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Panchakarma treatment of HRUDDROGA1. Epidemiology of heart diseases: In today’s world most deaths are attributable to non communicable diseases (32 million) and just over half of these (16.7 million) are a result of CVD . In developed countries heart diseases and stroke are the 1 and 2 leading cause of death for adult men and women. In India prevalence of CVD is reported to be 2-3 times higher in the urban population as compared to the rural population .
- Kasa - Moorcha3.What is hridaya ) hrit all the blood enters heart da ddait blood again spreads in entire body the Pranas / blood ya inayamait it regulates Different connotations As per Shushrut Samhita. t~ iW stnaantryaaoma-Qyao )dyaM naama mama- | SaaoiNat kfp`saadjaM )dyaM | )dyaM [it caotnaa | ….DlhNa )dyaM maatRjaM | p`aNavah QamanyaanaaMmaUlasqaana | It’s a isaramama-
puNDrIkoNa sadRSaM )dyaM syaadQaaomauKma jaaga`tstiWksait …sau.saU 4-32 Thus is the cause of consciousness. In nadi vidnyan it has been described to be a muscular organ beating frequently. Maharshi sushrut states that the organ is a shira marma and it is one in number. Aamarkosha - hridaya = mind. Heart is the site of pain of body and mind. ………chakrapani kRtvaIya- During fetal development origin of heart occurs prior toother organs and it is the site of buddhi and mana. Acharyas say that development of heart completes in fourth month of fetal life.
Panchakarma therapy is a unique therapy which aims atelimination of body toxins in the form of vitiated vata, pittaand kapha dosha. There are following procedures involved : Porvakarma -: snehan swedan Pradhan karma vamana virechan basti nasya raktamokshan Paschat karma Samsarjan karma ShamanaUse of snehan in heart diseases
By, massaging with oils like bala, ashwagandha etc. the vitiated vata gets pacified , it helps in microcirculation ,reduces peripheral resistance & increases muscular tone of heart .In abhyantara sneha, administration of ghrita , brings the lipid soluble toxins into the koshtha in much more acceptable form . SNEHA KALPAAs per ch. Chi. 26
1. Vataj hridroga- punarnavadi taila, haritakyadi ghrita, pushkarmooladi kwath, pathyadi kalpa. 2. Piitaj- drakshadya ghrita, kashekuradi ghrita, sthiradi ghrita, 3. Kaphaj- katphaladi kwath, krushnadi choorna, udambaradi leha. As per yogratnakar, Narayana taila/ shatavari taila- best vatshaman karma, indicated in mitral regurgitationUse of Swedan in heart diseasesAs Hruddaya is Aswedya organ, if necessary swedan isgiven by Hands/pearls / Lotus leaves .
Sarvanga swedan is indicated. It reduces the pain & inflammation thereby reducing Vata.It increases the blood circulation .It increases vascular elasticity & acts as muscle relaxant. As it improves the relaxation & contraction of arteries hence it is used successfully for pumping action. The doshas are brought in to the circulation and finally eliminated through maha strotas The snehan helps in liquefaction of plaques & swedan helps in elimination of these plaques. Ultimately the diseases like arterial sclerosis & arthrosclerosis are successfully controlled.snaohi@lannaa: kaoYzgaaQaatUgaa vaa sa`aotaolaInaa yao ca SaaKaisqasaMsqaa : |daoYaa: svaodOsto d`ivakR%ya kaoYzM naIta: samyak SauiwiBaina- i)yanto|| Use of Vaman in Heart diseases
Vaman is emission or induced vomiting .It removes kaphadosha thus creating lightness in the body. Vaman is theprocedure involving elimination of dushit kapha through oralroute. As per Charak sidhisthan 1, any vaman dravya afterits administration initially reaches heart due to its veerya &thus removes doshas from heart & eliminates it out of the body. Due to vaman the dushit part of avalambak kapha is removed & its Prasadbhuta portion is maintained. Vaman helps inmaintaining the prakrut gati of prana & udan vayu.It is alsoknown as to remove toxins in form of various enzymes fromliver.A research conducted in Padmashree Dr.D.Y.Patil college ofAyurveda & Research institute on 30 patients implies thatvaman plays a major role in reducing the mediastinallymph node congestion.Though as per granthas madanphala,yashtimadhu , iscommonly used for vaman; Vacha/Pippali/Saindhava havegreat importance as prakshepa dravyas as they have beenfound effective in reducing cholesterol, lipoprotiens .Thusthese drugs are considered as most effective drug incontrolling heart diseases among lekhaniya gana of Charak
Use of Virechan in Heart diseasesVirechan eliminates mainly pitta dosha through anal route.It removes the accumulated toxins in liver & gall bladderthereby cleaning the whole of GIT.Virechan is effective in controlling krimij hridroga ..As per Charak sutrasthan 24 ,Virechan is one of the besttherapy indicated for raktadushti & thus it also removes anysort of hridaydushti as hriday is basicallySaaoiNatkfp`saadjaMCongestive cardiac failure & respiratory distress are relatedto each other. Thus by controlling tamakshwas by givingVirechan we can also control the diseases of heart bymainyaining the anuloma gati of vata.VIRECHAN KALPANarayana choorna -5-10gm. …… ch. Ch 13/125-132Pittaj hridroga - Mridu virechan with draksha ,sita , madhu,parushaka, ……… ch chi 26/90
Use of basti :It’s a medicated enema which cleanses accumulated toxinsof all the tridoshas through alimentary canal especially vatadoshaIt maintains proper functioning of vyan vayuSaaKaagataa: kaoYzgataaEca raogaamamaao-Qva-savaa-vayavaaMgajaaEca |yao saMita taoYaaM na taukiEcadnyaao: vaayaao:parMjanmaina hotaurista ||tsmaaiccaik%saaQa-imait p`idYTa:kR%snaaMicaik%saaip ca baistrokO:|Basti kalpa-Vataja hridroga - Dashamooladi bastiPittaja hridroga - Padmakadi bastiKaphaja hridroga - Aragvadhadi bastiTridoshaja hridroga - Erandamoolasiddha yuktaratha basti
Nasya is said to act as balya for ]rsqaana, thus it may actas strength promoter for accessory muscles of heart andthus improves the pumping action of heart.NASYA KALPA (VAG. CHI. 6/26-27)Vataja hridroga-Taila siddhikaran with bilva, rasna, yava,kola, devdaru, punarnava, kulattha, panchamoola.USE OF RAKTAMOKSHAN :
Sarvadaihik raktamokshan removes the impure blood fromall over the body and thus detoxifies heart. REJUVENATION THERAPIES :HRIDBASTI,HRIDDHARA:Allowing the medicated oil to stagnate on the chest aroundthe heart. Very effective in coronary artery blocks,congestive cardiac failure and reduces spasm.
SHIRODHARA :Shirodhara helps to alleviate anxiety and mental stress Takra dhara - indicated in de- addiction treatment of alcoholism and tobacco smoking ,masheri which may pose a threat to heart. Dugdha dhara - indicated in anxiety and pittaj hridvikara.
UDVARTAN :It plays a major role in fat dissolution and also increasesmicrocirculation.PINDA SWEDA:Indicated in Angina pectoris.It reduces the coronary spasm and strengthens themyocardiuim.DHOOMAPAN :
)%kNzoMid`yasaMSauiw......It checks the remnants of kapha dosha after vaman karmaAlso it absorbs the excesssecretions.LIFE STYLE:Improving your lifestyle by adoption of ethical elementsmentioned in Achara Rasayana is must if you really wantto stay away from mental and physical stress and fromeventual hypertension. It is certain that stress can causehypertension. Anxiety, secondary to acute stage can causerise in your blood pressure. Relaxation and removal of stresswill help to lower mildly elevated levels of blood pressure Love and affection and affectionate touch can significantlydrop, your blood pressure.
Speak truth. Lying has been found to boost blood pressure,because it require a lot of mental exercise.Speak gently; don’t get annoyed for coronary - heart -disease. .Laughter Study shows that laughter decreases adrenalineand cortisol productionYoga and Breath Therapy:Yoga as we all know it is aimed to unite the mind, the body,and the spirit. Research shown that regular practice of CorpsePose controls high blood pressure. Meditating & practicing breathing exercises regularly areessential to establishing a new relaxation response in place ofthe hypertensive reflex to stress.Chanting the mantra OM or listening to a recording of it in theearly morning and evening is also beneficial
Benefits of Yoga Stable autonomic nervous system equilibrium Respiratory rate decreases Blood Pressure decreases (of special significance for hyporeactors) Cardiovascular efficiency increases Gastrointestinal function normalizes Endocrine function normalizes Excretory functions improve Strength and resiliency increase Immunity increases Conclusions
SWOT Analysis Strengths Weakness Enormous treasure of Unavailability of Raw ancient Knowledge materials Guidance of old Vaidyas Lack of interest in Efficacy of Ayurvedic drugs learning Sanskrit text in so called non-curable Lack of evidence diseases based practice Opportunity ThreatsNiche in Therapeutics Growing globalDomestic and competition International Exposure Traditional working Availability of Globalization and modern technique for patency of Ayurvedic research medicine by Westerns