Revitalizing Ayurveda through integrated scientific research and development initiatives is very much important in terms of improving the health care standard quality of life and also in view of enormous potentials and benefits this system could offer to the field of sports medicine. The traditional system of medicine that includes marma therapy and kalari chikitsa is very much correlated with sports medicine. Marma chikitsa –the treatment of vital spots-in Kerala as Nadee- marma chikitsa and in southern Tamil nadu as adimurai. In Kerala from the time immemorial, every sports related injuries were managed with Marma and Kalari chikitsa; integral part of Ayurveda. The West better recognizes the ancient Indian medicine system now. It is less known that great strides were made in the field of surgery too. These holistic approaches have not been scientifically evaluated yet, but now it has become the need of the 21st century.

1. Revitalization of Ayurvedic sports medicine Presented in 2 nd world Ayurveda Congress , Pune Dr.Syyed Mohammed Jalaludheen MS (Ay),PhD(Ay) Medical Superintendent Punarnava Ayurveda Hospital(P)Ltd , Kochi

2. ( Ah Su 4 /35 )

4. Introduction

5. Introduction INDIA TOGO Population 1,045,845,226 5,081,413 Illiteracy 47% 47% Total Area. 1,269,340 sq. mi. 21,927 sq. mi Income $42.12 Billion $232 million Expenditure $63.79 Billion $252 million

9. Part - 1 Sports Survey

10. Type of injury 32.17% 31.33% 12.17% 23.47%

11. Site of injury( joints) 34.78% 31.3% 15.65% 10.43% 7.83%

12. Types of treatment opted 46.96% 44.35% .86% 7.8%

13. Satisfaction with treatment ? 36.52% 31.3% 9.56% 12.17% 77.78% 22.22% 72% 28%

14. Incidence of Recurrence 29.57% 26,09% 17.39% 18.26%

15. Conclusion of survey Ayurvedic conservative management is more effective than other system Other surgical management is not fully satisfactory in many case Recurrence of injury is high in other system than in AYURVEDA

16. Part - 2 Cinical study

17. Clinical study No. of patients = 60(physical medicine modalities-30,Ayurvedic modalities-30) Age = 60% 15- 25 yrs age group and remaining are 25-30yrs. Sports field = Out of 32 % were from football and 11% from cricket Nature of injury = 60% medial collateral ligament injury.

19. Effectiveness of treatment on wasting of quadriceps in both group

20. Effectiveness of treatment on muscle strength in both group

22. Part - 3 Healthy Living

23. SUN WIND MOON PITTA KAPHA VAATA CONTROLING FACTOR COLD FACTOR HEAT FACTOR DIGESTIVE POWER BODY ELEMENTS,MUSCLES NERVOUS SYSTEM UNIVERSE (Su Su 21/8)

24. VAATA – CONTROLLING FACTOR ( AIR) PITTA – HEAT PRINCIPLE (FIRE) KAPHA – COLD PRINCIPLE ( WATER + EARTH) TRIDOSHA ( BIO REGULATORY PRINCIPLE)

25. Dakshinayana /visarkakala Hydration period VARSA Rainy season Sarvana-bhadrava July-sep SARAT Autumn Asvina-kartika Sep-Nov HEMANTA Early winter Margasirsa-pausa Nov-Jan

26. Utharayana /adanakala Dehydration period SISIRA Late winter Magha-phalguna Jan-march VASANTHA Spring Caitra-vaisakha March-may GRISMA Summer Jyaista-asada May-July

27. Ritucharya

28. Effect of Doshas (somatic humor) in different season Ritu Sisira Vasanta Grishma Varsha Sarat Hemanta Season Late winter Spring Summer Rainy season Autumn Early winter Greek Jan-March Mar-May May –Jul jul-sep Sep-Nov Nov-Jan Dosa Predominance Vata↑ Kapha ↓ Kapha↑ Vata↑ Vata↑ pitha↓ pitha↑ Vata↑ Eliminative therapy Oil fomentation Emesis Nasal drops Intake med. ghee Med. enema Purgation Blood letting Oil fomenta-tion.

29. , Diet restrictions for various seasons Season/ Ritu Diet Restricted diet Late winter Consumption of sweet, bitter salty tasty foods & wheat milk, meat etc. Wearing of warm cloths, hot water baths and living in warm places. Cold, pungent and astringent foods should be avoided. Avoid exposure to sunlight . Spring Consumption of bitter, pungent astringent taste foods, old barley, wheat, meat, grey partridge, etc Exercise, massage with medicated powder, medicated smoking and gargling. Avoid heavy, sour oily & sweet foods Avoid sleeping during day time . Summer Consumption of oily light and cold foods with fluids, sweetened fruit juices, rice flakes, parched rice milk, meat, cold drinks etc. Short naps during day, cold water bath etc. Pungent, hot, and sour foods alcoholic drinks are avoidable. Avoid heavy exercise & excessive exposure to sunlight . Rainy season Consumption of sweet, sour, salty, hot and oily foods, drink boiled water, meat and honey can be consumed, tulasi dadima are advisable. Application of oils, Fumigation and living in warm places is advisable. Avoid pungent, bitter, and astringent foods. Avoid day time sleep, exposure to rain and heavy exercises. Autumn Consumption of sweet, bitter, astringent light foods, meat can be consumed. Kumari, amalaki herbs are advisable. Bowels should be purged regularly Avoid Pungent, sour, salty foods, curds and alcoholic drinks. Avoid daytime sleep, exposure to rain. Early winter Consumption of oily, heavy, sour and salty, sweaty foods . Meat and fried foods, drink boiled water, Guduchi, Aswgandha are advisable. Wearing of Warm cloths, hot water baths, exposure to sunlight, massage with medicated powder and medicated smoking are advisable. Avoid light, vata vitiating and spicy foods. Avoid exposure to sunlight .

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