dr. P.R. Ramesh - panchakarma overview

Ayurveda means science / knowledge of life.It perceives man asintegral part of nature, treating him for his ailments taking his body, mindand spirit together, and it’s approach to his well being is philosophical inprinciple and holistic in technique. Every state of ailment is conceived as apsychosomatic manifestation and its eradication procedure is functional andintegrative rather than symptomatic or factorial.Along with medication Ayurveda insists on good habits and dietary controlfor speedy recovery. Thus it becomes a comprehensive health care systemwith holistic approach.AYURVEDA|-------------------------------------------------SWASTHAVRITTAM ATHURAVRITTAM(Healthy man’s regimen )(Eradication of disease)3

*Thridosha theory is the foundation of Ayurveda.*Thridoshas are the basic functional units of human body.*Ayurveda holds out a field oriented, functional andholistic approach.CONCEPT OF PRAKRITIEvery human being is seen to occupy constitutionally aunique state of three basic bodily humors (tridoshas –Vata, Pitta and Kapha). Any upset occurring to this state ofbalance is manifested as ailment and therapy is directed toregain the original state.124

In this lecture, you will learn. . .“What is the resolution theorem proving?”You will also learn. . .What are refutation proof procedures?— Resolution is one of them.What is the conjunctive normal form (CNF)?— Resolution requires all formulas be in CNFs.What is logical equivalence?— To apply resolution, all formulas must first betranslated into logically equivalent CNFs.6 / 81

DiseaseDiseases are the manifestations of perturbationsin the equilibrium of body constituents.7

TreatmentTreatment is that which being well administeredrestores the equilibrium of body constituents.8

Objectives of treatment Eradication of morbid elements Protection of healthy cells Promotion of regeneration ofhealthy tissues9

Classification of treatment SODHANAM(Purification) SAMANAM(Pacification)10

Sodhana therapyInternal purification(Antah parimarjanam)External purification(Bahih parimarjanam)Surgery(Sastra pranidhanam)11

Internal purification is achievedbyPANCHAKARMA THERAPY12

What Is panchakarma?It represents the comprehensive purificatorytreatment methodology which primarily aims atthe exhaustive elimination of morbid materialsfixed to human tissues owing to varied causes.13

The five fold therapy Vamanam ( Emesis) Virechanam ( Purgation) Vasti ( Enema) Nasyam ( Errhines) Raktamoksham ( Blood letting)14

Why panchakarma?Aims at complete and permanent removal ofmorbid materials15

When to conduct panchakarma?1.Treatment of first choice in dosha vitiation ofhighest order16

2.Cleansing regimen recommended in healthyindividuals,during transitional period ofseasons, to ward off vagaries of weather.(It works as a preventive therapy)17

3.Preparatory procedure of Rasayana therapy18

How it is done ? Preparatory procedures Main procedures Post therapy procedures19

ObjectivesLoosen, mobilise and dislodge morbidmaterialsClear the pathways of internal transportsystem (srotas)Facilitate the flow of morbid materialstowards the proximal site of evacuation21

Techniques employedSnehanam (Oleation )Swedanam(Fomentation)22

Kerala special treatments are an elaborateversion of the preparatory regimen23

DHARA24

PIZHICHIL25

SIROVASTHI26

NAVARAKIZHI27

Procedures- in brief1.Vamanam-Induction of emesis by oral administrationof emetics29

2.Virechanam-Induction of purgation by oral administrationof purgatives30

3.Vasti-Administration of medicaments throughanal route31

4.Nasyam-Nasal administration of medicaments32

5.Raktamoksham-Blood letting using appropriate devices33

RAKTHAMOKSHAMSUCTION LEECHING SURGERY34

VamanamIndicationsKapha predominantconditionsEg.:Chronic skin diseases,Recurrent respiratoryinfections,Lymphatic obstructionsContraindicationsChildhood and oldage, debilitatingillnesses, menstruationand pregnancy,emotional stress ,cardiac ailments,bleeding disorders36

VirechanamIndicationsPitta predominantconditionsEg.: Chronic feverChronic skin diseasesGynaec disordersReflux oesophagitisContraindicationsProlapse rectumBleeding throughgenitourinary tractAnal pathology37

VastiIndicationsVata predominantconditionsEg.:FlatulenceLow back acheRheumatismDisorders of CNSEmaciationAtrophyContraindicationsOil enema-diabetesmellitus, obesity,indigestionDecoction enemahiccough,haemorrhoids,diarrhoea,proctitis,ascitis.38

NasyamIndicationsDiseases of head &neckEg.:Chronic sinusitis,Vascular headache,Ophthalmic diseasesE.N.T.diseasesContraindicationsShould not to beadministeredimmediately after abath,food , intercourse oruse of alcohol; neitherduring pregnancy normenstruation39

RaktamokshamIndicationsPitta and raktavitiationEg: Recurrent skininfections,eczema, acneetc.ContraindicationsAnaemia, oedema,pregnancy,childhood & oldage.40

ObjectiveGradual restoration of metabolic activities42

TechniquesRegulation of dietRegulation of activities43

How panchakarma works?Detoxification at cellular level44

“In poisoning by the hypodermic injection ofmorphine the stomach should always be washedout as, after absorption in the blood, morphineis excreted in to the stomach from which it isagain liable to be reabsorbed”(Modi’s medical jurisprudence and toxicology)45

Scope and relevanceRemedy for chronic lifestyle related diseases46

Risk factors Ever sick persons System shuttling and doctor shopping Strict scrutiny of medication47

Institutional setup is required…• To provide intensive personal careunder expert medical supervision• Feasibility assessment• Emergency management48

Advantages Detoxification Functional optimization ofenzymatic complex Restoration of pre-morbid condition Immunomodulation Rejuvenation49

Categorical misrepresentation50

“ Let the physicians who practice medicinerightly / honourably become prosperous,letthose who adhere to the science (including it’sphilosophy and ethics) become efficient,letthose who gain knowledge by constant practicebecome skillful;let those who desire the good ofall living beings of the world become blessed ”52

THANK YOU!!53