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Rasayana in geriatric practice
1. Dr. Ananth Ram Sharma
MD Panchakarma, (Ph.D)
Lecturer and Head
2. "Trees grow stronger over the years,
rivers wider. Likewise, with age,
human beings gain immeasurable
depth and breadth of experience and
wisdom. That is why older persons
should be not only respected and
revered; they should be utilized as the
rich resource to society that they are”
Kofi Annan
Dr Sharma's Panchakarma Concepts
3. Ageing is a natural process that
begins at birth, or to be more
precise, at conception, a process
that progresses throughout one’s
life and ends at death.
Dr Sharma's Panchakarma Concepts
4. “Constant, predictable process
that involves growth and
development of living organisms.
Unavoided, but how fast we age
varies from one person to another.
How we age depends upon
our genes, environmental
influences, and life style. “
Dr Sharma's Panchakarma Concepts
5. AGEISM
Physical functions slowly deteriorate
Demanding greater coping skills on the
part of the ageing person to adjust to the
environment.
Problems caused by others in the society
because of their unfavorable attitudes.
Ageism implies that the old are
perceived as sick, unhappy, empty and
useless, and are discriminated against.
Dr Sharma's Panchakarma Concepts
6. STATISTICS
Major Morbidities
15.40% Joint Pain and
Stiffnesst
43.40%
Dental and chewing
complaints
57%
42% Decreased visual
acuity due to cataract
and refractive errors
Hearing impairment
Dr Sharma's Panchakarma Concepts
7. Sl. No Other Morbidities % of Population
1 hypertension 14%
2 Diarrhoea 12%
3 Chronic cough 12%
4 Skin diseases 12%
5 Heart illness 9%
6 Diabetes 8.1%
7 Asthma 6%
8 Urinary complaints 5.6%
9 Anaemia 52.5%
10 ESR 37%
11 Elevated blood sugar 13%
12 Abnormal ECG findings 34.7%
Dr Sharma's Panchakarma Concepts
8. Globally there are an estimated 605 million people
aged 60 years and above. From the morbidity point
of view, almost
50 per cent of the Indian elderly have chronic
diseases and 5 percent suffer from immobility.
Mean BMI was 19.02 kg/m2 and below 18 kg/m2 in
49.61%.
Dr Sharma's Panchakarma Concepts
11. DEFINITION OF RASAYANA
Rasayana-Tantram Nama Vayah-
Sthapanam-Ayuh-Medha-Bala-Karam
Rogapaharana-Smartham Cha
Vayahsthapanam Varsha-Shatayuh-
Sthapanam (Dalhana) i.e. enabling a
person to complete his normal life span of
100 years.
Anye Tu Vayah-Sthapanm Jara-
Apaharanam, Tarunyam Bahu-Kalam
Sthapyati-Iti-Arthah (Dalhana) i.e.
Rasayana prevents aging thus establishes
youth for a longer period.
Dr Sharma's Panchakarma Concepts
12. Ayushkaram Shata-Adhikam-Api Karoti
Shata-Adhikam-
(Dal.) *it increases the span of life beyond
Dal.)
100 years.
years.
Medha Kara-- which promotes intellect.
Kara--
Balakaram--
Balakaram-- which promotes body-strength.
body-
Rogapaharanam-Samartham--which
Rogapaharanam-Samartham--which helps in
curing the disease.
disease.
Definition of Rasayana
The therapy which establishes the young
age, promotes longevity, intellect and
physical strength and enables a person to
fight out his disease is known as Rasayana.
Rasayana.
Dr Sharma's Panchakarma Concepts
13. Definition of Rasayana Drug
(Sharngdhara)
Sharngdhara)
Rasayanam Cha Tat-Jneyam Yat
Jara-Vyadhi-Nashanam.
Yatha-Amrita Rudanti Cha
Gugguluh Cha Haritaki.
The drug which cures aging and
diseases that is known as
Rasayana.
Dr Sharma's Panchakarma Concepts
15. CLASSIFICATION OF AGE
Baala- Childhood is up to 16 years. During
this period Kapha dominates.
Madhya- Youth and Middle age.
According to Sushruta it is from 16 years to
70 years. While Charaka considers its limit
up to 60 years. During this period Pitta
dominates.
Vriddha- Old age is above 60 or 70 years.
During this period Vata dominates.
Dr Sharma's Panchakarma Concepts
16. Baala-
Baala- Childhood
Ksheerapaa (On Milk): Up to one year
child is mainly on milk.
Ksheera-Annadaa (On combination of
milk and cereals): Between one and
two years, the child is given
combination of milk and cereals
Annadaa (On Cereals): After the age
of 3 years up to 16 years the age is
Annada
Dr Sharma's Panchakarma Concepts
17. MADHYA-
MADHYA- YOUTH AND MIDDLE AGE
Vriddhi(Growth): The age from 16 years
to 20 years is called Vriddhi.
Yauvana (Youth): The age from 21 to 30
years is youth.
Sampurnata (Maturity): The age from 31
years to 40 years is Sampurnata.
Parihaani (Diminution): From the age of
40 years onwards slight diminution starts
in all aspects of the body.
Dr Sharma's Panchakarma Concepts
18. VARDHKYA
60 or 70 Above
Young old age
Old old age
Dr Sharma's Panchakarma Concepts
24. Kamya Rasayana: Specific desire
Rasayana:
Prana Kamah: Desire to promote physical health and
vitality.
E.g. Amalaki, Haritaki, Guduchi, Shatavari etc.
Medha Kamah: Desire to promote mental health and
intellect.
Eg. Brahmi, Mandukaparni, Jyotishmati, Jivanti etc.
Shri kamah: Desire to promote the over all personality.
Eg. Guduchi, Bhringaraja, Amalaki, Triphala,
Ashvagandha etc,
Dr Sharma's Panchakarma Concepts
25. Naimittika Rasayana
Rasayana Used to promote the health of a
particular tissue or system or to prevent their
disorders is known as Naimittika Rasayan.
Prameha: Haridra, Shilajatu, Amalaki
Amavata: Bhallataka, Lashuna, Pippali
Nervous Disorders: Bala, Nagbala
Skin Diseases: Tuvaraka, Guduchi, Bhringaraja
Urinary Tract: Gokshuru, Punarnava. Shilajatu
Gastro-Intestinal System: Amalaki, Haritaki, Guduchi,
Vidanga (worms), Shatavar (also lactogaugue)
Vata Vyadhi – Shilajith, Gugulu, Chyavanaprasha,
Abhayamalaka ch:chi:28
Pandu- Yogaraja Rasayana, Loha, Shilajith ch:chi:26
Haleemaka – Abhayavaleha ch:chi:16
Dr Sharma's Panchakarma Concepts
26. Ajasrika Rasayana
Daily use of ghee, milk etc to
overcome the daily wear and tear
phenomenon is known as Ajasrika
Rasayana
Dr Sharma's Panchakarma Concepts
35. Shilajith Rasayana
To increase the potency of Shilajatu 7
Bhavana of any one of the following is
given
The item for Bhavana may be selected
according to the disease for which it is
to be used
Milk, butter milk, vegetable soup,
water, urine
Decoction of the drugs for which it is
to be used.
Dr Sharma's Panchakarma Concepts
36. Administration of Shilajatu
Shilajatu mixed with equal quantity of
Shuddha Mandura should be
administered with milk
For Excellent effects it should be
administered for 7 weeks or 48 gm
For Medium effects it should be
administered for 3 weeks or 24 gm
For minimum effects it should be
administered for 1 weeks or 12 gm
During the therapy the person is allowed
to tke only milk
Dr Sharma's Panchakarma Concepts
37. Apathya of Shilajatu
The food items which cause burning
sensation (Vidahi), are heavy and
Kulattha should not be used during
Shilajatu therapy
Kulttha is anti stone while bitumen
makes the body strong like stone,
therefore both have contradictory
properties hence Kulattha should not
be used
Dr Sharma's Panchakarma Concepts
38. Benefits of shilajatu
It provide long life free from diseases
It prevents aging and diseases
It is an excellent drug fro producing
compactness in body
It also promotes intellect and memory
There is no disease in this World
which can not be effectively cured by it
provided the disease is curable in
curable state
Dr Sharma's Panchakarma Concepts
39. Bala Mula Rasayana
The powder of root of Bala (Sida cardifolia) in
the dose of 50gm (one Pala) is to be taken
mixed with milk once daily in the morning.
The Rasayana drug is to be given after
performing proper Shodhana.
After Pachana of the drug, the diet
comprising of Rice mixed with ghee and milk
is to be given.
The administration of the drug for 12 days the
aging is prevented for twelve years and if
taken for 100 days then young age is
established for 100 years.
Dr Sharma's Panchakarma Concepts
40. Atibala, Nagbala, Vidari-
Atibala, Nagbala, Vidari-kanda
& Shatavari Rasayana
The powder of root of Atibala is to be taken with
water.
The powder of Nagabala is to be taken with honey.
The powder of Vidarikanda is to be taken with milk.
The powder of Shatavari is to be taken with milk.
The diet, duration of treatment and benefits are as
per Bala administration.
It is specially useful in Rakta disorders, Raktapitta,
hemoptesis etc.
Dr Sharma's Panchakarma Concepts
44. Nithya Rasayana
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...¤ÉÏUbÉ×iÉÉprÉÉxÉÉå
ÉÏUbÉ
cÉ.xÉÔ. 25/40
Importance of rasayana in CNS
degeneration It is mentioned in science
that the daily use of ghritha and ksheera
provides rasayana effect forever. Lack of
use of milk products, especially ghritha
is one of the major etiology of
neurological degeneration. This is
because there is structural similarly
between ghritha and brain matter. So
ghritha is the only medium that can
nourish brain matter
Dr Sharma's Panchakarma Concepts
45. Rasayana Research
Ashvagandha, Shatavari, Guduchi, Amalaki
Ashvagandha, Shatavari, Guduchi, Amalaki and
Milk increased the serum IgA.
IgA is secreted in colostrum, saliva, tears,
respiratory tract and intestinal mucosa.
It forms a protective coating over mucous
membrane and thus behave as an antiseptic coat.
These drugs may be very useful in prevention of
the diseases of respiratory and GI
Tracts as well as may be used as Naimittika
Rasayana for the disorders of these systems.
Dr Sharma's Panchakarma Concepts
46. Ashvagandha, Shatavari,
Mandukaparni, Varahikanda, milk and
Kapikacchu increased IgM.
As it is having ten combining sites to
destroy ten antigens at a time as well
as it activates compliment fixation
system, so they may be useful as
general immunity promotive drugs
against the infections.
Dr Sharma's Panchakarma Concepts
47. Prevention of Recurrence of
Seasonal Diseases:
Chudasama and Singh (1986) treated a
group of patients who frequently got the
attacks of pharyngitis, common cold etc and it
was reported that it prevented the recurrence
of these diseases.
Mandip and Singh (1997) used Guduchi and
Gokshura in a group of UTI patients and
reported the prevention of recurrence of UTI.
Baghel and Singh (1991) used Amalaki and
Shatavari in peptic ulcer and allied disorders
and reported beneficial affect on the patients.
Dr Sharma's Panchakarma Concepts
48. Rasayana for Allergic Disorders
Singh (1987) reported that addition of
Ashvagandha to the Shamana treatment of
Allergic Rhinitis and Allergic Pharyngitis prevents
their recurrence.
Sharma and Singh (1989) reported that addition
of Guduchi and Bhringaraja to the Shamana
treatment of urticaria significantly increases its
cure rate from about 27% to 71%.
Mandip, Chandola and Singh (2001) reported
that the addition of Guduchi and Bhringaraja to
the conservative treatment of Eczema
significantly increases its cure rate and prevents
its recurrences.
Dr Sharma's Panchakarma Concepts
49. Single Case study
Ashvagandha in Chronic Fatigue
Syndrome
Bringaraja Rasayana in Kushtha –
Palita, Kesha Roga’s
Lashuna Rasayana – Amavata
Vardhamana Pippali Yasayana
Gudrdraka Prayoga in shotha
Nagabala Rasayana in Vata Vyadhi
Dr Sharma's Panchakarma Concepts
50. Kutipraveshika ? An experience
Bringa raja Rasayana
Kitibha
1 Pala Pramana
12 days
Dr Sharma's Panchakarma Concepts
51. Mode of Action of Rasayana
RASAYANA
Equilibrium of Samagni Clear & Patency of Srotas
(Microcirculation & Tissue
Dosha, Dhatu & Mala (Digestion & Metabolism) perfusion)
Improved nourishment
(Labhopayo hi shastanam rasadinam rasayanam)
Longevity Immunity Mental competence
(Jara nasha) (Vyadhikshamatwa) (Medha vriddhi)
Dr Sharma's Panchakarma Concepts
52. Further….
• Tridoshas(AÌlÉsÉMüTüÌmɨÉxÉÉqrÉMüU)
(AÌlÉsÉMüTüÌmɨÉxÉÉqrÉMüU)
• Jatharagni(AliÉUÌalÉxÉlkÉѤÉhÉ )
(
• Various dhatus (mÉëvÉxiÉ UxÉÉÌS kÉÉiÉÑ)
rÉMüU)
• Malas (AUÉåarÉMüU)
• Srotas(xÉëÉåiÉÉåvÉÉåkÉMü)
( ÉMü)
(xqÉ×ÌiÉqÉå ÉÉMüU)
Manas(xqÉ×ÌiÉqÉåkÉÉMüU)
Rasayana dravyas may act by exhibiting
Bramhana,Langhana,Tarpana,Rookshana,Lek
hana etc.
• iÉSåuÉ iÉxqÉÉiÉç pÉåwÉeÉÇ xÉqrÉMçü AuÉcÉÉrÉïqÉÉhÉÇ rÉÑaÉmÉlÉç
pÉuÉÌiÉ, iÉ,
lrÉÔlÉÉÌiÉÌUYiÉÉlÉÉ kÉÉiÉÔlÉÉÇ xÉÉqrÉMüUÇ pÉuÉÌiÉ, AÌkÉMüÇ AmÉMüwÉïÌiÉ,
lrÉÔlÉÇ AmrÉÉrÉrÉÌiÉ ||cÉ.vÉÉ.6/6
Dr Sharma's Panchakarma Concepts
53. In Brief
Scope of rasayana is vast & relevant in this modern era.
prashasta dhatu nirmana is achieved by rasayana
various rasayana yogas are practical & adoptable
jara chikitsa is only a part of rasayana
Jara Can Be prevented
Kala Jara can not be cured
Rasayana can be utilised in curative as well as promotive
aspects of Vardhakya Janya Vyadhi’s
Young old age can be advocated for Rasayana
Naimittika Rasayana have a definite role in geriatrics
Dr Sharma's Panchakarma Concepts
54. “|| Na Matra Matramapyatra Kinchit Agama Varjitam||”
Varjitam||”
For your patient Hearing
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Dr Sharma's Panchakarma Concepts
