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PERSPECTIVE OF AYUSH ON HEALTHY AGEING

N.SRIKANTH ASSISTANT DIRECTOR CENTRAL COUNCIL FOR RESEARCH IN AYURVEDA AND SIDDHA Department of AYUSH Ministry of Health & Family Welfare Govt. of India. PERSPECTIVE OF AYUSH ON HEALTHY AGEING. Geriatrics in Ayurveda.

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PERSPECTIVE OF AYUSH ON HEALTHY AGEING

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  1. N.SRIKANTH ASSISTANT DIRECTOR CENTRAL COUNCIL FOR RESEARCH IN AYURVEDA AND SIDDHA Department of AYUSH Ministry of Health & Family Welfare Govt. of India PERSPECTIVE OF AYUSH ON HEALTHY AGEING

  2. Geriatrics in Ayurveda • The disease preventive and health promotive approach of ‘Ayurveda’, which takes into consideration the whole body, mind and spirit while dealing with the maintenance of health, promotion of health and treating ailments is holistic. • Ancient Ayurvedic physicians developed certain dietary and therapeutic measures to arrest/delay ageing and rejuvenating whole functional dynamics of the body system. • This revitalization and rejuvenation is known as the ‘Rasayan chikitsa’ (rejuvenation therapy).

  3. Emphasis on prevention • The major preventive approaches for maintaining and improving the quality of life include individualized specific daily regimen (Dinacharya), seasonal regimen (Ritucharya), behavioral and ethical considerations (Sadvritta). • Healthy lifestyle is emphasized as the determinant of longevity of life, which by and large depends on the Prakriti (bio-identity i.e. body-mind constitution) of an individual.

  4. …….AgeingA Progressive and generalized impairment of functionsResulting ……………* loss of adoptive response to stress* increase in the risk of age-related diseases. Ageing………………

  5. Ayurvedic Perspective • Geriasis ‘JaraaVyaadhi’ is a natural phenomenon • Classified as SwabhavapravrittaVyadhi • Although classified as disease; old age just like hunger, thirst, sleep and death; is a natural disposition, a natural phenomenon. • Predetermined life span (NiyatAayush) can Universal, meaning observation of aging phenomena in all species.

  6. Astanga Ayurveda : Eight Clinical Specialties of Ayurveda • Kayachikitsa Internal Medicine • SalyaTantra Surgery • SalakyaTantra Ophthalmology and ENT • Kaumarbhritya Pediatrics, Obstetrics, Gynecology • AgadTantra Toxicology • RasayanTantra Geriatrics • Vajikarana Reproductive Health • BhutaVidya Psychiatry

  7. JARA CHIKITSA ( AYURVEDIC GERIATRICS) ………………JaraChikitsa or Rasayana is one among the eight branches of Ayurveda that deals with management of age related problems. • Preservation and Promotion of health • Prevention and Treatment of diseases • Preservation of youth

  8. Changing Priority of RasayanaTantra down the ages in Ayurvedic Classics • Caraka (700 BC) ChikitsaSthan Chapter - 1/1-4 • Susruta (600 BC) ChikitsaSthan Chapter - 27-29 • Vagbhatta (300 AD) Uttar Tantra Chapter - 39

  9. SEQUENTIAL LOSS OF SOME BIOLOGICAL VALUES IN AGING

  10. SCOPE • Longevity •     Heightened memory and intelligence •   Freedom from disease •     Youth • Excellence of luster •    Excellence of Complexion and voice • Optimum strength of body and senses. •    Utterance that always gets • Fulfilled/Confidence •    The reverence of people •   Body-glow all these can be obtained by the use of Rasayanas

  11. SCOPE • A. As Per Scope of Use • KamyaRasayana (Health Promoting) • a. PranaKamya for Vitality and Longevity • b.MedhaKamya for Mental Competence • c. SriKamyafor Lusture and Complexion • 2. NaimittikaRasayana(Disease specific) • B. As Per Method of Use • Vatatapika(Outdoor Regimen) • Kutipravesika(Intensive Indoor Regimen) • C. As Per Contents • AusadhiRasayana (Drug Rasayana) • AjasrikaRasayana(Dietary Rasayana) • AcaraRasayana(Lifestyle Rasayana)

  12. Rasayana Rasa (Nutrient Value of plasma) Srotas (Microcirculation and Bio availability) Agni (DIGESTION Metabolism) Improved Nourishment Improved quality of Tissues Immunity (Vyadhi Nasa) Longevity (Jaranasa) Mental Competence (Medha Vriddhi) Rejuvenation The Rasayana Effect

  13. Approach of Rasayana Therapy • The particular Rasayana has to be selected for each individual appropriately in consideration of • Vayas (age) • Prakriti (constitution) • Satmya (suitability) • State of agni(digestion & metabolism) • Dhatus (tissues) • Srotas(body channels) • Environmental factors like Desa(Habitat), Kala (Season) Etc.

  14. Persons contra indicated for rasayan therapy The following are persons contra indicated for Rasayan Therapy • Anatmawan – Mentally week • Alaso- lethargic • Pramadi – Carelessness • Vyasani – Addict • Papakarit – Trouble some • nature/sinfulness • 7. Bheshajapamani – Dishonour for • medicine/no faith in medicine S.UT.27/1

  15. Assimilation Transformation The Holistic Rasayana Effect Reaction Response Nutraceutical Vs Pharmaceutical Nutrition Dynamics Versus Pharmacodynamics

  16. Possible Attributes • PUSTIKARA NUTRITIVE • OJOVARDHAKA/ • BALAKARA IMMUNO MODULATORY/POTENT • MICRO NUTRIENT • AYUSHYA /AYUSKARA ANTIOXIDANT /ADAPTOGENIC • INDRIYA BALAPRADA SUPPORTS THE SENSORY • ANDMOTOR SYSTEMS • SMRITIKARA MEMORY BOOSTER • VRISYA APHRODISIAC • VAYASTHAPANA ANTI AGEING ACTION • BRIMHANA POLYTROPIC TISSUE TONIC

  17. Specific Action of Rasayana Drugs • Rasayana drugs possess many effects out of which some are highly specific to the particular drug. • While selecting the drug for therapeutic purpose the specific effect of the drug is to be taken into consideration to achieve desired effects. • Some drugs possess more than one significant effects. • For instance, Haritaki possess both Vyadhihara(Curative effect) besides its potent Rasayana action. • Some drugs possess specific Rasayana effects- for instance Amalki possess Rasayana effects like- Anti-aging effect & Vyadhihara effect is not mentioned in particular context.

  18. DESIRED EFFECT SUITABLE RASAYANA DRUGS Balya Vaca (Acorus calamus Linn.) Kasmari (Gmelina arborea Linn.) Growth Asvagandha (Withania somnifera) Bala (Sida cordifolia Linn.) Beauty Amalaki (Emblica officinalis Gaertn.) Specific Action of Rasayana Drugs

  19. Intellect Sankhapushpi (Convolvulus pluricaulis) Jyotismati (Celastrus panniculatus willd) Skin Health Bhringaraja (Eclipta alba Hassk) Somaraji (Centratherum anthelminticum) Vision Caksusya (Cassia absus Linn.) Saptamrta Lauha (An Ayurvedic Iron compound) Specific Action of Rasayana Drugs

  20. Specific Action of Rasayana Drugs

  21. Specific Action of Rasayana Drugs

  22. SOME PROMISING RASAYANA PLANT DRUGS OF AYURVEDA

  23. CURRENT DAY NEEDS AND SUGGESTED APPROACHES • We are aware of known and new diseases of body and mind fast spreading and threatening comfort, peace and welfare of life on earth • Attributable to modern scientific technological advances disturbing universal laws of nature.

  24. CURRENT DAY NEEDS AND SUGGESTED APPROACHES Physical Factors: Cold, Heat, Pressure, Radiations, Atmospheric composition, Rhythms Mental Stress Social Economical Chemical Water Pollutants, Metal Pollutants, Pesticides, Preservatives, Additives, Nutrition. Mutations, Enzyme levels, Hormones and other Biological processes Free Radicals AGING

  25. CURRENT DAY NEEDS AND SUGGESTED APPROACHES DI VERS I F I ED E F F ECTS • These factors can be successfully tackled with the unique strength of Ayurveda ie.Rasayana. • RasayanaTantra provides number of herbs having diversified actions on human body

  26. CURRENT DAY NEEDS AND SUGGESTED APPROACHES ·  It would be worth to direct our efforts to those traditional drugs which may be of use a. in combating the so-called ‘Refractory Diseases for which modern medicine has not been able to offer much so far; and b. as supplementary remedies to well-established chemotherapy.

  27. Novel approaches for adopting Rasayana therapies • Multiple actions on psycho- somatic set up that includes immuno-modulation (on immune system), antioxidant action( prevents bio-oxidation there by checking age related disorders, auto immune disorders, degenerative disorders), adaptogenic affects (on psychoneuroendocrinesystem) and so on. • Panchakarma therapy inducing Rasayana is a boon for many unsolved clinical problems related to bio-oxidation, free radicals, autoimmune disorders, cancer, Immunodeficiency syndromes.

  28. AYUSKARA/AYUSHYA • ANTIOXIDANT EFFECT • HYPERTENSION • DIABETES • CARDIOVASCULAR DISEASE • PARKINSON DISEASE • GERIATRIC PROBLEMS • DEGENERATIVE CONDITIONS • ALZEMERS DISEASE • ETC.

  29. BALAKARA /OJOVARDHAKA IMMUNO MODULATION • AIDS • SLE • THYROIDITIS • RHEUMATIC FEVER • GLOMERULONEPHRITIS • MYASTHENIAGRAVIS • MULTIPLE SCLEROSIS • PHOTOALLERGY ETC.

  30. AYUSKARA/ AYUSHYA ADAPTOGENIC EFFECT • STRESS RELATED DISEASES (MENTAL/PHYSICAL • ENVIRONMENTAL) • PSYCHONEUROENDOCRINE PROBLEMS • PSYCHOSOMATIC DISORDERS

  31. INITIATIVES OF CCRAS-DEPARTMENT OF AYUSH , MINISTRY OF HEALTH AND FAMILY WELFARE ON GERIATRIC CARE

  32. The National Campaign is aimed at generating awareness in private & public circles on strengths of Ayurveda & Siddha in Geriatric health care which benefit the elderly population. • The objectives of the workshop is to sensitize policymakers, parliamentarians, professionals viz. eminent scientists, social scientists, Ayurveda, Siddha & Allopathic physicians of other traditions of medicines working at primary, secondary & tertiary health care setups concerning the strength and merits of Ayurveda & Siddha in catering health care services to elderly population National Campaign on Ayurveda & Siddha for Geriatric health care

  33. Special Geriatric OPD • Council started weekly special Geriatric OPD on every Wednesday at 27 CCRAS Ayurveda and Siddha institutes.

  34. PUBLICATIONS RELATED TO GERIATRIC CARE • JRAS Special issues on Geriatric health care • Background papers • Medicinal plants in Geriatric Care • Training Module for Geriatric health Care • Brain Ageing & Ayurveda • Select Research papers in evidence based Geriatric health care •  Training module for Geriatric Health Care

  35. Conclusion • Ayurveda, the Science of life and Longevity evolved a clinical discipline of RasayanaTantra as one of the major components of Astanga Ayurveda thousands of years ago. • Rasayana Karma is an unique blend of the phenomenon of nutrition, immunity, longevity and rejuvenation, besides a range of tissue/organ specific Rasayanas and Rasayanas with disease specific activity. • Ayurveda recount Nutrition, Immunity, Stress, Adaptation and Aging are interlinked processes. • A large number of drug and non-drug Rasayanas are described in Ayurveda and are still in popular use. Recent attempts of investigations on the scientific validity of Rasayana Agents have shown encouraging results.

  36. May we see for Hundred years • May we live for hundred years

  37. Thank You

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