Jara chikitsa-This branch of Ashtang Ayurveda aims at achieving a long and healthy life. It includes longevity, improved memory, health, youthfulness, glow, complexion, generosity, strength of body and senses.

1. Jaraa chikitsa-healthy old age
Dr.Simi Ravindran
Assistant professor
Govt.Ayurveda college Kannur
simisreehari@gmail.com
Wats up-9496370179

2. • Older people – a new power for
development
• Active people with positive contribution
• WHO focus -active ageing-oct-2010
Active ageing is the process of
optimizing opportunities for health
participation and security in older to
enhance quality of life as peoples age

3. Contents
• Jara-ayurvedic view
• Statistics
• Eye problems
• Musculo-skeletal
diseases
• Cardio vascular
diseases
• GIT disorders
• Diabetes
• Prostate
&Menopausal
problems
• Ear problems
• Alzheimer's diseases
• Exercise,sleep and
diet
• Rasayana plan
• Dinacharya

4. Jara-ayurvedic view

5. Vriddha lekshana
• Jara-kalaja ,akalaja jara
• 60,70yrs
• Saptaterurdham ksheeyamana dathu, indriya,
bala, veerya, utsaha ahani ahani vali, palitha,
khalitya, dristwam kasa swasa pravridhi,
upadravai abhibhooyamanam, sarva kriya
asamartham, jeernakaram, eva abhivriddham
avaseedantham vriddham prachakshate.( Su su
35/29)

6. Jara chikitsa-This branch of Ashtang
Ayurveda aims at achieving a long and
healthy life. It includes longevity, improved
memory, health, youthfulness, glow,
complexion, generosity, strength of body
and senses.
Geriatrics is the branch of general
medicine concerned with clinical,
preventive, medical and social
aspects of illness in the elderly.

7. AIM OF GERIATRIC MEDICINE
• Maintenance of health in old age by high levels
of engagement and avoidance of disease
• Early detection and appropriate treatment of
disease
• Maintenance of maximum independence
consistent with irreversible disease and
disability
• Sympathetic care and support during terminal
illness

8. Statistics
• Cataract &Visual impairment- 88%
• Arthritis &locomotion disorder-40%
• CVD &HT – 18%
• Neurological problems- 18%
• GIT problems- 9%
• Psychiatric problems- 9%
• Loss of Hearing – 8%

9. Eye problems

10. • Catract
Timira (sadhya) and kacha (yapya)
early precautions -delay
Elaneerkuzhampu
Pasupathavarti(3D haram)
Chandanadivarti(pitta haram)
• Dry eye syndrome-
brumbhana treatment
jeevaneeya grutha,mrudveekadi
arkam
• Glaucoma
"Thief of the Night"
10-21 mm Hg
Acute glaucoma
Chronic glaucoma(open angle)
Sigru rasa ashyotana
sodhana,anulomana.(erandamool
a)
sodhana ,nasya,anjana,sirodhara
and pratimarsanasya..
Incresed pressure-rakthamoksha
with jalouka

11. Macular Degeneration
Dry(senile) and wet
Blurred
Central vision
Distance vision
Blind spots- scotomas,
Micropsia
Metamorphopsia
(Straight lines look irregular or
bent),
grape seed oil,vit A supplyment
• Vatasamanam ,brumhanan
• Sarira
sodhana,nasya(dhanwanthara
m,ksheerabala),sirodhara,pra
timarsanasya,anjana,tarpana
• Jeevaneeya grutha

12. Amsler grid

13. Diabetic retinopathy
• Timely Treatment Is
Key-
non Proliferative
• Vatha samana,
• Prameha hara treatment
sodhana ,
nasya,
sirodhara ,
pratimarsyansaya, anjana,
tarpana
• Proliferative
Hemorrhagic condition
Talam with laksha
chooranam asana
manjistadi tailam

14. • Ophthalmologist-once in 2 years
• D.M patients-1.6 years
• D.R patients-6 months
• Spectacles should thoroughly cleaned-once
in 2 days

15. Musculo skeletal diseases

16. • Sarcopenia -Body
composition changes as
fat replaces muscle,
Degenerative
Pain,tenderness,
Restricted movements,
Inactivity stiffness,
Crepitus,
locking of
joints.OA,IVDP,RA,
Calcaneal spur
• Complications more
Weakness,balance
More falls,
# hip and femur common
Keep proper lightning
Avoid displacements of
furniture

17. • Dharana sakti
Sthira,khara gunas
• Asthigata
vata,astikshyajanya
vikaras
• Asthi,sakthi,sandhi
soola,teevra balakshaya
• Sandhigta vata,vata
kandtaka,vata sonithaetc
Titkta rasa
paradhana,ksheera,
grutha
Ksheera vasthi,krishna tila
rasayana
Ca supply-kukudantatwak
bhasma,pravala
bhasma,sankhabhasma
with ghee and madhu

18. Ksheeravasthi
• Osteoarthritis
Makshikam120ml
Lavanam-5gm
Sheham-120-gulgulu
tikthaka grutham
Kalkam—30gm-yavanyadi
Kwatham-240-
panchatiktaka kasayan
• Osteoporosis
Makshikam120ml
Lavanam-5gm
Sheham-120-ketaki
mooladi taialm
Kalkam—30gm-yavanyadi
Kwatham-240--
panchatiktaka kasayan-

19. Cardio vascular diseases
Hridroga and hypertension

20. • Chest Pain or Chest
Discomfort
• Heart Palpitations
• Lightheadedness or
Dizziness
• Syncope (Fainting/Loss
of Consciousness)
• Fatigue, Lethargy or
Daytime Sleepiness
• Shortness of Breath
Cardiomyopathy,
arrhythmias,
atherosclerotic changes
coronary artery diseases.

21. Hridroga
(adhovata,sakrit,mutra,sukra,udgar
a,bhaspa,kasa,sramaswasa,trisn
a)
Hridya,
ojasya,
Srotosodhana
Anulomana,
Manaprasada
Rasonadi kasaya
Elakanadi kasayam
Indukantam kasayam
Urovasthi,
ahara
vihara
vegadharana
Rasavaha srotas
Rasa dusti
hritroga

22. Hridya drugs
Gulgulu Anticholestremic,inhibit coagulation
Arjuna Strengthen heart muscles,enhance
circulation,diuretic
Lasuna Anticoagulant,hypolipedimic
Hareeth
aki
Srotosodhana,dasamoolahareetaki
Dadima anulomana
Puskara Coronary dialatation
Sthira Strengthen muscles
Amlalaki prevent arterial damage

23. Ganas
• Brihatyadi gana
• Anti inflammatory
effect at
lungs,cardiac,and
general cellular level
• Madhuka,kantakari,bri
hati-lungs
• Kutaja phala,patha-
increse absorption
• Paroosakadi gana
• (phala and saka)
• Enrich
Na,K,Ca,Mn,Mg,Zn,Vita
mins-E,C,A
• Increase Rbc
production,smooth muscle
of cardiac and intestinal
mucosa
• Supports osmosis and
hydrostatic pressure

24. Hypertension
• 140/90-border line.
• Sleeplessness,occipital
headache,giddiness..
• Complications
Cerebral ,cardiac
CAD,Aneurysm.
Dissection of aorta,
Hypertensive retinopathy,
• Hypertension=kidney
• Diet-no added salt
• Antihyperlipedimic
• Lekhana-lasuna,
• Triphala
• Punarnava,
• Sigru
• Sirodhara in Essential
hypertension

25. GIT disorders

26. Dyspepsia Guloochyadi
Flatulence Gandharva,
Sundi,jeeraka,dhanyaka,sudarsan
a
Hiccups Dashamoola ksheerapaka
vomiting Vilvadi ks
Abdominal pain Eranda,hingutriguna
Abdominal
distension
G.H,hingvastaka,asta choorna

27. Constipation
3 days or more
Exercise-small brisk
walking
Spicy dry foods
Plain water-early
morning
Plain water enema-50 ml
Mild laxatives
senna

28. • Avoid Ushna,teekshna oushadha
• Increse iron,calcium supply
• Lehya-ghee,taila
• Madhura ras,fatty content –more absorption
• Pippalyasavam, draksharistam
• Triphala-geriatric,bulk forming laxative,with ghee
• Eranda-oily nature,indigestion,conditional reflex

29. Diabetes mellitus
Diabetes,Diabetic nephropathy

30. Diabetes
• 366 million –2030
• Keralites-diabetic
capital
• Type 2 diabetes –
Insulin dependence
Ketoacidosis
• Hypoglycemia
Hunger,weakness,tremor,
hysteric behavior,confusion
Epinephrine release,BP
FBS-120.PPBS-200mg/dl
• Glycated hemoglobin (Hb
A1C) ≥ 6.5%.

31. • 2D&2E-
• Diet
• Drug,
• Exercise
• Education .
• More results in non-
obese patients

32. Diabetic nephropathy
• 10 year diabetic
• Macro angiopathy
• Five stages
1.Asymptomatic
2.Microalbuminurea-
(30-300mg)
3.Albuminurea-(300mg-3
gm)
4.Protenura-3 gm
5.Kidney failure
• Micro,Albuminurea-
reversable
• Premeha,pramehapitaka
(angiopathy)
• Ropana,medohara,
• soshana,tiktarasa
pradhana-kaphapitta
hara-
ksheerivriksha+triphala-
nygrodhadi choorna

33. Prostate & Menopausal problems

34. • Chronic prostatitis
• Acute prostatits
• Prostate cancer
• BPH
• PRE,USG,PSA,Biopsy
PSA
• under 4 ng/mL: "normal"
• 4 to 10 ng/mL: 20 to 30% risk
• 10 to 20 ng/mL: 50 to 75% risk
• Above 20 ng/mL: 90%.

35. • Dwipanchamooladi
vasthi
Dasamoola+gomootra-
500ml
Makshika-300ml
Kalka-kalinga,pata-60 gm
Kshara-yava-30 gm
Pippalyadi anuvasana-300
Symptomatically
significant
• Brihatyadi gana
kasaya
• Trivikrama rasa
• Chandraprabhavati
• Varanadi gana
• Gokshuradi gulgulu

36. Menopausal syndromes
• Anemia,
• Weakness
• Burning micturation
• frequency of
micturation,
vaginal dryness,
itching
• Joint pain,
irritable nature,
Sleeplessness
Lassitude
‘Yati panchasat
kshayam’
Satavari chinnaruhadi
Satavaryadi ks
Maharasnadi kasayam
pichu dharana
Mahatiktaka grutha
sastika tailam,bala
tailam –,

37. Ear problems

38. Ear
• Presbycusis-age
related hearing loss.
Ear wax-care.
• DM patients - remove
with care
• Karnapoorana
vachalasunadi tailam,
• Eranda sigrvadi tailam,
• Kshara tailam
Sirodhara and
pratimarsanasya(ksheerab
ala)
B complex rich
foods,thiamine rich food,
Vit.a rich foods

39. Alzheimer's dis& Dementia

40. Alzheimer's diseases
• Smrutinasa/smruti
bramsa( na smarati
ayathavat ava
smarathi)
• 3D+ rajas+tamas –
avarana of hridaya
• Derangement of
functions of manas-
chinta,vicharam,uhya
m..etc
• Rookshna (Dhanyamla
dhara,takra dhara
• Mrudu shodhana
• Rasayanam,brumhana
m
• Samjasthapana gana-
sirodhara,sirolepa,kasa
ya

41. Brahmi
Sankhupusphi
Vacha
Yastimadhu
Guloochi
Pippali
Ghee
Brahmarasayana
Chyvanaprasa
Narasimharaasayana
Brahmigrutha
Kalyanaka grutha
Saraswatha choorana

42. Exercise,sleep,diet

43. Exercise
• Weakness,digestion,stres
s,disability,sleeplessness,
• Walking
• Stretching e-flexion and
extension of joints
• Resistance e-weight
lifting
• Endurance e-cardiac
muscles
• OA-walk on a plain
surface
• Yoga,pranayama
• Alpraxia-sitting
• Heart beat, chest
pain,breathing
difficulty,dizziness,
vomiting

46. Resistance exercise

47. Endurance exercise for Cardiac
and pelvic floor muscles

48. Calcaneal spur

49. Pranayama and savasana

50. sleep
• Day time sleep increases
• Pain
,stress,medicine(anti
seizure,anti
hypertensive.)
• Terminal insomnia more
• Avoid heavy food (4
hours) before food
• Obstructive sleep apnoea
• Himasagara tailam
• Talam
• Aswagandha,tagara,jada
mamsi
• Hygienic sleeping habits
• Meditation,deep breathing
exercise,positive mental
exercise,

51. Diet
• Metabolic rate (BMR) declines about 5%
• Digestive hormones and enzymes decrease
• Hypochlorhydia- decreases vitamin B12
absorption.
• Xerostomia- lack of salivation
• Pernicious anemia and constipation.
• taste buds -salty and sweet tastes,
• Oral cavity changes

52. • quantity of food
• number of meals
• diet should be soft,
well cooked
• Fibre rich food
• Zn,Mg,Mn,Ca rich
foods
• Fruits,ragi etc
• Aviyal,kalan,olan,inji
kari,rasam should be
include

53. Water
• Dehydration
Reduced thirst sensation
reduced fluid intake
diminished water conservation by the kidneys
An adequate water intake consists of 30 to 35ml/kg
ideal body weight.
The elderly should drink 6 to 8 glasses a day,
Urine output to about 6 cups per day.

54. Rasayana

55. Sarnghadhara samhita
Balya -10 years-vacha
Sukra- 70 years –sptamruta
lauha
Vriddi-20 years –
bala,aswagandha
vikriya- 80 years-atmagupta
Chavi-30 years -amalaki Buddhi- 90 years
Medha-40 years-
Sankhupuspi
karmendriyam 100 yrs
Twak- 50 years-
Tuvaraka,amaklaki,Brunga
raja
chetas- 110 years
Dristi- 60 years
saptamruta lauha
jivitam-120 years

56. Dinacharya for old age

57. • Pratrudhwanam
• Nisodaka panam
• Soucham
• Danta dhavanam
• Anjana
• Nasyam
• Gandoosaha
• Abhyanga
• Karnapooranam
• Vyayama
• Snana
• sadvritta

58. Thinks to do
• Maintain a good medical diary
• Medicine kits

59. • Thanks