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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,
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Introduction
Panchakarma in Geriatrics
01
From 70 plus millions of Indian
continental (J ambu 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
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Ayurveda
Panchakarma in Geriatrics
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
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Panchakarma
Panchakarma in Geriatrics
03
Panchakarma includes 5 chief
eliminative procedures
Vamana (emesis)
Virechana (purgation)
Vasti (enema)
Nasya (inhalation)
Rakta mokshana (Blood letting)
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Ayurveda Panchakarma
Panchakarma in Geriatrics
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
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Panchakarma Materials
Panchakarma in Geriatrics
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
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Genetic Disc
Panchakarma in Geriatrics
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)
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Ageing
Panchakarma in Geriatrics
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
J ihwa loss of taste
Twacha wrinkling / loss of
elasticity
Loss of lung compliance
IGT (Rasa Kshaya)
Increased Vata (Constipation,
joint pains, bone loss, etc)
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Ageing results
Panchakarma in Geriatrics
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)
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Ageing in Ayurveda
Panchakarma in Geriatrics
09
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Life - Ageing
Panchakarma in Geriatrics
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
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Ayurveda offer for Happy Ageing
Panchakarma in Geriatrics
11
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Panchakarma in Geriatrics
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
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Panchakarma in Geriatrics
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
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Panchakarma in Geriatrics
14
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Rasayana Reclassified
Panchakarma in Geriatrics
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
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Modes of Rasayana
Panchakarma in Geriatrics
16
Sirtuins (SIRT17) 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.
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Small molecule SIRT1 activators for the treatment
of aging and age-related diseases
Panchakarma in Geriatrics
17
http://www.cell.com/trends/pharmacological-
sciences/abstract/S0165-6147(13)00231-9
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Panchakarma for Cognition
Panchakarma in Geriatrics
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
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Panchakarma for senses
Panchakarma in Geriatrics
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
J ihwa 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
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Panchakarma for Skin
Panchakarma in Geriatrics
20
Many disease of lifestyle
annoys in the later stages
of ageing viz. DM, HTN,
J oint pains, etc.
Ayurveda Panchakarma
do suggest different
measures of temporary
and permanent solutions
if the patient is ready to
change his / her life style
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Diseases of Ageing
Panchakarma in Geriatrics
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
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Panchakarma in Geriatrics
Panchakarma in Geriatrics
23
Do you wants to
be for ever young
and beautiful?
Try Ayurveda
Rasayana
Panchakarma
from your 30+
ages
Thank you one
and all
Dr. K. Shiva Rama Prasad, see the ppt at http://www.slideshare.net/technoayurveda
Panchakarma in Geriatrics