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Swagatham
RASAYANA
        an updated view

Dr. M.R.Vasudevan Nampoothiri MD(Ay)
          FORMER DIRECTOR
    AY. MEDICAL EDUCATION , KERALA
            PROFESSOR ,
      AMRITA SCHOOL OF AYURVEDA
शतं ििव शरदो वधधमान
शतं हमनतान् शतम वसनतान्
     े
शतं इनदािि सिवता बृहसपित
शतायुषा हिवषेमं पुनददः (ॠगवेदम्)
                     धु
The desire to live as long as it is humanly possible
    has been ingrained in man even from Vedic
  times. The benediction worded, “May you live
 through a hundred summers and winters” is an
                 evidence to this.
Psoriasis vulgaris
Psoriasis vulgaris-
       Inclusion criteria
CLINICAL         HISTOLOGICAL
  Itching            Hyperkeratosis
  Scaling            Parakeratosis
  Thickening         Cylindrical rete ridges
  Erythema           Inflammatory cells
  Dryness
  Auspitz sign
Thuvaraka
                                   Plant - Twig




a. Thuvaraka seeds
b. Thuvaraka taila (plain)
c. Thuvaraka taila prepared   Acacia catechu. Willd.
   with three times khadira   Family : Leguminosae
   kwatha.
Clinical features
Group A
 Sodhana + rasayana :- 86% of the
 patients with moderate and severe
 illness came to the group under mild
 illness.
Group B
 Sodhana only :- No change in moderate
 and severe illness.
Histological features

Group A
 100% of the patients under the group
 ‘severe’ came to the group ‘mild’

Group B
  No significant change occurred
Psoriasis vulgaris
Sodhana + Thuvaraka
        rasayana        Sodhana only
                             
 Significant changes     Changes in
            in             clinical
     clinical and      parameters only
      histological
     parameters
Follow up - after 3 months
Sodhana + Thuvaraka
       rasayana            Sodhana only
                                
 Significant clinical       Only clinical
   improvement as        improvement,
  well as histological     no histological
  changes seen,only           changes
    mild superficial
  keratosis persisted
Section of Skin




  Before    Just after   After 3
treatment   treatment    months
SAMANYA SAMPRAPTHI
           Nidana
             
        Dosha dushti
             
       Dhathu dushti    Lakshanas
            
      Dhathu vikruthi
             
  Recurrence of the disease
             
    Secondary diseases
             
    Early ageing process
Sodhana chikitsa against
        Rasayana Chikitsa
Sodhana Chikitsa               Rasayana Chikitsa
  Eliminates the dosha           Corrects the structural
  vitiation                      deformity of the dhatus
  Corrects the functions of      there by normalising the
  dhatus                         functions
  Fails to correct the           Strengthens the dhathus
  structural deformityof         Prevents the instinct of
  the dhatus as it acts only     recurrence
  in the doshic level            Prevents secondary
                                 diseases
                                 Prevents early ageing
                                 process
Vatakapha rogas - Prognosis
 Srothorodha caused by the vitiation
  of    kapha    leads   to  defective
  transformation of dhatus
 Agni vaishamya caused by the
  vitiation of vata leads to defective
  formation of dhatus
 In almost all the vatakapha rogas
  pitha will be inhibited resulting in
  agnimandya
….. Vatakapha rogas - Prognosis

 As agnimandya takes a major role in
  the samprapthi of all the diseases; it
  is doubled in the case of vatakapha
  rogas
 There is no such rasa which can be
  used commonly against vata and
  kapha.
Sodhana chikitsa


Srothonirmalatha               Peyadikramam


Dhathusudhi                    Kayagnideepthi


                               Dhatwagnideepthi


              Rasayanaprayogam
                      
                   Ojovridhi
                      
               DEERKHAYUS
Rasayana Oushadhas are not having a
 common rasa, veerya or guna but all
 are Srothosodhana and Deepana.
Normal Functioning of srothases
 (Srothosoushtava) is highly essential
 to convey the nutrients to each and
 every cell.
Sodhana Therapy acts at the level of
 doshas, but rasayana drugs act still
 deeper, that is at the level of dhatus.

Hence in deep - seated diseases
 rasayana chikitsa is the line of choice


As ageing is a chronic degenerative and
 deep – seated problem rasayana
 chikitsa is the regime of choice.
“ Very few, if any, reach their potential
maximum life span; they die, instead,
   prematurely of a wide variety of
 diseases, the vast majority being of
        free radical diseases ”
           (Dr. Denham Halman MD; PhD
            Father of free radical medicine)
FREE RADICALS
 Definition
           : A free radical has been defined
 as “any species capable of independent
 existence that contains one or more
 unpaired electrons.”

 Asthe body ages or is subjected to
 environmental pollutants, such as cigarette
 smoke, over exposure to sunlight, or smog,
 the body become overwhelmed by FR’s.
……FREE RADICALS

 Free radicals are generated as a result of
 incomplete reduction of oxygen during
 the course of various biochemical
 reactions.these highly reactive oxygen
 derived FR’s have a life span of a few
 micro seconds and their concentration at
 any site is miniscule. Excessive
 production of FR’s can overwhelm the
 intrinsic antioxidant defence mechanisms
 leading to many pathological lesions.
Anti oxidants
 Anti oxidants can be defined as
  substance whose presence in
   relatively low concentrations
  significantly inhibits the action
          of free radicals.
   All the Rasayana drugs are
   having anti oxidant property.
Rasayana drugs and
   pharmacological properties
Emblica – Officianalis         Antioxidant, nutritive
(Amla) fruit
Terminalia chebula             Antioxidant
(Haritaki) fruit
Withania somnifera             Adaptogenic,
(Aswagandha) root               antioxidant
Tinospora cordifolia           Immunomodulatory
(Guduchi) satwa                 antioxidant
Terminalia arjuna              Hypocholestrolemic
(Arjuna) Stembark               antioxidant.

             Courtesy : Prof. Dr.S.Venkataraman
Professor of Pharmacology, University of Madras.
Degeneration
 Means deterioration and loss of
  specialized function of the cells of
  tissue or organ, by defective blood
  supply or diseases.
 But clinically it usually refers to that
  of CNS & joints.
Vardhakyam

Vatavridhi          Srothokharathwam(soushtavahani)

                                
Ojakshayam             Aaharasaraagiranavaigunyam
   

Utharotharadhathukshayam   Upachayapachayaasamatha




             Rasadhathukshayam
Stage of administration of
        Rasayanas
अिसिः
िायते      Stage of administration
वदते
   ध       of Rasayanas.
िवपिरणामते
अपकीयते
नशयते
…… another view
Kapha        Balya
Kaphapitha   Adolescent
Pitha        Youvana
Pithavata    Age of administration
             of rasayanas
Vata         Vardhakya
Action of Rasayanas in
degenerative diseases
           Pithavata
               
              Vata
               
        Agnivaishamya
               
   Rasadhathwagni mandya
               
Increase in the malarupa kapha
               
       Vatakapha vikara
Importance of Ghritha in
   preventing CNS degeneration
 There  is similarity between ghritha and
  brain matter
 Only fat and alcohol soluble materials
  can cross the blood brain barrier
 So ghritha is the only medium that can
  nourish brain
 Lack of use of milk products, especially
  gritha is one of the major etiology of
  neurological degeneration.
Some rasayanas and their
        indications
Brahmarasayanam           Vatika hridroga,
                           improves immunity
Narasimharasayanam        Oligospermia, increases
                           vigour and vitality
Thippalirasayanam         Thamakaswasa,
                           vatasonitha
Bhallathakarasayanam      Found effective in
                           malignancy, vatasonitha
Lasunarasayanam           Various neurological
                           disorders including
                           MND’s
Rasayanas in some diseases

Vatapaithika vatasonitha      Chyavanaprasam
Vatakaphaja vatasonitha       Bhallathakarasayanam
Vatika Hridroga               Brahmarasayanam
Kaphajahridroga               Agasthyarasayanam
Prameha                       Silajathurasayanam
Sushkaarsas                   Bhallathakarasayanam
Thamakaswasa                  Thippalirasayanam
Need of Rasayanas
1.   A vehicle with a strong axle runs
       its full course because of the
      quality of its axle. Likewise our
      life also will run its full course
          by maintaining the body
      carefully and systematically; if
      not the body decays (rapidly).
 रसायनेन हसाधयो विधरे ण पयः िसदयते (सु.
  सं.)
 रसायनाििना असाधयतां यािनत (डलहण )
 Even the incurable diseases
  respond well to rasayana
Rasayana therapy
    the possible mechanisms of action

   Nourishes and maintains the cell life
    (Neutriceutical action).
   Encourages the growth of new cells
    (Regenerative action).
   Prevents recurrent infection, expelling the
    damaged cells (Immunomodulatory action).
   Eliminates the toxic metabolites and pollutants
    (Antioxidant action).
   Maintains the balance between mind and body
    (Adaptogenic).
Rasayana drugs act at the subcellular level.
Rasayana in the present
      scientific scenario
“The delicate, controlled elimination of
 cells is called programmed cell death.”
Excessive cell death - AIDS, neuro
 degenerative diseases, stroke and
 myocardial infarction.
Undue survival of cells - auto immune
 conditions and cancer.
Rasayana may help to normalise the PCD
   there by preventing the above clinical
                 conditions.
Futuristic application of
         Rasayanas
The application of genome code theory may
       create a disease free universe.
 The most important therapy of the era may
              be Rejuvenative.


Our Rasayanas will be on top!!!
THE ULTIMATE ACHIEVEMENT

   THE SCIENTIFIC USE OF
  RASAYANAS WILL PROVIDE
    A GRACEFUL AGEING
“Who  ever makes proper use
of Rasayana attains longevity
   on earth and after death
 follows the path of sages to
      reach immutable”.

              Charaka Samhitha
            Chikitsasthana 1:1:80
Th a n k
 yo u

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Swagatham: An updated view on Rasayana therapy

  • 2. RASAYANA an updated view Dr. M.R.Vasudevan Nampoothiri MD(Ay) FORMER DIRECTOR AY. MEDICAL EDUCATION , KERALA PROFESSOR , AMRITA SCHOOL OF AYURVEDA
  • 3. शतं ििव शरदो वधधमान शतं हमनतान् शतम वसनतान् े शतं इनदािि सिवता बृहसपित शतायुषा हिवषेमं पुनददः (ॠगवेदम्) धु The desire to live as long as it is humanly possible has been ingrained in man even from Vedic times. The benediction worded, “May you live through a hundred summers and winters” is an evidence to this.
  • 5. Psoriasis vulgaris- Inclusion criteria CLINICAL HISTOLOGICAL Itching Hyperkeratosis Scaling Parakeratosis Thickening Cylindrical rete ridges Erythema Inflammatory cells Dryness Auspitz sign
  • 6. Thuvaraka Plant - Twig a. Thuvaraka seeds b. Thuvaraka taila (plain) c. Thuvaraka taila prepared Acacia catechu. Willd. with three times khadira Family : Leguminosae kwatha.
  • 7. Clinical features Group A Sodhana + rasayana :- 86% of the patients with moderate and severe illness came to the group under mild illness. Group B Sodhana only :- No change in moderate and severe illness.
  • 8. Histological features Group A 100% of the patients under the group ‘severe’ came to the group ‘mild’ Group B No significant change occurred
  • 9. Psoriasis vulgaris Sodhana + Thuvaraka rasayana Sodhana only   Significant changes Changes in in clinical clinical and parameters only histological parameters
  • 10. Follow up - after 3 months Sodhana + Thuvaraka rasayana Sodhana only   Significant clinical Only clinical improvement as improvement, well as histological no histological changes seen,only changes mild superficial keratosis persisted
  • 11. Section of Skin Before Just after After 3 treatment treatment months
  • 12. SAMANYA SAMPRAPTHI Nidana  Dosha dushti  Dhathu dushti Lakshanas  Dhathu vikruthi  Recurrence of the disease  Secondary diseases  Early ageing process
  • 13. Sodhana chikitsa against Rasayana Chikitsa Sodhana Chikitsa Rasayana Chikitsa Eliminates the dosha Corrects the structural vitiation deformity of the dhatus Corrects the functions of there by normalising the dhatus functions Fails to correct the Strengthens the dhathus structural deformityof Prevents the instinct of the dhatus as it acts only recurrence in the doshic level Prevents secondary diseases Prevents early ageing process
  • 14. Vatakapha rogas - Prognosis  Srothorodha caused by the vitiation of kapha leads to defective transformation of dhatus  Agni vaishamya caused by the vitiation of vata leads to defective formation of dhatus  In almost all the vatakapha rogas pitha will be inhibited resulting in agnimandya
  • 15. ….. Vatakapha rogas - Prognosis  As agnimandya takes a major role in the samprapthi of all the diseases; it is doubled in the case of vatakapha rogas  There is no such rasa which can be used commonly against vata and kapha.
  • 16. Sodhana chikitsa Srothonirmalatha Peyadikramam Dhathusudhi Kayagnideepthi Dhatwagnideepthi Rasayanaprayogam  Ojovridhi  DEERKHAYUS
  • 17. Rasayana Oushadhas are not having a common rasa, veerya or guna but all are Srothosodhana and Deepana. Normal Functioning of srothases (Srothosoushtava) is highly essential to convey the nutrients to each and every cell.
  • 18. Sodhana Therapy acts at the level of doshas, but rasayana drugs act still deeper, that is at the level of dhatus. Hence in deep - seated diseases rasayana chikitsa is the line of choice As ageing is a chronic degenerative and deep – seated problem rasayana chikitsa is the regime of choice.
  • 19. “ Very few, if any, reach their potential maximum life span; they die, instead, prematurely of a wide variety of diseases, the vast majority being of free radical diseases ” (Dr. Denham Halman MD; PhD Father of free radical medicine)
  • 20. FREE RADICALS  Definition : A free radical has been defined as “any species capable of independent existence that contains one or more unpaired electrons.”  Asthe body ages or is subjected to environmental pollutants, such as cigarette smoke, over exposure to sunlight, or smog, the body become overwhelmed by FR’s.
  • 21. ……FREE RADICALS  Free radicals are generated as a result of incomplete reduction of oxygen during the course of various biochemical reactions.these highly reactive oxygen derived FR’s have a life span of a few micro seconds and their concentration at any site is miniscule. Excessive production of FR’s can overwhelm the intrinsic antioxidant defence mechanisms leading to many pathological lesions.
  • 22. Anti oxidants  Anti oxidants can be defined as substance whose presence in relatively low concentrations significantly inhibits the action of free radicals.  All the Rasayana drugs are having anti oxidant property.
  • 23. Rasayana drugs and pharmacological properties Emblica – Officianalis  Antioxidant, nutritive (Amla) fruit Terminalia chebula  Antioxidant (Haritaki) fruit Withania somnifera  Adaptogenic, (Aswagandha) root antioxidant Tinospora cordifolia  Immunomodulatory (Guduchi) satwa antioxidant Terminalia arjuna  Hypocholestrolemic (Arjuna) Stembark antioxidant. Courtesy : Prof. Dr.S.Venkataraman Professor of Pharmacology, University of Madras.
  • 24. Degeneration  Means deterioration and loss of specialized function of the cells of tissue or organ, by defective blood supply or diseases.  But clinically it usually refers to that of CNS & joints.
  • 25. Vardhakyam Vatavridhi Srothokharathwam(soushtavahani)   Ojakshayam Aaharasaraagiranavaigunyam  Utharotharadhathukshayam Upachayapachayaasamatha Rasadhathukshayam
  • 26. Stage of administration of Rasayanas अिसिः िायते Stage of administration वदते ध of Rasayanas. िवपिरणामते अपकीयते नशयते
  • 27. …… another view Kapha Balya Kaphapitha Adolescent Pitha Youvana Pithavata Age of administration of rasayanas Vata Vardhakya
  • 28. Action of Rasayanas in degenerative diseases Pithavata  Vata  Agnivaishamya  Rasadhathwagni mandya  Increase in the malarupa kapha  Vatakapha vikara
  • 29. Importance of Ghritha in preventing CNS degeneration  There is similarity between ghritha and brain matter  Only fat and alcohol soluble materials can cross the blood brain barrier  So ghritha is the only medium that can nourish brain  Lack of use of milk products, especially gritha is one of the major etiology of neurological degeneration.
  • 30. Some rasayanas and their indications Brahmarasayanam  Vatika hridroga, improves immunity Narasimharasayanam  Oligospermia, increases vigour and vitality Thippalirasayanam  Thamakaswasa, vatasonitha Bhallathakarasayanam  Found effective in malignancy, vatasonitha Lasunarasayanam  Various neurological disorders including MND’s
  • 31. Rasayanas in some diseases Vatapaithika vatasonitha  Chyavanaprasam Vatakaphaja vatasonitha  Bhallathakarasayanam Vatika Hridroga  Brahmarasayanam Kaphajahridroga  Agasthyarasayanam Prameha  Silajathurasayanam Sushkaarsas  Bhallathakarasayanam Thamakaswasa  Thippalirasayanam
  • 32. Need of Rasayanas 1. A vehicle with a strong axle runs its full course because of the quality of its axle. Likewise our life also will run its full course by maintaining the body carefully and systematically; if not the body decays (rapidly).
  • 33.  रसायनेन हसाधयो विधरे ण पयः िसदयते (सु. सं.)  रसायनाििना असाधयतां यािनत (डलहण )  Even the incurable diseases respond well to rasayana
  • 34. Rasayana therapy the possible mechanisms of action  Nourishes and maintains the cell life (Neutriceutical action).  Encourages the growth of new cells (Regenerative action).  Prevents recurrent infection, expelling the damaged cells (Immunomodulatory action).  Eliminates the toxic metabolites and pollutants (Antioxidant action).  Maintains the balance between mind and body (Adaptogenic). Rasayana drugs act at the subcellular level.
  • 35. Rasayana in the present scientific scenario “The delicate, controlled elimination of cells is called programmed cell death.” Excessive cell death - AIDS, neuro degenerative diseases, stroke and myocardial infarction. Undue survival of cells - auto immune conditions and cancer. Rasayana may help to normalise the PCD there by preventing the above clinical conditions.
  • 36. Futuristic application of Rasayanas The application of genome code theory may create a disease free universe. The most important therapy of the era may be Rejuvenative. Our Rasayanas will be on top!!!
  • 37. THE ULTIMATE ACHIEVEMENT THE SCIENTIFIC USE OF RASAYANAS WILL PROVIDE A GRACEFUL AGEING
  • 38. “Who ever makes proper use of Rasayana attains longevity on earth and after death follows the path of sages to reach immutable”. Charaka Samhitha Chikitsasthana 1:1:80
  • 39. Th a n k yo u