proved conclusively that the valves allowed the blood to pass in only one direction, and prevented its regurgitation. Believed that the inter-ventricular septum allowed the passage of contents between the two ventricles. Andreas Vesalius 1514 – 1564 Inter-ventricular septum is not perforated Maintained that veins carried blood towards periphery.
  8. Who? When? Proposed what ? What was the error? Michael Servetus 1553 Described pulmonary circulation Did not know about the greater circulation Realdus Columbus 1515 – 1559 Independently discovered the pulmonary circulation. He also discovered that the heart’s four valves permitted flow of blood in only one direction. Believed that the veins originated in the liver and convey blood to periphery. Andreas Caesalpinus 1593 Described the passage of the blood from the right heart through the lungs to the left heart, and used the term ‘Circulation’ for this process. Believed that the inter- ventricular septum was perforated.
  9. Who? When? Proposed what ? What was the error? Fabricius d’Acquapendente 1574 Discovered the valves in the veins and noticed that these valves opposed the movement of the blood from the heart. Knew nothing about the circulation. William Harvey 1628 Explained the complete process of circulation Though he proposed the existence of capillaries, he could not establish the presence as he did not have access to microscope.
  10. Who? When? Proposed what ? What was the error? Marcello Malpighi 1661 Established the presence of capillaries with the help of microscope. He hypothesised that capillaries were the connections between arteries and veins that allowed blood to flow back to the heart, thus completing the gap in the knowledge of circulation. -
  11. No Ayurveda literature listed!  Chyle – Rasa  Blood – Rakta  Prana- Breath  Vata-Pitta-Kapha : Wind-Bile-Phlegm Inaccurate translations:
  12.  रसवहानाां स्रोतसाां हृदयां मूलां दश च धमन्यः ॥ (चरक सांहहता, ववमान स्थान, ५/७)  व्यानेन रसधातुहहि ववक्षेपोचचतकमिणा । युगपत् सवितोऽजस्रां देहे ववक्षक्षप्यते सदा ॥ (चरक सांहहता, चचककत्सास्थान, १५/३६)  ककां वा रसतीतत रसो द्रवधातुरुच्यते, तेन रुचधरादीनामवप द्रवाणाां ग्रहणां भवतत । (चक्रपाणण on चरक सांहहता, चचककत्सास्थान,१५/३६)
  13.  सन्तत्या भोज्यधातूनाां पररवृविस्तु चक्रवत् । (चरक सांहहता, चचककत्सास्थान, १५/२१)  ध्मानाद्धमन्यः स्रवणात् स्रोताांसस सरणात्त्सराः । (चरक सांहहता, सूत्रस्थान, ३०/१२)  तद्ववशुद्धां हह रुचधरां बलवणिसुखायुषा । युनत्तत प्राणणनां प्राणः शोणणतां ह्यनुवतिते । (चरक सांहहता, सूत्रस्थान, २४/४)
  14.  हृदो रसो तनःसरतत तस्मादेवां च सविशः । ससरासभहृिदयां वैतत तस्मात्त्त्पत्प्रभवाः ससराः ॥ (भेल सांहहता, सूत्रस्थान, २०/३)  स (रसः) श्ब्दाचचिजिलसन्तानवदणुना ववशेषेणानुधावत्येवां शरीरां के वलम् ॥ (सुश्रुत सांहहता, सूत्रस्थान, १४/१६)
  15.  ....आहारस्य सम्यतपररणतस्य यस्तेजोभूतः सारः परमसूक्ष्मः स रसः इत्युच्यते, तस्य हृदयां स्थानां, स हृदयाच्चतुवविंशततधमनीरनुप्रववश्बयोध्विगादश दशाधोगासमन्यश्बचतस्रश्बच ततयिगगाः कृ त्स्नां शरीरमहरहस्तपियतत वधियतत धारयतत यापयतत चादृष्टहेतुके न कमिणा । (सुश्रुत सांहहता, सूत्रस्थान, १४/३)  कृ त्स्नदेहचरो व्यानो रससांवहनोद्यतः । (सुश्रुत सांहहता, तनदानस्थान, १/१७)
  16.  दशमूलससरा हृत्स्थाः सविं सवितो वपुः । रसात्मकां वहन्त्योजस्तत्न्नबद्धां हह चेत्ष्टतम् ॥ ( अष्टाङ्ग हृदय, शारीरस्थान, ३/१८)  स्थूलमूलाः सुसूक्ष्माग्राः पत्ररेखाप्रतानवत् । सभद्यन्ते तास्ततः सप्तशतान्यासाां भवत्न्त तु ॥ (अष्टाङ्ग हृदय, शारीरस्थान, ३/१८-१९)  रसस्तु हृदयां यातत समानमारुतेररतः । (शाङ्िगधर सांहहता, पूविखण्ड, ६/९)
  17.  करस्याङ्गुष्ठमूले या धमनी जीवसाक्षक्षणी । तच्चेष्टया सुखां दुःखां ज्ञेयां कायस्य पत्ण्डतैः ॥ (शाङ्िगधर सांहहता, पूविखण्ड, ३/१)
  18. Thanks!
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