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PRESENTED BY 
DR.RAJIMUNNISA BEGUM 
P.G SCHOLAR K.C dept. 
Dr.B.R.K.R govt.Ayurvedic college.hyd. 
1 
& 
DR.D.R SUNIL KUMAR .BAMS
Scope of ayurveda 
in geriatric health 
2 
Introduction 
Objective of 
Geriatrics 
Aim of geriatric 
medicine 
Brief history of Geriatrics 
Geriatric 
population 
“ Longer life with lesser disease and 
painless death” that is, a self 
sufficient life followed by a peaceful 
death. 
Maintenance of health in old age by high 
levels of engagement and avoidance of 
disease 
in Ayurveda it is a 5000 
year old well planned 
therapy 
1980- 5.3% 
2000- 7.7% 
2025- 13.3% ( 1.2 billion )
Somatic 
mutation 
theory 
Autoimmune 
theory 
Hay flick’s 
theory of 
aging 
3
 Health problems 
1.Joint problems 
2.Impairment of special senses 
3. Cardio vascular disease 
4.Hypothermia 
5.Cancer, Prostate enlargement, Diabetes& 
6. Accidental falls 
 Psychological problems 
1. Emotional problems 
2. Suicidal tendency 
3. Senile dementia, Alzheimer’disease 
 Social problems 
 Poverty, Loneliness, Dependency, Isolation, Elder 
abuse, Generation Gap 
4
 Cataract &Visual impairment- 88% 
 Arthritis &locomotion disorder-40% 
 CVD &HT – 18% 
 Neurological problems- 18% 
 Respiratory problems including Chronic bronchitis- 16% 
 GIT problems- 9% 
 Psychiatric problems- 9% 
 Loss of Hearing – 8% 
5
Preventive geriatrics 
Specific management 
for medical conditions 
Rehabilitations 
Satwavajaya 
chikitsa 
Yuktivyapasraya 
chikitsa 
Daiva 
vyapashraya 
chikitsa 
6
Primordial 
prevention 
• Pre geriatric care 
Primary prevention 
• Health education 
• Exercise, Yoga,& Athma 
vidya 
Secondary 
prevention 
• Annual medical check-up 
• Early detection ( 
Universal approach, 
Selective approach) 
• Treatment 
7
Tertiary prevention 
• Counseling and Rehabilitation 
• Welfare activities (Sanjay 
Niradhar Yojana, Vridhashrama) 
• Chiropody services 
Improving quality of life 
• Cultural programme 
• Old age club 
• Meals-on wheel service 
• Home help 
• Old age home 
8
 In order to shorten long-time nursing periods for old people in need of 
medical care 
1.preventive treatment and 
2.medical rehabilitation must be the main priority of all 
measures 
 Geriatric rehabilitation is subdivided into 
 Prophylactic rehabilitation 
 General rehabilitation and 
 Target-specific rehabilitation. 
 On the whole, it has to be reckoned that older people need a 
distinctly longer period of recuperation, in which the clinical picture 
rather than the age is the decisive factor of a successful 
rehabilitation 
9
In ayurveda, this is called "Vridhopacharaneeyam". 
Jara chikitsa is one among the eight branches of 
Ashtanga Ayurveda and it deals with diseases and 
conditions associated with old age. 
Ayurvedic Geriatric procedures are aimed to cure the 
physical, emotional and behavioral disturbances with the 
help of well-planned Ayurvedic Chikitsa 
Procedures.E.g.: Panchakarma ,Rasayana Chikitsa & 
Vajeekarana Chikitsa 
Jara Chikitsa is also called Rasayana Chikitsa or 
rejuvenation therapy, because it aims at revitalizing the 
body tissues for a youthful being. 
10
Ayurvedic 
approach 
is based on 
•Hita charya ( Ahara, Vihara, Manasa 
) 
•Dinacharya & Ratricharya, 
Ritucharya, Sadvrtta 
•Rasayana / Vajeekarana 
•Manasopachara & Achara Rasayana 
•Vyadhi pratyaneeka 
11
 Hita charya ( Ahara, Vihara, Manasa ) 
 Covers a major sphere in the context of Praanapalana as aptly 
quoted by: 
“Nagaree nagarasyaeva radhasyeva radhi yadha 
Swashareerasya medhavi krityeshu avahito bhavet” 
( Cha Su 5 / 100 ) 
Commentator Gangadhara on the above verse 
opines that the measures discussed are especially meant for 
Jeeva rakshana or sustenance of life by adopting Hita acharas 
and avoiding Ahita acharas thus striking an equilibrium between 
the psycho somatic elements 
12
 Dinacharya / Ratricharya - the daily regimens for the 
maintanance of Ayu, Bala, Pusti & Swasthya eg : daiva 
poojanam, Abyanga, Nasya. 
 Ritucharya - the seasonal regimens for maintaing the Dosa 
samya, Dhatu pusti, Indriya & Satwa bala and especially for 
preventing the seasonal disorders 
 Sadvrtta – includes 
 Dharma acharana for Medha, Satwa, Pusti and Ayu 
 Dharaneeya & Adharaneeya vegas 
 Ahara – (nutritional aspects) Nityopayogi ahara, Hita 
ahara, Matravat ahara etc 
13
Sharngadhara notes that with each passing decade the body loses, one by one 
the following factors ie 
 childhood-10 
 growth -20 
 luster and complexion-30 
 intelligence-40 
 skin health -50 
 strength of sight-60 
 virility& valour-70 
 discrimination -80 
 sensory perceptions etc-90 
14
Rasayana & Vajeekarana is meant to enhance health and 
ojas hence re-vitalizing tissues that were worn out or 
are in the process of wearing out due to factors like 
diseases and ageing. 
Rasayana & Vajeekarana chikitsa 
enhances immune system, arrests ageing, gives luster 
to the skin, gives youthful energy, nourish blood and 
body tissues (Sapta dhatus), and eliminate senility and 
other diseases of old age. 
To conclude these therapy 
includes immuno-modulation, antioxidant action( 
prevents bio-oxidation there by checking age related 
disorders, auto immune disorders, degenerative 
disorders), adaptogenic affects and so on. 
“Asya prayogat Chayanah suvriddho abhoot 
punaryuva ” 
(Cha Chi I / I / 72 ) 15
 Wherein the specific chikitsa explained in the Roga Adhikara have 
to be followed 
 Selection of yogas may be done after considering the factors like 
 Heeyamanadhatu avastha 
 Saukumaratwa 
 Dourbalya 
Hence mangement may be done using 
 Minimum dosage having maximum efficacy 
 Modifiable Aushada sevanakala and Aushada matra 
 Prescription with minimum adverse effect 
 Adequate supervision of long term medication 
 Therapeutic procedures like Panchakarma to be done after 
thorough evaluation 
16
 Vardhakya avastha invariabily presents with 
 Psyosomatic afflictions 
 Glani 
 Sada 
 Nidra & Tandra 
 Alasya 
 Nirutsaha 
 Asamarthya chesta of 
 Sareera & manas 
17
Implementation of 
 Manodosha ousadha sangraha – Dhi, Dhairya & Atmadi 
vignana 
 Satwavajaya chikitsa 
 Daiva vyapashraya chikitsa 
18
 Vayah stapaka acc…dosha prakriti (susruta) 
 Vata pradana prakriti - ksira 
 Pitta _ ghrta 
 Kapha _ madhu 
 Rakta _ sitodaka 
Other available rasayana drugs 
 Cyavanaprasa,Bhallataka rasayana, 
 Louha rasayana (it corrects the lifespan of RBC in 
Normocytic Hypochromic anaemia). 
 Tripala Rasayana, 
 Silajatu rasayana in Mutra vikaras 
 Pippali vardhamana rasayanas 
 Kapikachu,aswagandha. 
19
Ref;charaka 
Manduka 
parni 
svarasa 
Yastimadh 
u 
churna 
with milk 
Guduchi 
samoola 
svarasa 
Sankha 
puspi 
kalka 
20 
Best one is sankhapuspi
Dirghayu 
Smrti 
Medha 
Arogyam 
Taruna 
vayas 
Prabha 
Varna 
Svara 
Audaryam 
etc…. 
21
THANK YOU 
22

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Geriatrics ppt

  • 1. PRESENTED BY DR.RAJIMUNNISA BEGUM P.G SCHOLAR K.C dept. Dr.B.R.K.R govt.Ayurvedic college.hyd. 1 & DR.D.R SUNIL KUMAR .BAMS
  • 2. Scope of ayurveda in geriatric health 2 Introduction Objective of Geriatrics Aim of geriatric medicine Brief history of Geriatrics Geriatric population “ Longer life with lesser disease and painless death” that is, a self sufficient life followed by a peaceful death. Maintenance of health in old age by high levels of engagement and avoidance of disease in Ayurveda it is a 5000 year old well planned therapy 1980- 5.3% 2000- 7.7% 2025- 13.3% ( 1.2 billion )
  • 3. Somatic mutation theory Autoimmune theory Hay flick’s theory of aging 3
  • 4.  Health problems 1.Joint problems 2.Impairment of special senses 3. Cardio vascular disease 4.Hypothermia 5.Cancer, Prostate enlargement, Diabetes& 6. Accidental falls  Psychological problems 1. Emotional problems 2. Suicidal tendency 3. Senile dementia, Alzheimer’disease  Social problems  Poverty, Loneliness, Dependency, Isolation, Elder abuse, Generation Gap 4
  • 5.  Cataract &Visual impairment- 88%  Arthritis &locomotion disorder-40%  CVD &HT – 18%  Neurological problems- 18%  Respiratory problems including Chronic bronchitis- 16%  GIT problems- 9%  Psychiatric problems- 9%  Loss of Hearing – 8% 5
  • 6. Preventive geriatrics Specific management for medical conditions Rehabilitations Satwavajaya chikitsa Yuktivyapasraya chikitsa Daiva vyapashraya chikitsa 6
  • 7. Primordial prevention • Pre geriatric care Primary prevention • Health education • Exercise, Yoga,& Athma vidya Secondary prevention • Annual medical check-up • Early detection ( Universal approach, Selective approach) • Treatment 7
  • 8. Tertiary prevention • Counseling and Rehabilitation • Welfare activities (Sanjay Niradhar Yojana, Vridhashrama) • Chiropody services Improving quality of life • Cultural programme • Old age club • Meals-on wheel service • Home help • Old age home 8
  • 9.  In order to shorten long-time nursing periods for old people in need of medical care 1.preventive treatment and 2.medical rehabilitation must be the main priority of all measures  Geriatric rehabilitation is subdivided into  Prophylactic rehabilitation  General rehabilitation and  Target-specific rehabilitation.  On the whole, it has to be reckoned that older people need a distinctly longer period of recuperation, in which the clinical picture rather than the age is the decisive factor of a successful rehabilitation 9
  • 10. In ayurveda, this is called "Vridhopacharaneeyam". Jara chikitsa is one among the eight branches of Ashtanga Ayurveda and it deals with diseases and conditions associated with old age. Ayurvedic Geriatric procedures are aimed to cure the physical, emotional and behavioral disturbances with the help of well-planned Ayurvedic Chikitsa Procedures.E.g.: Panchakarma ,Rasayana Chikitsa & Vajeekarana Chikitsa Jara Chikitsa is also called Rasayana Chikitsa or rejuvenation therapy, because it aims at revitalizing the body tissues for a youthful being. 10
  • 11. Ayurvedic approach is based on •Hita charya ( Ahara, Vihara, Manasa ) •Dinacharya & Ratricharya, Ritucharya, Sadvrtta •Rasayana / Vajeekarana •Manasopachara & Achara Rasayana •Vyadhi pratyaneeka 11
  • 12.  Hita charya ( Ahara, Vihara, Manasa )  Covers a major sphere in the context of Praanapalana as aptly quoted by: “Nagaree nagarasyaeva radhasyeva radhi yadha Swashareerasya medhavi krityeshu avahito bhavet” ( Cha Su 5 / 100 ) Commentator Gangadhara on the above verse opines that the measures discussed are especially meant for Jeeva rakshana or sustenance of life by adopting Hita acharas and avoiding Ahita acharas thus striking an equilibrium between the psycho somatic elements 12
  • 13.  Dinacharya / Ratricharya - the daily regimens for the maintanance of Ayu, Bala, Pusti & Swasthya eg : daiva poojanam, Abyanga, Nasya.  Ritucharya - the seasonal regimens for maintaing the Dosa samya, Dhatu pusti, Indriya & Satwa bala and especially for preventing the seasonal disorders  Sadvrtta – includes  Dharma acharana for Medha, Satwa, Pusti and Ayu  Dharaneeya & Adharaneeya vegas  Ahara – (nutritional aspects) Nityopayogi ahara, Hita ahara, Matravat ahara etc 13
  • 14. Sharngadhara notes that with each passing decade the body loses, one by one the following factors ie  childhood-10  growth -20  luster and complexion-30  intelligence-40  skin health -50  strength of sight-60  virility& valour-70  discrimination -80  sensory perceptions etc-90 14
  • 15. Rasayana & Vajeekarana is meant to enhance health and ojas hence re-vitalizing tissues that were worn out or are in the process of wearing out due to factors like diseases and ageing. Rasayana & Vajeekarana chikitsa enhances immune system, arrests ageing, gives luster to the skin, gives youthful energy, nourish blood and body tissues (Sapta dhatus), and eliminate senility and other diseases of old age. To conclude these therapy includes immuno-modulation, antioxidant action( prevents bio-oxidation there by checking age related disorders, auto immune disorders, degenerative disorders), adaptogenic affects and so on. “Asya prayogat Chayanah suvriddho abhoot punaryuva ” (Cha Chi I / I / 72 ) 15
  • 16.  Wherein the specific chikitsa explained in the Roga Adhikara have to be followed  Selection of yogas may be done after considering the factors like  Heeyamanadhatu avastha  Saukumaratwa  Dourbalya Hence mangement may be done using  Minimum dosage having maximum efficacy  Modifiable Aushada sevanakala and Aushada matra  Prescription with minimum adverse effect  Adequate supervision of long term medication  Therapeutic procedures like Panchakarma to be done after thorough evaluation 16
  • 17.  Vardhakya avastha invariabily presents with  Psyosomatic afflictions  Glani  Sada  Nidra & Tandra  Alasya  Nirutsaha  Asamarthya chesta of  Sareera & manas 17
  • 18. Implementation of  Manodosha ousadha sangraha – Dhi, Dhairya & Atmadi vignana  Satwavajaya chikitsa  Daiva vyapashraya chikitsa 18
  • 19.  Vayah stapaka acc…dosha prakriti (susruta)  Vata pradana prakriti - ksira  Pitta _ ghrta  Kapha _ madhu  Rakta _ sitodaka Other available rasayana drugs  Cyavanaprasa,Bhallataka rasayana,  Louha rasayana (it corrects the lifespan of RBC in Normocytic Hypochromic anaemia).  Tripala Rasayana,  Silajatu rasayana in Mutra vikaras  Pippali vardhamana rasayanas  Kapikachu,aswagandha. 19
  • 20. Ref;charaka Manduka parni svarasa Yastimadh u churna with milk Guduchi samoola svarasa Sankha puspi kalka 20 Best one is sankhapuspi
  • 21. Dirghayu Smrti Medha Arogyam Taruna vayas Prabha Varna Svara Audaryam etc…. 21