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1 Introduction To Panchakarma - DR P K V Anand - Pps
1 Introduction To Panchakarma - DR P K V Anand - Pps
GK 1
Dr.GK 3
Cell – Life and Disease starts from
here…..
From Balance to Imbalance….
Dr.GK 4
LIFE…
• Life is a collection of events….
Dr.GK 5
Clinical Exploration of
Panchakarma
Dr. P. K. V. Anand MD
MD - Kayachikitsa
Assistant professor
Dept of Samhitha & Sidhantha
Vaidyaratnam Ayurveda College
Thaikkattussery, Ollur,Thrissur.
pkvanand@gmail.com
Ayurvedic Treatment
• TWO DOMAINS
• Samana
• Sodhana
• Pradhanakarma
- Panchakarmas
• Paschatkarma
Dr.GK 10
Poorvakarmas
• Pre operative
procedures
• Must before
Sodhanakarma
Dr.GK 11
Snehana
• Internal
administration
• External
Administration
Dr.GK 12
Swedana
• Agneya and Anagneya
Dr.GK 13
Kerala Special Treatments
Dr.GK 14
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 15
Why Panchakarmas…???
Dr.GK 16
Where are the changes in the
patient….???
• Doshas
• Dooshyas
• Srothuses
• Agni
• Ojus
Dr.GK 17
Where are the changes in the
patient….???
• Cell
• Tissues
• Channels
• Systems…
• Hormones..
• Enzymes..
• Electrolytes
• Body fluids
• Osmosis
Dr.GK 18
Vamana
Dr.GK 19
Water nourishes the nature… And
keeps it clean by removing the
wastes……
Dr.GK 20
The Therapeutic profile…..
Dr.GK 21
Therapeutic targets
• Srothosodhana
• Dhathusudhi
• Agnideepthi
Dr.GK 22
Common Conditions Where
Vamana is Practiced
• Skin diseases - Psoriasis, Urticaria, Eczema,
Allergy, Acne…..
• Bronchial Asthma
• Hypothyroidism
Dr.GK 23
Dr.GK 24
Mechanism of Action- Vamana
Dr.GK 26
Vamana in Bronchial Asthma
Vamana in Bronchial Asthma
Dr.GK 28
Vamana in Psoriasis
Vamana in Psoriasis
Dr.GK 30
Therapeutic goals…
• Useful in –
• Obstructive pathologies
• Immune challenges
• Allergic states
Dr.GK 31
Virechana
Keep the body fluids clean and
pure for a healthy life…….
Dr.GK 33
The Therapeutic profile…..
• Virechana is a procedure in which the
prakupita doshas are expelled through
adhomarga by the administration of
medicines through oral route.
• Raktha prasadana
• Vathanulomana
• Agnideepthi
Dr.GK 35
Common Conditions Where
Virechana is Practiced
Dr.GK 36
The Common Virechana drugs –
Avipatti Choorna with honey – 20-40 gm
Bahushala guda
Trivrut lehya 20-40 gm
Manibadra guda
Dr.GK 38
Nasya
Dr.GK 39
A drop too has it’s effect……
One which is medicated will have
more….
Dr.GK 40
Nasya - Therapeutic Profile
This is a
procedure wherein
medicaments are
instilled into nasal
cavity to expel
doshas pertaining to
Uthamanga
Dr.GK 41
Key Point
• Fix your Clinical
target…
• Options are –
• Purification
• Nourishment
• Stimulation
• Strengthening…
Dr.GK 42
Nasya - Practical Indications
• Cervical Spondylitis
• Frozen Shoulder
• Hemiplegia
• Facial Palsy
• Seizure diseases
• Mental diseases
• Head aches
• ENT conditions….
Dr.GK 43
NASYA – Drugs of Choice
• Ardita – Dhanwantharam
Avarthi
• Ksheerabala Avarthi
• Karpasasthyai
Dr.GK 44
Head Ache - Pathologies
Ksheerabala Avarthis
Varanadi ksheeraghrita
Shadbinduthaila
Dr.GK 45
Nasal Pathologies
• Anutaila
• Surasadi
• Thulasikalka
Dr.GK 46
Epistaxis
• Durvasvarasa
• Swarasa of Dadima
Pushpa
• Swarasa of Amrasthi
Dr.GK 47
Apasmara -
Dronapushpi swarasa
Visha, Moha-
Vilwadi gulika
Dr.GK 48
Vyanga – Cosmetic Issues
Kumkumadi taila
Dr.GK 49
Some more examples….
• Hair Problems –
Bhringaraja swarasa
• Premature greying –
Nimba thaila
Dr.GK 50
Nasya – Mental Health
Depression
Lasuna swarasa
Vacha
+Hingu
Vacha
+Jatamamsi
Dr.GK 51
Nasapana…???
• Mashathmagupthadi kzm
• Mashabaladi kzm
• Done with syringe
• Maximum 80ml in both nostrils
• Same poorvakarmadis as Nasya
Dr.GK 52
Pharmaco kinetics
• Routes of Action –
Dr.GK 53
Mode of Action
• Stimulation of vital
centers
• Nourishing the tissues
• Clearing the channels
• Removes the congestion
• Correcting the neuro-
vascular anomalies Dr.GK 54
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 55
Effect of Nasya in Kamala
Dr.GK 56
When Uthamanga gets fire –
You need a Nasal Shower…..
Dr.GK 57
Vasthi
Dr.GK 58
Vasthi- Therapeutic Profile
Dr.GK 59
Therapeutic targets
• Pakwasayagatha vatha
spectrum
• Vatha domination
Dr.GK 60
Three fold utility of Vasthi
Dr.GK 61
Vatha Vs Asthi
Vasthi Yogas
• Vaitharana vasthi
• Saindava – 15 gm
• Jaggery -30 gm
• Tamarind -60 gm
• Thaila -120 ml
• Milk or
Gomoothra – 240 ml
• Indications- Amavatha,Kateegraha
Dr.GK 63
Dr.GK 64
Pichavasthi
• Milk decoction of Salmali vrinda - 240
ml
• Indication - Ulcerative
Dr.GK
colitis 65
Dr.GK 66
Madhuthailika Vasthi
• Honey – 4 Palas
• Thaila – 4 Palas
• Erandamoola kwadha – 9.5 Palas
• Misi kalkka – ½ Pala
• Saindava - 1 Karsha
• Indications - RA
Dr.GK 67
Rajayapana Vasthi
• Mustha,pata - 18 drugs
8 madana phala - Decoction in milk 650 ml
• Mamsarasa – 100 ml
• Saindava - 15 gm
• Ghee – 100 ml
• Honey -100 ml
• Kalkka – 30 gm
• Infertility,impotency,extrapyaramidal
disorders A
Dr.GK 68
Mashathmagupthadi Yapana Vasthi
• Masha,Athmaguptha + Milk 600 ml- Ksheerapaka
Bala,Aswagandha
Saindava - 15gm
Mahamashathaila -120ml
Honey -120ml
Rasnadasamoola ghritha -120ml
Kalka-Masha,athmagupta…. -25gm
PARKINSONISM
Dr.GK 69
Dr.GK 70
Thiktha Ksheeravasthi in
Osteoporosis
Dr.GK 71
Rooksha Vasthi
• Amruthotharam
Kashayam -
300 ml
• Shaddharana choorna
-30gm
• Amavatha
Dr.GK 72
Dr.GK 73
Yogavasthi with Rasnasapthakam
kashayam
• Makshika - 15gm
• Saindava -12gm
• Dhanwantharam thaila -240ml
• Sathahwa kalka -30gm
• Rasnasapthakam kashayam -300 ml
• Kadeegraha
Dr.GK 74
Mechanism of Action
• Intestinal movements
• Intestinal Absorption
• Intestinal Secretion
• Gut brain – Brain relation
• Regulatory peptides
• Intestinal bacterial flora
Dr.GK 75
Rakthamoksha
Dr.GK 76
When Rakthamoksha..?
Dr.GK 77
Raktha dushti Vs Inflammation
Dr.GK 79
Jaloukaavacharana - Stages
Dr.GK 80
Multifactorial effect….
Dr.GK 81
Components of medicinal leech saliva that exert
effects in the host's body are:
Vathasonitha -
• Pitharakthaprasadana
• Vathanulomana
• Checks the inflammation
• Improves circulation
• Venous diseases and
thrombosis Dr.GK 85
Kushta
• Normalizing Twak sara
• Preventing sakhagathi of
doshas
• Kledaharana Dr.GK 86
Jaloukaavacharana – different
cases
Dr.GK 87
Triple level action
Raktha- Rakthavaha
Pitha srothus-
Kapha
Rakthagathi - Vatha
Dr.GK 88
Let them drink for OUR
Health….
Dr.GK 89
Panchakarma – The ultimate
benefits
Dhathus are nourished better
through clear srothuses….