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GERIATRIC PANCHAKARMA Dr Prathibha  C K MD Panchakarma Lecturer Department of Panchakarma Amrita School of Ayurveda
INTRODUCTION Panchakarma- Shodhana Bahudoshavasta Avastitadosha Oldage- vatavruddha KaphaPittaKsheena Praheenadhatubala (shareera & Manas) Dr Prathibha Sharma CME Belgaum 18/05/2011 2
VAMANA Procedure Inv- ECG, Sugar level, LFT, CT BT, Ophthalmic examination Snehapana -Sadhya 			      Honey & Saindhava Madana, Yasti, Pippali, Saindhava,Milk Shwasa Kushta, migrain, thyroid problems, unmada Avarashuddhi Dr Prathibha Sharma CME Belgaum 18/05/2011 3
PROBLEMS Heenasatwa RaktaVamana Parshwagraha, Angagraha Agravation of locomotar symptoms Dr Prathibha Sharma CME Belgaum 18/05/2011 4
VIRECHANA Procedure Virechana/ Nityavirechana Anulomana & sramsana – Snigdha Decrease  vishramakala Trivrut, Aragwadha, Triphala, ErandaTaila Bulk forming purgatives No Danti, Jayapala Tridoshahara Almost all diseases – locomotary, manasika, nuerological, RF, DM, HTN, skin Dr Prathibha Sharma CME Belgaum 18/05/2011 5
PROBLEMS Constipation Habit AvaraShuddhi Dehydration To stop Pain increase Dr Prathibha Sharma CME Belgaum 18/05/2011 6
BASTI Ajanmamaranaat ArdhaChiktsa All dosha Sarvarthakaari NB, AB,UB Yoga basti/kaalabasti/karma basti Dr Prathibha Sharma CME Belgaum 18/05/2011 7
Krurakoshta prior to Virechana MB indicated AB – BruhanaShodhana Mrudu NB- Continuous usage Dr Prathibha Sharma CME Belgaum 18/05/2011 8
NIROOHA BASTI Procedure Erandamooladi-LBA Dashamoola-Nuerological, locomotary Ksheera-sandhigatavata KshaaraVaitarana- LBA, Amavata, Bamboostick Varunaadi – RF Amruthottaram - Vatarakta Dr Prathibha Sharma CME Belgaum 18/05/2011 9
Mustadiyapana- sarvagadapaha ErandamoolaadiYapana – LBA Piccha- IBS, Chrons disease Yastimadhu- daha, manasika Choorna – amashula Dr Prathibha Sharma CME Belgaum 18/05/2011 10
PROBLEMS Administration No retention Collapse Dr Prathibha Sharma CME Belgaum 18/05/2011 11
ANUVASANA BASTI Procedure Sahacharadi-Nuerological, LBA Dhanwantaram –Agantu GHE- Constipation Sukumaram- Constipation, bradna GTG- SGV Vastyamayantaka-Urinary Indukanta- Kushta, Amavata Dr Prathibha Sharma CME Belgaum 18/05/2011 12
Amrutaprasha- Debility Mahamasha- Parkinsons Karpasasthyadi- Pakshaghta, CS Ksheerabala-CS Dr Prathibha Sharma CME Belgaum 18/05/2011 13
UTTARA BASTI Urinary  route Procedure Urine Ph Incontinance Dr Prathibha Sharma CME Belgaum 18/05/2011 14
NASYA Pratimarsha/ marsha Procedure No Shodhana KB, Shadbindu, Anu, Kalyanaka, Panchagavya Nuerological,Memory, balance,Ardita No much problem Dr Prathibha Sharma CME Belgaum 18/05/2011 15
SNEHA & SWEDA Importance Mode of action Namayantiyathanyaam Advantage – external 				No risk Avarabala 				Best for vata Dr Prathibha Sharma CME Belgaum 18/05/2011 16
SNEHANA Snehapana Murdhnitaila Abhyanga Dr Prathibha Sharma CME Belgaum 18/05/2011 17
SNEHAPANA Shamana & Brumhana Procedure Kalyanaka, Amrutaprasha, Sukumara, KB Balya, Tarpana, Deepana Nuerological, Psycological, Gastritis,IBS Dr Prathibha Sharma CME Belgaum 18/05/2011 18
MOORDNI TAILA Abyanga Seka Pichu basti Dr Prathibha Sharma CME Belgaum 18/05/2011 19
SHIROBHYANGA Dinacharya Indriyabalya Head ache, Sneezing, Alasya Dr Prathibha Sharma CME Belgaum 18/05/2011 20
SHIRASEKA Procedure Insomnia, headache, Taila, Jala,Ksheera, kashaya, Takra Dr Prathibha Sharma CME Belgaum 18/05/2011 21
SHIROPICHU Talapodichil Local Nuerological Dr Prathibha Sharma CME Belgaum 18/05/2011 22
SHIROBASTI Procedure Balya, vak, eye diseases Balance Pakshaghata Dr Prathibha Sharma CME Belgaum 18/05/2011 23
ABHYANGA Dinacharya Jarahara Padabhyanga Dr Prathibha Sharma CME Belgaum 18/05/2011 24
Tarpana Karnapoorana Gandoosha Dr Prathibha Sharma CME Belgaum 18/05/2011 25
SWEDANA Valuka CPS DPS PPS SSPS KayaSeka TailaDroni Local basti, pichu Dr Prathibha Sharma CME Belgaum 18/05/2011 26
Better snigdhasweda BP Avoid MahaSweda Dr Prathibha Sharma CME Belgaum 18/05/2011 27
RAKTAMOKSHANA Jalauka Pracchana Siravyadha Dr Prathibha Sharma CME Belgaum 18/05/2011 28
AGNIKARMA Twakdagdha Bindu, coin Dr Prathibha Sharma CME Belgaum 18/05/2011 29
Conclusion Basti karma can be adopted with due care in oldage. Snehana and swedana are the therapies of choice in geriatric problems. Dr Prathibha Sharma CME Belgaum 18/05/2011 30
THANK YOU ALL 18/05/2011 Dr Prathibha Sharma CME Belgaum 31

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Panchakarma and geriatrics dr prathibha

  • 1. GERIATRIC PANCHAKARMA Dr Prathibha C K MD Panchakarma Lecturer Department of Panchakarma Amrita School of Ayurveda
  • 2. INTRODUCTION Panchakarma- Shodhana Bahudoshavasta Avastitadosha Oldage- vatavruddha KaphaPittaKsheena Praheenadhatubala (shareera & Manas) Dr Prathibha Sharma CME Belgaum 18/05/2011 2
  • 3. VAMANA Procedure Inv- ECG, Sugar level, LFT, CT BT, Ophthalmic examination Snehapana -Sadhya Honey & Saindhava Madana, Yasti, Pippali, Saindhava,Milk Shwasa Kushta, migrain, thyroid problems, unmada Avarashuddhi Dr Prathibha Sharma CME Belgaum 18/05/2011 3
  • 4. PROBLEMS Heenasatwa RaktaVamana Parshwagraha, Angagraha Agravation of locomotar symptoms Dr Prathibha Sharma CME Belgaum 18/05/2011 4
  • 5. VIRECHANA Procedure Virechana/ Nityavirechana Anulomana & sramsana – Snigdha Decrease vishramakala Trivrut, Aragwadha, Triphala, ErandaTaila Bulk forming purgatives No Danti, Jayapala Tridoshahara Almost all diseases – locomotary, manasika, nuerological, RF, DM, HTN, skin Dr Prathibha Sharma CME Belgaum 18/05/2011 5
  • 6. PROBLEMS Constipation Habit AvaraShuddhi Dehydration To stop Pain increase Dr Prathibha Sharma CME Belgaum 18/05/2011 6
  • 7. BASTI Ajanmamaranaat ArdhaChiktsa All dosha Sarvarthakaari NB, AB,UB Yoga basti/kaalabasti/karma basti Dr Prathibha Sharma CME Belgaum 18/05/2011 7
  • 8. Krurakoshta prior to Virechana MB indicated AB – BruhanaShodhana Mrudu NB- Continuous usage Dr Prathibha Sharma CME Belgaum 18/05/2011 8
  • 9. NIROOHA BASTI Procedure Erandamooladi-LBA Dashamoola-Nuerological, locomotary Ksheera-sandhigatavata KshaaraVaitarana- LBA, Amavata, Bamboostick Varunaadi – RF Amruthottaram - Vatarakta Dr Prathibha Sharma CME Belgaum 18/05/2011 9
  • 10. Mustadiyapana- sarvagadapaha ErandamoolaadiYapana – LBA Piccha- IBS, Chrons disease Yastimadhu- daha, manasika Choorna – amashula Dr Prathibha Sharma CME Belgaum 18/05/2011 10
  • 11. PROBLEMS Administration No retention Collapse Dr Prathibha Sharma CME Belgaum 18/05/2011 11
  • 12. ANUVASANA BASTI Procedure Sahacharadi-Nuerological, LBA Dhanwantaram –Agantu GHE- Constipation Sukumaram- Constipation, bradna GTG- SGV Vastyamayantaka-Urinary Indukanta- Kushta, Amavata Dr Prathibha Sharma CME Belgaum 18/05/2011 12
  • 13. Amrutaprasha- Debility Mahamasha- Parkinsons Karpasasthyadi- Pakshaghta, CS Ksheerabala-CS Dr Prathibha Sharma CME Belgaum 18/05/2011 13
  • 14. UTTARA BASTI Urinary route Procedure Urine Ph Incontinance Dr Prathibha Sharma CME Belgaum 18/05/2011 14
  • 15. NASYA Pratimarsha/ marsha Procedure No Shodhana KB, Shadbindu, Anu, Kalyanaka, Panchagavya Nuerological,Memory, balance,Ardita No much problem Dr Prathibha Sharma CME Belgaum 18/05/2011 15
  • 16. SNEHA & SWEDA Importance Mode of action Namayantiyathanyaam Advantage – external No risk Avarabala Best for vata Dr Prathibha Sharma CME Belgaum 18/05/2011 16
  • 17. SNEHANA Snehapana Murdhnitaila Abhyanga Dr Prathibha Sharma CME Belgaum 18/05/2011 17
  • 18. SNEHAPANA Shamana & Brumhana Procedure Kalyanaka, Amrutaprasha, Sukumara, KB Balya, Tarpana, Deepana Nuerological, Psycological, Gastritis,IBS Dr Prathibha Sharma CME Belgaum 18/05/2011 18
  • 19. MOORDNI TAILA Abyanga Seka Pichu basti Dr Prathibha Sharma CME Belgaum 18/05/2011 19
  • 20. SHIROBHYANGA Dinacharya Indriyabalya Head ache, Sneezing, Alasya Dr Prathibha Sharma CME Belgaum 18/05/2011 20
  • 21. SHIRASEKA Procedure Insomnia, headache, Taila, Jala,Ksheera, kashaya, Takra Dr Prathibha Sharma CME Belgaum 18/05/2011 21
  • 22. SHIROPICHU Talapodichil Local Nuerological Dr Prathibha Sharma CME Belgaum 18/05/2011 22
  • 23. SHIROBASTI Procedure Balya, vak, eye diseases Balance Pakshaghata Dr Prathibha Sharma CME Belgaum 18/05/2011 23
  • 24. ABHYANGA Dinacharya Jarahara Padabhyanga Dr Prathibha Sharma CME Belgaum 18/05/2011 24
  • 25. Tarpana Karnapoorana Gandoosha Dr Prathibha Sharma CME Belgaum 18/05/2011 25
  • 26. SWEDANA Valuka CPS DPS PPS SSPS KayaSeka TailaDroni Local basti, pichu Dr Prathibha Sharma CME Belgaum 18/05/2011 26
  • 27. Better snigdhasweda BP Avoid MahaSweda Dr Prathibha Sharma CME Belgaum 18/05/2011 27
  • 28. RAKTAMOKSHANA Jalauka Pracchana Siravyadha Dr Prathibha Sharma CME Belgaum 18/05/2011 28
  • 29. AGNIKARMA Twakdagdha Bindu, coin Dr Prathibha Sharma CME Belgaum 18/05/2011 29
  • 30. Conclusion Basti karma can be adopted with due care in oldage. Snehana and swedana are the therapies of choice in geriatric problems. Dr Prathibha Sharma CME Belgaum 18/05/2011 30
  • 31. THANK YOU ALL 18/05/2011 Dr Prathibha Sharma CME Belgaum 31