Ayurveda About Parkinson's Disease. How does Ayurveda thinks about the Parkinson's and how we can proceed for the treatment of this condition.

1. –चरक संहिता
“रोगमादौ परीक्षेत ततो अनन्तरं औषधं!!”

2. –चरक संहिता
“शास्त्रं ज्योततिः प्रकाशार्थं दशशनं बुद्धधरात्मनिः !
ताभयां भिषक सुयुक्ताभयां धिककत्सन्नापराध्यतत!!”

3. Selection of Topic
अथदृष्टान्तः-
दृष्टान्तोनामयत्रमूर्खविदुषांबुु्धिससा्यं,
योिर्ण्यंिर्खयतत|
Parkinson’s Disease is just and example, we will be using
for discussion here.

4. Vaidya Pardeep Sharma
Parkinson’s Disease
Beyond “Kampvata”
Ayurvedic View Based on
Gunas and Doshas

5. Few Details About Parkinson’s Disease
❖ A progressive neurological disease.
❖ Parkinson’s is a major reason behind disability in
elderly people.
❖ In 2015, Parkinson’s Disease affected 6.2 million
people and resulted in about 117,400 deaths globally.
❖ Because of the tremors we also know it as- Shaking
Palsy.

6. What happens in Parkinson’s
❖ There are different symptoms in Parkinson’s
Disease.
❖ We can divide these in three categories-
❖ Motor, Non Motor and Neuropsychiatric.

7. Symptoms of Parkinson’s
1) Motor symptoms
These are the symptoms associated with the motor activities of the body. Therefore we know these as motor
symptoms.
• Bradykinesia- difficulty in initiating movements and slowness in executing
• movements.
• Difficulty in getting from chair
• Hypophonia
• Tremor-Pill rolling
• Rigidity
• Cogwheeling sensation
• Dystonia- muscle dysfunction characterised by spasms or abnormal muscle contraction

8. Symptoms of Parkinson’s
2) Non motor symptoms
These are more like cognitive symptoms of PD, thus known as non-motor symptoms
• Depression & Anxiety
• Cognitive impairment
• Sleep disturbance
• Sensory abnormality & Pain
• Loss of Smell

9. Symptoms of Parkinson’s
3) Neuropsychiatric symptoms
• Change in Mood
• Cognition- the mental processes by which knowledge is acquired.
• These include perception, reasoning, acts of creativity, problem-solving, and possibly
intuition
• Behaviour is accompaniment.

10. What happens in Parkinson’s Disease
❖ Dopamines are responsible in
two ways-
❖ Either there is a problem
with the production of
dopamines.
❖ Or the dopamine receptors
are not able to pick
dopamine.

11. –George H. W. Bush
“I have a form of Parkinson’s Disease, which I don’t like. My legs
don’t move when my brain tells them to. It’s very frustrating”
Parkinson’s is not about tremors!!

12. –चरक संहिता
“अर्थौपम्यम्- औपम्यंनामयदन्येनान्यस्त्यसादृश्यमधधकृ त्यप्रकाशनं!!”

13. Setting Up Analogy
अर्थौपम्यम्-
औपम्यंनामयदन्येनान्यस्त्यसादृश्यमधधकृ त्यप्र
काशनं!!
“Extraordinary claims require
extraordinary evidence”.
- Carl
Segan

14. What goes wrong?
❖ Because someone used a word- Shaking
Palsy- let’s find something similar in
Sanskrit….. oh wow!! We have Kampvata!!!
❖ Hummm it is about Dopamine, lets find a
plant with Levodopa to help my
patients…… oh wow!! We have Krauncha
Seeds.

15. What Ayurveda Opines About PD?
❖ Parkinson’s disease is most commonly compared with “kampavata” or
“vepthu” like conditions- mentioned in the chapter of Vata Vyadhi of the
Samhitas. This is the reason, the normal Vata treatment is being applied on
this disease.
❖ The only thing we have with us, Parkinson’s Disease is a disorder of Vata!
❖ But Vata treatment is hardly helpful with patients of Parkinson’s Disease.
❖ We need to revisit the things one by one for better understanding of the
disease.

16. –चरक संहिता
“विद्या वितको विज्ञानं स्त्मृततिः तत्परता किया ।
यस्त्यैते षड्गुणास्त्तस्त्य नासाध्यमततितशते ॥”

17. Revisiting the Shastra
❖ Ayurvedic pathology is based on the signs and symptoms because of this-
tri-sutra ayurveda- Hetu-Linga and Aushadha.
❖ If we look at this triad of Ayurveda- it is clear that for diagnosis “linga” aka
Laskshans- signs and symptoms are the basic tool.
❖ Besides this, when we talk about Nidaan Pancaka there out of five-
Purvaroop, Roop and Upshaya are based on the signs and symptoms alone.

18. Revisiting the Shastra
❖ Therefore these are the signs and symptoms which give a clearer idea about
the disease and on the basis of these- Samprapti- pathology decides.
❖ When we can understand the Samprapti, only than we can do Samprapti
Vighatana- reversal of pathology.
❖ In case of unsolved diseases like PD we are not able to decide and explain
the pathogenesis this is the biggest hurdle in deciding the treatment of
conditions like PD.
❖ When it comes to Samprapti and Anshansh Kalpana- everybody leaves it
behind by saying- “no it is complicated” and they leave the concept to a side.

19. Revisiting the Shastra
Guna Effected Vata Pitta Kapha
Chal Guna increased
and Sthir Guna
decreased
Stiff muscles Sthir Guna
Difficulty in standing,
walking and bodily
movements
Sthir Guna
Involuntary movements Chal Guna increased
and Sthir Guna
decreased
Rhythmic Muscle
contraction
Chal Guna increased
Slow bodily movement Sthir Guna
Slow shuffling gait Sthir Guna
Daytime sleep Sthir Guna

20. Revisiting the Shastra
Early awakening Chal Guna
Nightmares
Restless Sleep/ Sleep
disturbances
Chal Guna
Fatigue
Dizziness Chal Guna
Poor Balance Sthir Guna
Amensia Sthir Guna
Confusion in the
evening hours
Chal Guna
Dementia Sthir Guna

21. Revisiting the Shastra
Difficulty in thinking and
understanding
Sthir Guna
Difficulty in speaking Sthir Guna
Soft Speech Chal Guna
Anxiety Sthir Guna
Loss of smell Loss of Prithavi
Mahabhoot and that
depicts Sthir Guna
Dribbling of urine Chal Guna
Jaw Stiffness Sthir Guna
Blank stare Sthir Guna
Constipation Sthir Guna
Depression Sthir Guna
Difficulty in swallowing Sthir Guna

22. The Outcome
1. Vata and Kapha are involved in the pathology
2. Sthir and Chala Guna are imbalanced
3. Vata symptoms are related to Vata Kala- early morning restlessness and discomfort
in evening hours.
4. The balance of body - Sthairya (which is a Guna of Kapha) is challenged in almost
everywhere.
5. Tremors which are taken as most important sign by Ayurvedic scholars is occurring
in state of - sthirta - when body is not active - Resting tremors or involuntary
tremors.?

23. वि्या
1. Chala and Sthir Guna duet is disturbed
2. Vata is suppressed.
3. Kapha is increased.
Result is: Kapha is obstructing the Vata= Kaphavruta Vata

24. आिरर्
के िलं िायुमुद्ददश्य स्त्र्थानिेदात्तर्थाऽऽिृतम्||
के िलं िायुमु्हदश्य के धिच्गाद िेपथु आदयः उकताः,
तथा चािृतं िातमु्हदश्य के धिचदुकताः "ललङ्गं वपत्तािृते दािस्तृष्र्ा" इत्याहदना !!
आिरक आिृत
कफ
िात
िायोधाशतुक्षयाद्कोपो मागशस्त्यािरणेन ि
धातुक्षयाद आिरणात ि ….!!

25. वितकख
िाकरिृततरयत्न ऊर्ाख बुल स्मृततिययः !
..........................कृ त्स्न्देिचारी मिार्िः
!
गत्यपेक्षर्ोत्के क्षेप तनमेषोन्मेषर् आहदकाः
!!
उदान िायु
व्यान िायु

26. वितकख
उदाने गुरुगात्रत्िमरुधिचिाखकस्िरहिः !
बुलिर्खरार्शश्च व्याने पिाखस्स्थिा्हिः !!
गुरुताङ्गेषु सिेषु स्र्ललतं च गतौ भृशम ्!
❖ गुरु
गात्रता
❖ अरुधिच
❖ िाकहि
❖ स्िरहि
❖ बुल िातन
❖ िर्ख िातन
❖ रार् िातन
❖ पिख हि
❖ अस्स्थ हि
❖ िाक् हि
❖ अङ्ग गुरुता
❖ चलने में
असमथखता

27. वितकख
DOPAMINE VATA
Movement रितखकश्चेष्टानामुच्चािचानां
Memory तनयन्ता रर्ेता च मनसः
Pleasurable reward िषोत्साियोयोतनः
Behaviour and cognition सिेस्न्ियार्ामु्योर्कः
Attention सिेस्न्ियाथाखनामलभिोढा
Sleep
Mood िषोत्साियोयोतनः
Learning

28. विज्ञान
सातु क्षय : Absence of the Dhatu- Decay of Dopamine.
आिरर् : Resistance in the activities of the Dopamine.

29. विज्ञान

30. स्मृतत तत्परता ियया
कफािृते यिान्नातन र्ाङ्गला मृगपक्षक्षर्ः |
स्िेदास्तीक्ष्र्ा तनरूिाश्च िमनं सविरेचनम ्||१८७||
श्लेष्मर्ाऽनुगतं िातमुष्र्ैगोमूत्रसंयुतैः ||१९१|| तनरूिैः
स्िस्थानस्थो बुली दोषः राक् तं स्िैरौषसैर्खयेत ्|

31. स्मृतत तत्परता ियया
श्लेष्मणाऽनुगतं िातमुष्णैगोमूरसंयुतैिः ||१९१|| तनरूहैिः
स्त्िस्त्र्थानस्त्र्थो बली दोषिः प्राक् तं स्त्िैरौषधैर्शयेत ्|

32. स्मृतत तत्परता ियया
आिृतं श्लेष्मवपत्ताभयां प्राणं िोदानमेि च ||२३३|
गरीयस्त्िेन पश्यस्न्त लभषर्ः शास्त्रचक्षुषः |
विशेषाज्र्ीवितं प्राणे उदाने संधितं बलम्||२३४||
स्यात्तयोः पीडना्सातनरायुषश्च बुलस्य च |
सिेऽप्येतेऽपररज्ञाताः पररसंित्सरास्तथा ||२३५||
उपेक्षणादसाध्यािः स्युरथिा दुरुपयमाः|२३६|

33. स्मृतत तत्परता ियया
हृिोगो वििधिसः प्लीिा गुल्मोऽतीसार एि च ||२३६||
भिन्त्युपििास्तेषामािृतानामुपेक्षर्ात ्|
तस्मादािरर्ं िै्यः पिनस्योपलक्षयेत ्||२३७||
पञ्चात्मकस्य िातेन वपत्तेन श्लेष्मर्ाऽवप िा |
लभषस््र्तमतः स्यगुपलक्ष्य समाचरेत ्||२३८||
अनभिष्यन्न्दभििः न्स्त्नगधैिः स्रोतसां शुद्धधकारकै िः |
कफवपत्ताविरुद्धं यद्यच्ि िातानुलोमनम ्||२३९||

34. स्मृतत तत्परता ियया
सिशस्त्र्थानािृतेऽप्याशु तत ्कायं मारुते हितम ्|
यापना बस्त्तयिः प्रायो मधुरािः सानुिासनािः ||२४०||
रसमीक्ष्य बुलाधिसकयं मृदु िा स्रंसनं हितम्|
रसायनानां सिेषामुपयोगिः प्रशस्त्यते ||२४१||
शैलस्त्य र्तुनोऽत्यर्थं पयसा गुगगुलोस्त्तर्था |
लेिं िा भागखिरोकतमभयसेत्क्षीरभुङ्नरः ||२४२||
अभयामलकीयोकतमेकादशलसताशतम ्[१] |
अपानेनािृते सिं दीपनं हाहि भेषर्म ्||२४३||
िातानुलोमनं यच्च पकिाशयविशोसनम ्|
वपत्तािृते तु वपत्तघ्नैमाखरुतस्याविरोधिसलभः |
कफािृते कफघ्नैस्त्तु मारुतस्त्यानुलोमनैिः ||२४५||

35. समग्रं दुिःखमायत्तमविज्ञाने द्ियाियम ्| सुखं समग्रं विज्ञाने विमले ि
प्रततन्ष्ितम ्||
इदमेिमुदारार्थशमज्ञानां न प्रकाशकम्| शास्त्रं दृन्ष्िप्रणष्िानां
यर्थैिाददत्यमण्डलम ्||
All the sufferings - diseases of both body and mind - are caused by
ignorance. All happiness /health is due to the clear knowledge.
Just as the Sun cannot help a blind man to see things even with all
its light, similarly Ayurveda, which generously guides us through
the path of dharma, artha, kama, and moksha, cannot guide
someone devoid of its understanding or is a skeptic.
FINAL WORDS

37. “Thanks for HEARING Me
Hope you LISTENED Me right ”
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