The document discusses different medical systems and their characteristics. It notes that Ayurveda has high patient participation but no single framework of reference, while allopathy has a single framework but less participation. It also examines various Ayurvedic treatment approaches like oleation therapy, sudation therapy, rejuvenation therapy, and panchakarma therapy. It describes challenges of Ayurvedic practice such as inadequate training and the shift to private practice. Overall, the document provides an overview of Ayurvedic medical approaches and considerations for Ayurvedic practice.

1. 07/20/19Dr Madan kumar M.K
Personalised health care

2. DIFFERENT MEDICAL SYSTEMS AT A GLANCE
Ayurveda / Yoga
• High Participation
• Fair amount of contact
• No single frame of referance
• Not easily verifiable &
reproductible
Allopathy
• Fair amount of
Participation
• High contact
• Single frame of
Referance
• Easily verifiable
& reproducible
Acupuncture
• No participation
• Some contact
Rekei
• No participation
• No contact
Pranic Healing
• Some participation
• No contact
Which is good for me ?
Low Participation High Participation

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14. meditation
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15. Scope
 Statistics
 Doctor to Patient ratio in India 1:2000
 Doctor to Patient ratio in USA 1:200
 Average distance to nearest clinic
 5-10km in rural
 1-2km in cities.
 Spending on medicine per annum in India
 Urban Rs.1500/- per annum
 Rural 300/- per annum
 One of the best Return on Investment in any enterprise is
clinic. (Other industry 20-30%, Clinic 100-500%)
 In India, 70% of patients visit Ayurvedic practitioner
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16. Food as a medicine……

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19. Essential
Most common diseases
 Upper Respiratory
Infection
 Lower Respiratory
Infection
 Acid peptic disease
 Hypertension
 GITract infection
 Genito urinary tract
infections
 Dandruff
 Back Pain
 Asthma
 Headache including
migraine
 Arthritis & Osteoporosis
 Diabetes
 Hemorrhoids
 Anemia
 Constipation
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20. Optional
Specialty diseases
1. General
1. Rheumatoid arthritis
2. High Cholesterol
3. Hemiplegia
4. Epilepsy
5. Ischemic heart disease
6. Cerebral palsy- MR
7. Gallstones
2. Psycho-Somatic
 Sleep disorders
 Depression/ Anxiety
 Schizophrenia
 Mood disorders
 Irritable Bowel Syndrome
 Psycho Sexual problems &
other
 Psycho somatic disorders
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21.  OBG
 Premenstrual
syndrome
 Meno, metrorrhagia,
DUB.
 Amenorrhoea
 Infertility
 Polycystic ovary
syndrome
 Vaginal infections
 Pre Post maternal
care
 Skin
 Pyoderma, Scabies
& fungal infections
 Acne
 Eczema
 Psoriasis
 Vitiligo
 Corns
 Lichen Planus
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Optional
Specialty diseases

22. Optional
Specialty Practice
 Pediatrics
 Chronic tonsillitis
 Atopic dermatitis
 Bronchial asthma
 Eating disorders
 Recurrent infections
 Therapies
 Out Patient
 Hospital set up
 Kshara Soothra
 Yoga
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23. Challenges
 Notions, prejudices and
unmatched expectations.
 Inadequate institutional
training
 Paradigm shift in
Institutional/Private practice.
 Initial investment and
operational cost
 First year blues
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24. Notions/Prejudices/Unmatched
Expectations
 Classic/Non-classical (Purist
approach)
 Be open minded. Don’t build fences
around yourself.
 Modern knowledge,
Ayurvedic knowledge.
 Knowledge is one. It is definition of
facts.
 Applicable knowledge is more
important than theoretical
knowledge
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25. Notions/Prejudices/Unmatched
Expectations
 Obsession about the system.
 Relief is primary. System is
secondary.
 Unrealistic expectations
(about revenue, patients).
 Be conservative.
 Disease is primary and
symptom is secondary.
 Understanding patient need is as
important as your academic
interest.
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26. Inadequate Institutional
training
 Syllabus is more Academic than Clinical syllabus.
 Infrequent updation of the syllabus
 Inadequate clinical exposure.
 Inefficient infrastructure
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27. Paradigm shift
Institutional Practice:
 Academic oriented
 More patient volume,
less time and care
 Less/free of cost
 More trust on the
institution, less trust on
doctor,
Private Practice:
 Patient oriented
 Less volume, more
time and care.
 Higher cost
 Greater trust on the
doctor.
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28. Therapeutic Aspects:
Internal
Cleansing
External
Cleansing
Psycho-
Therapy Surgical
Therapy

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30. Continued...
Internal Cleansing:
•Emesis
•Purgations
•Errhine Therapy
•Enema...
External Cleansing:
•Massage with oil
•Having Bath
•Application of Herbal
Pastes

31. Continued...
Psycho-Therapy:
•Fasting
•Proprietyrites
•Incantations
•Prayer
•Religious Rites
•Recitation of Mantras
•Sacrifices
•Auspicious Recitations
Surgical Therapy:
•Excision
•Incision
•Probing
•Rupturing
•Punching
•Suturing
•Application of Alkali
•Use of Leeches

32. Langhana Therapy (Lighting Therapy)
Mainly used for treating:
Obesity, Vomiting, Diarrhoea, Fever, Constipation,
Nousea,Anorexia, Heaviness of Body
Best season for treatment:
November to February

33. Brimhana Therapy (Nourishing Therapy)
Mainly intended for persons suffering from
Wasting, Emaciation, Old Age, Weakness of body,
Exertion from long tours, Over indulgence in the
sexual acts, drinking wine, etc…
Best Season for treatment: Summer

34. Rukshana (Drying Therapy)
Indicated in:
Spasticty of thighs, Obstinate urinary disorders,
Gout, Arthritis, Obstruction of bodily channels,
persons having increased sebum secretions etc…
Best season for treatment:
Throughout the year.

35. Snehana (Oleations Therapy)
Administration of :
Oil, Ghee, Vasa (muscle fat) and Majja (bone
marrow) both internally and externally.

36. Oleation Therapy
OIL GHEE MUSCLE
FAT
BONE
MARROW

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38. Continued...Oleation with OIL
•Great Stabiliser
•Promote Bodily Strength
•Beneficial to Skin
•Controls the morbidity of female genital organs.
•Best season for treatment is Rainy season

39. Continued...Oleation with GHEE
•Shows the property of drugs boiled in it.
•Adds clarity to Voice.
•Has a cooling and softening effect upon body.
•Enhances your complexion.
•Best season for treatment is Autumn.

40. Continued...Oleation with MUSCLE FAT
•In Fractures.
•Trauma, Injury, etc…
•Uterine Prolapse.
•Head or Ear aches
•Helps in Oleation
•In Muscle Fatigue
•Best season for treatment : April to May.

41. Continued...Oleation with BONE MARROW
•Enhances Strength
•Increase in the quantity and quality of semen
•Greatly adds physical strength especially to
the Bone Marrow
•Best season for treatment : April to May.

42. SWEDANA
(Sudations or Fomentations Theory)
Tapa Ooshma Upanaha Drava

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44. Continued...
•Subdivided into 13 types.
•All types of Kizhis (boluses) are included in this.
•Indicated for coryza, cough, hiccups, heaviness of body,
dysnoea, ear ache, neck rigidity, hoarsness of voice, spasmodic
obstruction of throat, facial paralysis, hemiplegia, paraplegia,
abdominal distension, flatulance, urinary incontenance, low
back ache, stiffness and numbness of hip, knee, ankles, joints,
pain in different parts of the body, oedema, neursalgia of
upperand lower limbs, chills, shivering, extensive colic pains,
diseases due to impairment digestion and metabolism.

45. Classification of Ayurvedic Mediums
•Scientifically studied drugs.
Eg. Rauwolffia serpentina, Commiphora mukul
•Popular non-toxic drugs.
Eg. Chyavnaprash (Main ing. Emblica officianalis)
•Effective but toxic drugs. (eg. Semicarpus anacardium)
Eg. Drugs of rare use.
•Hereditary and Patent drugs.

46. Continued…
•Compound Preparations.
Through
Synergistic
Action
Through
Combined
Action
Through
Neutralising
Toxicity
Through
Specific
Actions

47. Rasayana (Rejuvenation Therapy)
Rejuvenation therapy aims at keeping the
enzymes in tissue cells in their normal, natural
functioning condition. The cells are to be re-
vitalised and their composition has to be
changed.

48. Types of Rejuvenation Therapy.
Mainly Two Types:
Rejuvenation
Kutipravesika
(Very elaborate measures
needed)
Vatatipika
(Comparatively simple)

49. Examples of Rasayana Drugs.
•Emblica officianalis.
•Terminalia bellerica
•Terminalia chebula
•Centella asiatica
•Tinospora cordifolia
•Boerhauvia diffusa
•Evolvolus ulcinoides
•Glycyrrhiza glabra
•Metals like Hg, Au, S8, Black Bitumers

50. Aim of Panchakarma Therapy
To increase the
immunity and
strength of healthy
individuals
To Obtain
maximum benefit
of rejuvenation
and virilisation
therapy
According to
the specific
diseases

51. Benefits of Panchakarma
•Increase of digestive power.
•Subsidence of pathological conditions.
•Preservation of positive health.
•Sharpness of mind and intellect.
•Increase of potency and virility.
•Increase of physical and mental health.
•Nourishment of muscles.
•Helps in Conception.
•Delayed Aging.
•Increased longevity.

52. Blow the blues!
 Positive Attitude
 Self Confidence
 Stick to basics.
 Endurance
 Good planning
 Withhold temptation
to defy principles.
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54. Thank
You !