Ayurveda Treatments for Public Health Dr. U. Indulal B. A. M. S
The Arya Vaidya Pharmacy Coimbatore, India
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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.
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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, Guimares R. Research on chronic noncommunicable
diseases in Brazil: meeting the challenges of epidemiologic
transition. Rev Panam Salud Publica. 2012;31(3):2405.
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Causes for health and ill health Dosha Internal Dushya External
FoodActivities Of definite period Of indefinite period Daily
Seasonal , I , I - : I I : I Hemadri. Ayurvedarasayana Comm.
Ashtangahridaya. Sutra. 1. 6 /2. 1
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Indian Health Sector Health sector trends suggest that no
single system of health care has the capacity to solve all of
societys 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)
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- Definition of Health : : I : II Susrutasamhita. Sutrasthana.
15.41 I : II Charakasamhita.Sutrasthana.9.4 the doshas are in a
state of balance, the agni is working properly, the dhatus are
actively engaged in the nutritive process the malas are eliminated
naturally from the body, the atma, indriya and manas are in a
pleasant state Disease = imbalance; sorrow Health = Balance;
Pleasure
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: II II : I II 6-8. Bhojyojopakramaneeya adhyaaya.
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 of agni HEALTH
INDICATORS
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- : Susrutasamhita. Sutrasthana.1.14 : Preserving the health of
a healthy person : Curing the disease of a diseased person Purpose
of Ayurveda : , Arunadatta. Sarvangasundara Comm.
Ashtangahridaya.2.1
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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
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Two attributes of the Body : : - : Charakasamhita.
Sareerasthaana.6.17 Pure Attribute Impure Attribute
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How to keep the body pure? By maintaining the digestive
strength By enabling liquefaction and flowing back of lodged toxins
By eliminating the toxins
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Treatments Samana Sodhana
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Sodhana Treatments: Problems Ref: Keraleeya Chikitsa Paddhati
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 panchakarmabhava roga (Sa. S. 1. 7.
194)
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)
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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
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Kerala Special Treatments Bahi parimaarjana. Based on the
concepts of Snehana and Swedana. Should not be named as Kerala
panchakarma Performed for curative, preparatory and rejuvenation
purposes.
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Kerala Special Treatments: Texts Dhaarakalpam by Sri.
Bharatitirthaprasada Sirassekaadi Vidhi by Puthiyedathu Raman
Menon
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Sirodhaara With medicated oil/buttermilk Performed on a
specially designed wooden plank.
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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
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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
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Improperly performed Sirodhara Burning sensation Skin lesion
General Pain and Joint pain Fatigue or loss of consciousness
Malaise Weakness to sound Vomiting Hemorrhage Fever
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Sirovasti
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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)
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Pizhichil
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Pizhichil Temperature of the oil Height, thickness and speed of
the oil flow Duration of the treatment Positions of the patient
Time of treatment
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Thalam and its importance Process of applying medicines over
the center of the head. Purpose Procedure
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Kizhi Ila Kizhi or Leaf Bundle Podi Kizhi or Powder Bundle
Navara kizhi or Rice Bundle
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Navara Kizhi: Precautions Type of cloth Ventilation Continuity
of application Cleaning after kizhi
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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
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Effects of Sirolepa Cures tiredness, nodular enlargements
Imparts strength to sight Induces sound sleep Other effects similar
to that of Takradhara
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Food during these treatments : I II Dharakalpam Should be
liquid, hot, not causing abhishyanda, not increasing kapha, not
excessively unctuous and not a combination of wholesome and
unwholesome food
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Regimen during these treatments : I II : I : 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
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Recommendation Address the fundamental causes of health and
illness, and provide incentives for healthy ways of living rather
than reimbursing only drugs and surgery.