1. Dr.GK

3. Dr.GK

4. Cell – Life and Disease starts from here….. From Balance to Imbalance….
Dr.GK

5. LIFE… Life is a collection of events….
Let us make it Colorful though healthy body and mind…
Let us think about Ayurveda
May we start the journey through Panchakarma…
Dr.GK

6. Clinical Exploration of Panchakarma
Dr. P. K. V. Anand MD
MD - Kayachikitsa
Assistant professor
Dept of Samhitha & Sidhantha
Vaidyaratnam Ayurveda College
Thaikkattussery, Ollur,Thrissur.

7. Ayurvedic Treatment TWO DOMAINS Samana Sodhana
Panchakarmas are the methods of BIOPURIFICATION
Dr.GK

8. Dr.GK

9. Effects Of Elimination Therapies

10. Sodhana – Order of events
Poorvakarma
Pradhanakarma- Panchakarmas
Paschatkarma
Dr.GK

11. Poorvakarmas Pre operative procedures Snehana and Swedana
Must before Sodhanakarma
Dr.GK

12. Snehana
Internal administration
External Administration
Dr.GK

13. Swedana Agneya and Anagneya Ekanga and Sarvanga Ruksha and Snigdha
Dr.GK

14. Kerala Special Treatments
They are the combinations of Snehana and Swedana
They are the modified therapeutic procedures
They can be done as poorvakarmas and Samana chikitsa in specific conditions
Dr.GK

15. Panchakarmas – Purification methods
FIVE in number
1. Vamana – Emesis
2. Virechana – Purgation
3. Vasthi – Medicated enema
4. Nasya - Nasal drug administration
5. Rakthamoksha – Blood letting (Leech therapy)
Dr.GK

16. Why Panchakarmas…??? The real pathogenesis breaker….
Long standing effects….
Less chance of recurrence….
Dr.GK

17. Where are the changes in the patient….???
Doshas
Dooshyas
Srothuses
Agni
Ojus
Dr.GK

18. Where are the changes in the patient….???
Cell
Tissues
Channels
Systems…
Hormones..
Enzymes..
Electrolytes
Body fluids
Osmosis
Dr.GK

19. Vamana
Dr.GK

20. Water nourishes the nature… And keeps it clean by removing the wastes……
Dr.GK

21. The Therapeutic profile…..
Vamana is the therapeutic procedure where forceful expulsion of vitiated doshas occurs through mouth following administration of Vamanoushadhi…..
Dr.GK

22. Therapeutic targets Kapha dosha elimination Srothosodhana Dhathusudhi
Agnideepthi
Dr.GK

23. Common Conditions Where Vamana is Practiced
Skin diseases - Psoriasis, Urticaria, Eczema, Allergy, Acne…..
Bronchial Asthma
Depression, Anxiety neurosis
Hypothyroidism
Dr.GK

24. Dr.GK

25. Mechanism of Action- Vamana
Central emesis- By stimulating the vomiting centre situated in Medulla
Reflex emesis- irritation of the gastric mucosa stimulates the Vomiting centre through Vagus and sympathetic pathways
Probably both actions can be seen with the Vamanoushadhi
Dr.GK

26. Here are the cases…
Dr.GK

27. Vamana in Bronchial Asthma

28. Vamana in Bronchial Asthma
Dr.GK

29. Vamana in Psoriasis

30. Vamana in Psoriasis
Dr.GK

31. Therapeutic goals… Useful in – Obstructive pathologies
Immune challenges
Allergic states
Dr.GK

32. Virechana

33. Keep the body fluids clean and pure for a healthy life…….
Dr.GK

34. The Therapeutic profile…..
Virechana is a procedure in which the prakupita doshas are expelled through adhomarga by the administration of medicines through oral route.
Medicines are used in different forms like choorna, Kwadha, Sneha, Lehya etc, depending on the condition of the patient.
Dr.GK

35. Therapeutic targets Pitha dosha elimination Raktha prasadana
Vathanulomana
Agnideepthi
Dr.GK

36. Common Conditions Where Virechana is Practiced
Inflammatory skin diseases
Ascitis
Diseases of lower GIT
Neurological diseases
LBP
Allergic/Toxic states…
Dr.GK

37. The Common Virechana drugs – Avipatti Choorna with honey – gm Bahushala guda Trivrut lehya gm Manibadra guda Patolamooladi kwatha – upto ml Eranda taila preparations – ml
Dr.GK

38. Mode of Action Removes the vitiated doshas
Gradual enhancement of metabolic power
Detoxification
Correction of hormonal abnormalities…
Correction of circulatory problems…
Dr.GK

39. Nasya
Dr.GK

40. A drop too has it’s effect…… One which is medicated will have more….
Dr.GK

41. Nasya - Therapeutic Profile
This is a procedure wherein medicaments are instilled into nasal cavity to expel doshas pertaining to Uthamanga
Dr.GK

42. Key Point Fix your Clinical target… Options are – Purification
Nourishment
Stimulation
Strengthening…
Dr.GK

43. Nasya - Practical Indications
Cervical Spondylitis
Frozen Shoulder
Hemiplegia
Facial Palsy
Seizure diseases
Mental diseases
Head aches
ENT conditions….
Dr.GK

44. NASYA – Drugs of Choice Ardita – Dhanwantharam Avarthi
Ksheerabala Avarthi
Karpasasthyai
Dr.GK

45. Head Ache - Pathologies
Ksheerabala Avarthis
Varanadi ksheeraghrita
Shadbinduthaila
Dr.GK

46. Nasal Pathologies
Anutaila
Surasadi
Thulasikalka
Dr.GK

47. Epistaxis Durvasvarasa Swarasa of Dadima Pushpa Swarasa of Amrasthi
Dr.GK

48. Apasmara - Dronapushpi swarasa
Visha, Moha-
Vilwadi gulika
Dr.GK

49. Vyanga – Cosmetic Issues
Kumkumadi taila
Dr.GK

50. Some more examples…. Hair Problems – Bhringaraja swarasa
Premature greying – Nimba thaila
Dr.GK

51. Nasya – Mental Health Depression Lasuna swarasa Vacha +Hingu
Vacha +Jatamamsi
Dr.GK

52. Nasapana…??? In Aphasia, Facial Palsy etc Mashathmagupthadi kzm
Mashabaladi kzm
Done with syringe
Maximum 80ml in both nostrils
Same poorvakarmadis as Nasya
Dr.GK

53. Pharmaco kinetics Routes of Action – Nasal mucosa - Kapha
Nasal Vascular - Pitha compartment
Olfactory filaments- Vatha
Dr.GK

54. Mode of Action Stimulation of vital centers Nourishing the tissues
Clearing the channels
Removes the congestion
Correcting the neuro-vascular anomalies
Dr.GK

55. Researches - Transnasal drug delivery to brain
Absorption through nasal mucosa is quite rapid
An aerosol containing a biologically active ingredient can make it more faster…
Avoiding the problems met by blood brain barrier…
Avoidance of enzymatic inactivation, low pH, hepatic extraction, chemical degradation etc..
Dr.GK

56. Effect of Nasya in Kamala
Dr.GK

57. When Uthamanga gets fire – You need a Nasal Shower…..
Dr.GK

58. Vasthi
Dr.GK

59. Vasthi- Therapeutic Profile
The word Vasthi is named so because the vasthi or the urinary bladder is used to inject the medicinal material into the rectum, urethra and vagina.
Dr.GK

60. Therapeutic targets Pakwasayagatha vatha spectrum Vatha domination
Deep seated pathologies
Dr.GK

61. Three fold utility of Vasthi
Utklesana – Excitation of dosha
Purification - Elimination of dosha
Samana – Pacification of dosha
Dr.GK

62. Vatha Vs Asthi

63. Vasthi Yogas Vaitharana vasthi Saindava – 15 gm Jaggery -30 gm
Tamarind -60 gm
Thaila ml
Milk or
Gomoothra – 240 ml
Indications- Amavatha,Kateegraha
Dr.GK

64. Dr.GK

65. Pichavasthi Milk decoction of Salmali vrinda - 240 ml
Dadimadi or Charngeryadi ghritha – 120 ml
Indication - Ulcerative colitis
Dr.GK

66. Dr.GK

67. Madhuthailika Vasthi Honey – 4 Palas Thaila – 4 Palas
Erandamoola kwadha – 9.5 Palas
Misi kalkka – ½ Pala
Saindava Karsha
Indications - RA
Dr.GK

68. Rajayapana Vasthi Infertility,impotency,extrapyaramidal disorders A
Mustha,pata - 18 drugs
8 madana phala - Decoction in milk 650 ml
Mamsarasa – 100 ml
Saindava gm
Ghee – 100 ml
Honey ml
Kalkka – 30 gm
Infertility,impotency,extrapyaramidal disorders A
Dr.GK

69. Mashathmagupthadi Yapana Vasthi
Masha,Athmaguptha + Milk 600 ml- Ksheerapaka
Bala,Aswagandha
Saindava gm
Mahamashathaila ml
Honey ml
Rasnadasamoola ghritha ml
Kalka-Masha,athmagupta… gm
PARKINSONISM
Dr.GK

70. Dr.GK

71. Thiktha Ksheeravasthi in Osteoporosis
Gugguluthikthaka Ksheera + Ksheera -120ml
Honey ml
Kethakimooladithailam ml
Gugguluthikthaka ghritha ml
Snehavasthi with Lakshadi mezhukupaka-120ml
Dr.GK

72. Rooksha Vasthi Amruthotharam Kashayam - 300 ml
Shaddharana choorna -30gm
Amavatha
Dr.GK

73. Dr.GK

74. Yogavasthi with Rasnasapthakam kashayam
Makshika gm
Saindava gm
Dhanwantharam thaila -240ml
Sathahwa kalka -30gm
Rasnasapthakam kashayam -300 ml
Kadeegraha
Dr.GK

75. Mechanism of Action Intestinal movements Intestinal Absorption
Intestinal Secretion
Gut brain – Brain relation
Regulatory peptides
Intestinal bacterial flora
Dr.GK

76. Rakthamoksha
Dr.GK

77. When Rakthamoksha..? Seat of doshas in Sakha Preferably after sodhana
Other treatments bring Anupasaya
Dr.GK

78. Raktha dushti Vs Inflammation
Vascular and Cellular events of inflammation
-Transient vasoconstriction
-Persistent progressive Vasodilatation
-Increased local hydrostatic pressure
-Stasis of circulation
-Leucocytic margination
Dr.GK

79. Inflammation - Pitha predominant Sannipatha condition Healing - Kapha oriented Repair process
Dr.GK

80. Jaloukaavacharana - Stages
Dr.GK

81. Multifactorial effect….
Blood clot is removed
Local circulation is improved
Clearance of wastes
Venous return is increased
Speed up the repair process
Dr.GK

82. Hirudin - Inhibits blood coagulation by binding to thrombin
Components of medicinal leech saliva that exert effects in the host's body are:
Hirudin - Inhibits blood coagulation by binding to thrombin
Calin - Inhibits blood coagulation by inhibiting collagen- mediated platelet aggregation
Destabilase - Dissolves fibrin. Thrombolytic effects
Dr.GK

83. Bdellins - Anti-inflammatory. Inhibits trypsin, plasmin, acrosin
Hyaluronidase - Increases interstitial viscosity. Antibiotic
Tryptase inhibitor - Inhibits proteolytic enzymes of host mast cells
Dr.GK

84. Acetylcholine - Vasodilator Anesthetics substance - Anesthetic
Carboxypeptidase A inhibitors - Increases the inflow of blood at the bite site
Histaminelike substances - Vasodilator. Increases the inflow of blood at the bite site
Acetylcholine - Vasodilator
Anesthetics substance - Anesthetic
Dr.GK

85. Mode of action Vathasonitha - Pitharakthaprasadana Vathanulomana
Checks the inflammation
Improves circulation
Venous diseases and thrombosis
Dr.GK

86. Kushta Normalizing Twak sara Preventing sakhagathi of doshas
Bhrajaka pitha prasadana
Kledaharana
Dr.GK

87. Jaloukaavacharana – different cases
Dr.GK

88. Triple level action Rakthagathi - Vatha Raktha- Pitha
Rakthavaha srothus- Kapha
Rakthagathi - Vatha
Dr.GK

89. Let them drink for OUR Health….
Dr.GK

90. Panchakarma – The ultimate benefits
Dhathus are nourished better through clear srothuses….
Sara of all dhathus are enhanced…
Ojus is kept away from Vyapathas….
Dr.GK

91. No ‘ Sanga… ’ Good ‘ Gathi…’

92. Relax and Refresh till the next module…..