AYURVEDA AND GERIATRIC CARE -A BROAD OUTLINE

1. Demographic context of Geriatrics and limitations of conventional medicine 1.1. Demographic trends The World population of the elderly is increasing and by the year 2050, adults older than 65 years will comprise 1/5th of the global population. In India 3.8% of the population are older than 65 years of age. According to an estimate the likely number of elderly people in India by 2016 will be around 113 million. 1.2. Global health scenario in geriatrics The twenty-first century is witnessing a gradual decline in fertility, and with increase in life expectancy, the society will need to grapple with issues of longevity. The cause of morbidity and mortality world over is shifting from communicable diseases a few decades ago to noncommunicable diseases. The leading causes of mortality among aged people comprise respiratory problems, heart diseases, cancer and stroke. Significant causes of morbidity among this group is chronic inflammatory and degenerative conditions such as Arthritis, Diabetes Osteoporosis, Alzheimer’s disease, Depression, Psychiatric disorders, Parkinson’s disease and age related urinary problems. 1.3. Limitations of conventional medicine in the management of non communicable diseases The stupendous success of conventional medicine in the management of communicable disease especially in the west was owing to the identification of a single cause in the form of a parasite/causative organism for all communicable disease and a systematic plan of action was derived to counter the cause which then cured the disease. However, the biggest challenge with geriatric problem is that in most of the cases the condition cannot be attributed to a single cause or in certain conditions like neuro-psychiatric disorders (Senile dementia, Alzheimer’s depression), the structural cause is unknown. In such cases the conventional medical therapy fails to come out with effective management plan and hence is severely compromised. Another challenge with conventional medical therapy is that it does not have
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health promoting agents. Ayurveda on the other hand has interventions those enhance physiological processes that influence metabolic and immunological status (cyavanaprasha, triphala) and such interventions are significant in the context of geriatric care. 2. Ayurvedic clinical experience on geriatrics 2.1. Ayurvedic understanding of geriatrics Ayurveda has a focused branch of medicine called Rasayana (Rejuvenation) which exclusively deals with the problems related to aging and methods to counter the same. Geriatrics or Jara cikitsa or Rasayana in Ayurveda is a method to control / slow down / arrest the aging process in the human being during the degenerative phase of one’s life. Rasayana is normally advised during this degenerative phase which starts from around 45 yrs in both male and female. A holistic system like Ayurveda approaches this condition through two-fold methods. One is a radical approach in which it recharges the whole metabolic process of the body by eliminating the toxins from the system by a three to four months rigorous and organized process known as Kutipraveshika Rasayana. However, this process is seldom practiced due to the extreme intricacy of the physiological process involved and the need for utmost care to be taken by the physician and subject including the environment where the treatment is done. Hence this Kutipraveshika remains as a textual marvel of Ayurveda than a practical process of contemporary relevance. The second approach of Ayurveda, which is quite popular today, is called Vataatapika Rasayana – which can go along with the normal day to day life. This type of Rasayana is particularly important in the current scenario as it has a relatively easy mode of administration without any restrictive pre-conditions. Apart from this, Rasayana are also classified as: A. B. Medhya Rasayana: Rasayana that act specifically as brain tonics, eg: Shankhapushpi, Mandukaparni, Yashtimadhu and Guduchi. Vardhamana Rasayana: Rasayana given in a gradual step-up dosage from a minimum to a maximum dose followed by a tapering back, eg: Vardhamana Pippali Rasayana. Droni-Praveshika Rasayana: A very spectacular form of Rasayana, where in a person is made to consume stomach full of the juice of

C.
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8 rare herbs and made to lie down in a wooden casket for a period of 6 months (unconscious). This again has no known history of being performed anywhere in the near past, although finds a mention in the text as being one that will enable an old person to completely regain his youth. 2.2. Core areas of strength in Ayurveda Undoubtedly the strength of Ayurveda in the context of Geriatric care is Rasayana therapy, which is unique because of its ability to promote longevity and influence all aspects of health in a positive way. Describing the effects of Rasayana, the classical texts of Ayurveda say that from Rasayana one attains longevity, improved harmony and intelligence, freedom from disorder, youthful vigor, excellence of luster, complexion and voice, optimum strength of physique and senses, command over language, respectability and brilliance. Ayurveda considers the physical structure to be composed of 7 dhatus starting from Rasa (Rasadi Dhatus) and Rasayana is the tool to create premium dhatus (body tissues). The main utility of Rasayana therapy is in functional and degenerative disorders that have a chronic or long standing nature. In such cases, in fact, Rasayana is the only solution from the point of view of effective management in any system of medicine. Rasayana becomes more fruitful and effective if it is preceded with suitable panchakarma (purificatory therapy). The reason we see mixed results in many cases where Rasayana is employed is because of the fact that either this purification is not done or improperly done. Panchakarma is a bio-cleansing regimen comprising of five main procedures that facilitates better bioavailability of the pharmacological therapies, helps to bring about homeostatsis of body-humors, eliminates disease-causing complexes from the body and checks the recurrence and progression of disease. The five fold measures comprehended in this therapy are Vamana (Therapeutic Emesis), Virechana (Therapeutic Purgation), Astapana Vasti (Therapeutic Decoction Enema), Anuvasana Vasti (Therapeutic oil Enema), Nasya Karma (Nasal administration of medicaments). Panchakarma procedures are preceded by Snehana (Therapeutic Oleation) and Swedana (Sudation) applications to make the body system conducive for elimination of bio-toxins and cleansing of channels. This is effective in managing autoimmune, neurological, psychiatric and musculo-skeletal diseases of chronic and metabolic origin.
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Single Rasayana drugs for some specific disease conditions Diseases of Eye: Jyotishmati (Celastrus paniculata), Triphala (Three myrobalans), Satavari (Asparagus racemosus), Yastimadhu (Glycyrrhiza glabra) and Amalaki (Emblica officinalis). Diseases of Heart: Salaparni (Desmodium gangaticum), Arjuna (Terminalia arjuna), Guggulu (Commiphora mukul), Pushkaramula (Inula racemosa) Skin diseases: Bhallataka (Semecarpus anacardium), Vidanga (Embelia ribes) and Bakuchi (Psoralia corylifolia). Rasayana for overall Health: Guduchi (Tinospora cordifolia), Amalaki (Emblica officinalis), Aswagandha (Withania somnifera), Cow’s milk and Takra. Asthma: Sirisha (Albezia lebbeck), Agastya (Sesbania grandiflora), Haridra (Curcuma longa), Haritaki (Terminalia chebula). Arthritis: Rasona (Allium sativum), Guggulu (Commiphora mukul), Aswagandha (Withania somnifera) and Shunthi (Zinziber officinale). Neuropathies: Rasona (Allium sativum), Guggulu (Commiphora mukul), Bala (Sida cordifolia), Aswagandha (Withania somnifera). Diabetes: Silajitu (Black bitumen), Amalaki (Emblica officinalis), Haridra (Curcuma longa), Tejpatra (Cinnamomum tamala), Methika (Trigonella foenum graecum). Lipid disorders: Guggulu (Commiphora mukul), Haritaki (Terminalia chebula), Pushkaramoola (Inula racemosa), Vaca (Acorus calamus). Hypertension: Rasona (Allium sativum), Sarpagandha (Rauwolfia serpentina), Aswagandha (Withania somnifera), Jatamansi (Nardostachys jatamansi). Brain and Memory Disorders: Brahmi (Bacopa monnieri), Mandooka parni (Centella asiatica), Jyotishmati (Celastrus paniculata), Kapikachhu (Mecuna pruriens), Tagara (Valeriana wallichii). Some Compound formulations that are available in the market with a multipronged action are being listed below: • • • • •
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Chyawanprasha Brahmi Rasayana Aswagandha Lehyam Mahatriphala Ghrita, Triphala Curna

• • • • 3.

Aswagandha Curna Narasimha Rasayana Agastya Rasayana Amalaki Rasayana

Challenges for contemporary application of Ayurvedic geriatrics Ayurvedic treatment as such is very individualistic and one medicine found to be useful in a condition in a particular person may not work at all in another. Hence, it is a challenge to come out with generalized management solutions for a condition that would suit all. It is difficult to bring out management plans for a particular disease condition and implement the same in a large scale. It is important that we respect both holism (of traditional medicine) as well as reductionism (of modern bio-medicine) because both are ways of looking at nature and depending on the purpose both the views can be extremely useful. Furthermore the whole and the part are certainly related but it is not a one-to-one relationship. The understanding that it is not one-to-one relationship and learning how to relate the whole perspective (the systemic theories of Ayurveda & Yoga) with part (structural theories of western biomedicine) is the outlook that should underline the implementation of trans-disciplinary research projects. Today, nobody in the academic field has all the answers of how to combine and correlate part and whole perspectives in the context of clinical research design, clinical practice, content of courses on Ayurveda and Yoga, in the context of laboratory research in pharmacognosy and product development, and in assessment of community based local health practices. It is important to understand that drug trials for evaluating efficacy of Ayurvedic interventions is a reductionist approach and is an inappropriate design. Instead, clinical trials should evaluate the efficacy of a whole management package which may consist of drugs, diet, Yoga, Panchakarma including differential diagnosis to identify the specific nature of tridoshic imbalance.

3.1. Contemporary application of Ayurvedic geriatrics

3.2. Developing ambitious projects of trans-disciplinary clinical research on key geriatric problems The biggest challenge in the contemporary application of Ayurvedic
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Unless generous funding is invoked. and Non-Govt. 4.1. institutes for geriatrics 4. sectors 4. It is essential that a multi-dimensional intervention be conceived that will involve a) trans-disciplinary research b) advanced treatment centers and c) specialized post graduate education. There is also a need to support specialized transdisciplinary PG researches in centres where PG in geriatrics is offered. The areas for policy interventions are outlined below: 4.3. it will be like trying to plough a huge field with a stick instead of modern tractors. treatment and teaching centers that have a state of the art facility to deal with geriatrics. and Non-Govt. This would require critical investment (the current strategies are subcritical) in establishing advanced research. Support advanced clinical centers for Geriatric care in reputed institutions in the Govt. Support specialized trans-disciplinary PG education courses in geriatric care 6 .AYURVEDA AND SIDDHA geriatrics would be to come up with protocols to document. The need for generous funding for Ayurvedic Geriatric research and clinical services 4. A range of both Govt. There is a very urgent need to establish centers in the country that would engage in the kind of transdisciplinary research that we are envisaging in order to take Ayurveda globally and also to bring the clinical services of Ayurveda into the mainstream. Building treatment capacities in reputed Govt. The policy issues It is important for policy makers to firstly recognize the fact that geriatric health care has to be managed in a pluralistic way because no single system of medicine has the capacity to address the health care needs of the growing size of the aged population. diagnose in an integrative frame work and manage geriatric problems. and Non-Govt.4. institutions with either promising or outstanding leadership need to be identified and encouraged to prepare ambitious proposals commensurate with the magnitude of the social problem of old-age care. This would require a generous funding for undertaking such research and also establishing centers that would provide effective clinical services.2. Policy therefore needs to clearly identify the key areas for support in Ayurvedic geriatrics and make plans and proposals for critical investments in such areas.

In India 3. Osteoporosis. the growth rate of population but with increase in life expectancy. The important issues in aged population are many like social. yet the consequences of longevity inter alia are larger number and proportions of older people that influence financing of health care. economical etc. The Ayurveda & Siddha traditional holistic health sciences are very much potential in prevention of diseases by promotion of health & management of metabolic syndromes occurring in old age. but more than these is health. Though worldwide demographic revolution is a social achievement. Their quality of life as a result is suffering and also poses a burden on their family and caregivers. Alzheimer’s disease. Most of the older people are suffering from at least one chronic disorder and they may be suffering from multiple of disorders. Twentieth century has seen gradual decline in fertility. but the shift to the nuclear family pattern the aged individuals are neglected. and by the year 2050. heart diseases.RASAYANA . cancer and stroke. adults older than 65 years will comprise 1 th /5 of the global population. Depression. Parkinson’s disease and Urinary incontinence diminish the quality of life. Diabetes. Chronic inflammatory and degenerative conditions such as Arthritis.HEALTHY AGING BACKGROUND Aging is a process of physical. 7 . Psychiatric disorders.8% population are older than 65 years age. The growing number and proportion of elderly persons is placing the increasing demands on Public Health System and on medical and social services. The Indian traditional culture respects the aged. Some dimensions of aging grow & develop with time while others decline. According to an estimate the likely number of elderly people in India by 2016 will be around 113 millions. As a result society is grappling with longevity issues. The leading causes of illness and death among aged peoples comprise respiratory problems. psychological and social change in multidimensional aspects. The other significant feature in the aged population is that number of females is more than males and are residing in pitiable situation in rural India. The world population of the elderly is increasing significantly. The aged population in India is mostly in rural than the urban.

Association of Gerontology. Geriatric Society of India. Prevention and management of health problems could help the elderly to improve quality of life and remain independent for their daily activities to certain extent.Cheruthuruthy Kerala. AIIMS. are engaged in support activities related to Geriatric Care. as well as National Institute of Siddha. The major preventive approaches for maintaining and improving the quality of life include individualized specific daily regimen (Dinacharya). Ayurveda College. Central Research Institute Siddha (CCRAS). course in Geriatric are functioning at BHU. body-mind constitution) of an 8 . seasonal regimen (Ritucharya).AYURVEDA AND SIDDHA Although the risks of developing diseases rises with advancing age. Jaipur. MGIMS. National Policy for aged under the Ministry of Social Justice and Empowerment seeks health security of older people and it recognizes special health needs of the older persons to be met through strengthening and reorienting of public health services at Primary Health Care level and creation of health facilities. Institute of Medical Sciences. POTENTIAL AND STRENGTH Ayurveda attributes primary importance to preventive and promotive health care and the maintenance of positive health. but it is not an inevitable consequence of aging. National Institute of Ayurveda. Jamnagar. Ayurveda literatures record vivid information about the concept of aging process and loss or impairment of tissue system/ functions during various decades of life and their management. Healthy lifestyle is emphasized as the determinant of longevity of life. A few Societies and NGOs viz. Wardha and Maulana Azad Medical College. Geriatric clinics and M. Govt. New Delhi and so on.D. Ayurveda has broad spectrum of preventing measures for combating the aging process which is in practice in large number of people in our country. which by and large depends on the Prakriti (bio-identity i. Rajasthan. Chennai are catering significant health care services in the field of Geriatrics. Thiruvananthapuram. Some of the well known centers of Ayurveda & Siddha viz Central Research Institute (Ayurveda) (CCRAS) . Helpage India. Parkinson’s & Ageing Research Foundation. behavioral and ethical considerations (Sadvritta). Age well Foundation etc. Gujarat Ayurveda University. Faculty of Ayurveda. Varanasi. Institute of Post Graduate Teaching & Research in Ayurveda (IPGT&RA). Banaras Hindu University. New Delhi.e.

herbo-metalic (a few) formulations for general good health and disease specific indications relating to Geriatrics. neurological. Anuvasana Vasti (Therapeutic oil Enema). Nasya Karma (Nasal administration of medicaments). Astapana Vasti (Therapeutic Decoction Enema). Satavari (Asparagus racemosus). Yastimadhu (Glycyrrhiza glabra) and Amalaki (Emblica officinalis). Triphala (Three myrobalans). Panchakarma procedures are preceded by Snehana (Therapeutic Oleation) and Swedana (Sudation) applications to make the body system conducive for elimination of bio-toxins and cleansing of channels. prognosis and treatment plan and in guiding patients as well as healthy individuals. 9 . complexion and sensory and motor functions. Rasayana Therapy can be advocated at out door level (Vatatapika Rasayana) and with hospitalization also (Kutipraveshika Rasayana) depending upon the need of patients. what do’s and don’ts they need to follow for restoration and maintenance of health. Proper understanding of Prakriti leads the physician in making right diagnosis. Numerous single and compound Rasayana medicines possessing diversified actions like immuno-enhancement. helps to bring about homeostasis of body-humors. The five fold measures comprehended in this therapy are Vamana (Therapeutic Emesis). This is effective in managing autoimmune. eliminates disease-causing complexes from the body and checks the recurrence and progression of disease. adaptogenic or anti-stress and nutritive effects are described in Ayurveda literature for their use in health promotion and management of diseases with improvement in the quality of life. Panchakarma is a bio-cleansing regimen comprising of five main procedures that facilitates better bioavailability of the pharmacological therapies. free-radical scavenging. Single Rasayana drugs for some specific Disease conditions Diseases of Eye: Jyotishmati (Celastrus paniculata). Ayurveda and Siddha Literatures record numerous single and compound plant based medicines (majority) and herbo-mineral. memory.individual. Rasayana therapy is a specialized branch of clinical medicine in Ayurveda aimed at preventing the effects of aging and to improve intelligence. psychiatric and musculo-skeletal diseases of chronic and metabolic origin. Virechana (Therapeutic Purgation).

Brahmi (Becopa monnieri). Guggulu (Commiphora mukul). Haridra (Curcuma longa). Aswagandha (Withania somnifera). Bala (Sida cordifolia). Skin diseases: Bhallataka (Semecarpus anacardium). Pushkaramoola (Inula racemosa). Brain and Memory Disorders:.AYURVEDA AND SIDDHA Diseases of Heart: Salaparni (Desmodium gangaticum). Aswagandha (Withania somnifera) and Sunthi (Zinziber officinale). Diabetes: Silajitu (Black bitumen). Hypertension: Rasona (Allium sativum). Aswagandha (Withania somnifera). Haritaki (Terminelia chebula). Vacha (Acorus calamus). Sallaki (Boswellia serrata). Arjuna (Terminalia arjuna). Haritaki (Terminalia chebula). Tejpatra (Cinnamomum tamala). Methika (Trigonella foenum graecum). Karisalai Legiyam Triphala Curna . Vidanga (Embelia ribes) and Bakuchi (Psoralia corylifolia) Rasayana for overall Health: Guduchi (Tinospora cordifolia). Aswagandha (Withania somnifera). Guggulu (Commiphora mukul). Sarpagandha (Rauwolfia serpentina). Amalaki (Emblica officinalis). SOME COMPOUND FORMULATIONS • • • • • • 10 Cyawanprasa Brahmi Rasayana Aswagandha Lehyam Mahatriphala Ghrita. Agastya (Sesbania grandiflora). Haridra (Curcuma longa). Arthritis: Rasona (Allium sativum). Cow’s milk and Takra. Tagara (Valeriana wallichii). Pushkaramula (Inula racemosa). Jatamansi (Nardostachys jatamansi). Mandooka parani (Centela asiatica). Asthma: Sirisha (Albezia lebbeck). Jyotishmati (Celastrus paniculata). Kapikachhu (Mecuna pruriens). Guggulu (Commiphora mukul). Neuropathies: Rasona (Allium sativum). Lipid disorders: Guggulu (Commiphora mukul). Amalak (Emblica officinalis).

affordable by all sections of People Well tolerated. Panchakarma & Yoga are proven to be efficacious in neuro-muscular. degenerative disorders). psychosomatic. Lifestyle modulation (Swathavritta and Sadvritta) remains integral to the treatment. musculo-skeletal. Brahmi Vs Placebo: Administration of 1gm. • • • • • • EVIDENCE BASED RESEARCH 1. auto immune disorders.• • • • • • • • Aswagandha Curna Pranada Gutika Narasimha Rasayana Agastya Rasayana Amalaki Rasayana Ayajambeera Karpam Bavana Kadukkai Ayabringaraja Karpam AT A GLANCE • Multiple actions of Rasayana therapy includes immuno-modulation. health promotion and prevention & management of degenerative health problems. no Adverse Drug Reactions AYUSH systems have specialized therapeutic procedures for rejuvenation. 11 . Most cost – effective. adaptogenic (anti-stress) affects and so on. Time-tested holistic and comprehensive remedies for on Nature’s Laws can address the gaps in health care of old people. metabolic and many chronic health problems of elderly people. Brahmi (Bacopa monnieri) in the management of Senile Dementia. of powdered extract of Brahmi twice a day for 5 years has shown significant reduction in the progression of memory loss in persons suffering from senile dementia. antioxidant action (prevents bio-oxidation thereby checking age related disorders.

triglycerides 36%.. hair melanin & seated stature and decrease in serum cholesterol and ESR. Reference: Kuppurajan etal. et al.47-52. (2006) pp 12-23. phospholipids 20% and free fatty acids 37% indicated the possibility of regression of atherosclerosis.AYURVEDA AND SIDDHA Reference: Role of the Ayurvedic Drug Brahmi (Bacopa monnieri) in the management of Senile Dementia. 4. 1989 Central Council for Research in Ayurveda and Siddha. New Delhi. of root powder of Aswagandha (Withania somnifera) was administered in the dosage of two tablets three times daily with milk for one year showed statistically significant increase in Haemoglobin. Reference: Srikanth N.1-2.3. Journal of Research in Ayurveda and Siddha. No. Aswagandha (Withania somnifera) on the process of aging Aswagandha Vs Placebo: 3 gm. RBC count. 12 . Janakpuri.P Standards has shown significant improvement in visual acuity and quality of vision (disturbance in vision viz. Journal of Research in Ayurveda and Siddha. Vol. Butea monosperma root distillate in the management of age related immature Cataract The root distillate drops of Butea monosperma developed as per I. 2.XXVII. Pharmacopsychologia (1990). Butea Monosperma Root distillate eye drops (Palasa Moola Arka) in age related immature cataract: A clinical observation. Substantial fall in lipid fractions like cholesterol 27%. diplopia etc.) in the subjects of age related immature cataract (n=52). 3. haziness. Reference: Clinical and Experimental trial of Guggulu (Medoroga). The reversal of ECG changes substantiated the anti-ischaemic effect of the drug in the treatment of ischemic heart diseases. Guggulu (Commiphora wightii) in Hyperlipidaemia Guggulu (Commiphora wightii) Vs Placebo: Cardinal clinical manifestations of disease like precordial pain and dyspnoea were relieved in in most of the cases in a clinical study tried with Guggulu in the dose of 8 gm/day. Effect of Aswagandha (Withania somnifera) on the process of ageing in Human volunteers .

Katiyar and DBA Narayana – Multi-facetted protective Role of Rasayana Therapy: A review of investigations on Cyawanprasa–Ayurvedic Conference on Rasayana 2002. 7. Ministry of Health. who demonstrated predisposition for gastric intolerance with antiinflammatory medication. C. Reference: Management of Hemiplegia by Panchakarma therapy.Yastimadhu 13 .K. C3 and C4 levels in patients of recurrent cough and cold). Select Research Papers on Evidence Based drugs in Ayurveda. Cytoprotective action (Cancer patients receiving radiation therapy showed a protective role against radiation induced tissue damage)and Genoprotective action (significant reduction in Mitotic Index (MI) and Chromosomal aberrations (CA)). Reference: NB Brindavanam.Bhattacharya. New Delhi-2000. Reference: Bichile. Rashtriya Ayurveda Vidyapeeth 8. Management of Hemiplegia by Panchakarma therapy Panchakarma Vs Palliative therapy: In a comparative study on 744 hemiplegics revealed that 552 subjects who received Panchakarma therapy showed significant recovery from illness. 6.. Central Council for Research in Ayurveda and Siddha. of Diclofenac Sodium 3 times in a day was given in treated and control groups respectively for 4 weeks. Efficacy of Sallaki was found to be comparable to that of Diclofenac Sodium in the patients of RA. Anti-anxiety effect of an Ayurvedic compound drug A double blind sequential cross over clinical trial with an Ayurvedic compound containing Mandukaparni (Centella asiatica). besides improvement in motor functions and quality of life in comparison to subjects who received shamana therapy (Palliative therapy) alone. Dept of ISM&H. Double blind randomized controlled trial of Sallaki Vs Diclofenac in treatment of Rheumatoid arthritis.5. Sallaki (Boswelia serrata) in Rheumatoid arthritis Sallaki Vs Diclofenac sodium: 600 mg of Sallaki 3 times in a day and 50 mg. Government of India. Multi-facetted protective role of Cyawanprasa Cyawanprasa showed significant Immunomodulatory activity (Decrease in Ig G. New Delhi-1990. LS et al. N. Janakpuri.

Janakpuri. Clinical & Experimental Studies on Rasayana Drugs & Panchakarma Therapy. 3-4. Dahanukar et al. It was found that Ayurvedic compound formulation is more effective in enhancing the perceptual discrimination and psychomotor performance over placebo and control drug. Guduchi (Tinospora cordifolia) as immunomodulatory agent Clinical studies of Guduchi (Tinospora cordifolia) have shown significant efficacy in the cases of obstructive jaundice.AYURVEDA AND SIDDHA (Glycyrrhiza glabra) and Jatamansi (Nordostachys jatamansi) as trial drug. PP 107-116. New Delhi-1990. Reference: K. 2. diazepam as control and placebo carried out on 12 patients of anxiety neurosis. Management of Hemiplegia by Panchakarma therapy. 1993. 14 .Kuppurajan et al . 9. Central Council for Research in Ayurveda and Siddha. 12 (1993) 5. CCRAS. XIII No.Anti-anxiety effect of an Ayurvedic compound drug – A cross over trial. New Delhi. Indian J Gastroenterol. Immunotherapy with Tinospora cordifolia: A new lead in the management of obstructive jaundice by Tinospora cordifolia.. READING MATERIAL 1. Journal of Reserch in Ayurveda & Siddha Vol.

The effect of stroke on the individual can be devastating. hypercholesterolemia. brain blood flow decreases by 20-28% and this parallels a decline in a cerebral metabolic rate. smoking and excessive alcohol intake also play an importance role in the pathogenesis of cerebrovascular diseases. 50. In U. Most young and all older patients experience drastic lifestyle changes may never return to employment and may become dependent for even the simplest activity of daily living. At age 80. In India exact data is not known. curative and rehabilitative 15 . Stroke is a disease of middle aged and elderly individuals. Atherosclerosis and uncontrolled HTN are the common causes of Cerebrovascular diseases and the associated risk factors like diabetes. Decrease in nerve conduction velocity. In addition. Pakshaghata (Hemiplegia) is mainly caused by vitiation of Vata causing dryness of sira and snayu and loss of function of one half of body. The functional impairments such as with devastating stroke are threatening to an individual’s independence. vessel fibrosis and endothelial involution is seen with aging. Atrophy. poor attention and concentration and a withdrawn feeling are frequently associated with stroke. Depression is common (up to 5%) following a stroke and interferes with rehabilitation. peripheral sensory neuronal loss are also seen in old age. neurodegenerative disorders (Dementia) and neuromuscular disorders (Paralysis) affect the geriatric population. Marked vascular changes occur with aging.000 and there is occurrence of one stroke in every 53 seconds and one stroke death in every 3. Many neurological disorders (gait disorders).A annual stroke cases are 7. The sudden loss of neurological function is unanticipated. Insomnia.NEUROLOGICAL DISORDERS (Nadisansthanagata Roga) BACKGROUND Neurological disorders need greater attention as the age advances. Ayurveda provides both preventive. increase in cerebrovascular resistance with cerebral arteriosclerosis.3 minutes.S. 30% people die in first few days of acute attack and among survivals 25% are suffering with disabilities. heart disease. muscular functions are also seen in elderly individuals due to aging. diminished appetite.

Various nervine tonics and bulk promoting drugs are available for providing strength. • • Nervine tonics in Ayurveda Dasamula Kwatha Shilajatu Aswagandha Curna Saraswata Curna Brahmi Ghrita 16 . 1. 2. antistress drugs. Identification of risk factors and their treatment can prevent the occurrence of stroke. Saraswata Curna etc. Life style regime as advocated in Ayurvedic literature can help in attaining mental peace. Yoga and meditation are both curative and preventive measures. Kaisor guggulu. Arjunarista. practicing of yoga and meditation. Niruha Vasti with Dasamula Kwatha and Anuvasana Vasti with Mahanarayana taila or Bala taila provide strength to neuromuscular system. Prabhakaravati. Brahmi vati. For curative purpose or to rehabilitate the patients and to treat disability after stroke Ayurveda has Panchakarma treatment and Massage therapy. Sarpagandhadi Vati Antihypercholesterolemic drugs – Arogyavardhini vati. Triphala Curna. anticholesterolemic. lifestyles and dietary regime for the prevention of disease. Antihypertensive drugs – Arjuna. Panchakarma • Mainly ‘Vasti’ therapy. Hridyarnava Rasa. Massage (Abhyanga) with strengthening oils to provide nutrition to muscles and to prevent atrophy of muscles. POTENTIAL AND STRENGTH Preventive aspects . Pushkarmoola. Medhya rasayana. 3. Ayurveda offers various antihypertensive drugs. Arjunakshirapaka. Trikatu Curna. Drugs for the management of stress and depression – Aswagandha Curna.AYURVEDA AND SIDDHA measures for the management of stroke. Navakagugglu. Shashtikashali pindasweda.Ayurveda offers various herbal formulations to treat the risk factors for stroke. Prevention is the best cure.

Journal of Reserch in Ayurveda & Siddha Vol. a combination of Ekangaveera rasa 250 mg twice daily.Padhi. An Ayurvedic combination therapy in Hemiplegia In a clinical trial. Reference: L. 56 patients of hemiplegia were treated with Panchakarma treatment (snehana.. 1-2 pp 18-28. Atmagupta. IX No. A clinical study on pakshaghata (Hemiplegia) with a combination of Ekangaveera rasa. Hingutriguna taila 5ml orally 2-3 times a day with Abhyanga and Pindasweda twice a day is found to be effective within 2 weeks and definite relief has been observed after 4-6 weeks of treatment. Role of Hingutrigunataila in the treatment of Pakshaghata (Hemiplegia). 1-2 pp 53-66. Masha taila and Shashtikashali panda sweda.K. 3. sweda. Journal of Reserch in Ayurveda & Siddha Vol.M. Eranda and Bala) and in control group colored taila and Kasaya (of Manjistha) for 17 . Masha taila for massage and Shastikashali pinda sweda for 45 days were given to the patients of Hemiplegia which showed good response in subjective and objective parameters as power and tone of the muscles in 42% cases. Reference: Prem Kishore and M. 2.Oils for massage • • • • • • Mahanarayan Taila Bala Taila Prasarini Taila Mahamasha Taila Nirgundi Taila Panchaguna Taila EVIDENCE BASED RESEARCH 1. XXV No. Hingutriguna taila-role in Hemiplegia In a clinical trial on 35 patients of Pakshaghata. Panchakarma treatment in Pakshvadha In a controlled clinical study. mriduvireka and vasti) with taila and kasaya of Mashadi Yoga (Masha.sharma et al.

The trial has shown that the treatment sneha. Reference: S. 2.Madhavan Pillai et al. New Delhi. Journal of Reserch in Ayurveda & Siddha Vol. CCRAS Research an over view. 4...I No. for external application only as placebo and for virecana and vastikarma as sodhana therapy were randomly given to patients of Khanja (Monoplegia) and Pangu (Paraplegia). Further results in sodhana group was found better in comparison to samana group Reference: P.2 (1930) pp 301-328. New Delhi. Journal of Reserch in Ayurveda & Siddha Vol. XIII No. Results were highly encouraging and statistically significant with samana and sodhana therapy and not significant with placebo. 2002 Clinical & Experimental Studies on Rasayana Drugs & Panchakarma Therapy. sveda. mriduvireka and vasti are effective but Mashadi compound has only slight effect on this disease. READING MATERIAL: 1.al. Effect of Panchakarma treatment with Mashadi Yoga on Pakshavadha . Sodhana therapy vs Samana therapy in Khanja and Pangu In a control clinical trial Prabhanjanavimardanam taila for internal and external use as samana therapy. Ramachandran Nair et. 1993 18 . CCRAS. Clinical evaluation of Prabhanjanavimardanam taila and Sodhana therapy in the management of Khanja (Monoplegia) and Pangu (Paraplegia).1-2 pp 14-26. CCRAS.AYURVEDA AND SIDDHA panchakarma treatment had been used.

MUSCULOSKELETAL DISORDERS (Mamsa-Asthi-Sandhigata Roga) BACKGROUND Musculoskeletal Disorders predominate in the older adults and are major cause for chronic disability and health care utilization in the geriatric age group. Januvasti and a number of single and compound formulations are practised in Ayurveda for the management of these disorders. There is an increase in crystallization and calcification. Rheumatoid arthritis (Amavata). resulting in much discomfort and disability in patients with Rheumatoid arthritis. Due to ageing process.3 million by 2050. there is a decrease in hydration of cartilage secondary to changes in proteoglycan structure. Spondylosis and Osteoporosis (Asthi soushirya). Vasti (medicated enema). All these change in the tissue results into less able to handle the mechanical stress. interfering with activities of daily living and function. Amavata. Fragility fractures have doubled in the last decade. Vataroga. etc. will suffer an osteoporotic fracture. Back pain (Katisoola). These disorders are chronic in nature. 40% of all women over 50yrs. decrease in cellularity and probable decrease in the response to growth factor stimulation. not life threatening but affect the quality of life. Disorders of Musculoskeletal system impair mobility. Common musculoskeletal disorders found in Geriatric group are Osteoarthritis (Sandhivata). etc. Kativasti. The number of the hip fractures will rise from about 1. Remissions are less likely in the elderly with established disease. Different procedures like Snehana (oleation). Ayurveda also considers these musculoskeletal disorders to be prevalent in elderly persons as the domination of Vata is predominant in old age and it is mentioned that Vata rogas generally occurs in elderly persons.7 million in 1990 to 6. affecting water binding. It is found that nearly 20% to 30% of Rheumatoid arthritis patients present after age 60. Osteoporosis is common in older adults and is associated with enormous morbidity from complications. which affects mainly the joints. It is a chronic multi-system disease. Ayurvedic classics have comprehensive description on the pathophysiology and management of Musculoskeletal disorders like Sandhigata vata. 19 . Swedana (sudation).

11. 5. 10. 20 Vaiswanara Curna Aswagandha Curna . 2. 8. Panchakarma (Bio-cleansing) therapy. Nadi swedana and Patrapinda pottali swedana are very effective in the management of these disorders. Special Oleation (Snehana) and Sudation procedures (Swedana) like Kativasti. preventive measures like Rasayana (Rejuvenation). 3. 4. POTENTIAL AND STRENGTH Preventive aspects: Specific do’s and don’ts for the prevention of musculoskeletal disorders are advisable. 2.AYURVEDA AND SIDDHA In addition. Januvasti. Use of Rasayana drugs and Panchakarma procedure can prevent the physiological changes in bones and joints occurring due to aging. 7. 9. 1. Some single herbal drugs in musculoskeletal disorders In single drugs following are giving promising results in the musculoskeletal disorders. 6. Valuka swedana. Grivavasti. Bala (Sida cordifolia) Guggulu (Commiphora mukul) Rasna (Pluchea lanceolata) Eranda (Ricinus communis) Bhallataka (Semecarpus anacardium) Laksha (Laccifer lacca) Kupilu (Strychnos nux-vomica) Sunthi (Zinziber officinalis) Aswagandha (Withania somnifera) Nirgundi (Vitex negundo) Guduchi (Tinospora cordifolia) Some compound formulations in musculoskeletal disorders 1. dietary regimen and lifestyle practices are also equally practiced for these disorders.

8. 21 . 2002. Reference: CCRAS Research An Overview. 6. 5. Rasna Panchaka Kwatha Maharasnadi Kwatha Dashmoola Kwatha Rasna saptaka Kwatha Yogaraj Guggulu Mahayoga Raja Guggulu Sinhnada Guggulu Sunthi Guggulu Saptavinsati Guggulu Panchatikta Guggulu Ghrita Some medicated oils for massage • • • • • • • • Narayana Taila Mahanarayana Taila Nirgundi Taila Panchaguna Taila Mahamasha Taila Pinda Taila Kshirabala Taila Dhanwantari Taila EVIDENCE BASED RESEARCH 1. 9. 11. 7. Shunthi & Guggulu in Rheumatoid arthritis A combination of equal parts of powder of Shunthi (Zingiber officinale) and Guggulu (Commiphora mukul) resin at a dose of 2 gm thrice daily with Valuka Sweda (dry fomentation) was studied on 497 patients and very good effect was found in 67% of patients after a course of 6 weeks treatment.3. 12. 10. 4.

22 . Ayurvedic combination in Rheumatoid arthritis A combination of Aswagandha curna 3gm thrice daily. After a period of 4 weeks NSAID was withdrawn and only Sallaki administered for an additional two weeks period. Reference: CCRAS Research An Overview. It was observed that the improvement in signs and symptoms was sustained until the sixth week i. tenderness. Open study to evaluate the efficacy of Sallaki as an Add-on therapy along with NSAID in the management of patients with Osteoarthritis. Supplementation of the NSAID with Sallaki resulted in a significant reduction in pain. Sunthi Guggulu and Godanti in Amavata (Rheumatoid arthritis) In a Clinical study of Sunthi Guggulu and Godanti on 80 cases of Rheumatoid arthritis encouraging results are found. No. Eranda taila 15 ml at bedtime have been administered along with dry fomentation for a total duration of 6 weeks.Chauhan et. Ayurvedic combination in Rheumatoid arthritis A combination of Mahayogaraja Guggulu (1 gm).. It was observed that. Vaiswanara Curna (3 gm) twice daily and Simhanada guggulu (1/2 gm) at bedtime has been given in 518 patients and was found that. even after discontinuation of the NSAID therapy. 3-4 (2005) Page: 80-94 5. Selected papers on evidence based Ayurvedic drugs. Shallaki as an Add-on therapy along with NSAID in the management of Osteoarthritis In a clinical trail on patients of Osteoarthritis.al. XXVI. 3. about 60% of the patients have shown improvement. 2001. 57% of the patients have shown improvement with the above therapy. Sallaki 400 mg thrice daily for a period of 4 weeks in addition to routinely prescribed NSAID were given. Vol. Journal of Reserch in Ayurveda & Siddha. swelling. Guggulu and Godomti in the management of Amavata (RA). 2002. 2002. morning stiffness and functional impairment of the affected joints.e. Reference: CCRAS Research An Overview. Reference: Rajadhyaksha A. Reference: M. Mruthyumjaya Rao et al. Clinical evaluation of efficacy of Sunthi. 4. CCRAS.AYURVEDA AND SIDDHA 2.

an outcome study. 23 . Patrapinda Sweda in Inter vertebral disc prolapse Vaitarana Vasti (medicated enema) with prior Patrapinda Sweda (medicated fomentation) has been tried on 72 patients suffering from inter-vertebral disc prolapse with sciatica and other related problems. NewDelhi 2002. al.et.K. Guggulu (Commiphora mukul) in Osteoarthritis In a clinical study on 30 male and female patients each Commiphora mukul in capsule form (500 mg concentrated extract) thrice daily along with food showed significant improvement in both the subjective and objective parameters used for assessment purpose and no side effect was noticed during the trial. 3-4 (2001) Page: 120-130.S.6.B. Reference : Singh B. The overall treatment was found encouraging and good relief is seen in 47% of cases and fair relief in 26% of cases. 7. Altern Ther Health Med. Vaitaranavasti. Reference: P. CCRAS. XXII. The effectiveness of Commiphora mukul for Osteoarthritis of the knee. 2003 May-June 9 (3):74-9 READING MATERIAL: CCRAS Research an over view. Nair et. Vol. Journal of Reserch in Ayurveda & Siddha.al.

Significant physiological changes in the heart and blood vessels occur due to aging (Cardiac mass increases. and diabetes. positive attitude etc. salt restriction. Increased collagen deposition. hypertension. 80% of total myocardial infarctions (MI) occur in those more than 65 yrs. these drugs are also helpful as an adjuvant and supportive therapy along with the conventional treatment. Ayurveda offers satisfactory management strategies for cardiovascular disorders through preventive and curative approaches. worry and emotional upset.) and advocating exercise. in regard to heart diseases is elaborately available in the Ayurveda literature. valvular abnormalities and hypertension increases with age. The incidence of congestive heart failure. Treatment of cardiovascular disorders in elderly is difficult and need prolonged treatment and there is a need for the safer drugs to use them for longer period. hyperlipidaemia. It provides clinically effective and safe single and compound formulations to control the risk factors like obesity. The adjuvant effect of Ayurvedic drugs has been established through various studies. POTENTIAL AND STRENGTH Preventive potentials Concept of well-balanced dietary regimen (fresh foods. Pranayam. cardiac arrhythmias. coronary artery disease. CHD remains the predominant cause. Heart failure remains the leading cause of death in geriatric age. seasonal fruits. The causes of heart failure in the elderly are many. vascular fibrosis and calcification occurs). smooth muscle cell proliferation and elastin breakdown lead to vascular thickness and stiffening. etc. avoiding anxiety. regularly attend natural urges. 24 .AYURVEDA AND SIDDHA CARDIOVASCULAR DISORDERS (Hridroga) BACKGROUND Cardiovascular diseases are the most frequent causes of death in the geriatric age group. mantra chanting. calcification. Angina pectoris is common presentation. sufficient sleep. yoga. Hypertension is also one of the risk factor and there is a steady rise in average systolic and diastolic blood pressure with advancing age upto 70 years age. There is also diminished capacity of heart to work. Prevalence of coronary heart disease (CHD) increases in older subjects. In addition.

(iii) Trivritadi Curna. Vati (Tablets) and Guggulu: (i) Prabhakara Vati. Ksheera paka (Processed milk with herbs): Lasuna Kshirapaka. Arjuna kshirapaka. Lekhana Vasti (medicated enema) in Ischemic Heart Disease A clinical trial on 35 cases of essential HTN (mild-moderate) and IHD. (iii) Dasamularishta. Some drugs (e. XII No. body weight and lipid profile. EVIDENCE BASED RESEARCH 1. (ii) Punarnavasav. Pushkaraguggulu an antianginal and Hypolipidaemic agent in Coronary Heart Disease. pp 1-18 2. Vol. Vol. 93-101 3. (iv) Haritakyadi Curna.. Significant 25 . triglycerides and total lipids. (ii) Nagarjunabhraka ras. Terminalia arjuna) even reduce the hypertrophy of the cardiac muscle. (iv) Chitrakadyarishta.K.Gupta et al. 3-4 (1995) PP. No. (iii) Hridayarnava Rasa. Journal of Reserch in Ayurveda & Siddha. Reference: Tripathi S. (iv)Navaka Guggulu. Some single and compound drugs Churna (Powders): (i) Arjuna Curna (Terminalia arjuna). Terminalia Arjuna as an adjuvant in Hypertensives with LVH In a controlled clinical study. hyperlipidaemia. Pushkara guggulu as an Antianginal and Hypolipidaemic drug In a clinical trial on 150 patients of Coronary Heart Disease. Asava & Arishta (Fermented liquids): (i) Arjunarishta. hypertension. with Arjuna Kwatha (25ml twice daily) along with atenolol (50mg daily) in treatment group and atenolol (50mg daily) alone as control was studied on hypertensive LVH patients.g. (v) Puskara Guggulu. Reference: P.. A study on the effect of Lekhana Vasti in cases of Essential Hypertension and Ischemic Heart Disease. Journal of Reserch in Ayurveda & Siddha. N. XVI. 1-2. Significant improvement in the symptoms and in ECG changes was observed with remarkable reduction in body weight. et al.Curative aspects Different effective and proven single and compound formulations to control the risk factors like obesity. diabetes are available in the Ayurveda classics. (ii) Pushkaramula Curna (Inula recemosa). Lekhana Vasti with Vaca (Acorus calamus) revealed significant reduction in mean systolic blood pressure. Pushkarguggulu 6-8 g per day showed highly significant reduction in cholesterol.

triglycerides 36%. to atherosclerosis & obesity. New Delhi. Whereas in control group. CCRAS. Reference: Satyavati G. Reference: Bharti et. CCRAS 6.V. The reversal of ECG changes substantiated the antiischemic effect of the drug in treatment of ischemic heart disease. Arjunavacadi yoga in Hypertension (HTN) Arjunavacadi yoga a combination of Arjuna (Terminalia arjuna). Reference: Clinical and experimental trial of Guggulu (Medoroga). XXVII No. 3-4 (2001) PP 216-227). Effect of an indigenous drug on disorders of lipid metabolism w. 1-2 (2006) PP 57-66. Brahmi (Centella asiatica). 4. M. 1989. 1966. A considerable fall in Blood pressure and improvement in symptoms was observed in this study. 1989. 5. XXII No. phospholipids 20% and free fatty acids 37% indicated the possibility of regression of atherosclerosis. Vaca (Acorus calamus) and Jatamansi (Nordostachys jatamansi) in the form of Ghana (aqueous extract) at the dose of 250-500mg thrice daily was given on 182 patients of Vyanbala Vaishamya (HTN) for 3 months. Guggulu (Commiphora wightii) as Hyper-cholesterolemic agent The clinical studies with crude gum guggulu (Commiphora wightii) showed reduction in serum cholesterol levels in patients with obesity and hypercholesterolemia.AYURVEDA AND SIDDHA decrease in LV mass which was seen after 3 months and maintained even for a period of 6 months in treatment group.r. READING MATERIAL: Clinical and experimental trial of Guggulu (Medoroga). Vol. regression in LV mass was insignificant.Chandrashekhar Rao et al.D. Reference: B.. Journal of Reserch in Ayurveda & Siddha. Guggulu (Commiphora wightii) in Hyperlipidaemia Guggulu 8gm daily Vs placebo: In a study with Guggulu 8gm/day. substantial fall in lipid fractions like cholesterol 27%. Vol.al Evaluation of efficacy of Arjuna Vacadi Yoga in Vyanabala vaisamya (Hypertension) – A clinical study Journal of Reserch in Ayurveda & Siddha.t. 26 . cardinal clinical manifestations of disease like precardial pain and dyspnoea were relieved in most of the cases. Effect of Terminalia Arjuna W & A on regression of LVH in Hypertensives – A clinical study. Thesis BHU.

In elderly people pneumonia can be fatal.RESPIRATORY DISORDERS (Swasansansthanagata Roga) BACKGROUND Respiratory disorders are among the most common cause of morbidity and mortality in elderly. 27 . Elderly people are more likely to get pneumonia. Asthma manifests itself differently in children. COPD is the fourth leading cause of death in USA and a growing health problem. Corticosteroids can cause softening of bone results in to fracture of fragile bone. residual volume increases. it is not early to differentiate whether it is certainly a case of asthma as cough & breathlessness in this age group is a symptom of other disease also because of poor respiratory function. It is the common cause of hospitalization and prolonged hospital stay in the elderly. stiffening of the chest wall and deteriorating respiratory muscle strength. Pulmonary function progressively decline after 25 years of age. Treatment of COPD and asthma in older people needs much more attention and care. Common respiratory disorders like COPD (chronic bronchitis and emphysema). Incidence of acquiring Tuberculosis also increases in patients on therapy with of corticosteroids. due to small airway closure during exhalation resulting in air trapping. Asthma is a chronic inflammatory disorder of the airways. Chronic Obstructive Pulmonary Disease (COPD) is defined as a disease state characterized by the presence of airflow obstruction due to chronic bronchitis or emphysema. Total lung capacity decreases with age. The major changes with aging in lungs include decreased elastic recoil. Pneumonia and Lung cancer are more likely to develop as the age advances. Elderly people tend to have diminished cough and gag reflexes and weaker immune system. adults and elderly people. Injection of adrenaline in status asthmaticus endangers the heart and blood vessels of those who have hypertension and Ischemic Heart Disease.5 to 10% approximately. In older people. Asthma. The prevalence rate of asthma in elderly people indicate that it varies from 6. The prevalence of chronic bronchitis in rural India may be high as 30% in the over 40 years age group where as in urban India the incidence around 10%.

there is need to search for herbal medicines in this field. (v) Sirishasava. (v) Sathyadi Curna. (ii) Vasarista. POTENTIAL AND STRENGTH 1. meditation helps in quality of mental and physical health. (iii) Haridra Khanda. (vi) Trikatu Curna. Swasa (Dyspnoea). Vamana and virechana procedures are very effective in chronic respiratory disorders. (iv) Sringyadi Curna. This leads to Pranavaha Srotas Dushti. Nidana Parivarjana (Avoidance of causative factor) is the principle of treatment for all diseases in Ayurveda. Anuvasana vasti (oil based enema) and Nasya (nasal administration of medicaments) expel out the excessively accumulated doshas from the body and restores health. Ayurveda has immense knowledge regarding disorders of Pranavaha srotus (Respiratory system) like Kasa (Cough). Panchakarma procedures i.B. 28 . Medicinal Treatment – Number of herbal and herbomineral preparations are in practice which strengthen the respiratory system and have curative effect in respiratory disorders. (iii) Drakshasava. In this juncture. Thus the principle of treatment for pranavaha srotus is to bring normalcy in these dosas by Samana (palliative) medical treatment as well as Sodhana (bio-cleansing) Procedures. Ayurveda also offers dietary and lifestyle regimes for prevention of respiratory disorders. (vii) Somalata Curna Asava & arishta – (i) Kanakasava.AYURVEDA AND SIDDHA Thus the conventional therapy for respiratory disorders in the elderly has many side effects & limitations. Kshaya (T.) and Kshata ksheena (Pleurisy) etc. (ii) Talisadi Curna. 2. Vamana (therapeutic emesis) Virechana (therapeutic purgation). Some of the commonly used Ayurvedic – Siddha formulations: Churna – (i) Sitopaladi Curna. Panchakarma Therapy – Panchakarma therapy to be performed after preparatory procedures like Snehana (Oleation) and Swedana (Fomentation). the main dosa involved in respiratory disorder are Kapha and Vata which causes constriction of channels of respiration and obstruction in the respiration process at micro and macro level. Rasayana therapy (use of rejuvenative drugs acting on lungs).e. Niruha Vasti (decoction based enema). Yoga and Pranayama are advocated classical methods for the prevention and cure of respiratory disorders. Satwavajaya (Psycho therapy) like listening music.

Vati – (i) Kasturyadi Vati. (iii) Kapha Ketu Rasa. Parval. Raisins. • • • Diet and life style Avoidance of exposure to dust. Tulasi. Lasuna. Honey. Parpam – Muthuchippi parpam Kwatha . Avaleha – (i) Kantakari Avaleha. Sathi Rice.(i) Sirishadi Kwatha. (v) Laxamivilas Rasa. and other hot pungent diet and hot water. Sunthi. 3. (ii) Nagarjunabhra rasa. (ii) Thoothuvallai legiyam. (iv) Vyosadi Vati. Yoga Some Rasayana medicines to strengthen Respiratory system and to combat infections and allergies Cyavanaprasha Agastya Haritaki Rasayana Kantakaryavaleha Vasaveleha Vardhamana Pippali Rasayana Nagabala Rasayan Muthuchippi parpam Drakshavaleha. smoke and pollution Avoid sleep in day time Old wheat. (iii) Vyagraharitaki. (ii) Gojihwadi Kwatha. (iv) Vasa avaleha. (ii) Gorochana Vati. Rasa – (i) Swasa kuthara rasa. Elaichi. (iv) Swas Kasa Chintamani Ras. Kulatha (horse gram). Brahmi Rasayana Madhu (Honey) 29 • 4. Gomutra. Misri. Jaggery. (iii) Lavangadi vati. • • • • • • • • • • .

Swamy et al. It was found that. Shirisa (Albezia lebbeck) twak kwatha in Tamaka Swasa (Bronchial asthma) In a clinical trial on 19 patients of Tamaka swasa. a considerable fall of total WBC count (P<0.P. 2. eosinophil count (P<0.01). ESR and increase the PEFR (P<0. Effect on subjective and objective parameters was also highly significant.Jain. Reference : J.001) were observed which was statistically significant. Clinical Evaluation of Sirisa twak kwatha 30 EVIDENCE BASED RESEARCH . Vol. 3 (1980) PP 447-460. 70-75% shown complete or significant response and out of 23 cases of Vata pradhana Tamakswasa 30% showed complete response and in more than 50% cases significant reduction in intensity of dyspnoea and cough was observed. decoction of Kantakari in doses of 60-200ml daily with honey was given for a period of 15-20 days on an average. Out of 21 cases of Sleshma pradhana Tamaka swasa.K.01). Journal of Reserch in Ayurveda & Siddha. A clinical trial of Kantakari (Solanum xanthocarpum) in cases of Tamaka Swasa. Kantakari (Solanum xanthocarpum) Tulsi (Ocimum sanctum) Pippali (Piper longum) Pushkrarmula (Inula racemosa) Vasa (Adhatoda vasica) Haridra (Curcuma longa) Draksha (Vitis vinifera) Banafsha (Viola odorata) Shati (Hedychium spicatum) Sirisha (Albizia lebbeck) Kantakari (Solanum xanthocarpum) in Tamaka Swasa (Bronchial asthma) In a clinical trial on 44 patients of Bronchial asthma. I No.AYURVEDA AND SIDDHA Some single Herbs acting on Respiratory System • • • • • • • • • • • 1.. Reference : G. Sirisa twak kwatha was given 30 ml thrice daily for 6 weeks. Yastimadhu (Glycyrrhiza glabra).

A significant reduction in the global score of respiratory signs and symptoms and eosinophils count was observed. ‘A clinical evaluation of Picrorhiza kurroa (Katuki) in the management of chronic obstructive airway disease. ‘A comparative study on Brihati and Kantakari in Swasa and Kasa. Vol. 1-2. Reference : V. Vol. 12 cases of Swasa and 20 cases of Kasa & Swasa mixed type with Vibheetaki phala churna.CCRAS. 5. chronic bronchitis and allergic bronchitis was carried out with Picrorhiza kurroa 2 caps (500mg each) thrice daily for 4 weeks. XVIII No. ‘A clinical study of the Antitussive and Antiasthmatic effects of Vibhatakiphala Curna in cases of Kasa-Swasa.in the management of Tamaka Swasa (Bronchial asthma) Journal of Reserch in Ayurveda & Siddha.3-4 (1999) Pg.P. 1-2 (1997) 21-27. No. Journal of Reserch in Ayurveda & Siddha. XX.Trivedi et al.P.. Reference : P.. 191-194. Vibhitaka was found to possess broncho-dilatory. Vibheetaki (Terminalia chebula) phala Curna in Kasa (Cough) and Swasa A clinical trial was carried out on 93 patients i. cough. Reference : T. There was significant improvement in the respiratory function test and with one week of treatment viscosity of sputum was markedly decreased. 3-4 (1996) PP 126-148 4. It was found that the effect of Kantakari decoction was better than Brihati decoction on different clinical parameters like dyspnoea. frequency of asthma attacks per week and severity of asthmatic attack. Picrorhiza kurroa in Chronic Obstructive Airway Disease A clinical trial on 45 patients of obstructive airway disease including bronchial asthma. New Delhi.III. antispasmodic and anti-asthmatic effects.. Vol. 3. READING MATERIAL: Monograph on effect of Shirishadi Kwatha and Sweta parpati in Bronchial Asthma. Journal of Reserch in Ayurveda & Siddha.e. 61 cases of Kasa. 31 . XVII No. No.Gupta et al. PP 1-8.Bikshapathi et al.. Vol. Brihati (Solanum indicum) and Kantakari (Solanum xanthocarpum) in Swasa (Bronchial asthma) and Kasa (Cough) The decoctions of Brihati and Kantakari were studied to evaluate the efficacy on the patients with Swasa (Bronchial Asthma) and Kasa (Cough).

In India. The risk of death among people with diabetes is about twice that of people without diabetes of similar age. anorexia. glucose tolerance begins to decline and at 65-70 years of age 23% have impaired glucose tolerance and by the age 80 it may reach to 40% people. They may present with fatigue. about 10% elderly people aged 65 or more have Diabetes. loss of motivation and difficulty in concentration. Patients are either obese and strong or lean and weak. Caraka Samhita (1000 BC) and Susruta Samhita 1000-600 BC) defined madhumeha as the disease in which the patient passes frequent urine characterized as astringent. such as hypothyroidism and diabetes mellitus is increasing in the elderly population. obesity. change in life style and threatened survival. At age the of 40. financial burden. constitution and disease etiology. These problems include pain. Treatment for obese and strong patients begins with Biocleansing procedures (Panchakarma) is aimed at reducing 32 . Glucose intolerance and insulin resistance increases with age. Ayurveda attributes multifactorial etiology to madhumeha and it has been described as advanced urinary condition which is difficult to cure. Descriptions concerning the disease and its management are available in Ayurvedic literature. insulin action or both. The Health care cost of Diabetes in the United States is 132 billion dollars. thus posing a big economic burden in the country. These diseases may be present with non-specific symptoms in the elderly rather than the classic signs & symptoms of the disease. failure to thrive. Diabetes Mellitus is a group of diseases marked by high level of blood glucose resulting from defects in insulin production. POTENTIAL AND STRENGTH Maharshi Caraka classified subjects of madhumeha into two groups according to their vitality. physical disabilities. The history of diabetes (Madhumeha) can be traced back in 1000 BC (Caraka Samhita). Diabetes Mellitus poses a wide range of problems for elderly people and their families also. sweet.AYURVEDA AND SIDDHA DIABETES MELLITUS (Madhumeha) BACKGROUND The prevalence of various metabolic diseases. Diabetes may leads to serious complications.

meditation and Ayurvedic medicines have an important therapeutic value. Diet is prescribed according to age. 13. season. Vijaysar (Pterocarpus marsupium) Jambu (Syzygium cumini) Tejpattra (Cinnamomum tamala) Twak (Cinnamomum zeylanica) Guduci (Tinospora cordifolia) Bimbi (Coccinia grandis) Khadirasara (Acacia catechu) Katphala (Myrica nagi) Kakamaci (Solanum nigrum) Devadaru (Cedrus deodara) 33 . is contra-indicated in lean and weak patients. 3. Instead. Karela (Bitter gourd).the obesity of the patient (Apatarpana Cikitsa) and lean and weak diabetic patients can undergo milder cleansing procedures followed by the treatment to build his body with specific management (Santarpana Cikitsa). 15. 2. Yoga is believed to stimulate the endocrine pancreas and improve its function. Buttermilk. (Green gram). Various preparations of Yava (barley) Mudga. and environment as well as the socioeconomic status of the patient. Snake gourd. 14. Drumstick. 6. 12. Amalaki (Phyllanthus emblica). 5. 10. however. 9. 11. Stress is also a very important cause of diabetes and yoga. diabetic patients are advised to perform specific yoga practices that are believed to benefit them at the mind and body level. Methi. Meshasringi (Gymnema sylvestre) Karavellaka (Momordica charantia) Methika (Trigonella foenum-graecum) Shilajit (Black bitumen). Vigorous exercise. Both types of patients are then treated with specific distinct therapy and diet. Old rice. Bimbi (Coccinia grandis). Watermelon. Exercise and diet are important adjuncts to the primary diabetes treatment. etc.) 1. are beneficial items for diabetic patients. 8. body constitution. Cucumber. AYURVEDIC MEDICINES Single drugs (Appropriate drug should be selected for two groups. 4. Triphala. Pumpkin. 7.

control of blood glucose had been attained in 69% patients studied. ICMR.. 10. Central Biostatistical Monitoring Unit. XVI No. Ayush-82 and Shuddha Shilajit in NIDDM In a clinical trial on 80 cases of NIDDM. Reference: Flexible dose open trial of Vijayasara in cases of newly diagnosed non-insulin dependent Diabetes mellitus – ICMR collaborating centres. 5gm thrice daily and Shuddha Shilajit. Vijayasara (Pterocarpus marsupium) in NIDDM A flexible dose open trial was conducted in four centres in India to evaluate the efficacy of Vijayasara in the treatment of newly diagnosed or untreated NIDDM.4 % at 12 week from the initial mean of 9. 3. There was statistically significant reduction in both fasting and postprandial blood sugar. 1995 PP 1-14 34 . An effective Ayurvedic Hypoglycaemic formulation . 7.N. et.al. Journal of Research in Ayurveda and Siddha.Pandey. By the 12 weeks. 1-2. Vol. 8. Chennai & Central technical coordinating unit. The mean Hb Ac was decreased significantly (P<0. 6. 2. Other laboratory parameters remained stable and no side effects were reported. Fasting and postprandial blood sugar levels were estimated at 6 th weekly intervals. Silajitwadi Vati Vasanta Kusumakara Rasa Trivanga Bhasma Phalatrikadi Kwatha Vangabhasma.8%.AYURVEDA AND SIDDHA AYURVEDIC FORMULATIONS 1. Reference: V. 9. 500mg twice daily was given for 24 weeks. Candraprabha Vati.001) to 9. Nisamalaki Curna Kathakakhadiradi Kwatha Mehari Vati Saptacakra Ghana Vati EVIDENCE BASED RESEARCH 1. an Ayurvedic formulation named Ayush-82. 2. New Delhi. 4. 5.

2005. READING MATERIAL: CCRAS Research – An Overview. Candraprabhavati 250 mg and Nisamalakai 5 gm twice a day in the subjects of Diabetic retinopathy showed remarkable improvement in visual acuity. no further focal haemorrhages and no neovascularisation was observed. Ayush-82. Central Council for Research in Ayurveda and Siddha. Ayurvedic Therapy in Diabetic Retinopathy A combination therapy of tarpana with Patoladi ghrita and internal administration of Dhanvantara kwatha 20ml. Punarnavasava 25ml. Vol. Ayurvedic Management of Diabetes Mellitus. Coccinia indica in Diabetes Mellitus In a controlled clinical trial on 30 patients of NIDDM.2002. The drug was found to be significantly attenuated the lipid fraction almost to normal range with the control of hyperglycemia. Efficacy of Coccinia indica W & A in Diabetes mellitus. Rashtriya Ayurveda Vidyapeeeth. 77-84 4. Janakpuri. An appraisal of clinical trails in Diabetic Retinopathy. Reference: S. New Delhi. M. Jambu beeja (seeds of Syzygium cumini). Journal of Research in Ayurveda and Siddha. There was no further visual loss.. Gudmara (leaves of Gymnema sylvestre) was tried on a fairly large sample size (350 patients) in a control clinical study revealed statistically significant reduction in fasting and postprandial blood sugar in Non Insulin Dependent Diabetes Mellitus.3. 35 . XVII. Karavellaka bija (Seeds of Momordica charantia). 5. No.2002. Kamble et al.Srikanth. Janakpuri. 1-2 (1996) PP. Reference: CCRAS Research – An Overview. Reference: N.An Ayurvedic Hypoglycemic formulation Ayush-82 consisting of Amra bija (seeds of Mangifera indica). New Delhi. tablets made from aqueous extract of Coccinia indica twice daily were given before meal for 3 months. Central Council for Research in Ayurveda and Siddha.

AYURVEDA AND SIDDHA DIGESTIVE DISORDERS (Pacanasamsthanagata Roga) BACKGROUND Older adults frequently present with gastrointestinal disorders due to significant changes in the gastrointestinal functions with aging. The multiplicity of the diseases in aging population often need multi drug medication which may lead to poor appetite. Poor appetite. Overeating of high fat foods. diarrhoea and other digestive disorders. decreased mucosal prostaglandin synthesis in the stomach and atrophy of small intestine with decrease in number of follicles and payer’s patches occurs with aging process. excessive amounts of both food and water. impaired taste detection and discrimination and increase of satiety hormone (Cholecystokinin) leads to poor appetitie in old age. dyspepsia. It is often associated with constipation. Inappropriate food includes insufficient food. wrong food combination which results in poor appetite. They are often difficult to measure and to identify clearly. heartburn. which are responsible for digestive disorders. which can result in obesity. intestine. Ayurveda believes that digestive disorders occur due to altered lifestyle &faulty food habbits. heartburn and many other related problems. indigestion. loss of appetite. The diseases of the digestive system result in poor nutrition and weight loss. Approximately 30% healthy elderly people use laxatives regularly. and even starvation. hemorrhoids and fistula-in-ano. Many of the digestive complaints of the elderly may be due to altered motility and secretion and are usually considered functional in origin. diarrhoea or constipation may also be associated with emotional factors in the elderly patients. Symptoms of digestive disorders become a matter of increasing concern to an older patient. Ama-producing food (certain food combinations lead to toxemia) causes 36 . Poor olfactory sensation. Relaxation of lower esophageal sphincter. If this problem is not addressed properly may lead to anal fissures. Most patients with cirrhosis of liver present between 40 and 70 years of age. These include a variable diminution in the secretion of hydrochloric acid and digestive enzymes of stomach. flatulence. Flatulence and intestinal gas occurs in almost every elderly individual. liver and pancreas.

Panchakarma treatment along with various Ayurvedic preparations is effective in treating the gastro intestinal disorders. energy and post-digestive effect are combined together. which is. 37 . Combining food improperly can result in digestive disorders like indigestion. Ayurveda relies primarily on the adoption of lifestyle and food habits maintain the Jatharagni that reduces the fat. based upon an individual’s constitution i. Irregular.Panchakarma is Ayurveda’s primary purification and detoxification treatment. Food not compatible to body. Panchakarma. Ayurveda manages these digestive disorders by managing Jatharagni (Digestive fire and liver function) and balancing the doshas with the help of food. eating when mind is burdened with worries etc. The factors such as time of eating. Ayurveda offers a rational and scientific approach for determining correct diet. unctuous food. too slow. Lack of proper and systematic lifestyle also leads to the chain of reactions to cause digestive disorders.e. Vata. in proper quantity and only after the digestion of previous meal etc can prevent the occurrence of such disorders. untimely and excessive eating are important causes to disturb the digestion. These 5 therapeutic means of eliminating toxins from the body are Vamana. Adoption of food habits mentioned in Ayurveda as one should not eat too fast. a heating or cooling energy (virya) and post-digestive effect (vipaka). When two or three different food substances of different taste. diarrhoea. agni can become disturbed and inhibiting the enzyme system and resulting in production of toxins in the system.digestive disorders. According to Ayurveda. One should eat warm.. which lead to the gastro intestinal disorders. and gas formation. manner of eating. accumulation of dosha in the body and keep the dosas in normal state. mind. Panchakarma means the “five therapies”. not talking or laughing while eating. every food has its own taste (rasa). Pitta and Kapha. also precipitate digestive disorders. lifestyle and medicines. POTENTIAL AND STRENGTH OF AYURVEDA Diet and lifestyle changes – Food and diet are important component of management of digestive disorders. constitution (Prakriti) may cause digestive disordersimmunity and cause diseases. This constitution is the basis of determining which foods are best for maintaining physiological balance for a given individual.

11. 2. 6. Pacaniya. 10. 12. Grahi. 3. 3. For Poor appetite and Dyspepsia: 1. 4. 38 Siddha praneshwara Rasa Dadimastaka Curna Bilwadi Curna Gangadhara Curna . This series of five therapies help to remove vitiated dosas and illness causing toxins from the body and balancing the dosas. Anulomana. Stambhana. Rechana. In elderly people selective one or two procedures may be required to manage the digestive disorders. Lavana bhaskara Curna Hingvastaka Curna Saindhavadi Curna Sunthyadi Curna Vaiswanara Curna Narayana Curna Shivakshara pachan Curna Hingvadi Vati Citrakadi Vati Ajirnakantaka Rasa Agni kumara Rasa Vishatinduka Vati Drakshasava Kuberaksha Vati Kankayana Vati For Diarrhoea: 1. 9. 13. 2. 7.AYURVEDA AND SIDDHA Virechana. Medicinal treatment: Ayurveda has a wide range of medicines for digestive disorders described under Deepaniya. 8. 4. 14. Niruha and Anuvasana Vasti and Nasya. 15. and Bhedana class of drugs. 5.

7. Bilwadi Avaleha Eladi Vati. Citrakadi Vati Hingwastaka Curna Sankha Vati Maha gandaka Rasa Agnitundi Vati Panchamrita Parpati Kravyadi Rasa Kaidaryadi Kvatha Curna 39 . 10. 8. 3. 2. 6. 5. 12. 9. 11. 7. 3.5. Kapithashtaka Curna Lasunadi Vati Sankha Vati Sanjeevani Vati Anandabhairavi Ras Kutaja Ghana Vati Siddha Praneswara Ras Karpura Ras Pathyadi Curna Jatiphaladi Curna Cangeryadi Gutika For vomiting: 1. Dadimashtaka Curna Chardiripu Vati Dadimavaleha Mayurapinccha Bhasma For IBS: 1. 4. 8. 4. 2. 5. 6. 13. 14. 6. 15.

2. 8.AYURVEDA AND SIDDHA 9. 11. 4. 2. 6. 4. 9. 7. 7. 10. 40 Triphala Curna Panchasakara Curna Shatsakara Curna Eranda Taila Dantiharitaki Hingu triguna Erandam Isabgol Husk Draksharishta Abhayarishta Kumaryasava . Avipattikara Curna Amalaki Curna Yastimadhu Curna Sutasekhara Rasa Kamadudha Rasa Pravala Panchamrita Pravala Pisti Dhatri Lauha Indukantha Ghrita Misreya Curna For Constipation: 1. 8. Pippalyasava Takrarista Shatapushpadi Curna Jeerakadyarishta For Hyperacidity: 1. 6. 5. 10. 3. 5. 10. 3. 12. 9.

K. Arogyavardhini Vati Phalatrikadi Kwatha Katuki Curna Bhunimbhadi Kwatha Rohitakarista Avipattikara Curna Bhumyamalaki Swarasa Eranda Pallava Swarasa Vasaguducyadi Kvatha Kumaryasava Rohitakarishta EVIDENCE BASED RESEARCH 1. 9. 3. Vol. 3-4 (2006) PP 1-9 41 .Singh et al. It was found that..effect in the case of kamala (Jaundice). 4.. 7. a combination of Narikela Lavana in a dose of 1g of twice daily and Tiktaka ghrita 10 gm once daily in early morning with hot water in the treatment group and starch tablets as placebo was given for 4 weeks. in the trial drug group 80% patients were cured and 20% were improved while with placebo no significant response was noted. Clinical study on the efficacy of Narikala Lavana and Tiktaka Grita in Parinama Soola.For liver disorders: 1. 5. Journal of Reserch in Ayurveda & Siddha. 2. antiinflammatory and purgative effect in Kamala. Vol XXVII. XXVI No. 8. Reference: S. The combination showed antiviral. No. Journal of Reserch in Ayurveda & Siddha. Study of herbomineral therapy . Ayurvedic combination in Kamala (Jaundice) A combination of Punarnava mandura 500 mg along with Arogyavardhini Vati 1 gm thrice daily for 21 days was tried in a clinical trial on 37 patients of Kamala (Jaundice). 11. 1-2 (2005) PP 45-51 2. Reference: Sulochana Muddepal et al. 10. 6. Ayurvedic combination in Parinama Soola In a placebo controlled clinical trial.

Trop. Xin Hua. the administration of a combination of allopathic medicine (Sulphasalazine and Prednisolone) and Panchmrita parpati kalpa in the management of 30 cases of Grahani roga (Ulcerative Colitis) produced highly significant improvement in various symptoms of the patients. A comparision of Different drug Schedules under different groups of Grahani Roga. XVIII. 5. No. READING MATERIAL: Monograph on Parinama sula ( Peptic Ulcer). et al. a comparative study was done with a herbomineral combination of Kutaja Ghana vati 1gm thrice daily with 2 drops of Sankha drava in one group and Herbal combination of bark of Kutaja (Holarrhena antidysenterica).. 42 .24-40 4. Comparision of different drug schedules in Grahani Roga In a clinical trail.. pp 79-88.e. without producing any side effects in comparison to the other two groups i. Panchamrita Parpati in Grahani Roga (Ulcerative colitis) In a control clinical trail. A comparative study of Phyllanthus amarus compound and interferon in the treatment of chronic Viral Hepatitis B. 1-2 (2006).a promising Hepatoprotective agent A clinical trail of Bhumyamalki (Phyllanthus amarus) in chronic viral hepatitis for a period of three months revealed remarkable recovery of liver function and inhibition of HBV replication. Bhumyamalki (Phyllanthus amarus). 2001. 140. Vol.J. W. PP. fruit pulp of Bilva (Aegle marmelos) and seeds of Sveta Jirka (Cuminum cyminum) 1gm thrice daily in another group. B. Reference: Ajay Kumar Sharma et al. It was found that all the patients respond to both the therapies and the second therapy was more effective than first therapy. Journal of Reserch in Ayurveda & Siddha. CCRAS. 3-4 (1997). Evaluation of the efficacy55 of Panchamrita parpati in the management of Grahani roga vis-à-vis Ulcerative colitis. Med. allopathic medicine or Panchamritaparpati alone. XXVII. Reference: Naresh kumar et al. beans of Babula(Acacia arabica). Vol.AYURVEDA AND SIDDHA 3.. Public health. New Delhi. Journal of Reserch in Ayurveda & Siddha. No. 31.

Tremor is the common presenting symptom. elevated levels of MAO & decrease in no.3/1000. depression is 31. physical disability and higher mortality.4 per 1000 population.4 million to 10. Parkinson’s disease and psychosomatic disorders like depression. insomnia. Depression contributes to significant psychological and physical distress. The presence of co-morbid anxiety disorder is associated with poor social functioning and a higher level of somatic symptoms and even suicidal tendency.5/1000. Depression presents most often as anxiety in older peoples. 43 . roughly 60. Advanced age among the elderly has been hypothesized to be a risk factor for depression. Parkinson’s disease is a hereditary degenerative disorder.000 new cases are diagnosed annually. Conventional medical therapy to treat psychosomatic diseases includes use of antidepressants. dopamine and norepinephrine decrease in the CNS in the advancing age. etc. This predicted data shows that it affects the individual as well as the economy of the country. All statistics show a sharp rise in the prevalence of dementia with age. psychostimulants and electroconvulsive therapy. hypertension. of neuro-receptors contribute to the vulnerability to depression in older adults. It is one of most common crippling diseases. Prevalence of Schizophrenia is 2. Prevalence of all the psychiatric disorders observed to be 65. anxiety.. Alzheimer’s disease. Incidence of Psychosomatic disorders is increasing because of many factors but the most important factor is urbanization and fast so called modern lifestyle of today. Acetyl choline.PSYCHO NEUROLOGICAL DISORDERS (Mano evam Nadi tantrika roga) BACKGROUND Psychosomatic disorders are increasing in number and leading to the large number of health problems and complications. It strikes 2/1000 people in USA. There are several neuropsychiatric medical conditions that are frequently seen in elderly like Dementia. Because of increased longevity.2 million. Parkinson’s disease is the most common extrapyramidal disease affecting the elderly.2/1000 and anxiety neurosis is 18. Between 1990 and 2010 the number of dementia cases in the developed countries will project to increase from 7.

Various Mani. urinary retention and insomnia are the common side effects leading to non compliance. Virechana and Vasti etc. Avsada/Vishada (Depression). Thus there is no effective therapy without side effects in conventional system of medicine for psychosomatic disorders. promotes positive approach. Anidra (Insomnia). Treatment with a advice from the knowledgeable people to prevent negative thinking. The external therapeutic applications like sirovasti.AYURVEDA AND SIDDHA Neuropsychiatric complications like delirium. should be advocated according to the preponderence of dosha involved. This therapy cleanses the channels of body and mind so that nutrition can be provided to the body. Panchakarma therapy to clean the channels of body. Takradhara. intellectual. one can prevent the occurrence of Psychiatric illness. blurred vision. good memory and mental health • Nasyakarma (Nasal administration of medicaments) is the root of choice in the diseases of head and supraclavicular region. Number of Ayurvedic formulations are used in Ayurveda for the management of these disorders. Panchakarma Therapy – Vamana. physical and social functioning of elder people to make them adjustable in the society in a better way. Concept of Satvavajaya Cikitsa (Psychological therapy). The patient attains mental peace. thereby improving the quality of life and making him socially useful. By following Sadvritta (Good social conducts). dry mouth. Ayurvedic classics describe psychosomatic illness under different headings. Sodhana Nasya can be given for cleansing the channels of head & Brimhana Nasya provides nutrition to check the process of degeneration. Concept of Satvavajaya Cikitsa (Psychological therapy) is uniquely mentioned in Ayurveda. POTENTIAL AND STRENGTH OF AYURVEDA Ayurveda has various therapeutic modalities to improve the psychological. • 44 . Description of other conditions like chittodwega (Anxiety).. Smritinasa (Loss of memory) and Kampavata (Tremors) are available in Ayurvedic texts.This therapy aims at restrainment of mind from the unwholesome objects. Mantra. are also useful in tranquilizing the agitated mind. mind and various Medhya Rasayana formulations which act on manovaha srotas are the hallmark of Ayurvedic treatment. Much description is available in the disease ‘Unmada’. Oushadhi and Panchakarma procedures with medicines are advocated in Ayurveda. Siro pichu etc. neurological.

12. 2. 7. 2. Juice of Mandukaparni. 4.Cow ghee Godugdha . 3.Convolvulus pleuricaulis Mandukparni . 5.Nordostachys jatamansi Guduci . Sarpagandhadi Vati Manasamitra Vati 45 Saraswata Curna.Prunus amygdalus Goghrita .Medhya Rasayanas in Psychiatric disorders . • • Brahmi rasayana Aswagandha Ghrita Single Drugs for Psychoneurological disorders 1.Tinospora cordifolia Bala .Sida cordifolia Badam . 6. intelligence and strength of body. powder of Yastimadhu and paste of Sankhapushpi are intellect promoters. 10. Brahmi – Bacopa monnieri Sankhpushpi . 9.Mucuna pruriens Vaca ..Acorus calamus Jatamansi . 8. mind and sense organs. Guduchi. 11. Vati 1. 3. Medhya rasayanas viz. 2. Aswagandha Curna .Rasayana drugs have quality of enhancing memory.Cow milk Ayurvedic Formulations Curna 1.Centella asiatica Aswagandha -Withania somnifera Kapikacchu . Brahmi Vati.

Saraswatarista Rasoushadhis - EVIDENCE BASED RESEARCH Brahma Rasayana an Antianxiety formulation. Reference: Ajay K. 3. Sharma. 6.AYURVEDA AND SIDDHA Asava 1. Antianxiety effect of classical Ayurvedic compound. Ghrita 1. 4. Maha Pancagavya Ghrita Kalyanaka Ghrita Saraswata Ghrita Bramhi Ghrita Manasamitra Vataka Smriti Sagara Ras Yogendra Ras Caturbhuj Ras Pracand Bhairav Ras Brihatvata Cintamani Ras Jyotishmati Taila. pp. Taila 1. 1.XXIII. 2. Brahma Rasayana is more effective in enhancing perceptual discrimination and psychomotor performance than the other two groups. 1. 2. 2. 15 cases of anxiety neurosis were randomly divided into 3 groups receiving placebo or diazepam or brahma Rasayana. 5.3-4 (2002). 3. 3. Brahma Rasayana. Brahmi Taila Himasagara Taila Tungadrumadi Taila Aswagandharista. 4. 46 . 33-48. 4. In a double blind cross over trail. No. Journal of Reserch in Ayurveda & Siddha. The overall result showed that. Vol. 2.

K. Antistressor effect of Withania somnifera.. which revealed considerable reduction in the depression score and mental fatigue level in depressive patients. Reference: Role of the Ayurvedic drug Brahmi (Bacopa monnieri) in the management of Senile Dementia. 2002. A study of Psychiatric symptoms of geriatric patients and the response to Ayurvedic therapy. Rashtriya Ayurveda Vidyapeeth.in the management of depressive disorders An Ayurvedic compound containing organic extract of Guduchi (Tinospora cordifolia). 64 (1999). of powdered extract of Brahmi twice a day for 5 years has shown significant reduction in the progression of memory loss in persons suffering from senile dementia. Mandukparni (Centella asiatica) and Basant (Hypericum perforatum) in a dose of 1200 mg/50 kg body wt were studied in a control clinical trial. 5. Journal of Ethnopharmacology. the drug treated animals showed better stress tolerance.Dwivedi et al. Depressive disorders among elderlyits prevention and management by an Ayurvedic formulation.. Ashwagandha – a potent anti-stressor agent. Pharmacopsychoecologia (1990). In this study. Brahmi (Bacopa monnieri) in the management of Senile Dementia. 47 . Archana et al. An Ayurvedic formulation. Journal of Reserch in Ayurveda & Siddha. Ashwagandha and Kapikacchu in psychiatric disorders Aswagandha and Kapikacchu were studied for anxiety and depressive disorders respectively in 60 Psychogeriatric patients for 3 months. Ayurvedic conference on Rasayana. 91-93. Reference: K.XXII No.2. Vol. 4. Reference: Gayatri Juneja et al. 3. Aswagandha and Kapikacchu were found to promote positive health to retard biological and psychological aging factors and to control the psychological symptoms.3.3-4 (2001). Pg 198-207.47-52. Anti-stress property of Withania somnifera has been experimentally studied in adult Wistar strain albino rats. Reference : R. Brahmi vs Placebo: Administration of 1 gm.

chronic renal failure etc.). Ayurveda has many treatment options. Stasis of urine harbors infection and bladder stone formation. maintaining dignity and minimizing sufferings. fistula-in-ano and anal prolpase. Fistula-in-ano etc. the enlarged prostate bulk may subsequently increases the resistance of the proximal urethra to the outflow of urine. calculus. BPH. Age related changes as decrease the vital capacity. Benign Prostatic Hyperplasia (BPH) is a progressively worsening condition associated with aging. Due to its location. and Prolapse of rectum. Progressively. The surgeon identifies those at risk for complications and considers alternative modalities of surgical treatment. cardiac complications associated with general anesthesia and a gradual loss of reserve capacity decreases the patient’s ability to tolerate surgery. piles. This results in higher pressures generated by the bladder to overcome the obstruction. which can manage/can reduce the sufferings due to such disorders. a great surgeon advised surgical treatment for many diseases and the procedure advocated by him is being practiced even today. resulting in a weak and flabby bladder with diverticuli. Ayurveda provide minimum invasive 48 . As the population grows. Gall Bladder stones. When treating older patients main focus shift from maximizing longevity to maximizing the quality of life.AYURVEDA AND SIDDHA SURGICAL PROBLEMS IN ELDERLY BACKGROUND There are vast number of surgical problems that occur in elderly population eg. renal disorders (eg. This high bladder pressures may be transmitted to kidneys resulting in Hydronephrosis and Hydroureters and gradual loss of renal function. renal/vesical calculus. the bladder musculature decompensate. Coronary artery disease. Hernia.. older patients will present for the treatment of surgical disease. Out of above mentioned surgical problems in the elderly Ayurveda offers alternative management for BPH. But Surgery in geriatric patients should be avoided if possible. Piles. Maharshi Susruta (1000 BC). Onset of this disease is seen after forties due to the enlargement of prostatic gland.

6. 8. POTENTIAL AND STRENGTH OF AYURVEDA Ksharasutra Therapy. The prolonged internal pile masses and external piles can be treated successfully by ligation of the Ksharasutra around pile masses. 5. Need of Anaesthesia and antibiotics are negligible. 3. 9.Ksharasutra is a unique minimal invasive parasurgical measure successfully practiced as promising therapy for the management of ano rectal disorders. 5. 7. It is a very successive method of the treatment. fistula–in-ano etc. Arsakuthar Rasa Arsoghna Vati Kankayana Vati Pranada Vati Sigru Guggulu Rasanjana Vati Abhayarista Prabhakar taila (for external use) Surana Avaleha Dantiharitaki Beningn Prostatic Hypertrophy (BPH) 1. 10. 4. The Ksharasutra is tied in the fistulous tract and is changed every week till the whole tract is excised and healed symultaneously. 3. The recurrence rate after Ksharasutra therapy is very low (3-5%) and the patient need not to be hospitalized. 4. 1. 2. Piles (Haemorroids) 1.parasurgical techniques like Kshara sutra therapy for the management of some surgical disorders like Piles. Varunadi Guggulu Shigru Gugulu Kanchanara Guggulu Chandraprabha Vati Shilajitvadi Vati 49 .. 2.

2. 7. 5. 8. Kaseesadi Taila 10 ml per rectal and Triphala Churna 5 gm at bed time on 50 patients of bleeding piles showed complete relief in 28 cases and marked relief in 13 cases. 2. 4. 5. Kravyadi Rasa. 11.AYURVEDA AND SIDDHA 6. Reference: A clinical study on the effect of Kravyadi Rasa. Punarnavasava Gokshuradi Guggulu Brihatyadi Kwatha Varun Sigru Kwatha Dasamoola Kwatha Narayana Taila (for Vasti) Pashanabhedadi Curna Gokshuradi Guggulu Varuna Sigru Kwatha Sweta Parpati Kulutha Kwath Anti-inflammatory Drugs 1. 3. Kaseesadi Taila Vasti and Triphala Churna in the management of Arsas 50 . 3. 4. 10. 6. Guggulu Varuna Sigru Gokshura Punarnava Silajitu EVIDENCE BASED RESEARCH 1. 9. Kaseesadi Taila Vasti and Triphala Churna in Hemorrhoids In a single blind clinical trail Kravyadi Rasa – 500mg thrice daily. Calculus: 1.

Palasa. Kankayanavati – 500mg thrice daily. Ksharasutra in the management of Fistula-in-Ano In multicentric randomized controlled trial. Reference: Therapeutic Evaluation of compound Ayurvedic formulation in the management of Arsas (Hemorrhoids) – A Clinical Study. ambulatory and safe alternative treatment for patients with Fistula-in-ano. PP-130-140. Vol. 51 . Res. Abhayarista 25 ml thrice daily and Triphala curna – 5gm at bed time. Multicentric randomized controlled clinical trial of Ksharasutra (Ayurvedic medicated thread) in the management of Fistula-in-ano. No. 4. No. was applied. XX. Ksharasutra thus offers an effective. Med. It was found that 31. Reference: Role of Teekshna kshara Bhavitasutra in the management of Bhagandara (Fistula-in-ano).(Haemorrhoids). in control group standard Ksharasutra (Apamarga kshara + Snuhi ksheera and Haridra) was applied and in treatment group the Teekshna ksharasutra containing Apamarga. PP-81-91 3. Kravyadi rasa – 500mg thrice daily.T was just 5 days/cms.3-4 (2006).31% cases got complete relief and 29. PP 1-10. Journal of Reserch in Ayurveda & Siddha. Vol.12% got marked relief.3-4. PP 177-185. Journal of Reserch in Ayurveda & Siddha. Vol. XXII.6 days/cm. while in treated group the average U. 2. Teekshna Ksharasutra in Fistula-in-ano A clinical study has been conducted on 100 patients of Fistula-in-ano. Journal of Reserch in Ayurveda & Siddha. A Compound Ayurvedic Formulation – For Haemorrhoids A single blind clinical trial was conducted on 182 patients of Arsa (Haemorrhoids) to evaluate the efficacy of Kaseesadi taila vasti – 10 ml. the efficacy of Ksharasutra in the management of Fistula-in-ano is compared with conventional surgery.1-2 (2004). (V) 94.C. Reference: ICMR collaborating centres and other units. June 1991. divided into 2 groups. No. XXV. Kutaja etc. The average unit cutting time in control group was found to be 6. which concluded that long term outcome with Ksharasutra is better than surgery although initial healing time is longer. Indian J. (1999).

"Clinical studies on Arsha (Hemorrhoids)" CCRAS. Palasa ksara in the management of Mutrasmari (Urolithiasis) The effect of Palalsa ksara in the management of Mutrasmari (Urolithiasis) was evaluated on 50 radiologically established cases. pp55 READING MATERIAL: 1. 4. 52 . CCRAS. New Delhi. Kuluthha& Gokshura in the management of Urinary calculus".AYURVEDA AND SIDDHA 6. The radiological findings also support the elimination of stone and reduction of their size. Monograph on "effect of Varuna. Monograph on clinical studies on Bhagandara (Fisstulo-in-ano) CCRAS. The clinical and radiological findings reveal the elimination of stone and reduction of their size. 2. Reference: CCRAS Research an overview.CCRAS 2002 . 24 were having Renal calculus (Vrikkasmari) and 26 were having Ureteric calculus (Gavini asmari). The results have shown that Urolithiasis could be well managed with Ayurvedic therapy. The assessment of the response of the therapy was made on the basis of relief in presenting symptoms and the radiological findings. Reference: CCRAS Research an overview . New Book "Kshara sutra therapy for Ano rectal disorders". S. thrice daily with water. New Delhi. Dr. New Delhi. Out of 50 cases.K. 3. RAV Publication. 5. Sweta Parpati with Pashanabheda and Goksura in Mutrasmari Effect of Ayruvedic drugs Sveta Parpati with Pashanabheda and Goksuru in the management of Mutrasmari (Urolithiasis) was evaluated in 30 radiologically established cases of renal and ureteric calculi were included. of Pasanabheda goksuru kwatha was given thrice daily. of Sveta parpati with 50 ml. Sharma. One gm. CCRAS 2002. Monograph on "Management of BPH". New Delhi. Palasa ksara was given in the dose of 1 gm. pp55 7. Monograph on Delhi. CCRAS.

Phone (O) : 0288-2676854. .2307500.com Govt.2460823 College Ph: 0471 – 2474190 53 2. Madhav Vilas Palace. 5. Banaras Hindu University Varanasi. 4. 3.in.091-141-2635709. Mumbai – 400 018 Telephone: 022 – 4936881/ 4934214 Hospital: 022 – 4931846/ 4933533 Website: www.com http://www. Amer Road. Email: nia@raj.ayurvedinstitute. Annie Besant Road. Fax 91-542-2367568 http://www. India -221005 Phone 0542 . Ayurveda College Hospital Trivandrum.html R. Worli.bhu. Institute of Post Graduate Teaching & Research in Ayurveda.ac. Website: http://nia.nic.in/ims/index. Gujarat Ayurved University Administrative Bhavan. (Gujarat) India.2635816.APPENDIX . Fax : 0288-2555585 Email :info@ayurveduniversity.in Institute of Medical Sciences. Podar Medical College (Ay) Dr.1 SOME CENTERS OF EXCELLENCE (Ayurveda & Siddha) FOR GERIATRIC CARE 1. A.nic.ayurveduniversity. JAMNAGAR. Fax: 91-141-2635709. Phone No:. Kerala Hospital Ph: 0471 . 2367568. Jaipur-302002.361 008.com National Institute of Ayurveda.

2742561-64. Kerala Tel: 0483/2742216-19.com Central Research Institute (Ayurveda) Cheruthuruthy.in National Institute of Siddha Thambaram Sanatorium Chennai-47 Reference: 044-22411611(Telefax) 098447211057 email. 11. Aringar Anna Hospital. Govt.in Govt Siddha Medical College & Hospital.com crisiddha@gmail. Via Shoranur Trichur Distt. 2744506-08 Fax: 0483-2742572 E-mail: koz_kottakkal@sancharnet. Chennai-600106 Phone No: 044/26214809(O) Regional Research Institute (Siddha) Chellaperumal Street.A. Campus. Hospital Campus. 8. Kuyavarpalayam Pondicherry-605006 0413/2245072 (Telefax) E-mail: rrisiddha@yahoo. Arya Vaidya Sala. 26214844 7. Arumbakkam. Kottakkal-676503.in Website: www.com Central Research Institute (Siddha).aryavaidyasala. 2742571. 10. 12. Palayamkottai Tirunelvelli-2 Govt Siddha Medical College & Hospital. A.Kerala-679531 Fax: 04884-262366. ambairuna@rediffmail. 54 . Phone: 04884-262543 M: 09446501746 E-mail: trc_criachy@sancharnet. Arumbakkam.co.AYURVEDA AND SIDDHA 6. Malappuram Distt. 9. Chennai-106 Phone: (044) 26281563.

Guruchhalya Manish Nagar. Lajpat Nagar. 14th Street. Part-2. Box Belur Math. Jaipur-302 015 Voluntary Health Services Technical Teachers Training Institute.net. Mumbai 400 053 West Bengal Voluntary Health Association 19 A. Bajaj Nagar. Kolkata 700 014 Sambandh Plot No. Andheri (West).2 SOME NGOs ENGAGED IN GERIATRIC CARE AND OTHER HEALTH PROGRAMMES Agewell India. No.(Mother Teressa Centre).in Help Age India . New Delhi Help Age India C-14.O. 011-91-33-6541180. P. West Bengal-711 202 Phone: 011-91-33-6541144. Fax: 011-91-33-6544346 Email: rkmhqbm@cal. Chennai-113.APPENDIX .Post. District. 406 & 501. Sundari Mohan Avenue. Jaydev Nagar Lewis Road. Azad Nagar. M-8A. Dr. Bhubaneshwar. Maheveer Udyan Path. 54A/AJC Bose Road.vsnl.751002 55 . Kolkata Dist. Himayat Naagar Hyderabad-29 Missionary of Charity.O. Qutub Institutional Area. New Delhi 110 016 Rajasthan Voluntary Health Association.2926/5198. Kolkata-700016 Ramakrishna Math & Mission P. Tamilnadu Healthy Services Society.34-A/44.Howrah. A-12 (B).

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