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Ayurveda Treatments for Public Health

Ayurveda Treatments for Public Health. Dr. U. Indulal B. A. M. S The Arya Vaidya Pharmacy Coimbatore, India. Health Transition. Dramatic changes and transitions in the world's health needs are expected in next two decades as a result of epidemiological transition.

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Ayurveda Treatments for Public Health

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  1. Ayurveda Treatments for Public Health Dr. U. Indulal B. A. M. S The AryaVaidya Pharmacy Coimbatore, India

  2. Health Transition • Dramatic changes and transitions in the world's health needs are expected in next two decades as a result of epidemiological transition. • At present, lifestyle and behaviour are linked to 20-25% of the global burden of disease. This proportion is rapidly increasing in poorer countries. • Non-communicable diseases such as depression and heart disease are fast replacing the traditional enemies such as infectious diseases and malnutrition, as the leading causes of disability and premature death. • By the year 2020, noncommunicable diseases are expected to account for seven out of every ten deaths in the developing regions, compared with less than half today.

  3. NCD in Brazil • In Brazil, CNCDs account for 60% of all deaths and about 40% of the disease burden. In 2010, the Ministry of Health estimated a high prevalence of CNCD risk factors among adults (3), including low consumption of vegetables (81.8%), being overweight (48.1%), smoking (15.1%), binge drinking (18.0%), and sedentary lifestyle (14.2%). Moura EC, Pacheco-Santos LM, Peters LR, Serruya SJ, Guimarães R. Research on chronic noncommunicable diseases in Brazil: meeting the challenges of epidemiologic transition. Rev PanamSaludPublica. 2012;31(3):240–5.

  4. Causes for health and ill health Internal External Dosha Dushya Food Activities “हेतुर्द्विधा, अन्तरङ्गो बहिरङ्गश्चेति I अन्तरङ्गो द्विधा, दोषा दूष्याश्चेति I बहिरङ्गो द्विधा - विहार: आहारश्च I विहारो द्वेधा नियतकालोऽनियतकालश्च I नियतकालो द्वेधा दैनन्दिन: आर्तवश्च I” Hemadri. Ayurvedarasayana Comm. Ashtangahridaya. Sutra. 1. 6 /2. 1 Daily Of definite period Of indefinite period Seasonal

  5. Indian Health Sector • Health sector trends suggest that no single system of health care has the capacity to solve all of society’s health needs. India can be a world leader in the era of integrative medicine because it has strong foundations in Western biomedical sciences and an immensely rich and mature indigenous medical heritage of its own. (Eleventh Five Year Plan, India)

  6. स्वस्थ निर्वचनम् - Definition of Health १ समदोष: शमाग्निश्च समधातुमलक्रिय: I प्रसन्नात्मेन्द्रियमना: स्वस्थ इत्यभिधीयते II Susrutasamhita. Sutrasthana. 15.41 the doshas are in a state of balance, the agni is working properly, the dhatusare actively engaged in the nutritive process the malas are eliminated naturally from the body, the atma, indriyaand manasare in a pleasant state २ विकारोधातुवैषम्यं साम्यं प्रकृतिरुच्यते I सुखसंज्ञकमारोग्यं विकारोदु:खमेव च II Charakasamhita.Sutrasthana.9.4 Disease = imbalance; sorrow Health = Balance; Pleasure

  7. आरोग्यलिङ्गानि – HEALTH INDICATORS अन्नाभिलाषो भुक्तस्य परिपाक: सुखेन च II सृष्टविण्मूत्रवातत्वं शरीरस्य च लाघवम्सुप्रसन्नेन्द्रियत्वं च सुखस्वप्नप्रबोधनम् II बलवर्णायुषां लाभ: सौमनस्यं समाग्निता I विद्यादारोग्यलिन्गानि विपरीते विपर्ययम् II 6-8. Bhojyojopakramaneeyaadhyaaya. Khilasthaanam. Kaashyapasamhita Proper appetite Proper digestion Proper elimination of wind Proper elimination urine Proper elimination of feces Lightness of the body Clarity of senses Proper sleep Proper waking Proper strength Proper complexion Healthy longevity Pleasant state of mind Balanced state ofagni

  8. Purpose of Ayurveda इह खल्वायुर्वेदप्रयोजनं व्याध्युपसृष्टानांव्याधि - परिमोक्ष: स्वस्थस्य रक्षणं च Susrutasamhita. Sutrasthana.1.14 अस्मिस्तन्त्रे आयु:पालनं प्रकृतम् तद्द्विविधम्, स्वस्थवृत्तमातुरवृत्तं च Arunadatta. Sarvangasundara Comm. Ashtangahridaya.2.1 स्वस्थवृत्तं : Preserving the health of a healthy person आतुरवृत्तं : Curing the disease of a diseased person

  9. Swasthavritta/ Preventive Care • Counseling for self-awareness • Healthy routines – daily and seasonal • Diet – suitable for the individual with relation to the time and place • Healthy mental and spiritual practices • Guideline for periodic cleansing, rejuvenation etc

  10. Two attributes of the Body “शरीरगुणा: पुनर्द्विविधा: संग्रहेण - मलभूता: प्रसादभूताश्च “ Charakasamhita. Sareerasthaana.6.17 • Pure Attribute • Impure Attribute

  11. How to keep the body pure? • By maintaining the digestive strength • By enabling liquefaction and flowing back of lodged toxins • By eliminating the toxins

  12. Treatments • Samana • Sodhana

  13. Sodhana Treatments: ProblemsRef: KeraleeyaChikitsaPaddhati • It demands the physicians to go beyond the ordinary awareness of medical herbs and be well acquainted with the subtle nuances of fundamental principles along with their clinical implications. (C. S. Sutra. 15.5) • This higher standard expected is declining. (C. D. 71.34) • Indiscriminate practice of Panchakarma cause many complications known as panchakarmabhavaroga (Sa. S. 1. 7. 194)

  14. Healing techniques • Anta parimaarjana (Internal) • Bahiparimaarjana (External)

  15. Cleansing treatments in Preventive Medicine • The person enjoying a positive health due to a good Ayurveda doctor is forbidden from undergoing any sodhana/elimination therapy (Nbh. R. V. S. 1 – 1) • Elimination therapies prescribed under a specific season are not a general rule. It should be administered only to those who digress from the regime laid down in Ayurveda(ibid)

  16. Use of these treatments in health care • Simple and non-invasive • Easy to make them available • Less complications • Easy acceptance • Needs less resources • Wide range of therapeutic use • Suitable for mild to moderate levels of dosha vitiation • Balances Vata, the major dosha • Has rejuvenation effect too

  17. Kerala Special Treatments • Bahiparimaarjana. • Based on the concepts of Snehana and Swedana. • Should not be named as Kerala “panchakarma” • Performed for curative, preparatory and rejuvenation purposes.

  18. Kerala Special Treatments: Texts • Dhaarakalpam by Sri. Bharatitirthaprasada • SirassekaadiVidhi by Puthiyedathu Raman Menon

  19. Sirodhaara • With medicated oil/buttermilk • Performed on a specially designed wooden plank.

  20. Sirodhara with thaila • Imparts vitality to the dhatus • Bestows virility • Stabilizes agni, complexion and ojas • Enhances sensory acuity • Deters the process of senility and confers longevity • Prevents bones from becoming brittle • Reduces the vitiation of dhatus

  21. Sirodhara with Takra • Prevents premature graying • Sharpens sensory acuity • Reverses the agitation of doshas • Reduces headache • Reduces depletion of ojas • Reduces pain (palms and feet) • Reduces problems with urine • Gives relief to slackening of joints, diseases of the heart, aversion to food and decreased appetite • Effective in diseases afflicting head, eyes and ears

  22. Improperly performed Sirodhara • Burning sensation • Skin lesion • General Pain and Joint pain • Fatigue or loss of consciousness • Malaise • Weakness to sound • Vomiting • Hemorrhage • Fever

  23. Sirovasti

  24. Sirovasti: Duration • Till nostrils and mouth gets moistened • Till the discomfort of the disorder subsides • Till a stipulated period (more for Vata, medium duration for pitta and less for kapha)

  25. “Pizhichil”

  26. Pizhichil • Temperature of the oil • Height, thickness and speed of the oil flow • Duration of the treatment • Positions of the patient • Time of treatment

  27. Thalam and its importance • Process of applying medicines over the center of the head. • Purpose • Procedure

  28. Kizhi • IlaKizhior Leaf Bundle • PodiKizhior Powder Bundle • Navarakizhior Rice Bundle

  29. NavaraKizhi: Precautions • Type of cloth • Ventilation • Continuity of application • Cleaning after kizhi

  30. Sirolepa • Application of medicinal paste on head • Paste is made either by boiling the drugs or by triturating the dry medicinal powder in buttermilk. • Commonly used drug: Amalaki/Gooseberry

  31. Effects of Sirolepa • Cures tiredness, nodular enlargements • Imparts strength to sight • Induces sound sleep • Other effects similar to that of Takradhara

  32. Food during these treatments भोज्योऽन्नं मात्रयापास्यन् श्व: पिबन् पीतवानपि I द्रवोष्णमन्भिष्यन्दिनातिस्निग्धमसङ्करम् II Dharakalpam Should be liquid, hot, not causing abhishyanda, not increasing kapha, not excessively unctuous and not a combination of wholesome and unwholesome food

  33. Regimen during these treatments उष्णोदकोपचारी स्याद् ब्रह्मचारी क्षपाशय: I नवेगरोधीव्यायामक्रोधशोकहिमातपान् II प्रवातयानयानाध्वभाष्यात्यासनसंस्थिती: I नीचात्युच्चॊपधानाह: स्वप्नधूमरजांसि च II Ashtangahridayam. Sutrasthaanam.16. 26 • Use only hot water • Observe celibacy and proper sleeping habits • Avoid control of urges, exercises, anger, worrying, cold weather, sun, breeze, travelling, excessive walking, excessive talking, very low or high pillows, study, prolonged sitting, exposure to smoke and dust

  34. Recommendation • Address the fundamental causes of health and illness, and provide incentives for healthy ways of living rather than reimbursing only drugs and surgery.

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