Shirodhaara with medicated thakra for hypertension

1. SHRI D.G.M.AYURVEDIC MEDICAL
COLLEGE
& RESEARCH CENTRE,GADAG-582101
PRESENTED BY:
DR TEJASHWINI HARTI
2ND YEAR PG SCHOLAR
DEPT. OF PANCHAKARMA
Shri.D.G.M.A.M.C.& Hosp.
GADAG-582101
GUIDE:
DR.JAIRAJ.P.BASARIGIDAD
ASST.PROFFESOR
DEPT. OF PANCHAKARMA
SHRI.D.G.M.A.M.C.& HOSPITAL
GADAG 582101

3. HYPERTENSION IS THE MAJOR CAUSE OF
PREMATURE DEATHS.ITS CALLED AS
“SILENT KILLER”
SILENT BECAUSE IT DOESN’T SHOW ANY
SIGNIFICANT SYMPTOMS .
KILLER BECAUSE IT CAN INCREASE RISK OF
HEART DISEASE ,KIDNEY FAILURE AND OTHER
DISORDERS

4. CAUSES OF PRIMARY HYPERTENSION
• Enviornmental factors
• Genetic Factors
CAUSES OF SECONDARY HYPERTENSION
• Renal – Acute nephritis
- Polycystic kidneys
- Renal artery stenosis
- Diabetic nephropathy
• Endocrine- Thyrotoxicosis
- Cushing’s syndrome
- Myxedema
• Exogenous – administration of steroids, non steroidal, anti
inflammatory drugs.
• Neurological – Raised intracranial tension
- Lead encephalopathy
• Pregnancy induced hypertension
• Cardiovascular hypertension
• Miscellaneous
-

6.  In Ayurveda Acharya Yadhunandan Upadhyay has
equated the term “RAKTAGATA VATA” for
Hypertension.
 When rakta gets vitiated it leads to soshana of raktha
dhatu.
 Hence it becomes incapable to perform its normal
functions like jeevana, varnaprasadana, mamsa
poshana etc.
 It is also called as “UCCHA RAKTACHAPA”

7. TEEVRA RUJA - ACUTE PAIN
SANTAPA-BURNING
SENSATION
VAIVARNYA -
DISCOLOURATION
OF SKIN
KRUSHATA - EMACIATION
ARUCHI - ANOREXIA
ARUMSI - APPEARANCE OF
RASHES
BHUKTASYA STAMBA –
STIFFNESS OF BODY
AFTER TAKING FOOD

9. • NOW A DAYS HYPERTENSION IS THE
COMMENEST DISEASE.
• EVERY 5th PERSON IS FOUND HYPERTENSIVE.
• ACCORDING TO WORLD HEALTH
STASTISTICS REPORT IN INDIA 23.1% MEN
AND 22.6% OF WOMEN ABOVE 25 YEARS.
SUFFER FROM HYPERTENSION.
• IT IS INCREASING EVRYNEXT YEAR DUE TO
THE SEDENTARY LIFE STYLE AND
UNWHOLESOME DIET.
• IT’S A MAJOR RISK FACTOR FOR STROKE ,
MYOCARDIAL INFRACTION, VASCULAR
DISEASES, CHRONIC RENAL DISEASES.

10. THE CLINICAL FEATURES MAY BE DUE TO:
1) ELEVATED BLOOD PRESSURE BY ITSELF
2) TARGET ORGAN INVOLVEMENT
3) UNDERLYING DISEASE AS IN SECONDARY
HYPERTENSION.
SUCH AS:
• HEADACHE
• DIZZINESS
• DYSPONEA
• CHEST PAIN
• PALPITATION
• BLURRED VISION
• POLYURIA

11. RISK FACTORS:
• DIABETES MELLITUS
• OBESITY
• DRUGS
• SMOKING
• HIGH SODIUM INTAKE
• PHYSICAL INACTIVITY
• ALCOHOL
• FAMILY HISTORY OF
PEMATURE CAD
• DYSLIPIDEMIA
• PREVELANCE
INCREASES ALONG
WITH THE AGE
COMPLICATIONS:
• ISCHAEMIC ATTACKS
• CEREBROVASCULAR
ACCIDENTS
• HTN RETINOPATHY
• CORONARYARTERY
DISEASE
• PROTINURIA
• PROGRESSIVE RENAL
FAILURE AND SO ON

12. URINE ANALYSIS
RENAL FUNCTION TEST
FBS & PPBS
SERUM CHOLESTROL
ECG
MONITORING OF BLOOD
PRESSURE
SERUM ELECTROLYTES …

13.  IN MODERN MEDICINE SOME EFFECTIVE TREATMENTS ARE
AVAILABLE BUT THOSE ARE HAVING THEIR OWN
COMPLICATIONS.
 IN AYURVEDA WE HAVE SOME HERBALAND
HERBOMINERAL DRUGS WHICH HAVE A VERY NEGLIGIBLE
OR NO SIDE EFFECTS.
 WE CAN USE THOSE DRUGS VERY SAFELY AND
EFFECTIVELY.
 THE CONCEPT OF TREATING RAKTAGATAVATA IN
AYURVEDIC PROSPECTIVE IS TO NORMALISE THE GATI OF
RAKTA BY NORMALIZING THE VATAAND REDUCING THE
QUANTITIVE INCREASE OF RAKTA DHATU.
 WE CAN TREAT HYPERTENSION WITH THE HELP OF
PANCHAKARMA METHODS LIKE VIRECHANA,
RAKTAMOKSHANA, BASTI, SHIRODHARA ETC.
 HERE WE HAVE CHOOSEN TAKRADHAARA I.E
SHIRODHAARA WITH MEDICINAL TAKRA

14.  SHIRODHAARA IS A FORM OF AYURVEDA THERAPY THAT
INVOLVES POURING OF WARM LIQUIDS GENTLY OVER THE
FOREHEAD.
 THE NAME COMES FROM THE WORD SHIRAS IE HEAD AND
DHARA IE IN THE FLOWOR IN THE STREAM.
 THE LIQUIDS LIKE KSHEERA, TAILA, JALA, KASHAYA,
THAKRA, ETC ARE POURED.
 THE LIQUIDS ARE POURED IN A OSCILLATING STREAM VER
THE FOREHEAD OF THE PATIENT, THEN ALLOWED TO RUN
OVER THE SCALPAND THROUGH THE HAIR IN A SOOTHING
RHYTHM
 TYPES OF SHIRODHAARA
1. THAILADHAARA
2. KASHAYAADHAARA
3. KSHEERADHAARA
4. THAKRADHAARA

15.  THAKRADHAARA IS A VARIETY OF SHIRODHAARA, IN
WHICH THE TAKRA IS MEDICATED AND THEN POURED
IN A STREAM ON THE FOREHEAD OF THE PATIENT IN
OSCCILATING MOTION.
 IT IS PREPARED USINGTHE KASHAYA OF ONE YEAR
OLD AMALAKI WHICH IS DRIED IN SUNLIGHT AND
KEPT IN MIST DURING NIGHT.
 EQUAL QUANTITYOF BUTTERMILK OR TAKRA IS
ADDED TO THE KASHAYA AND USED FOR
TREATMENT.(sahasrayoga.dha.ka)
 ACC TO ACHARYA CHARAKA IN CHIKITSA STHANA
(28/92 )THAT SHEETALA DRAVYA PRADEHA CAN BE
DONE IN RAKTAGATA VATA.

16. o PREMATURE GREYING OF HAIR
o DULLNESS AND THINNING OF HAIR
o TRIDOSHAJA SHIROSHOOLA
o OJOKSHAYA
o HRDROGA
o JOINT DISORDERS
o AMA
o NEUROPATHY
o LOSS OF MEMORY
o PSYCHOSOMATIC DISORDERS
o OTHER NEUROLOGICAL DISORDERS
(Sahasrayoga.Dha.Kal)

17. THE PROCESS IS DONE DAILY FOR
A PERIOD OF 7 TO 14 DAYS.
THE DURATION OF TREATMENT
AS WELLAS THE TIME PERIOD
DEPENDS ON THE CONDITION OF
THE PATIENT AND NATURE OF THE
DISEASE.
IT IS USUALLY FIXED FOR 45MINS
TO 60 MINS

18. Acc to ashtanga sangraha the main properties of
thakra is LAGHU, KASHAYA.
It is AMLA in rasa
It is DEEPANA,KAPHAVATAHARA and cures
SHOPA.
AMALAKI soothes the pitta which reduces
inlammation,, insomnia, skin disorders, GIT
disorders.
Along with that it promotes DETOX, SHARPEN
MEMORY, PROTECTS AGAINST CANCER.

19. THE DHAARA PRODUCES A CONSTANT PRESSURE
AND VIBRATION WHICH IS AMPLIFIED BY HOLLOW
SINUS PRESENT IN FRONTAL LOBE, THE VIBRATION
IS THEN TRANSMITTED INWARDS TROUGH CSF.
THIS VIBRATION ACTIVATES THE FUNCTION OF
THALAMUS AND BASAL FORE BRAIN WHICH
BRINGS SEROTONIN AND CATECHOLAMINE TO
NORMAL STAGE.
THIS ACTIVATES ACETYLCHOLINE WHICH EXISTS IN
THE INACTIVE FORM .
SMALL DOSES OF ACETYLCHOLINE CAUSES FALL
OF BLOOD PRESSURE.

20.  Hypertension is a major cause for
mortality.
 It has primary and secondary causes
 If we treat the causing factors it can be
controlled.
 In modern we have vasodilators, stress
relievers, diuretics are used, but it causes
side effects after using for long t ime.
 Hence we use shirodhara with medictaed
thakra to lower the blood pressure levels by

21. MADHAVA NIDAANA ACHARYA
YADUNANDAN UPADHYAYA.
P.J.MEHTA’S PRACTICAL MEDICINE.
DAVIDSONS PRINCIPLES OF MEDICINE.
KAYACHIKITSA BY PROF.AJAY KUMAR
SHARMA 3RD PART .
A TEXTBOOK OF PANCHAKARMA BY ANUP
JAIN 2ND EDITION
WWW.AYURVEDANCR.COM
WWW.KARMAKERALA.COM