Hypertension is a major cause of mortality known as the "silent killer". It has primary causes like genetic and environmental factors and secondary causes like renal and endocrine diseases. In Ayurveda, it is understood as Raktagata Vata. The document discusses Takradhara Shirodhara for treating hypertension, where medicated buttermilk containing Amalaki kashaya is poured over the forehead in an oscillating motion. It helps reduce blood pressure levels by activating the parasympathetic nervous system without side effects, making it preferable to modern antihypertensive treatments for long-term management.

1. SHRI D.G.M.AYURVEDIC MEDICAL
COLLEGE
& RESEARCH CENTRE,GADAG-582101
PRESENTED BY:
DR TEJASHWINI HARTI
2ND YEAR PG SCHOLAR
DEPT. OF PANCHAKARMA
Shri.D.G.M.A.M.C.& Hosp.
GADAG-582101
GUIDE:
DR.JAIRAJ.P.BASARIGIDAD
ASST.PROFFESOR
DEPT. OF PANCHAKARMA
SHRI.D.G.M.A.M.C.& HOSPITAL
GADAG 582101

3. HYPERTENSION IS THE MAJOR CAUSE OF
PREMATURE DEATHS.ITS CALLED AS
“SILENT KILLER”
SILENT BECAUSE IT DOESN’T SHOW ANY
SIGNIFICANT SYMPTOMS .
KILLER BECAUSE IT CAN INCREASE RISK OF
HEART DISEASE ,KIDNEY FAILURE AND OTHER
DISORDERS

4. CAUSES OF PRIMARY HYPERTENSION
• Enviornmental factors
• Genetic Factors
CAUSES OF SECONDARY HYPERTENSION
• Renal – Acute nephritis
- Polycystic kidneys
- Renal artery stenosis
- Diabetic nephropathy
• Endocrine- Thyrotoxicosis
- Cushing’s syndrome
- Myxedema
• Exogenous – administration of steroids, non steroidal, anti
inflammatory drugs.
• Neurological – Raised intracranial tension
- Lead encephalopathy
• Pregnancy induced hypertension
• Cardiovascular hypertension
• Miscellaneous
-

6.  In Ayurveda Acharya Yadhunandan Upadhyay has
equated the term “RAKTAGATA VATA” for
Hypertension.
 When rakta gets vitiated it leads to soshana of raktha
dhatu.
 Hence it becomes incapable to perform its normal
functions like jeevana, varnaprasadana, mamsa
poshana etc.
 It is also called as “UCCHA RAKTACHAPA”

7. TEEVRA RUJA - ACUTE PAIN
SANTAPA-BURNING
SENSATION
VAIVARNYA -
DISCOLOURATION
OF SKIN
KRUSHATA - EMACIATION
ARUCHI - ANOREXIA
ARUMSI - APPEARANCE OF
RASHES
BHUKTASYA STAMBA –
STIFFNESS OF BODY
AFTER TAKING FOOD

9. • NOW A DAYS HYPERTENSION IS THE
COMMENEST DISEASE.
• EVERY 5th PERSON IS FOUND HYPERTENSIVE.
• ACCORDING TO WORLD HEALTH
STASTISTICS REPORT IN INDIA 23.1% MEN
AND 22.6% OF WOMEN ABOVE 25 YEARS.
SUFFER FROM HYPERTENSION.
• IT IS INCREASING EVRYNEXT YEAR DUE TO
THE SEDENTARY LIFE STYLE AND
UNWHOLESOME DIET.
• IT’S A MAJOR RISK FACTOR FOR STROKE ,
MYOCARDIAL INFRACTION, VASCULAR
DISEASES, CHRONIC RENAL DISEASES.

10. THE CLINICAL FEATURES MAY BE DUE TO:
1) ELEVATED BLOOD PRESSURE BY ITSELF
2) TARGET ORGAN INVOLVEMENT
3) UNDERLYING DISEASE AS IN SECONDARY
HYPERTENSION.
SUCH AS:
• HEADACHE
• DIZZINESS
• DYSPONEA
• CHEST PAIN
• PALPITATION
• BLURRED VISION
• POLYURIA

11. RISK FACTORS:
• DIABETES MELLITUS
• OBESITY
• DRUGS
• SMOKING
• HIGH SODIUM INTAKE
• PHYSICAL INACTIVITY
• ALCOHOL
• FAMILY HISTORY OF
PEMATURE CAD
• DYSLIPIDEMIA
• PREVELANCE
INCREASES ALONG
WITH THE AGE
COMPLICATIONS:
• ISCHAEMIC ATTACKS
• CEREBROVASCULAR
ACCIDENTS
• HTN RETINOPATHY
• CORONARYARTERY
DISEASE
• PROTINURIA
• PROGRESSIVE RENAL
FAILURE AND SO ON

12. URINE ANALYSIS
RENAL FUNCTION TEST
FBS & PPBS
SERUM CHOLESTROL
ECG
MONITORING OF BLOOD
PRESSURE
SERUM ELECTROLYTES …

13.  IN MODERN MEDICINE SOME EFFECTIVE TREATMENTS ARE
AVAILABLE BUT THOSE ARE HAVING THEIR OWN
COMPLICATIONS.
 IN AYURVEDA WE HAVE SOME HERBALAND
HERBOMINERAL DRUGS WHICH HAVE A VERY NEGLIGIBLE
OR NO SIDE EFFECTS.
 WE CAN USE THOSE DRUGS VERY SAFELY AND
EFFECTIVELY.
 THE CONCEPT OF TREATING RAKTAGATAVATA IN
AYURVEDIC PROSPECTIVE IS TO NORMALISE THE GATI OF
RAKTA BY NORMALIZING THE VATAAND REDUCING THE
QUANTITIVE INCREASE OF RAKTA DHATU.
 WE CAN TREAT HYPERTENSION WITH THE HELP OF
PANCHAKARMA METHODS LIKE VIRECHANA,
RAKTAMOKSHANA, BASTI, SHIRODHARA ETC.
 HERE WE HAVE CHOOSEN TAKRADHAARA I.E
SHIRODHAARA WITH MEDICINAL TAKRA

14.  SHIRODHAARA IS A FORM OF AYURVEDA THERAPY THAT
INVOLVES POURING OF WARM LIQUIDS GENTLY OVER THE
FOREHEAD.
 THE NAME COMES FROM THE WORD SHIRAS IE HEAD AND
DHARA IE IN THE FLOWOR IN THE STREAM.
 THE LIQUIDS LIKE KSHEERA, TAILA, JALA, KASHAYA,
THAKRA, ETC ARE POURED.
 THE LIQUIDS ARE POURED IN A OSCILLATING STREAM VER
THE FOREHEAD OF THE PATIENT, THEN ALLOWED TO RUN
OVER THE SCALPAND THROUGH THE HAIR IN A SOOTHING
RHYTHM
 TYPES OF SHIRODHAARA
1. THAILADHAARA
2. KASHAYAADHAARA
3. KSHEERADHAARA
4. THAKRADHAARA

15.  THAKRADHAARA IS A VARIETY OF SHIRODHAARA, IN
WHICH THE TAKRA IS MEDICATED AND THEN POURED
IN A STREAM ON THE FOREHEAD OF THE PATIENT IN
OSCCILATING MOTION.
 IT IS PREPARED USINGTHE KASHAYA OF ONE YEAR
OLD AMALAKI WHICH IS DRIED IN SUNLIGHT AND
KEPT IN MIST DURING NIGHT.
 EQUAL QUANTITYOF BUTTERMILK OR TAKRA IS
ADDED TO THE KASHAYA AND USED FOR
TREATMENT.(sahasrayoga.dha.ka)
 ACC TO ACHARYA CHARAKA IN CHIKITSA STHANA
(28/92 )THAT SHEETALA DRAVYA PRADEHA CAN BE
DONE IN RAKTAGATA VATA.

16. o PREMATURE GREYING OF HAIR
o DULLNESS AND THINNING OF HAIR
o TRIDOSHAJA SHIROSHOOLA
o OJOKSHAYA
o HRDROGA
o JOINT DISORDERS
o AMA
o NEUROPATHY
o LOSS OF MEMORY
o PSYCHOSOMATIC DISORDERS
o OTHER NEUROLOGICAL DISORDERS
(Sahasrayoga.Dha.Kal)

17. THE PROCESS IS DONE DAILY FOR
A PERIOD OF 7 TO 14 DAYS.
THE DURATION OF TREATMENT
AS WELLAS THE TIME PERIOD
DEPENDS ON THE CONDITION OF
THE PATIENT AND NATURE OF THE
DISEASE.
IT IS USUALLY FIXED FOR 45MINS
TO 60 MINS

18. Acc to ashtanga sangraha the main properties of
thakra is LAGHU, KASHAYA.
It is AMLA in rasa
It is DEEPANA,KAPHAVATAHARA and cures
SHOPA.
AMALAKI soothes the pitta which reduces
inlammation,, insomnia, skin disorders, GIT
disorders.
Along with that it promotes DETOX, SHARPEN
MEMORY, PROTECTS AGAINST CANCER.

19. THE DHAARA PRODUCES A CONSTANT PRESSURE
AND VIBRATION WHICH IS AMPLIFIED BY HOLLOW
SINUS PRESENT IN FRONTAL LOBE, THE VIBRATION
IS THEN TRANSMITTED INWARDS TROUGH CSF.
THIS VIBRATION ACTIVATES THE FUNCTION OF
THALAMUS AND BASAL FORE BRAIN WHICH
BRINGS SEROTONIN AND CATECHOLAMINE TO
NORMAL STAGE.
THIS ACTIVATES ACETYLCHOLINE WHICH EXISTS IN
THE INACTIVE FORM .
SMALL DOSES OF ACETYLCHOLINE CAUSES FALL
OF BLOOD PRESSURE.

20.  Hypertension is a major cause for
mortality.
 It has primary and secondary causes
 If we treat the causing factors it can be
controlled.
 In modern we have vasodilators, stress
relievers, diuretics are used, but it causes
side effects after using for long t ime.
 Hence we use shirodhara with medictaed
thakra to lower the blood pressure levels by

21. MADHAVA NIDAANA ACHARYA
YADUNANDAN UPADHYAYA.
P.J.MEHTA’S PRACTICAL MEDICINE.
DAVIDSONS PRINCIPLES OF MEDICINE.
KAYACHIKITSA BY PROF.AJAY KUMAR
SHARMA 3RD PART .
A TEXTBOOK OF PANCHAKARMA BY ANUP
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