Presentation on theme: "PERSPECTIVE OF AYUSH ON HEALTHY AGEING"— Presentation transcript:
1 PERSPECTIVE OF AYUSH ON HEALTHY AGEING N.SRIKANTHASSISTANT DIRECTORCENTRAL COUNCIL FOR RESEARCH IN AYURVEDA AND SIDDHADepartment of AYUSHMinistry of Health & Family WelfareGovt. of India
2 Geriatrics in Ayurveda The disease preventive and health promotive approach of ‘Ayurveda’, which takes into consideration the whole body, mind and spirit while dealing with the maintenance of health, promotion of health and treating ailments is holistic.Ancient Ayurvedic physicians developed certain dietary and therapeutic measures to arrest/delay ageing and rejuvenating whole functional dynamics of the body system.This revitalization and rejuvenation is known as the ‘Rasayan chikitsa’ (rejuvenation therapy).
3 Emphasis on prevention The major preventive approaches for maintaining and improving the quality of life include individualized specific daily regimen (Dinacharya), seasonal regimen (Ritucharya), behavioral and ethical considerations (Sadvritta).Healthy lifestyle is emphasized as the determinant of longevity of life, which by and large depends on the Prakriti (bio-identity i.e. body-mind constitution) of an individual.
4 Ageing…………………….Ageing A Progressive and generalized impairment of functions Resulting …………… * loss of adoptive response to stress * increase in the risk of age-related diseases.
5 Ayurvedic Perspective Geriasis ‘Jaraa Vyaadhi’ is a natural phenomenonClassified as Swabhava pravritta VyadhiAlthough classified as disease; old age just like hunger, thirst, sleep and death; is a natural disposition, a natural phenomenon.Predetermined life span (Niyat Aayush) can Universal, meaning observation of aging phenomena in all species.
7 JARA CHIKITSA ( AYURVEDIC GERIATRICS) ………………Jara Chikitsa or Rasayana is one among the eight branches of Ayurveda that deals with management of age related problems.Preservation and Promotion of healthPrevention and Treatment of diseasesPreservation of youth
8 Caraka (700 BC) Chikitsa Sthan Chapter - 1/1-4 Changing Priority of Rasayana Tantra down the ages in Ayurvedic ClassicsCaraka (700 BC) Chikitsa Sthan Chapter - 1/1-4Susruta (600 BC) Chikitsa Sthan ChapterVagbhatta (300 AD) Uttar Tantra Chapter - 39
9 SEQUENTIAL LOSS OF SOME BIOLOGICAL VALUES IN AGING DecadesYearsLosses (Vagbhatt)Losses (Sarangdhara)First0-10Balya (Boyishness)Second11-20Vrddhi (Growth)Vriddhi (Growth)Third21-30Prabha (Lusture)Chhabi (Beauty)Fourth31-40Medha (Intellect)Fifth41-50Twaca (Skin)Twaca (Skin)Sixth51-60Sukra (Sexual Ability)Drsti (Vision)Seven61-70Eighth71-80Srotendriya (Audition)Vikram (Strength)Ninth81-90Mana (Psyche)Buddhi (Wisdom)Tenth91-100Sparsendriya (Psychomotorfunction)Karmendriya (Locomotor Activity)
10 SCOPE use of Rasayanas Longevity Heightened memory and intelligence Freedom from disease YouthExcellence of luster Excellence of Complexion and voiceOptimum strength of body and senses. Utterance that always getsFulfilled/Confidence The reverence of people Body-glowall these can be obtained by theuse of Rasayanas
11 SCOPE A. As Per Scope of Use Kamya Rasayana (Health Promoting) a. Prana Kamya for Vitality and Longevityb. Medha Kamya for Mental Competencec. Sri Kamya for Lusture and Complexion2. Naimittika Rasayana (Disease specific)B. As Per Method of UseVatatapika (Outdoor Regimen)Kutipravesika (Intensive Indoor Regimen)C. As Per ContentsAusadhi Rasayana (Drug Rasayana)Ajasrika Rasayana (Dietary Rasayana)Acara Rasayana (Lifestyle Rasayana)
12 The Rasayana Effect Rejuvenation Rasayana Rasa Agni Srotas (Nutrient Valueof plasma)Agni(DIGESTION Metabolism)Srotas(Microcirculation and Bio availability)Improved NourishmentImproved quality of TissuesLongevity(Jaranasa)Immunity(Vyadhi Nasa)Mental Competence(Medha Vriddhi)Rejuvenation
13 Approach of Rasayana Therapy The particular Rasayana has to be selected for each individual appropriately in consideration ofVayas (age)Prakriti (constitution)Satmya (suitability)State of agni (digestion & metabolism)Dhatus (tissues)Srotas (body channels)Environmental factors like Desa (Habitat), Kala (Season) Etc.
14 Persons contra indicated for rasayan therapy The following are persons contra indicated for Rasayan TherapyAnatmawan – Mentally weekAlaso- lethargicPramadi – CarelessnessVyasani – AddictPapakarit – Trouble somenature/sinfulness7. Bheshajapamani – Dishonour formedicine/no faith in medicine S.UT.27/1
15 The Holistic Rasayana Effect Nutraceutical Vs PharmaceuticalNutrition DynamicsVersusPharmacodynamicsAssimilation TransformationReaction Response
16 Possible Attributes PUSTIKARA NUTRITIVE OJOVARDHAKA/ BALAKARA IMMUNO MODULATORY/POTENTMICRO NUTRIENTAYUSHYA /AYUSKARA ANTIOXIDANT /ADAPTOGENICINDRIYA BALAPRADA SUPPORTS THE SENSORYANDMOTOR SYSTEMSSMRITIKARA MEMORY BOOSTERVRISYA APHRODISIACVAYASTHAPANA ANTI AGEING ACTIONBRIMHANA POLYTROPIC TISSUE TONIC
17 Some drugs possess more than one significant effects. Specific Action of Rasayana DrugsRasayana drugs possess many effects out of which some are highly specific to the particular drug.While selecting the drug for therapeutic purpose the specific effect of the drug is to be taken into consideration to achieve desired effects.Some drugs possess more than one significant effects.For instance, Haritaki possess both Vyadhihara (Curative effect) besides its potent Rasayana action.Some drugs possess specific Rasayana effects- for instance Amalki possess Rasayana effects like- Anti-aging effect & Vyadhihara effect is not mentioned in particular context.
21 Bhallataka, Kupilu, Rasona Neuropathies Specific Action of Rasayana DrugsArthritisBhallataka, Kupilu, RasonaNeuropathiesRasona, Guggulu, Bala, NagabalaDiabetesSilajatu, Amalaki, Haridra, Guduci, Jambu, MethikaLipid disordersGuggulu, Haritaki, Puskaramula, VacaHypertensionRasona, Bala, Rasna, Sarpagandha, AsvagandhaPsychosisSankhapuspi, Brahmi, Mandukaparni
22 SOME PROMISING RASAYANA PLANT DRUGS OF AYURVEDA
23 Tinospora cordifolia(Guduchi) DRUGINDICATIONSREFERENCESAmalakiEmblica officinalisImmunomodulatoryAdaptogenicAntioxidantCardioprotectiveNeuroprotective\Anti-cytotoxicReference: Arunabh, B.et al.,1999: Antioxidant activity of active tannoids principles of Emblica officinalis(amla).I.J.Expol. Biology,vol.37(7),pTinospora cordifolia(Guduchi)Hepatoprotective, Anti-inflammatory Nutrient ,Immunomodulator activity-Immunostimulant activity (Activate Mononuclear cells to release cytokines)Bhupinder Singh et al – Ind.J.Pharmacol 13(1): 96, 1981.Rege, N. et al, Indian Drugs, 21(12): , 1984.Chopra R.N. et al, Gloss. Ind. Med. Plants CSIR, N. Delhi, 244, Thatte U M et al.J.Post.grad.Med.1994; 40:202-3
24 Tulasi (Ocium sanctum) DRUGINDICATIONSREFERENCESAswagandha (Withania sominifera)ImmunomodulatoryAdaptogenicImmunomodulator ,Enhances life span of patients having lower immunitySingh N., Curr. Med. Pract. 23(1) 50,1981.Singh N, Int.J.Crude Drugs Res. 29: 29, 1982.,Singh N. et al Int.J. Crude Drugs Res. 24: 90, 1986Tulasi (Ocium sanctum)Strong antioxidant activity in vitro and anti-lipid peroxidative effect in vivo which strongly suggest free radical scavenging as a major mechanism by which Ocimum products protect against cellular damage and tumor induction, Anti-stressUma Devi P., 2001: Radioprotective, anticarcinogenic and antioxidant properties of the Indian holy basil, Ocimum sanctum (Tulasi). Ind. J. of Experimental Biol. V. 39, p
25 Nutritive tonic and immunomodulator DRUGINDICATIONSREFERENCESSatavariNutritive tonic and immunomodulatorIndian Med. Plants. TPA Devasagayam & K.B. Saini.-Ind. Jour. of Exp. Biology-Vl-10 (6) PYashtimadhuImmunomodulator, antioxidant, antitussiveDaswani, B.R., et al, 2003: Study of immunomodulatory activity of Yastimadhu (Glycyrrhiza glabra). National convention on current Trends in Herbal drugs & Annual Conference of Indian Society of Pharmacology, Herb-The Natura; Alternative , Gandhinagar,Gujarat,India, P.A-15, January
26 Haridra (Curcuma longa) DRUGINDICATIONSREFERENCESHaridra (Curcuma longa)anti-inflammatory, antibacterial, stimulant, tonicArora, R.B. et al., 1970: Chemical, Pharmacological and Toxicological studies of Curcuma longa (Turmeric). II Indo Soviet sym. Chem.. Nat. Products including Pharmacol, p. 133.Srimal, R.C. et al, 1971 : A preliminary report on anti-inflammatory activity of Curcumin. Indian J. Pharmac 3, 10.Lasuna (Allium sativum)anti-inflammatory, anti-oxidant, free redicals scavenger, has hypoglycemic and hypocholestermic effectBhakuni, D.S. et al., 1969: Screening of Indian Plants for biological activity, part-II. Indian J. Exptl. Biol. 7, 250
27 Punarnava (Boerhaavia diffusa) DRUGINDICATIONSREFERENCESPunarnava (Boerhaavia diffusa)anti-inflammatory, diureticAnnual Report, P.R.U., G.M.C, Bombay. Singh, R.H. and Udupa, K.N : Sutdies on the Indian indigenous drug Punarnava (Boerhaavia diffusa Linn.) Part-III. Experimental and pharmacological studies. J. Res. Indian Med. 7, 17.Bhalla, T.N. et al, 1971:Katuki (Picrorhiza kurroa)Hepatoprotective, antioxidant, adaptogenicPandey, V.N. and Chaturvedi, G.N. 1968: Effect of alcoholic extract of Kutaki (Picrorhiza kurroa) on experimentally nduced abnormalities in the liver Indian J. Res. Indian Med. 3 (1), 25.
28 Shunthi (Zinziber Officinalis) DRUGINDICATIONSREFERENCESShunthi (Zinziber Officinalis)Aromatic, corninative, digestive, stimulant Hypolipidaemic, hypoglycemicJournal of Nutrition V/30/(5) P Fuhrman (2000)-Hypolipidemic and antiatherosclerotic effect of Zingiber in cholesterol fed rabits-(1996) Sharma, Gusain & dixit phytotherapy Res, volume 10/6) PPDraksha (Vitis Vinifera)Nutritious, demulscent, suppurative, antioxidant, hyetoprotectiveR.M. Facino (1994)-free radicals scavenging action and antievzyme activities of pro-cynanidines from vitis vinifera A mechaulsm of these capillary protective action-Frankel & Meyer pharm-Biol. Vol 36 (suppl) PP Antioxidants in grapes, and grape juices and their potential health effects-1998
29 Mandukparni (Centella Asiatica) DRUGINDICATIONSREFERENCESBrahmi (Bacoppa Monnieri)Astringent, Racequillizer, smooth musclerelaxant, antispasmodic, anticancerRH Singh & L singh-Part I-JRAS Vol 41(1), PP.133-Studies of anti-anxiety effect of Medhya Rasayana Drug Brahmi (1980)Mandukparni (Centella Asiatica)Alterative, common nervine tonic, cooling, cardio tonicDNK Sharma 1996-phytotheraphy Res, Vol 10(2), PP –antistress activity of TC and CA Extracts
30 CURRENT DAY NEEDS AND SUGGESTED APPROACHES We are aware of known and new diseases of body and mind fast spreading and threatening comfort, peace and welfare of life on earthAttributable to modern scientific technological advances disturbing universal laws of nature.
31 CURRENT DAY NEEDS AND SUGGESTED APPROACHES Physical Factors:Cold, Heat, Pressure, Radiations, Atmospheric composition, RhythmsMental StressSocialEconomicalChemicalWater Pollutants, Metal Pollutants, Pesticides, Preservatives, Additives,Nutrition.Mutations, Enzyme levels, Hormones and other Biological processesFree RadicalsAGING
32 CURRENT DAY NEEDS AND SUGGESTED APPROACHES DIVERSIFED EECTSThese factors can be successfully tackled with the unique strength of Ayurveda ie.Rasayana.Rasayana Tantra provides number of herbs having diversified actions on human body
33 CURRENT DAY NEEDS AND SUGGESTED APPROACHES · It would be worth to direct our efforts tothose traditional drugs which may be of usea. in combating the so-called ‘Refractory Diseases forwhich modern medicine has not been able to offermuch so far; andb. as supplementary remedies to well-establishedchemotherapy.
34 Novel approaches for adopting Rasayana therapies Multiple actions on psycho- somatic set up that includes immuno-modulation (on immune system), antioxidant action( prevents bio-oxidation there by checking age related disorders, auto immune disorders, degenerative disorders), adaptogenic affects (on psychoneuroendocrinesystem) and so on.Panchakarma therapy inducing Rasayana is a boon for many unsolved clinical problems related to bio-oxidation, free radicals, autoimmune disorders, cancer, Immunodeficiency syndromes.
38 INITIATIVES OF CCRAS-DEPARTMENT OF AYUSH , MINISTRY OF HEALTH AND FAMILY WELFAREON GERIATRIC CARE
39 National Campaign on Ayurveda & Siddha for Geriatric health careThe National Campaign is aimed at generating awareness in private & public circles on strengths of Ayurveda & Siddha in Geriatric health care which benefit the elderly population.The objectives of the workshop is to sensitize policymakers, parliamentarians, professionals viz. eminent scientists, social scientists, Ayurveda, Siddha & Allopathic physicians of other traditions of medicines working at primary, secondary & tertiary health care setups concerning the strength and merits of Ayurveda & Siddha in catering health care services to elderly population
40 Special Geriatric OPDCouncil started weekly special Geriatric OPD on every Wednesday at 27 CCRAS Ayurveda and Siddha institutes.
41 PUBLICATIONS RELATED TO GERIATRIC CARE JRAS Special issues on Geriatric health careBackground papersMedicinal plants in Geriatric CareTraining Module for Geriatric health CareBrain Ageing & AyurvedaSelect Research papers in evidence based Geriatric health care Training module for Geriatric Health Care
45 ConclusionAyurveda, the Science of life and Longevity evolved a clinical discipline of Rasayana Tantra as one of the major components of Astanga Ayurveda thousands of years ago.Rasayana Karma is an unique blend of the phenomenon of nutrition, immunity, longevity and rejuvenation, besides a range of tissue/organ specific Rasayanas and Rasayanas with disease specific activity.Ayurveda recount Nutrition, Immunity, Stress, Adaptation and Aging are interlinked processes.A large number of drug and non-drug Rasayanas are described in Ayurveda and are still in popular use. Recent attempts of investigations on the scientific validity of Rasayana Agents have shown encouraging results.
46 May we see for Hundred years May we live for hundred years