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OMBOON VALLISUTA AND SURAPHAN SIRITHAMWANICH* DEPARTMENT OF PHARMACOGNOSY FACULTY OF PHARMACY, MAHIDOL UNIVERSITY * TTM DOCTOR. COMPARISON OF TTM TEXT WITH INDIAN TEXT. THAILAND PREHISTORIC EVIDENCES (500,000 years). INFLUENCES FROM OTHER CULTURES.
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OMBOON VALLISUTA AND SURAPHAN SIRITHAMWANICH* DEPARTMENT OF PHARMACOGNOSY FACULTY OF PHARMACY, MAHIDOL UNIVERSITY * TTM DOCTOR COMPARISON OF TTM TEXT WITH INDIAN TEXT
THAILAND PREHISTORIC EVIDENCES (500,000 years)
INFLUENCES FROM OTHER CULTURES • INDIAN CULTURAL TRADITION( ARTS AND SCIENCES)TAVARAVADI B.E. 8-14 • KHOM EMPIRE B.E. 15 - 18 • SUKHOTHAI PERIOD (START THAI KINGDOM) A.D. = B.E. – 543 YEARS 2011 = 2554
KRUN OR PALAVASTONE INSCRIPTION AT PATHOM JEDI, NAKORN PATHOMTHAILAND
COMPARISON OF THAI, KRUN, ANCIENT KHOM AND MON KHOM MON THAI PALAVA
THAI TRADITIONAL MEDICINE (TTM) • ORIGIN FROM AYURVEDA • RELATED TO BUDDHISM • UNIQUE FLORA • UNIQUE TRADITIONAL MEDICINE (THEORY/ FORMULATION/ MASSAGE)
MEDICINAL PLANTS UTILISED SINCE BUDDHA’S TIME • Cinnamomum camphora • Cassia fistula • Holarhhena dysenterica • Oroxylum indicum • Piper retrofractrum • Cartharmus tinctorius • Acacia catechu • Morinda citrifolia • Ferula foetida • ETC
AYURVEDIC ETIOLOGY • HEALTH IS DHATU-EQUIPOISETRIDHATU (VATA, PITTA, KAPHA) NORMAL • ILL-HEALTH IS DHATU-IMBALANCE TRIDHATU (VATA, PITTA, KAPHA) ABNORMAL OR TRIDOSHA IM-TTM
CAUSES OF ILL-HEALTH Behaviours, external objects, seasonal effects RESULTS:ATIYOGA excess functionHEENAYOGA defect functionMITHYA-YOGA qualitative change resulting in abnormality of Dosha-equilibrium IM-TTM
ILL-HEALTH CAUSED BY MIND A stimulation of the adrenal gland produces all phenomena of anger and rage, conversely, the production of anger and rage affects the secretion of the adrenal gland.. Emotion can cause rapid exhaustion.
PHYSIOLOGY: TRI-DHATU SITTHANTA(THEORY OF THE THREE HUMOURS) • VATA (Akash and vayu ) • PITTA (Theja) • SLESMA OR KAPHA (Prithvi and Apo ) PANCHA-MAHABHUTA: Akash, Vayu, Theja, Prithvi and Apo AIR WIND FIRE EARTH WATER IM
DISEASES CAUSED BY DOSHAS • DISEASES CAUSED BY VAYU: 80 DZ • DISEASES CAUSED BY PITTA: 40 DZ • DISEASES CAUSED BY KAPHA: 20 DZ THE NUMBER OF DZ ARE THE SAME BOTH IN INDIAN AND TTM TEXTS IM-TTM
INDIAN DEFINITION OF TRI-DHATUS • A NORMAL PERSON HAS A CERTAIN COMBINATION OF TRI-DHATUS i.e. EACH HAS HIS OWN EQUILIBRIUM AMONG TRI-DHATU VATA-PITTA-KAPHA • THERE ARE CERTAIN PROPERTIES TO EACH OF TRI-DHATUS IM
VATA PROPERTY • RUKSA DRY • LAHU LIGHT • SITA COLD • KRAHA IRREGULAR • SUKASAMA INVISIBLE • JALA MOVING IM
PITTA PROPERTY • SNEHA LIGHTLY VISCOUS • TIKTASANA QUICK • USNA HOT • LAHU LIGHT • VISERUM BLOODY SMELL • SORAMA QUICKLY ABSORBED • TARAVAM LIQUID IM
KAPHA PROPERTIES • SANIKTA HIGHLY VISCOUS • SITA COLD • KURU HEAVY • MONTHA SLOW • SALAKSANA SOFT • MARUTSANA SLIPPERY • SATIRA STABLE IM
PRAKRITI (TEMPERAMENT) • VATALA • PITTALA • SHLESMALA • VATA-PITTA • VATA-SHLESMA • PITTA-SHLESMA • VATA-PITTA-SHLESMA IM
DIVISIONS OF TRI-DHATUS • THERE ARE 5 DIVISIONS FOR EACH DHATU • VATA • PITTA • KAPHA IM
VAYU AND ITS 5 DIVISIONS • PRANABREATHING, SWALLOWING,BLOOD VESSELS • UDANA UPWARD MOVEMENT, SPEECH,MIND • SAMANA MAINTAIN PITTA AND KAPHA IN A STATE OF EQUILIBRIUM (SAMA) • APANA DOWNWARD MOVEMENT, STOOL, URINE • VYANA DESTROYS THE ORGANS OF THE BODY , AGGRAVATES DZ, ANIHILATES THE SENSE OF PLEASURE FROM “BASIC PRINCIPLES OF AYURVEDA” 1980 IM
PITTA AND ITS 5 DIVISIONS • PACAKA OR AGNI DIGESTION IN STOMACH AND DUODENUM • RANJAKABLOOD FORMATION IN LIVER, SPLEEN • SADHAKAMEMORY AND MENTAL FUNCTIONS • ALOCAKA VISION • BHRAJAKACOLOUR AND GLAZE OF THE SKIN HELPS IN SKIN ABSORPTIONFROM “BASIC PRINCIPLES OF AYURVEDA” 1980 IM
KAPHA AND ITS 5 DIVISIONS • AVALAMBAKA LOCATED IN STOMACH • KLEDAKAHELPS IN DIGESTION • BODHAKA PERCEPTION OF TASTES, SALIVA • TARPAKANOURISHMENT OF THE EYES • SLESAKALUBRICATION OF JOINTSFROM “BASIC PRINCIPLES OF AYURVEDA” 1980 IM
BIOCHEMICAL PROCESSESJIVA-RASAYANA ANABOLISM CATABOLISM MALA DHATU (3) KUTHA (Feces) MUTRA (Urine) SWETA (Sweat) • NUTRIENTS (3) • ANNA (Solid food) • UTHAKA (Liquid food) • PRANA (Gas) • SAPTA DHATUS (7) • RASA (Chyle, Lymph) • RAKTA (Blood) • MAMSA (Muscle) • METHA (Fat) • ASTHI (Bone) • MAJJA (Bone Marrow) • SHUKRA (sperm and ovum) IM
METABOLISM AND THE 7 DHATUS • Food Rasa ( in stomach, and duodenum) and Mala • Rasa Rakta • Rakta Mamsa • Mamsa Medha • Medha Asthi • Asthi Majja • Majja Shukra OJA DHATU (the essence of life) is formed at each properly transformation step TTM also use this word THIS IS THE SECONDARY MEANING OF DHATU IM
TTM – DHATU • TECHO-DHATU 4 TYPES • VAYO-DHATU 6 TYPES • APO-DHATU 12 TYPES • PATHAVI-DHATU 20 TYPES THESE DHATUS CAN BE THE CAUSES OF DISEASES – DHATU SAMUTHAN TTM
DHATU SAMUTHAN • TECHO DHATUOR FIRE ELEMENT 4 types • SANTAPAKKIBODY WARMTH • PARITAIAKKITEMPERATUE CONTROL • CHIRANAKKIAGING • PARINAMAKKIDIGESTION AND METABOLISM TTM
DHATU SAMUTHAN • VAYU SAMUTHANOR WIND ELEMENT6 types • ATHOKAMAVATAmove up • UTANGKAMAVATA Move down • KOTASYAVATAinside GI • KUCHISYAVATA • UNKAMUNKANUSARIVATA (CVS) • ASSASA/ PASSASA VATA (to inhale/ to exhale) TTM
DHATU SAMUTHAN • APO DHATUOR WATER ELEMENT12 types • BLOOD • LYMPH • SOLID FAT • LIQUID FAT • BILE (INSIDE GB) • BILE (OUTSIDE) • SALIVA • ETC TTM
DHATU SAMUTHAN • PATHAVI DHATU OR EARTH ELEMENT20 types • HAIR • TEETH • SKIN • BONE • LIVER • UDARIYAN • GRISAN • ETC TTM
THE GERM THEORY OF DISEASE vsTHE SEED AND THE SOIL orTHE TRI-DOSHA-THEORY • PARASITIC GERMS, TRAUMAS, POISONS ARE EXTRINSIC CAUSES OR AGANTU - - AGANTU CAUSATIVE FACTORS • IF THE SOIL IS UNSUITABLE - -> NO GERMINATION - > NO DISEASE IM
TRIDOSHA* VATA, PITTA, KAPHA • VATAOXIDATIVE PHOSPHORYLATION • PITTACATABOLISMpepsis • KAPHAANABOLISM IDA LINE PINGALA LINE SUCHUMNA LINE *RELATED TO PRANA CHAKRA SYSTEM AND GURUNADI
THAI PRANA CHAKRA *** the lines connected with olan chakra
olan chakra IM-TTM
IM-TTM DIAGNOSIS BY PALPATION • CONSIDERED AS THE MOST IMPORTANT PATIENT EXAMINATION • PULSE IN THE RADIAL ARTERY AT THE WRIST • USE 3 FINGERS (INDEX, MIDDLE, RING FINGERS) • COMPRESSIBILITY, FREQUENCY, REGULARITY, SIZE AND DIFFERENT IMPRESSIONSe.g. serpent creeping -> wind predominancejumping like a frog -> bile predominancestrutting of a peacock -> phlegm predominance
DIAGNOSIS vata pitta kapha Related to 14 prana chakra energy lines IM-TTM
pitta vata kapha DIAGNOSIS Related to 14 prana chakra energy lines IM-TTM
SEASONAL EFFECTS vs TRIDOSHAS A = accumulation, Al = alleviation, Ag = aggravation
MARCH APRIL FEBRUARY MAY JANUARY Aries Te-choDhatu Patta-pitta Taurus Pathavi Dhatu Hatayan Capricon Pathavi Dhatu Grisan Gemini Vayo Dhatu Hataivata JUNE Cancer Arpo Dhatu Sorsemha Sagittarius Te-choDhatu Gumdao JULY Leo TechoDhatu Apattapitta Scorpion Arpo Dhatu Ura-semha DECEMBER Virgo Pathavi Dhatu Utariyan Libra Vayo Dhatu Sattaga-vata AUGUST OCTOBER SEPTEMBER NOVEMBER Pisces ArpoDhatu Koota-semha Aquarius Vayo Dhatu Sumana-vata SUMMER WINTER increase defect RAINNY decrease TTM
HERBOLOGY IN AYUVEDA • RASAS (INITIAL TASTE) • GUNA (VIRTUE) MATERIA MEDICA • VEERAYA (POWER; HOT OR COLD) • VIPAKA (POST DIGESTION EFFECT)SWEET, SOUR, PUNGENT UNALTEREDSALINE -> SWEET, BITTER AND ASTRINGENT -> PUNGENT • PRABHAVA (INHERENT NATURE) IM
RASAS vs TRIDOSHAS THE SIX TASTES REDUCE INCREASE • MADHURA VAYU, PITTA KAPHASWEET • AMLA VAYU PITTA, KAPHA SOUR • LAVANA VAYU PITTA, KAPHA SALTY • KATU KAPHA PITTA, VAYUPUNGENT • TIKTA PITTA, KAPHA VAYU BITTER • KASHAYA PITTA, KAPHA VAYU ASTRINGENT IM
HERB COMBINATIONS WITH SAME USES • TRIPHALA TERMINALIA CHEBULA T. BELLERICA PHYLLANTHUS EMBLICA • TRIKATU GINGER, PEPPER, LONG PEPPER IM-TTM
SOME HERBS WITH SAME USES These herbs are used together as TRIPHALA IM-TTM
SOME HERBS WITH SAME USES These herbs are used together as TRIKATU (the three pungent drugs) IM-TTM