Geriatric panchakarma

Panchakarma in
Geriatrics
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
28-07-2014

• Healthy living and happy ending
is the expectation of the people
who understand the secret of
life.
• Ayurveda supports all the
ranges of ages from birth till
salvation
• Panchakarma is a procedural
part of Ayurveda offer many
modalities to prevent ageing
and support relief from Age
related problems,
Introduction
Panchakarma in Geriatrics
01

• From 70 plus millions of Indian
continental (Jambu Dweep) history,
present day Ayurveda oldest doctrines
emerge 14000 years ago
• Ayurveda is a holistic approach where –
the soul, body and mind are
interconnected for health and disease
• Typology of Ayurveda distribute in 8
parts viz. Kayachikitsa, etc.
• One out of 8 branches of Ayurveda is the
care of aged and preventing the ageing
by Rasayana
Ayurveda
02

• Panchakarma a specialized area of procedural
administration by which the Ayurveda eliminates and
regulates the Dosha and Body components
• Panchakarma mainly of external (Abhyanga, Phizichil,
etc) and internal (Vaman, Virechan, Vasti, etc)
• Ayurveda Panchakarma is a green revolution in
medical practice – treating the patient naturally by
nature available
• Ayurveda concerns about diet and regimen regulations
of day, night and seasons of ones individual
– There by the correction of self made mistakes
derived life style disorders are treated
Panchakarma
03

• Panchakarma includes 5 chief
eliminative procedures –
– Vamana (emesis)
– Virechana (purgation)
– Vasti (enema)
– Nasya (inhalation)
– Rakta mokshana (Blood letting)
Ayurveda Panchakarma
04

• The Ayur- Ergonomics
are so developed from
centuries and precise to
fit for the needs of
everybody.
• All the equipments used
in Panchakarma are
nature friendly to prepare,
use and incinerate
Panchakarma Materials
05

• An extraordinary and awesome Disc in hard black stone that on its two
facades encloses the “Secrets of the Life”. Regarding the stone dating,
even if being it has not been possible to assign it a precise historical
period, it seems manufactured approximately 6000 years ago…
Genetic Disc
06

• Ageing (British) or aging (American) is the
accumulation of changes in a person over
time
• Age is measured chronologically, and a
person's birthday is often an important
event. However the term "ageing" is
somewhat ambiguous.
• Distinctions may be made between –
– "universal ageing" (age changes that all people
share)
– "probabilistic ageing" (age changes that may
happen to some)
– "social ageing" (cultural age-expectations of how
people should act as they grow older)
– "biological ageing" (an organism's physical state
as it ages)
Ageing
07
http://en.wikipedia.org/wiki/Ageing

• Loss of Buddhi (cognition)
• Loss of Smriti (memory)
• Loss of Indriya (sensory)
– Akshi – visual problem
– Nasa – loss of smell
– Karna- loss of hearing
– Jihwa – loss of taste
– Twacha – wrinkling / loss of
elasticity
• Loss of lung compliance
• IGT (Rasa Kshaya)
• Increased Vata (Constipation,
joint pains, bone loss, etc)
Ageing results
08

Decades Years Losses (Vagbhata) Losses (Sharangdhara)
First 0-10 Balya (Boyishness) Balya
Second 11-20 Vrddhi (Growth) Vriddhi
Third 21-30 Prabha (Luster) Chhabi (Beauty)
Fourth 31-40 Medha (Intellect) Medha
Fifth 41-50 Twaca (Skin) Twaca
Sixth 51-60 Sukra (Sexual Ability) Drsti (Vision)
Seven 61-70 Drsti (Vision) Sukra (Sexual Ability)
Eighth 71-80 Srotrendriya (Audition) Vikram (Strength)
Ninth 81-90 Mana (Psyche) Buddhi (Wisdom)
Tenth 91-100 Sparshanendriya (Psychomotor
function)
Karmendriya (Locomotor
Activity)
Ageing in Ayurveda
09

Life - Ageing
10

• Rasayana Therapy –
– Long model includes all Panchakarma
along with internal medication periodically
– Short model includes regularity in Diet,
Regimen, Sleep, work, etc.
• Rasayana Panchakarma
– A relatively easy model to regulate body
seasonally – eg: Vaman in Vasanta ; once
a year and so periodically – the virechana,
Vasti, Nasya, etc.
– Monthly once purgation
– Weekly once full body massage, steam,
– Weekly twice head massage
Ayurveda offer for Happy Ageing
11

12
Forces acting on cell injury
Pressure (Vata)
Intra capsule temperature (Pitta)
Mass resistance (Kapha)
Bubble
Cell
Surface tension
External forces –
pressure (Gravity),
Temperature &
Mass resistance
Cytosolic calcium (Vata)
Oxygen toxicity (Pitta)
Free Radicles (Kapha)
Ischemia (Rakta)

The Modes of Rasayana Effect
Rasayana
Rasa
(Nutrient Value
of plasma)
Agni
(Digestion and
Metabolism)
Clear & patency of
Srotas
(Microcirculation&
Tissueperfusion), Bio
availability)Improved Nourishment
Improved quality of Tissues
Longevity
(Jaranasa)
Immunity
(Vyadhi Nasa)
Mental Competence
(Medha Vriddhi)
Rejuvenation
13
Equilibrium of
Dosha, Dhatu & Mala

Bio Psychological Rasayana Model
For Psychosomatic apotheosis
Personality
Endocrinal
Immune system
Neurotransmitters
Social support
Stressful life
events social
norms
Genetic
Emotions
Motivation
Biological
Sphere
factors
Psychological
Sphere factors
Social
Sphere
factors
14

Rasayana Reclassified
15
• Drug / Food
– Sheeta Veerya (Cold rejuvenation)
– Ushna Veerya (Hot rejuvenation)
• Disease
– Doshanuroopa vyadhi (Swasa, etc)
– Kaalaanuroopa (Jara, etc)
• Patient
– Adhya (Wealthy)
– Kuchela (Poor)
• Result
– Vayasthaapana = Ajara (Youthfulness)
– Amarana (Longevity / Eternity)
• Procedure
– Kuti (Concealed)
– Vatatapika (Reveled)
– Achara (Behavioral)
– Kamya (Desirable)
– Naimittika (Purposeful)
• Tissue
– Preservatives (Necrobiosis, Cytokinesis, Bio availability)
– Transfusions (Blood), Transplantations (Bone marrow, etc)

Tissue and Organ Specific Rasayana
Twak = Twacya Rasayana for Skin
Kesha = Kesya Rasayana for Hair
Akshi = Caksusya Rasayana for Eyes
Twak = Varnya Rasayana for Complexion
Hrudaya = Hridya Rasayana for Heart
Mastishka = Medhya Rasayana for Brain
Sukra = Vrisya Rasayana for Fertility
Stanya = Stanya Rasayana for Lactation
Modes of Rasayana
16

• •Sirtuins (SIRT1–7) are NAD+-dependent
deacylases that promote homeostasis.
• •SIRT1 activation shows promise for the
treatment of aging and age-related diseases.
• •Natural and synthetic SIRT1 activators
(STACs) have been discovered.
• •There is a common SIRT1 activation
mechanism mediated by an N-terminal
domain.
• •Clinical trials indicate that STACs are
efficacious but questions remain.
• New studies indicate that both natural and
synthetic sirtuin activating compounds
(STACs) work via a common allosteric
mechanism to stimulate sirtuin activity,
thereby conferring broad health benefits in
rodents, primates, and possibly humans.
Small molecule SIRT1 activators for the treatment
of aging and age-related diseases
17
http://www.cell.com/trends/pharmacological-
sciences/abstract/S0165-6147(13)00231-9

Panchakarma for Cognition
18
• Loss of Buddhi (cognition) / Loss of Smriti (memory)
• Shiro Vasti - It is procedure of retaining
medicated oil on the head in flexible container
brimmed over head
• This procedure clams the mind and
enhances the intellect – commonly
prescribed in psychological / psycho somatic
disorders
• Shiro Dhara - It is procedure of pouring
medicated oil / milk / butter milk on the fore head
from a container
• It induces smoothening effect to regulate the
stress and there by the stress induced
disorders

Panchakarma for senses
19
– Akshi – visual problem
– Regular eye wash with medicated decoctions and Netra
Tarpana, a procedure of moistening the eye with Ghrita
(Lipidophilic and Hydrophilic herbal ghee)
– Nasa – loss of smell
– The loss of smell or any other conditions referral to ENT
or CNS are treated with nasal route administration of
medicine, periodically
– Karna- loss of hearing
– Many ear problems of ageing are treated with regular ear
drops before head bath and also as a treatment module
– Jihwa – loss of taste
– Kvalabraga / Gandusha (gargling) and Ksheera Dhooma
are the methods of treating tongue and oral cavity

• The skin is the most exposed
organ to the atmospheric
conditions loose its elasticity and
protective mechanism
• Regular 7 posture Abhyanga
(massage) and Phizichil
(Kayaseka) at least once in 7 days
retains the skin tone and protects
from diseases of skin and nervous
system
Panchakarma for Skin
20

• Many disease of lifestyle
annoys in the later stages
of ageing viz. DM, HTN,
Joint pains, etc.
• Ayurveda Panchakarma
do suggest different
measures of temporary
and permanent solutions
– if the patient is ready to
change his / her life style
Diseases of Ageing
21

• What did I say till now?
– Millions of year old traditional
Indian Medical system –
Ayurveda with its Panchakarma
Procedures induce Rasayana
(rejuvenation) effect in
prophylactic and therapeutic
ways to combat ageing
23

• Do you wants to
be for ever young
and beautiful?
• Try Ayurveda
Rasayana
Panchakarma
from your 30+
ages
• Thank you one
and all

Geriatric panchakarma

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