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panchakarma and its advancement

A Guest lecture organised by Agnivesha Ayurveda Academy Bangalore; have invited to Dr. Lohith B. A. M.D., PhD. Head & Professor, Department of Panchakarma , SDM college of Ayurveda & Hospital, Hassan
To deliver the lecture on "Panchakarma and its advancement" on 27/04/2017

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panchakarma and its advancement

  1. 1. God of Medicine DHANVANTARI 1
  2. 2. Panchakarma Dr. B.A.Lohith M. D., Ph. D. Head and Professor Dept. of Panchakarma SDM College of Ayurveda & Hospital Hassan, Karnataka, India- 573 201 +91-9886749168, Email- lokithbadr@yahoo.co.in 2
  3. 3. Contents • Importance of Panchakarma • Research updates • Applications of different basti • Gridhrasi • Vatakantaka • Cupping method
  4. 4. Treatment (Chikitsa) • Shamana -Palliative (Pacification of vitiated Dosha) • Shodhana- Purification (Purification of metabolic wastes) 4
  5. 5. • Due to incompatible food (ahara) and life style (vihara) etc… certain pathological changes manifest in channels (Srotas) there by affecting nutrition to the tissues. This in turn leads to the disease process. • Hence to restore normalcy, purification (Shodhana) is very useful. Need of purification 5
  6. 6. • If a very clean crystal pot filled with pure water, in due course, some sediments get precipitated over the surface of the crystal and it becomes slimy. Contd…. 6
  7. 7. • Unique treatment modality • Method of bio-purification through natural route. • Real pathogenesis breaker • “Na Punarudbhava” – Long lasting effect Why Panchakarma only? 7
  8. 8. Sudation Oleation Bio purification Post regimen Rejuvenation Preventive Promotive Curative Panchakarma 8
  9. 9. Three fold benefits • Alimentary toxins ( Malapaham) -Preventive • Disorders (Rogaharam) -Curative • Health promotive (Bala, varna prasadanam) -Rejuvenative 9
  10. 10. Preventive • Alimentary toxins- Indol, Phenol, Cresol, Indican, Ammonia, Choline, Muscarin, Botulin, Turamine, Sepsin, Idolathylamine, Sulpherroglobine. • The people with high risk group can be significantly prevented from disorders. Anxiety, Cholesterol, Diabetes, Hypertension, Musculoskeletal disorders etc. 10
  11. 11. • Obesity , allergic asthma, chronic pulmonary obstructive disorders, gastro- esophageal reflux, constipation, skin disorders urative 11
  12. 12. • Efficacy of all sense organs • Digestive strength • Provides youthful state of body • Good body luster • Bestows longevity and disease free state • Promotes immunity and strength. Promotive 12
  13. 13. VAMANA INCREASE GLUCOCORTICOID HARMONE INCREASE ACTH INCREASE CATECHOLAMINE INCREASE OF HEART RATE DILATION OF BLOOD VESSEL IN SKELETAL MUSCLE OVER COME THE AUTOIMMUNITY & INFLAMATORY CONDITION Ref: Journal of Ayurveda and Holistic Medicine|May 2013|Vol 1|Issue 3 Researches…… 13
  14. 14. Effect on Amavata (Rheumatic Fever) Lab parameter BT AT ESR 40 mm/hr 18 mm/hr ASLO 1385 IU/ml 213 IU/ml CRP 69.5 IU /ml 10.7 IU/ml Symptoms BT AT After Samsarja na Follow up Swelling in joints +++ + Nil Nil Tenderness +++ + + Nil Nil Pain +++ + Nil Nil Ref: Journal of Ayurveda and Holistic Medicine|May 2013|Vol 1|Issue 3 Decreased Anti- streptolysin O (ASLO) titer has Suggested that Vamana is a definite answer for auto immune disorders 14
  15. 15. Researches…… VIRECHANA On blood sugar levels in diabetes mellitus By lowering the hepatic glucose production helps to control Reduction in FBS and PPBS levels by 56% Ref: AYU journal jul-sep 2013, Vol 34, Issue 3 15
  16. 16. Virechana in Vicharchika Koshta Shuddhi by Aragvadha Hima Snuhyadi lepa externally Remission 22.6% Recurrence 89.5% Classical Virechana Snuhyadi lepa externally Remission 81.3% Recurrence negligible Ref: AYU journal oct-dec 2012, Vol 33, Issue 4 16
  17. 17. GIT has ENS(enteric nervous system) which is connected to CNS through Vagus nerve ENS works in synergism with CNS Stimulation of ENS with basti either by Chemo or Mechano receptors This leads to stimulation of concerned part of CNS Thus precipitating the results in respective diseases. Ref: Gyanendra D.Shukla, Shwetha Pandey, Anup B. Thakur; Pharmacodynamic understanding of Basti : A contemporary approach. IJPBA 2012;3(4):893-896 17
  18. 18. Abhyanga- 18
  19. 19. Research Subjected for massage Relaxing videotapes Decreases : Anxiety Cortisol Depressed No changes observed Ref: Aggressive Adolescents Benefit from Massage Therapy Journal article by Miguel A. Diego, Tiffany Field, Maria Hernandez-Reif, Jon A. Shaw, Eugenio M. Rothe, Daniel Castellanos, Linda Mesner; Adolescence, Vol. 37, 2002 19
  20. 20. Therapeutic massage Increases blood and lymphatic flow Tryptophan- Natural sedative 20
  21. 21. Chronic Fatigue syndrome Advised bed rest Therapeutic massage Reduce individual activity level as much as 50% for a period of 6 months Fatigue related symptoms particularly like anxiety, somatic symptoms, depression, difficulty in sleep and pain 21
  22. 22. Effect on EEG pattern Increased frontal delta waves (suggesting relaxation) Decreased frontal alpha and beta waves (suggesting enhanced alertness) Ref : International Journal of Neuroscience. 86, 197-205. 22
  23. 23. Effect of Massage on Smoking cessation • Intense cigarette cravings, anxiety and depressed mood were seen - severe withdrawal symptoms. • Effect: Self-massage may alleviate Smoking-related anxiety Reduce cravings Withdrawal symptoms Improve mood and Reduce the number of cigarette smoking. Ref: Hernandez-Reif, M., Field, T., and Hart, S. (1999). Smokingcravings are reduced by self massage. Preventive Medicine, 28, 28-32. 23
  24. 24. Shirodhara •Rejuvenating therapy designed to eliminate mental exhaustion as well as relieve stress and ill effects on central nervous system. •Indicated in insomnia, stress, anxiety, hair loss, fatigue, depression, obsessive-compulsive disorder, schizophrenia, stroke, hypertension and migraine. 24
  25. 25. Effect on Neuro-chemicals When a person is under severe emotional stress or unresolved emotional pain Produces high levels of the stress hormone CORTISOL Which directly suppress immune system functioning and is linked with depression, stress and many diseases including cancer. 25
  26. 26. Effect of Shirodhara Increases the SEROTONIN , DOPAMINE and NOREPINEPHRINE (“feel good” hormones) by 31% CORTISOL levels by 31% Ref : International Journal of Neuroscience Volume115, Issue 10 October 2005 , pages 1397 - 1413 26
  27. 27. • Abhyanga- Regular fitness • Udvarthana- Obese • Regular application of oil to scalp, foot and ear • Pratimarsha nasya – Eliminate the risk of diseases related to head and neck Panchakarma in daily routine 27
  28. 28. Functioning of gastric fire Remission of disease Purity of sense organ Purity of mind Purity of intellect Therapeutic effect of panchakarma in general Body complexion Improvement of body physique Enhancement of sexual vigor Aging process being slowed Healthy living for long time Beneficial in both normal and diseased person 28
  29. 29. TIPS FOR PRACTICE OF BASTI 29DR B A Lohith
  30. 30. IMPORTANCE OF BASTI • Basti - Ardha Chikitsa/Sarva Chikitsa • Bastihi Vate-Pitte-Kaphe-Raktecha Sasyate • Basti-Multi Dimensional therapeutic effect 30DR B A Lohith
  31. 31. BASTI AS MAIN TREATMENT TREATMENT PRICIPLE : • Amavata- Langana, Swedana, Tikta Deepna Katu, Virechana, Basti. • Ghridrsivata-Sira Vyadhana, Agnikarma, Basti. 31DR B A Lohith
  32. 32. SCHEDULE OF BASTI • Importance to Roga Marga…. Gambheera Utthana Vikara E.g.: Yoga Basti- Sandhigata Vata! 32DR B A Lohith
  33. 33. DOSE OF NIRUHA • Classical Dose… • Modification may be done- Age, Bala, Type of Basti Eg: Ardhamatrika, Padaheena, Prasrita Yogika Basti 33DR B A Lohith
  34. 34. DOSE OF ANUVASANA • Classical Dose : • Sneha Basti : 300 ml • Anuvasana : 150 ml • Matra Basti : 75 ml (50-75-100 ml) • Modification may be done - Agni, Bala, Type of Sneha 34DR B A Lohith
  35. 35. AROHANA DOSE OF ANUVASANA BASTI • Arohana Dose – • Start with 100 ml, increase 50 ml (Uttama – 300 ml) • Start with 50 ml, increase 25 ml (Madhyama – 150 ml) • Start with 25 ml, increase 15 ml (Avara Matra – 75 ml) DR B A Lohith 35
  36. 36. OUSHADHA-NIRUHA BASTI Ingredients • Honey / Guda • Saindhava Lavana • Sneha -Yamaka, Trivrut, Mahasneha • Kalka - Putoyavanyadi/other • Kwatha • Avapa- Gomutra, Milk, Mamsa Rasa, Dhanyamla, Takra Gomutra Arka 36DR B A Lohith
  37. 37. KASA SWASA HIKKA AMA III DEGREE HAEMORRHOIDS FISSURE IN ANO CONTRAINDICATION 37DR B A Lohith
  38. 38. PITASNEHA MADYAPEETA SARVANGA SHOTHA JALODARA CHIDRODARA CONTRAINDICATION 38DR B A Lohith
  39. 39. GARBHINI VRUDDHA BALA CONTRAINDICATION 39DR B A Lohith
  40. 40. CONTRAINDICATION SHRANTA YANAKLANTA BHRAMA JWARA 40DR B A Lohith
  41. 41. CONTRAINDICATION KUSHTHA KAMALA PANDU MATTA, MOORCHITA VISHAPEETA 41DR B A Lohith
  42. 42. INDICATIONS SARVANGA SHULA, ATISHULA, JANUSANDHIVATA, AMAVATA 42DR B A Lohith
  43. 43. INDICATIONS MALABADDHATA PAKVATISARA ULCRATIVE COLITIS IBS 43DR B A Lohith
  44. 44. INDICATIONS NETRA ROGA 44DR B A Lohith
  45. 45. DRAVYA PRAMANA % MADHU 2 PRASRITA 16.67 SNEHA 3 PRASRITA 25 KALKA 1 PRASRITA 8.33 KWATHA 4 PRASRITA 33.33 AVAPA 2 PRASRITA 16.67 TOTAL 12 PRASRITA 100% GENERAL MATRA 45DR B A Lohith
  46. 46. DRAVYA 12 Prasrita (Ml) UTTAMA MADHYA MA AVARA MADHU 192 160 128 96 SNEHA 288 240 192 144 KALKA 96 80 64 48 KWATH 384 320 256 192 AVAPA 192 160 128 96 TOTAL 1152 960 768 576 PROPORTION OF INGREDIENTS 46DR B A Lohith
  47. 47. OUSHADHA-ANUVASANA BASTI •Paka of Sneha-Moorchita Sneha •Addition of Churna • Shatahva, Saindhava, Devadaru, Vacha, Rasna, Kusta – • 6, 4, 2 gm for Uttama, Madhyama, Avara Matra of Sneha Basti 47DR B A Lohith
  48. 48. TIME OF BASTI ADMINISTRATION • Niruha- Noon….. Kshara/Vaitharana Basti • Anuvasana-Day/Night • Matra Basti 48DR B A Lohith
  49. 49. Remember ! • Basti Putaka Vs Enema can • Enema can- Cleanliness of Can, Pipe, Catheter • Avoid contamination of Oushadha-Freshly prepare medicine 49DR B A Lohith
  50. 50. • Filtering of Basti Oushadha • Temperature of Basti Oushadha • For Niruha Paschat karma like Lifting leg, patting buttocks etc not needed Remember ! 50DR B A Lohith
  51. 51. • How much time patient is allowed to lie down in table after Basti administration-? • Retention of Basti more than 48 minutes -? • Basti evacuation- Indian commode Vs Western commode • Diet after Basti Pratyagamana. Remember ! 51DR B A Lohith
  52. 52. • Patient with Piles • Not passed stool- Shodhana Niruha/Manual Evacuation/ Phala Varthi • Niruha Basti Oushadha getting blocked in Catheter- Thick consistency, Not filtered, catheter tip blocked, Patient not passed stool • Resistance while inserting catheter-ask patient to breath through mouth Remember ! 52DR B A Lohith
  53. 53. ANUVASANA ADMINISTRATION • Procedure-Abhyanga, Swedana, Snana, Ahara • Nature of food/Quantity. • Gap between food and Anuvasana- Avasta Paka of Ahara • Again consumption of food before Anuvasa Basti Pratyagamana. • Is forceful retention of Basti is indicated. 53DR B A Lohith
  54. 54. • EXPECTING THE RESULT OF BASTI- Immediate-Delayed • Pathya Plan during Basti Parihara Kala- Desirable/Not desirable • Prescribing Shamanoushadhis during the days of Basti administration- Desirable/Not desirable • Prescription of Nasya, Abhyantara Snehana during Basti course- Desirable/Not desirable 54DR B A Lohith
  55. 55. COMMONLY ENCOUNTERED COMPLICATIONS OF NB • Pain abdomen • Fullness of abdomen • Atisara • Debility • Restlessness • Burning sensation in abdomen • Longer retention time • Headache • Parikartika 55DR B A Lohith
  56. 56. COMMONLY ENCOUNTERED COMPLICATIONS OF SNEHA BASTI • Agnimandya • Atisara • Udarashula • Burning sensation in abdomen • Jwara • Heaviness of body 56DR B A Lohith
  57. 57. PANCHA PRASRUTIKA BASTI DRAVYA QUANTITY MADHU 100ML TAILA-Kshirabala/MN 100ML GHRITA-Tiktaka 100ML KSHEERA 200ML TOTAL@ 500ML Indications : Rooksha Guna Pradhana Vata Vikara, Sandhighata Vata: Cervical- Lumbar spondylosis, Osteoporosis 57DR B A Lohith
  58. 58. KSHEERA BASTI DRAVYA QUANTITY MADHU 90ML SAINDHAVA LAVANA 5G SNEHA-Sukumara / Tiktaka / Dadimadi Ghrita 140ML KALKA-Shatapushpa/Guduci 30G YASTIMADHU KSHEERAPAKA 300ML TOTAL@ 560ML INDICATIONS: AMLAPITTA, PITTAJA SHULA, DAHA, PARINAMA SHULA: APD, ULCERATIVE COLLITIS 58DR B A Lohith
  59. 59. SHODHANA BASTI DRAVYA QUANTITY MADHU 140ML SAINDHAVA LAVANA 5G SNEHA 90ML ERANDA MULADI BASTI KALKA 30G ERANDA MULADI KWATHA 200ML GOMUTRA 100ML TOTAL@ 560ML INDICATIONS: Udavarta, Trika-Prishta Griha, Lekhana 59DR B A Lohith
  60. 60. SHAMANA BASTI DRAVYA QUANTITY MADHU 100ML SAINDHAVA LAVANA 5G SNEHA- Kshirabala/Sahacharadi Taila 100ML KALKA – Shatapushpa 25G KWATHA – Dashamoola / Erandamoola 230ML KSHIRA 100ML TOTAL@ 560ML INDICATIONS: Sandhigata Vata, Vataja Gridhrsivata etc. 60DR B A Lohith
  61. 61. UTKLESHANA BASTI DRAVYA QUANTITY MADHU 90ML SAINDHAVA LAVANA 5G SNEHA-Sukumara Ghrita 140ML KALKA-Shatapushpa 25G KWATHA - Eranda Bija, Yastimadhu, Pippali, Vaca, Madana Phala, Hapusha 230ML TOTAL@ 560ML INDICATIONS: Initially Utkleshana Basti is to be administered in Yoga / Kala / karma Basti Schedule 61DR B A Lohith
  62. 62. LEKHANA BASTI DRAVYA QUANTITY MADHU 140ML SAINDHAVA LAVANA 5G SNEHA 90ML KALKA- Shatapushpa ,Yava kshara, Hingu, Kasisa, Shilajatu,Trikatu 25G KWATHA-Triphala / Asanadi 200ML GOMUTRA 100ML TOTAL@ 560ML INDICATIONS: Sthoulya and its Upadrava, Medo Vikara’s: Obesity, Madhumeha Etc. 62DR B A Lohith
  63. 63. KSHARA BASTI DRAVYA QUANTITY GUDAPAKA 100ML SAINDHAVA LAVANA 15G SHATAPUSHPA KALKA 15G CHINCHA SWARASA 100ML GOMUTRA 400ML TOTAL@ 630ML Note: Little amount of Sneha may be added to avoid Vata vitiation INDICATIONS: Amavata, Sthoulya, Medo Vikaras, Kapha Vataja Ghridrsivata 63DR B A Lohith
  64. 64. MUSTADI YAPANA BASTI DRAVYA QUANTITY MADHU 120ML SAINDHAVA LAVANA 10G SNEHA - Maha Masha / MN Taila / Ashwagandha / Kalyanaka Ghrita 120ML MUSTADI YAPANA KALKA 20G MUSTADI KSHEERAPAKA 200ML MAMSARASA 100ML TOTAL@ 560ML INDICATIONS: BALYA, MAMSA-SHUKRAKARA ETC 64DR B A Lohith
  65. 65. TAKRA BASTI DRAVYA QUANTITY MADHU 120ML SAINDHAVA LAVANA 10G SNEHA - Changeryadi / Dadimadi Ghrita/ Nalpamaraadi Taila 120ML KALKA-Yasti, Lodhra, Chandana 25G KWATHA-Musta, Bilva, Shalmali 200ML TAKRA 100ML TOTAL@ 560ML INDICATIONS: ULCERATIVE COLLITIS 65DR B A Lohith
  66. 66. Gridhrasi
  67. 67. Introduction • Vataja • Vatakaphaja
  68. 68. Samprapti gatakas Dosha– Vata & Kapha Vyana vayu-- Kshepana and uthkeshpana Apana vayu – the site is Kati Sakti Sleshamaka kapha –Resides In Sandhi  Dushya– Pain & stiffness of leg symptom , inabilty of walking sankocha are all suggestive of mamsa affection. Ac Su Kandara Arochaka,Stamitya,Gaurava--- Rasadhatu Numbness and Parasthesia --- Twak & Raktha Radiating from buttock to heel ---Sanyu
  69. 69.  Srotas Rasavaha,Raktavaha,Mamsavaha,& Asthivaha  Srotodrusti–– Sanga  Agni—In vataja not effcted In Vatakaphaja Jataragni mandhya  Udbhavasthana– Pakvashaya  Sancharaya sthana– Low back region to heal indicative of lower half of the body.  Adhistaana –Sphik, Kati,Uru, Prusthi,Janu, Janga,Pada,& Anguli.
  70. 70. Line of treatment • Siravedhana • Basti • Agnikarma (C.S. Chi. Stha 28/100-101) • Siravedhana (S.S. Chi. Stha 5/23) • A.H.Chi Stha 15 as Charaka
  71. 71. • Virechana • Basti • Siravedhana (V.S Vata vya adh 337-338) • Snehan • Swedan • Vamana • Virechana • Basti • Raktamokshana • Agnikarma (H.S.Chi.Stha 23)
  72. 72. As a poorvakarma Snehan - Bahya • Abh, Pizichill, Avagaha, pariseka Cha.Chi.28/78 • Bala taila – B.S Chi.Sth 24/44-45 • Prasarini taila – C.D • Mahavishagarbha taila –B.R.V.V.26/596 • Saindhavaya taila – C.D.V.V.22/173 Abhyantra • Mahamasha taila B.R. C.D. B.P. • Sahachara taila B.S • Masha taila B.R. • Prasarani taila B.S
  73. 73. Swedana --- P. P. S. N.S. Avagaha Cha.Chi.28/78 • Valuka Sweda is better option for evident reason. Avagaha – C.D, V.S, B.R.
  74. 74. Vamana • After the Snehana and Svedana, S’odhana is indicated in Gridhrasi. • The authors like Cakrapaani and Bhaavamis’ra opine that without S’odhana of body Basti Cikitsa will not give desired effect in patients of Gridhrasi. • S’odhana in the form of Vamana is advised in patients suffering Gridhrasi and is specially preferred in Vaatakaphaja Gridhrasi for evident reasons.
  75. 75. Virechna  Virecana has an important role in Gridhrasi. The action of Virecana is not only limited to particular site, it has effects on the whole body. In Vaatavyaadhi most of the authors mentioned Mridu Virecana.  Oral administration of ‘Erand’a Sneha’ along with milk is ideal for the Virecana purpose.  This will help in both Vaata Anulomana as well as smooth excretion of Mala. The Sneha Virecana clears obstruction in the Srotas and relieves Vaata vitiation very quickly.
  76. 76. •Thus Sneha Virecana of Mr’du nature helps in controlling S’oola in Gridhrasi Virecana has an important role in Gridhrasi. •If we are observing the samprtpthi Ghatakas like sira dhamani kandars are upadhatus of the Raktha so the line of treatment of the Raktha and Pitta are one and the same.
  77. 77. Basti • Madhura rasa leads to Vatashamaka if Dhatuksahya janya then it helps in samprapti vigatanas. • Katu, Tikta, Kashaya, leads to Kaphanashaka Santarpaka karana leads to the Gridhrasi then basti helps.
  78. 78. • Makshika— • Contains- Glucose, Fructose, Viscous substances, vitamins & calcium etc Helps in Asthimajjagata vikars Sneha– Contains-Phospholipids phosphrous-- Lipids– Nerve cells Pakvashaya-- Seat of vata Seat of Purishadhara kala - Apana vata doshik level Seat of Asthidhara kala (Su in visha vaga context Most of drugs are agnideepaka & Amapachaka acts at agni level
  79. 79. Agnikarma • In Mamsa, sira, Snayu, Asthi, Sandhi where vata give rise to tivra ruja (Su.Su12/10) • Heating the tissues results in rise in temperature which results in • Increased metabolic rate or activity • Increased blood flow. • Stimulation of neural receptors in skin and tissues May be local, general, or remote effect. Their extent depend on Size of area heated Intensity of heat. Method of applications.
  80. 80. • The location between Kand’ara and Gulpha is opted to perform the Agnikarma as envisaged by Aacaarya Caraka. • As opined by Aacaarya Sus’ruta and Aacaarya Vaagbhat’a, conditions like Snaayugata Vaata and Sandhigata Vaata should be treated by Agnikarma. • Thus the Gridhrasi Roga, in which the vitiated Vaata afflicting the Snaayu is the primary pathology, subjecting the patient of Gridhrasi to Agnikarma would be a rational approach.
  81. 81. • Aacaaryas have clearly mentioned the place of Agnikarma as the posterior aspect of the leg 4 An’gula below the Indrabasti Marma. • Aacaarya Cakrapaani is of the opinion that if the usual treatment of Gridhrasi fails to give desired improvement then Agnikarma is performed to the little toe. • Haareeta has specified the Lohas’alaka for Dahana Karma.
  82. 82. Siravadha • Rakthamokshan is considred as half treatment,By Su. • Dal mentioned Siravedhana is indicated in Shonita avrita vataja gridhrasi. • Vag– Rakthadoshaja vyadhi A.H.30/8 • Sirabasti is the site Su.Su 8/16
  83. 83. cont,  Sus’ruta and Vaagbhat’a have advised Siraavyadha where in Sira located about 4 An’gula above or 4 An’gula below the Jaanu Sandhi should be opted.  It is a general rule that, when the regular treatment with Shadvidhopakrama fails to give any relief in any disease, one should consider the involvement of Rakta Dhaatu in the pathogenesis and is best treated by Raktamokshana. This rule is also applicable in Gridhrasi Roga.
  84. 84. Pithaarivata Daha, Ushana, Bramha,& Tama So line of treatment is Virechna, Rakthamookshna, Kshera Kashaya basti Kapharivata—Shautya,Gowrava Niruha basti, Agnikarma Sth.abh.Nadisweda Ratharivita—Daha, Sparsadwesha & Shoola
  85. 85. Pain in Heel
  86. 86. Pain in heel in different conditions – • Neurologic • Traumatic • Systemic Inflammatory conditions
  87. 87. In systemic inflammatory condition • RA • Ankylosing Spondylitis • Psoriatic arthritis • Reiter’s syndrome • Gout • SLE • Gonorrhoea • Tuberculosis
  88. 88. Causes Most common cause – Plantar fasciatis Less common cause – • Sciatica • Tarsal tunnel syndrome • Entrapment of lateral plantar nerve • Plantar fascial rupture • Calcaneal apophysitis
  89. 89. Ayurvedic perspective Vata Kantaka Nija vyadhi – • Sandhivata, • Amavata • Vatarakta • Ashti vikara • Gulpha sandhi vikara • Snayu and peshi vikara • Anya vikara Abhighatajanya
  90. 90. Vata kantaka • Khuddakavata • Padakantaka(YR) • Parshnyashrita (D) Vishama Pade – • Agantuja karana.
  91. 91. • Not only calcaneal spur rather it may be sprain, strain and acute suppurative arthritis • If Gulpha sandhi - Ashraya stana for Vata kantaka – Sthanika chikitsa along with Vata shamanopaya
  92. 92. Nidana • Aharaja , Viharaja, Manasika • Walking in an uneven surface / excessive walking. • Wearing high heeled & hard foot wears • Over weight lifting / being Overweight
  93. 93. 1. Feet that flatten and roll inwardly 2. Shoes with inadequate arch support 3. Sudden turns that put great stress on the ligaments 4. Running on hard surfaces or uphills
  94. 94. Treatment Principles to follow… • Assessment of condition • Acute pain management • Local treatment • Proper follow up • Surgical intervention
  95. 95. Before entering in to treatment…. • If Gulpha sandhi is considered as the Ashraya stana - Dosha nimittaja • Agantuja karana - Sprain, strain etc • Adoption of Rakta mokshna as the major line of treatment should be re-thought on the basis of karya karana sambandha • Calcaneal spur- Agni karma is done routinely at the most tender points in the heel.
  96. 96. Samanya Chikitsa • Vatavyadhi samanya chikitsa • Acute pain management
  97. 97. Bahi parimarjana- • Snehana - Abhyanga • Swedana – Isthika sweda • Lepa – Haridra + Saindhava lepa • Nimajjana - MN Taila (Shatavari, Laksha & tila) Abhyantara parimarjana - 1. Shamana – (vedanastapaka, shothagna) • Tab Rasnadi Guggulu • Rasna Eranda Kwatha
  98. 98. Vishesha Chikitsa 1. Repeated Rakta mokshana 2. Eranda taila pana 3. Soochi dahana
  99. 99. Isthika Sweda • Ushma sweda Procedure : 1. Preparation to patient - Snehana by Tila taila 2. Hot isthika –pour (ganji /kanji /dashamoola kwatha) 3. Others: lavana pinda sweda and kulatha sweda, Arka pushpa sweda
  100. 100. • Regulates Vata • Helps to discharge morbidity from micro channels and counteracts Vata • Counteracts the stiffness, heaviness and coldness • Relaxation of muscle and tendons • Improves the circulation and activates the local metabolic process which may be responsible for most of relief in pain, swelling and stiffness • Massage during sweda may cause displacement of exudates and thus may reduce the tension and the pain How it works?
  101. 101. Periarticular Disorders  Bursitis  Rotator Cuff tendinitis  Adhesive Capsulitis  Medial / Lateral epicondylitis
  102. 102. Arka Patra Sveda
  103. 103. Arka Patra Sweda • Drug Quantity • Arka patra - Approx.15 no. • Plain Ghrita - 50 ml • Saindhava lavana -10 gm • Kora cloth - 25”x 5”(LxB) • Tag - 16 inches
  104. 104. Arka Patra Sweda 105
  105. 105. Cupping therapy
  106. 106. Materials required
  107. 107. Prayer
  108. 108. Preparation of patient
  109. 109. Cleaning of part
  110. 110. Dry cupping
  111. 111. Pricking on the Area
  112. 112. Suction
  113. 113. Collection of blood in cup
  114. 114. Removal of cup
  115. 115. Application of honey
  116. 116. Thank U 121
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A Guest lecture organised by Agnivesha Ayurveda Academy Bangalore; have invited to Dr. Lohith B. A. M.D., PhD. Head & Professor, Department of Panchakarma , SDM college of Ayurveda & Hospital, Hassan To deliver the lecture on "Panchakarma and its advancement" on 27/04/2017

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