21 03-17 pk in lifestyle

Panchakarma in Lifestyle Disorders
Panchakarma in
Panchakarma in
Disorders
Ayurmitra & Nadi Guru
Prof KSR Prasad
( )
(Technoayurveda)
9290566566/9503227966 /
technoayurveda@yahoo.com
Panchakarma CME from 15‐20 March 2021 @
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

01
Introduction
01 Introduction
• Lifestyle is the interests, opinions, behaviors,
d b h i l i t ti f i di id l
and behavioral orientations of an individual,
group, or culture.
Th b d f lif t l
• The broader sense of lifestyle as a –
“Way or Style of Living" has been
d t d i 1961
documented since 1961.
• Lifestyle is a combination of determining
i t ibl t ibl f t th di
intangible or tangible factors – the diseases
generates because of are Lifestyle disorders

01
Involvement
01 Involvement
• 2 domains influences the Physical
& Psychological personality of
individual lifestyle are – Occupational Psychological
– Nutritional domain
– Occupational domain Nutritional
Physical
• Relevancy is observed from
Trimarmiya –
H id (H t) V ti (KUB) Shi (B i )
Hridaya (Heart) – Vasti (KUB) – Shiras (Brain)
with dominating diseases –
Hypertension –Diabetes – Obesity
Hypertension –Diabetes – Obesity

01
Nutritional Lifestyle Disorders
01 Nutritional Lifestyle Disorders
• Ayurveda Speaks much about “Right Diet” and
“Right intake of Food”
“Right intake of Food”
• Over nutrition – Santaprana cause over weight
and Obesity & Diabetes
and Obesity & Diabetes
• Under Nutrition – Apatarpana cause Karshya –
”Zero size”
Zero size
– Not only Obesity even the zero size is also a lifestyle
disorder
– All Santarpanotha & Apatarpanotha vikara mentioned
in Ayurveda are Lifestyle disorders of Nutrition

01
Occupational Lifestyle Disorders
01 Occupational Lifestyle Disorders
• Occupation for livelihood became life threatening some
times with the competition and fittest to be survived
p
• This run gives rise many –
– Physical (strain / No time) and
– Psychological (Sedentary/ stress) alterations and
submissions
• Hypertension, Obesity, Diabetes, Depression, Anxiety,
Hypertension, Obesity, Diabetes, Depression, Anxiety,
are common among many
• In fact the Nutritional domain also under the influence
of Occupational
• Charaka well said that –
Gramya Vasohi (urbanization) moolamashastanam
– Gramya Vasohi (urbanization) moolamashastanam

01
Summarization
01 Summarization
• The entire lifestyle disorders are of 4 fold –
– Over nutritional Sedentary – Santarpana Vikara
– Under nutritional Sedentary – Normal
– Over nutritional Active – Normal
– Under nutritional Active – Apatarpana Vikara
p p
• They are well studied under 7 Fold
classification of Sushruta
classification of Sushruta

7 f ld l ifi ti
7 fold classification (Sushruta‐adopted) ‐
• Adibala Pravrutta
• Janmabala Pravrutta
• Doshabala Pravrutta
• Sanghatabala Pravrutta
• Kalabala Pravrutta
• Daivabala Pravrutta
• Swabhavabala Pravrutta
• Swabhavabala Pravrutta
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01
Santarpanotha Vikara (Ch su 23/8)
01 Santarpanotha Vikara (Ch.su.23/8)
• Digestive = Arochaka ‐ Ama dosha – Vishuchika,
Jwara
• Post Digestive – Prameha, Mootrakruchra
• Metabolic = Srotas Alepa ‐ Guru gatrata –
Shthoulya – Klaibya
• Interstitial = Kandu – Pidaka – Kotha – Kushta ‐
Pandu – Sopha
• Psychosomatic = Tandra – Alasya –
Indriyalepa(HTN?), Prameelaka ‐ Buddhi Mandya

01
Santarpana Chikitsa (Ch su 23/9)
01 Santarpana Chikitsa (Ch.su.23/9)
• Upavasa – Regulated diet
• Vyayama – Regulated exercise
• Swedana – either Sagni or Niragni
Swedana either Sagni or Niragni
• Virechana – emptying of Koshta (Urdhwa/ Adho)
R kt k h Bl d P l ti
• Raktamokshana – Blood Pressure regulation
• Dhoomapana – Fumigation for regulating
Oxygen intake

01
Apatarpanotha Vikara (Ch.su.23/27‐29)
01 p p
• Kshaya = Shareera, Agni, Varna, Bala
K h Oj S k M
• Ksheena = Ojo, Sukra, Mamsa
• Sangraha – Mala – Mootra
• Shoola Jangha Uru Trika Asthi sandhi
• Shoola – Jangha – Uru – Trika – Asthi sandhi –
Vataroga
• Kasa anubandha jwara ‐ Urdhwa shwasa
j
• Parswa shoola (Liver /spleen)
• Arochaka ‐ Srotra dourbalya
• Pralapa – Unmada
• Hrudaya Vyadha – Heart Attack

01
Apatarpana Chikitsa (Ch su 23/30)
01 Apatarpana Chikitsa (Ch.su.23/30)
• Santarpana Chikitsa –
• Sadya Tarpana with – Mamsa rasa – Ghrita –
Dugdha –Mantha
g
• Abhyanga – Snana – Tarpana– Vasti
(Brumhana)
(Brumhana)

01
Sthoulya
01 Sthoulya
All BI things will have a
S
• Murphy's Fourth Law states
Small start
• Murphy's Fourth Law states
that ‐ If there is a possibility
of several things going wrong
g g g g
‐ the one that will cause the
most damage will be the one
to go wrong
to go wrong.

Ob it h
Obesity ‐ a heavy word for
• Usually everybody wish to be slim & body and Mind
trim at ZERO size
• They sacrifice food for it
Th ifi i l ti it
– They sacrifice social activity
• sacrifice many more which –
–they would like to have
they would like to have
• For some –
– The dream never fulfils – as they
h f ll
want to see them in mirror at full
length
– The life for them is tough and
g
tortuous

S mptoms
Symptoms
Effects –
• Pendulous movement of
• Decreased
lifespan
• Abdomen
• Breast
• Buttocks lifespan
• Diminished
activity
• Buttocks
• Heaviness in the body
• Weakness
activity
• Reduced sexual
f
• Foul smelling
• Over sweating
performance
• Polydipsia
• polyphagia

Complications
Complications
1. Diabetes (madhumeha)
1. Diabetes (madhumeha)
2. Skin problems like psoriasis (Kitibha), eczema
(pama), etc)
(p ), )
3. Erectile dysfunction (Klaibya, Napumsaka)
4. Hemorrhoids (Arsha)
4. Hemorrhoids (Arsha)
5. Liver disorders (yakrutodara)
6 Neural disorders (pakshaghata)
6. Neural disorders (pakshaghata)

• simple obesity ‐obesity
Obesity vis‐à‐vis
Sthoulya
p y y
resulting when caloric intake
exceeds energy expenditure.
• morbid obesity ‐ obesity
Sthoulya
• Adiposity: Excessive
accumulation of lipids in a
site or organ
sufficient to prevent normal
activity or physiologic function,
or to cause the onset of a
pathologic condition
site or organ. pathologic condition.
• hypothalamic obesity ‐ obesity
caused by disease of the
hypothalamus
hypothalamus.
• Dystrophia adiposogenitalis ‐ a
disorder characterized
primarily by obesity and
primarily by obesity and
hypogonadotrophic
hypogonadism in adolescent
(Fröhlich's syndrome)
( y )

01
Sthoulyahara Chikitsa AH Su 14/21 24
01 Sthoulyahara Chikitsa AH Su 14/21‐24
• Kulutha – Jurna (Jowar) – Yava – Mudga ‐
• Shyamaka
• Madhu udaka – Udaka – Mastu (Dandahata) –
• Chinta – Jagarana
• Shodhana – Vamana – Virechana
• Triphala – Guduchi – Abhaya – Rasanjana –
Musta ‐ Bruhat Panchamoola – Guggulu –
gg
Shilajit – Agnimantha –Vidanga – Nagara –
Kshara – Loha –Amalaki ‐ Madhu

01
Sthoulyahara Chikitsa
01 Sthoulyahara Chikitsa
• Apatarpana (nourishment regulation)
• Chedana (liquefying adipose)
• Shodhana (elimination of fats)
–To reach the Medas – a middle order tissue
of 7 dhatu – require medicinal
administration –
• Oral route
• Rectal route
• Transcutaneous

A t
Apatarpana (nourishment regulation)
• It is suggested with –
– The foods which are digested in long time
– Regulated food intake intervals
Regulated food quantity
– Regulated food quantity
– Drugs which have less / no value of calories
– Langhana (lightness) inducing
Langhana (lightness) inducing
– Increasing digestive juices and metabolism
(Agni Chikitsa) – there by the reversal of
deposited fat to convert in to glucose
deposited fat to convert in to glucose
• Nityananda ras
• Kravyada ras
• Varangadi kshara

Ch d (li f i di )
Chedana (liquefying adipose)
• This is management of de‐adipose
• This is management of de‐adipose
techniques
–Common managements are –
• Lekhana Vasti – enema admix of fat
demulcent materials and herbs
• Udvartana (rubbing) on the skin with –
– Kolakuluthadi churna – consist of herbal
powders that initiates the fat dilution

Sh dh ( li i ti f f t )
Shodhana (elimination of fats)
• Kapha is the humeral element
Kapha is the humeral element
causes the depositions of Fats &
Fluid
Fluid.
–It is eliminated by giving –
• Vamana (emesis)
• Vasti (enemas) –
( )
–Dashamoola Niruhavasti
–Varadi vasti

01
Vamana in Sthoulya
01 Vamana in Sthoulya
A case of 25 years old male patient with 86.6 Kg weight and 31.8
BMI lost 4.3 Kg weight only after Snehapana and
P tik D B h t t l M t f th l ( b it ) th h k t d
total about 8.4 Kg weight in 19 days.
After Samsarjan Krama BMI of patient changed from 31.8 to 28.7
• Pratik D. Bahute et.al. Management of sthoulya (obesity) through vamana karma ‐ a case study,
International Journal of Health Sciences and Research (www.ijhsr.org) 89 Vol.10; Issue: 7; July 2020

01
Virechana in Sthoulya
01 Virechana in Sthoulya
• Virechana karma has multidimensional role and combine effect
• Virechana karma has multidimensional role and combine effect
starting from Deepan pachan to Sansarjan krama in obesity. Mean
weight of 83.218 reduced to 80.450 with an average difference of
2.767 Kg in 14 days of minimum and 21 days of maximum
Chougule Paresh. Role of Virechana Karma in the Management of Sthoulya, IJAPR | July 2016 | Vol 4 | Issue 7

01
Hypertension
01 Hypertension
• High blood pressure is a major public health
problem in India and its prevalence is rapidly
problem in India and its prevalence is rapidly
increasing among both urban and rural
populations.
• Hurry – Worry – Curry are 3 aspects to get HTN
• Both Nitya Virechanna & Virechana karma are
useful in HTN
useful in HTN
• If stress releasing Shiro Dhara with Takra, Taila or
Kashaya (Jatamamsi/Brahmi / Aswagandha) is
y ( / / g )
added to the management of HTN yield best
results

01
Nitya Virechana in HTN
01 Nitya Virechana in HTN
• Nitya Virechana with 10 gms of Trivrit Churna
was given with lukewarm water at empty
stomach around 6 a.m. for consecutive 15
days.
Manju Mohan, Sawarkar Punam, Efficacy of Nitya Virechana with Trivrit Churna in the Management of Stage 1 Essential Hypertension – A Pilot
Study, International Journal of Ayurvedic Medicine, Vol 11 (2), 249‐254

01
Shiro Dhara in HTN
01 Shiro Dhara in HTN
• Shirodhara is an ancient Ayurvedic therapy described
by Vagbhata in Ashtang hridya
by Vagbhata in Ashtang hridya
• Different Dhara like Takradhara, Tailadhara,
Kshiradhara, Kwathdhara and Jaladhara are in void
,
• Dhara provides complete rest to mind, allows one to
overcome stress related conditions like insomnia,
i t h i h d h h t i d th
anxiety, chronic headaches, hypertension and asthma.
• Oils for HTN –
– Vata – Ksheerbalatailam
Kashaya for HTN –
Vata – Dashamoola Kwatha
Vata Ksheerbalatailam
– Pitta‐ Brahmitailam
– Kapha – Triphalatailam
Vata Dashamoola Kwatha
Pitta‐ Aswagandha Kwatha
Kapha – Triphala Kwatha

01
Shodhana in Madhumeha
01 Shodhana in Madhumeha
Both Shodhana show marked results. Few cases witnessed with raised sugar level
suggesting the importance of selection of shodhana material and intervals of shodhana
Jindal and Joshi: Blood sugar control by Vamana and Virechana, DOI: 10.4103/0974‐8520.123115, AYU | Jul‐Sep 2013 | Vol 34 | Issue 3

01
Conclusion
01 Conclusion
• All lifestyle disorders even though classified
according to system – all starts from
– Nutrition and Occupation require to stabilize with
• Periodical Shodhana with Virechana / Vamana
• Periodical Shirodhara along with Abhyanga
• Regular Yoga /Yogasana / Surya Namaskara / Pranayam
• Social sphere involvements include Laughing clubs etc
• Minimum 8 hours rest / sleep
• Minimum 8 hours rest / sleep
• Timely regulated quantity food
• Tailoring LIFESTYLE or alteration is the most important
Tailoring LIFESTYLE or alteration is the most important

01 Thank You
01 Thank You
Prof KSR Prasad
(Technoayurveda)
9290566566/9503227966 /
9290566566/9503227966 /
technoayurveda@yahoo.com

21 03-17 pk in lifestyle

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