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PERSPECTIVE OF AYUSH ON HEALTHY AGEING 1 N.SRIKANTH ASSISTANT DIRECTOR CENTRAL COUNCIL FOR RESEARCH IN AYURVEDA AND SIDDHA Department of AYUSH Ministry.

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Presentation on theme: "PERSPECTIVE OF AYUSH ON HEALTHY AGEING 1 N.SRIKANTH ASSISTANT DIRECTOR CENTRAL COUNCIL FOR RESEARCH IN AYURVEDA AND SIDDHA Department of AYUSH Ministry."— Presentation transcript:

1 PERSPECTIVE OF AYUSH ON HEALTHY AGEING 1 N.SRIKANTH ASSISTANT DIRECTOR CENTRAL COUNCIL FOR RESEARCH IN AYURVEDA AND SIDDHA Department of AYUSH Ministry of Health & Family Welfare Govt. 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. 3

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 5 Ayurvedic Perspective Geriasis Jaraa Vyaadhi is a natural phenomenon Classified as Swabhava pravritta Vyadhi Although 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.

6 Astanga Ayurveda : Eight Clinical Specialties of Ayurveda 1.Kayachikitsa Internal Medicine 2.Salya Tantra Surgery 3.Salakya TantraOphthalmology and ENT 4.Kaumarbhritya Pediatrics, Obstetrics, Gynecology 5.Agad TantraToxicology 6.Rasayan TantraGeriatrics 7.Vajikarana Reproductive Health 8.Bhuta Vidya Psychiatry

7 JARA CHIKITSA ( AYURVEDIC GERIATRICS) 7 ………………Jara Chikitsa or Rasayana is one among the eight branches of Ayurveda that deals with management of age related problems. Preservation and Promotion of health Prevention and Treatment of diseases Preservation of youth

8 8 Changing Priority of Rasayana Tantra down the ages in Ayurvedic Classics Caraka (700 BC) Chikitsa Sthan Chapter - 1/1-4 Susruta (600 BC) Chikitsa Sthan Chapter Vagbhatta (300 AD) Uttar Tantra Chapter - 39

9 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) Sixth51-60Sukra (Sexual Ability) Drsti (Vision) Seven61-70Drsti (Vision) Sukra (Sexual Ability) Eighth71-80Srotendriya (Audition) Vikram (Strength) Ninth81-90Mana (Psyche) Buddhi (Wisdom) Tenth91-100Sparsendriya (Psychomotor function) Karmendriya (Locomotor Activity)

10 SCOPE Longevity Heightened memory and intelligence Freedom from disease Youth Excellence of luster Excellence of Complexion and voice Optimum strength of body and senses. Utterance that always gets Fulfilled/Confidence The reverence of people Body-glow all these can be obtained by the use of Rasayanas

11 SCOPE A. As Per Scope of Use 1. Kamya Rasayana (Health Promoting) a. Prana Kamya for Vitality and Longevity b. Medha Kamya for Mental Competence c. Sri Kamya for Lusture and Complexion 2.Naimittika Rasayana (Disease specific) B. As Per Method of Use 1. Vatatapika (Outdoor Regimen) 2. Kutipravesika (Intensive Indoor Regimen) C. As Per Contents 1. Ausadhi Rasayana (Drug Rasayana) 2. Ajasrika Rasayana (Dietary Rasayana) 3. Acara Rasayana (Lifestyle Rasayana)

12 The Rasayana Effect Rasayana Rasa (Nutrient Value of plasma) Agni (DIGESTION Metabolism) Srotas (Microcirculation and Bio availability) Improved Nourishment Improved quality of Tissues Longevity (Jaranasa) Immunity (Vyadhi Nasa) Mental Competence (Medha Vriddhi) Rejuvenation

13 Approach of Rasayana Therapy 13 The particular Rasayana has to be selected for each individual appropriately in consideration of Vayas (age) Prakriti (constitution) Satmya (suitability) State of agni (digestion & metabolism) Dhatus (tissues) Srotas (body channels) Environmental factors like Desa (Habitat), Kala (Season) Etc.

14 14 The following are persons contra indicated for Rasayan Therapy 1.Anatmawan – Mentally week 2.Alaso- lethargic 3.Pramadi – Carelessness 4.Vyasani – Addict 5.Papakarit – Trouble some nature/sinfulness 7. Bheshajapamani – Dishonour for medicine/no faith in medicine S.UT.27/1 Persons contra indicated for rasayan therapy

15 THE HOLISTIC RASAYANA EFFECT Nutraceutical Vs Pharmaceutical Nutrition Dynamics Versus Pharmacodynamics Assimilation Transformation Reaction Response

16 Possible Attributes 16 PUSTIKARA NUTRITIVE OJOVARDHAKA/ BALAKARA IMMUNO MODULATORY/POTENT MICRO NUTRIENT AYUSHYA /AYUSKARA ANTIOXIDANT /ADAPTOGENIC INDRIYA BALAPRADA SUPPORTS THE SENSORY ANDMOTOR SYSTEMS SMRITIKARA MEMORY BOOSTER VRISYA APHRODISIAC VAYASTHAPANA ANTI AGEING ACTION BRIMHANA POLYTROPIC TISSUE TONIC

17 17 Rasayana 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. Specific Action of Rasayana Drugs

18 18 Specific Action of Rasayana Drugs DESIRED EFFECT SUITABLE RASAYANA DRUGS BalyaVaca (Acorus calamus Linn.) Kasmari (Gmelina arborea Linn.) GrowthAsvagandha (Withania somnifera) Bala (Sida cordifolia Linn.) BeautyAmalaki (Emblica officinalis Gaertn.)

19 19 Intellect Sankhapushpi (Convolvulus pluricaulis) Jyotismati (Celastrus panniculatus willd) Skin HealthBhringaraja (Eclipta alba Hassk) Somaraji (Centratherum anthelminticum) VisionCaksusya (Cassia absus Linn.) Saptamrta Lauha (An Ayurvedic Iron compound) Specific Action of Rasayana Drugs

20 20 DISEASESUITABLE DRUGS Eye diseasesJyotismati, Triphala, Satavari, Yastimadhu Heart diseasesSalaparni, Arjuna, Guggulu, Pushkaramula Skin diseasesTuvaraa, Bhallataka, Vidanga, Somaraji, Gandhaka TuberculosisRasona, Nagabala, Silajatu, Pippali AnaemiasLauha, Maksika, Mandura AsthmaAgastya rasayana, Bhallataka, Sirisa, Haridra Specific Action of Rasayana Drugs

21 21 ArthritisBhallataka, Kupilu, Rasona NeuropathiesRasona, Guggulu, Bala, Nagabala DiabetesSilajatu, Amalaki, Haridra, Guduci, Jambu, Methika Lipid disordersGuggulu, Haritaki, Puskaramula, Vaca HypertensionRasona, Bala, Rasna, Sarpagandha, Asvagandha PsychosisSankhapuspi, Brahmi, Mandukaparni Specific Action of Rasayana Drugs

22 22 SOME PROMISING RASAYANA PLANT DRUGS OF AYURVEDA

23 23 DRUGINDICATIONSREFERENCES Amalaki Emblica officinalis Immunomodulatory Adaptogenic Antioxidant Cardioprotective Neuroprotective\ Anti-cytotoxic Reference: Arunabh, B.et al.,1999: Antioxidant activity of active tannoids principles of Emblica officinalis(amla).I.J.Expol. Biology,vol.37(7),p Tinospora 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, 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 24 DRUGINDICATIONSREFERENCES Aswagandha (Withania sominifera) Immunomodulatory Adaptogenic Immunomodulator,Enhances life span of patients having lower immunity Singh 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, 1986 Tulasi (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-stress Uma 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 25 DRUGINDICATIONSREFERENCES Satavari Nutritive tonic and immunomodulator Indian Med. Plants. TPA Devasagayam & K.B. Saini.-Ind. Jour. of Exp. Biology-Vl-10 (6) P Yashtimadhu Immunomodulator, antioxidant, antitussive Daswani, 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 26 DRUGINDICATIONSREFERENCES Haridra (Curcuma longa) anti-inflammatory, antibacterial, stimulant, tonic Arora, R.B. et al., 1970: Chemical, Pharmacological and Toxicological studies of Curcuma longa (Turmeric). II Indo Soviet sym. Chem.. Nat. Products including Pharmacol, p 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 effect Bhakuni, D.S. et al., 1969: Screening of Indian Plants for biological activity, part-II. Indian J. Exptl. Biol. 7, 250

27 27 DRUGINDICATIONSREFERENCES Punarnava (Boerhaavia diffusa) anti-inflammatory, diuretic Annual 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, adaptogenic Pandey, 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 28 DRUGINDICATIONSREFERENCES Shunthi (Zinziber Officinalis) Aromatic, corninative, digestive, stimulant Hypolipidaemic, hypoglycemic Journal 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) PP Draksha (Vitis Vinifera) Nutritious, demulscent, suppurative, antioxidant, hyetoprotective R.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 29 DRUGINDICATIONSREFERENCES Brahmi (Bacoppa Monnieri) Astringent, Racequillizer, smooth musclerelaxant, antispasmodic, anticancer RH 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 tonic DNK Sharma phytotheraphy Res, Vol 10(2), PP – antistress activity of TC and CA Extracts

30 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 earth Attributable to modern scientific technological advances disturbing universal laws of nature.

31 31 Physical Factors: Cold, Heat, Pressure, Radiations, Atmospheric composition, Rhythms Chemical Water Pollutants, Metal Pollutants, Pesticides, Preservatives, Additives, Nutrition. Mental Stress Social Economical Mutations, Enzyme levels, Hormones and other Biological processes Free Radicals AGING CURRENT DAY NEEDS AND SUGGESTED APPROACHES

32 32 These 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 DIVERSIFIEDEFFECTSDIVERSIFIEDEFFECTS CURRENT DAY NEEDS AND SUGGESTED APPROACHES

33 33 · It would be worth to direct our efforts to those traditional drugs which may be of use a. in combating the so-called Refractory Diseases for which modern medicine has not been able to offer much so far; and b. as supplementary remedies to well-established chemotherapy. CURRENT DAY NEEDS AND SUGGESTED APPROACHES

34 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.

35 35 AYUSKARA/AYUSHYA ANTIOXIDANT EFFECT HYPERTENSION DIABETES CARDIOVASCULAR DISEASE PARKINSON DISEASE GERIATRIC PROBLEMS DEGENERATIVE CONDITIONS ALZEMERS DISEASE ETC.

36 36 BALAKARA /OJOVARDHAKA IMMUNO MODULATION AIDS SLE THYROIDITIS RHEUMATIC FEVER GLOMERULONEPHRITIS MYASTHENIAGRAVIS MULTIPLE SCLEROSIS PHOTOALLERGY ETC.

37 37 AYUSKARA/ AYUSHYA ADAPTOGENIC EFFECT STRESS RELATED DISEASES (MENTAL/PHYSICAL ENVIRONMENTAL) PSYCHONEUROENDOCRINE PROBLEMS PSYCHOSOMATIC DISORDERS

38 38 INITIATIVES OF CCRAS-DEPARTMENT OF AYUSH, MINISTRY OF HEALTH AND FAMILY WELFARE ON GERIATRIC CARE

39 39 National Campaign on Ayurveda & Siddha for Geriatric health care The 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 OPD Council started weekly special Geriatric OPD on every Wednesday at 27 CCRAS Ayurveda and Siddha institutes. 40

41 41 PUBLICATIONS RELATED TO GERIATRIC CARE JRAS Special issues on Geriatric health care Background papers Medicinal plants in Geriatric Care Training Module for Geriatric health Care Brain Ageing & Ayurveda Select Research papers in evidence based Geriatric health care Training module for Geriatric Health Care

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45 45 Conclusion Ayurveda, 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 46 May we see for Hundred years May we live for hundred years

47 THANK YOU 47


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