Precautionary measures & post COVID management through Panchakarma

Precautionary measures & post COVID
management through Panchakarma
Ayurmitra Nadi Bhishak
P f KSR P d (T h d )Prof KSR Prasad (Technoayurveda)
Professor & Head, Panchakarma, LN Ayurved College, Bhopal, MP
9290566566/9503227966 h d @ h9290566566/9503227966 ‐ technoayurveda@yahoo.com
National Webinar ‐ "PANCHAKARMA & COVID‐19 SCENARIO"
On 08‐09‐2020 @ @PM
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Dr. D. Y. Patil College of Ayurved and Research Centre, Pimpri, Pune, Maharashtra

Panchakarma in COVID situation
Introduction01
• Covid‐19, is a Novel Corona
Virus disturbed from China to
Introduction01
world wide in 2020
• The impact is too high to disturb
even after big efforts of Govt &even after big efforts of Govt &
social organizations
• Medical Nursing and
Paramedical volunteers day &Paramedical volunteers day &
Night services prevented
regulated to some extent and
treated many patients at righttreated many patients at right
time
• The exclusive prophylaxis from
Ayurveda is remarkable
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ 26

COVID‐1901
• COVID to Understand –
– Started as Naso respiratory viral infection like
Fl ith F S t i t
COVID 1901
Flu with Fever or Severe acute respiratory
infection (SARI)
– Extended to clot blood in vessels & Organs
From droplet infection it became air borne– From droplet infection it became air borne
– Repeated attacks of Covid‐19 is making the
condition worst
– Targets are Obese Diabetic and Asthmatic
2020 common ‐
k – Targets are Obese, Diabetic and Asthmatic
Patients
• SARI looks with Fever, cough, sore throat,
nasal congestion, headache, muscle pain or
Mask,
Suspect,
Social Distancing nasal congestion, headache, muscle pain or
malaise, dehydration, sepsis or shortness of
breath
• Elderly and immuno‐suppressed may present
g
y pp y p
with atypical symptoms.

Mask Effect01 Mask Effect 01

Clinical Features01
Incubation period: 1‐27 days
R ti 3 k t 6
Clinical Features01
Recovery time: 3 weeks to 6
weeks
Frequently reported signs andFrequently reported signs and
symptoms of patients include:
● fever (77–98%)● fever (77 98%)
● cough (46%–82%)
● myalgia or fatigue (11–52%)● myalgia or fatigue (11–52%)
● shortness of breath (3‐31%)

Diagnosis01
1. Travel history to endemic countries
like (China, Iran & Italy)
Diagnosis01
( , y)
2. CBC (leukopenia, seen in 30% to 45%
of patients, and lymphocytopenia,
i 85% f th ti t )seen in 85% of the patients)
3. Chest X‐Ray (cheaper & easier with
60% sensitivity)60% sensitivity)
4. PCR (30%‐70% sensitivity)
5. Chest CT Scan (95% sensitivity, low y
specificity)
6. IgM/IgG combo test for COVID‐19
IgM/IgG combo test

Fatality01 Fatality01

Ayurveda in COVID01
• AYUSH has recommended few herbs
for COVID Prophylaxis Tulsi (Basil),
Ayurveda in COVID01
p y ( ),
Dalchini (Cinnamon), Kalimirch
(Black pepper), Shunthi (Dry Ginger)
and Munakka (Raisin) & Haldi( )
(turmeric) (1)
• Over the past two decades, WHO
has supported clinical trials leadinghas supported clinical trials, leading
14 countries to issue marketing
authorization for 89 traditional
medicine products (2)
(1) https://www.mohfw.gov.in/pdf/Immuni
tyBoostingAYUSHAdvisory.pdf
(2) https://www.afro.who.int/news/who‐
supports‐scientifically‐proven‐
medicine products (2)
• Others are – Immunity boosting
Herbs (3)
traditional‐
medicine?gclid=EAIaIQobChMIwOrU09r
P6wIVzn0rCh19VgY_EAAYASAAEgJZd_D
_BwE
(3) https://pharmeasy.in/blog/9‐
i it b ti h b t b t
immunity‐boosting‐herbs‐to‐beat‐
covid‐19/

Immunity boosting Herbs01
• Moringa contains 7 times more Vitamin C
builds strong immunity
builds strong immunity.
• Neem has anti‐viral, anti‐bacterial and anti‐
fungal propertiesg p p
• Tulsi or basil is a powerful germicide & and
antioxidant
• Ashwagandha makes immune response and
the body vulnerable to viral infections with
lowering Stresslowering Stress
• Triphala are antioxidant and loaded with
Vitamin C and Vitamin A‐ both of which
strengthen immunity

• Ginger has been an age‐old remedy for
flu and the common cold. It has
antioxidant that can power up our
immune system and kill viruses.
• Turmeric contains curcumin– aTurmeric contains curcumin a
phytochemical that can remove toxins
from your body and strengthen your
immune system & kill foreignimmune system & kill foreign
organism.
• Black cumin seeds and oil act as
antioxidantsantioxidants
• Garlic contains allicin‐ a plant
compound that acts as a germicide.

Ayurveda for COVID‐1901 Ayurveda for COVID 1901
Delhi institute cures COVID‐19 patients with
A di l d d h
• All India Institute
of Ayurveda (AIIA)
Ayurvedic treatment protocol, records zero deaths
of Ayurveda (AIIA)
in Sarita Vihar
administered
stand‐alone
Ayurveda
treatment
protocol, including
di t d Ydiet and Yoga.
https://www.financialexpress.com/lifestyle/health/delhi‐institute‐cures‐covid‐19‐
i i h di l d d h /203800 /
patients‐with‐ayurvedic‐treatment‐protocol‐records‐zero‐deaths/2038007/

Natural Blood Thinners01
• Turmeric has curcumin that has anti‐
i fl d bl d hi i
inflammatory and blood‐thinning or
anticoagulant properties.
• Ginger got contains a natural salicylate which is a
potent blood thinner.
• Cayenne Pepper also have high salicylates and
act as powerful blood‐thinning agent.p g g
1. https://www.netmeds.com/health‐library/post/5‐natural‐blood‐thinners‐that‐may‐prevent‐stroke
1. https://www.netmeds.com/health library/post/5 natural blood thinners that may prevent stroke
2. https://food.ndtv.com/food‐drinks/5‐natural‐blood‐thinning‐foods‐to‐reduce‐blood‐clots‐and‐the‐risk‐of‐stroke‐1839724
3. https://www.medicalnewstoday.com/articles/322384#:~:text=The%20active%20ingredient%20in%20turmeric,anticoagulant%20status%20of%20their%20blood.

• Garlic is natural antibiotic, antimicrobial and
antithrombotic agent
antithrombotic agent
• Cinnamon contains coumarin, a powerful blood‐thinning
agent Warfarin the most commonly used bloodagent. Warfarin, the most commonly used blood‐
thinning drug, is derived from coumarin
• Vitamin E‐Rich Food reduces blood clotting in a fewVitamin E Rich Food reduces blood clotting in a few
different ways. Eg almonds, safflower oil, sunflower oil,
sunflower seeds, wheat germ oil, etc
1. https://www.netmeds.com/health‐library/post/5‐natural‐blood‐thinners‐that‐may‐prevent‐stroke
1. https://www.netmeds.com/health library/post/5 natural blood thinners that may prevent stroke
2. https://food.ndtv.com/food‐drinks/5‐natural‐blood‐thinning‐foods‐to‐reduce‐blood‐clots‐and‐the‐risk‐of‐stroke‐1839724
3. https://www.medicalnewstoday.com/articles/322384#:~:text=The%20active%20ingredient%20in%20turmeric,anticoagulant%20status%20of%20their%20blood.

AYUSH recommends for COVID01
• Drink warm water throughout the day
AYUSH recommends for COVID01
• Practice Yogasana, Pranayama and meditation
• Spices in cooking ‐ Haldi (Turmeric), Jeera (Cumin),
Dhaniya (Coriander) and Lahsun (Garlic)Dhaniya (Coriander) and Lahsun (Garlic)
• Chyavanprash 10gm (1tsf) in the morning
• Drink herbal tea / decoction (Kadha) made from Tulsi( )
(Basil), Dalchini (Cinnamon), Kalimirch (Black pepper),
Shunthi (Dry Ginger) and Munakka (Raisin)
• Golden Milk‐ Half tea spoon Haldi (turmeric) powder inGolden Milk Half tea spoon Haldi (turmeric) powder in
150 ml hot milk
• Mouth Freshener with Lavanga or in combination with
HoneyHoney

What Panchakarma for COVID‐1901
• Nasya / Nasal application 2 to 3 drops of sesame
What Panchakarma for COVID 1901
asya / asa app cat o to 3 d ops o sesa e
oil or Ghee – even better is Panchendriya
Vardhini Taila or Shadbindu Taila
• Oil pulling /Gandusha/ Kavalagraha with sesame
or coconut oil – even better is Dashamoola
T il T i h l T il Kh di di T ilTailam, Triphala Tailam, Khadiradi Tailam
• Sweda / Steam inhalation with fresh Pudina
(Mint) leaves or Ajwain (Caraway seeds) even(Mint) leaves or Ajwain (Caraway seeds) – even
better is the combination of Tulasi, Lavanga,
Karpura or Zandu balm or Amrutanjanp j

Janapadodhwamsa01
• Environmental pollution is defined as
"the contamination of the physical and
Janapadodhwamsa01
p y
biological components of the
earth/atmosphere system to such an extent
that normal environmental processes are p
adversely affected."
• Ayurveda recorded the incidents of mass
destruction through 4 ways –destruction through 4 ways
– Vayu (Air borne / droplet )
– Udaka (Water contamination)
D h (S il / E i l i i )– Desha (Soil / Environmental contamination)
– Kala (Seasonal disparities)
भावाः सामा ा जनपदेष भव ; त था- वायः, उदकं , देशः, काल इित||६||
भावा सामा ा जनपदषु भव ; त था वायु , उदक, दश , काल इित||६||
चरकसंिहता िवमान थानम् ३. जनपदोद् ंसनीयिवमानम् ५ (६)

Ayurveda Suggestion for JD01
• Prophylaxis for Janapadodhwamsa
– When Vayu Udaka Desha and Kaala are contaminated
Ayurveda Suggestion for JD 01
When Vayu, Udaka, Desha and Kaala are contaminated
or polluted taking precautions are the best procedure.
– The prophylaxis includes Proper preventive Medicine ‐
• Protection from the pollution
• Preventive measures and medication anticipating the
adversity and affective –y
–Dosha & its placement ,
–Dooshya in relevance ,
–Srotas and organ involvement
चतु िप तु दु ेषु काला ेषु यदा नराः| भेषजेनोपपा े न भव ातुरा दा||१२||
ि ि ो ी ि
ु ु ु ु ु ु
चरकसंिहता िवमान थानम् ३. जनपदोद् ंसनीयिवमानम् 12

Panchakarma for JD01
• People who are effected by the
external contamination or pollution
Panchakarma for JD01
external contamination or pollution
leading to death are to be best
treated with Panchakarma
• After proper Panchakarma one has
to undergo Samanya &
Vyadhiharana Rasayana treatmentयेषां न म सामा ं सामा ं
Vyadhiharana Rasayana treatment
• All the medication used for these
patients should be procured well
b f h h f d
यषा न मृ ुसामा सामा
न च कमणाम्|
कम प िवधं तेषां भेषजं परमु
ते||१३||
रसायनानां िविधव ोपयोग before to the hit of Janapado
dhwamsa
रसायनाना िविधव ोपयोगः
श ते|
चरकसंिहता िवमान थानम् ३.
जनपदोद ंसनीयिवमानम 13 14
जनपदोद् सनीयिवमानम् 13‐14

Code of Conduct during JD01
• Satyam ‐ speaking truth
• Shantam ‐ calm minded (Meditation)
Code of Conduct during JD01
• Shantam ‐ calm minded (Meditation)
• Soucham – Cleanliness
• Sadvrutta – Healthy life style
• Atma gupti – self isolation
• Hita janapada – live in Good (sterile) Places
श ते देहवृि भेषजैः पूवमु
द् धृतैः||१४||
स ं भूते दया दानं बलयो देवता
चनम|
• Brahmacharya – devoid of sexual
conjugation (Social distancing)
• Nityam sahasya – being with friends &
चनम्|
सद् धृ ानुवृि शमो गु
रा नः||१५||
िहतं जनपदानां च िशवानामुपसे
वनम|Nityam sahasya being with friends &
relatives /attendants (secured)
• Bhoota daya & Dana – Compassion &
Ch it
वनम्|
सेवनं चय तथैव चा
रणाम्||१६||
चरकसंिहता िवमान थानम ३
Charity
• Bali & Devatarchana – rituals / Meditation
चरकसिहता िवमान थानम् ३.
जनपदोद् ंसनीयिवमानम् 14‐16

Do‐Don’t in COVID Like Situation01
• Do not consume Food &
Regimen of –
Do Don t in COVID Like Situation01
Regimen of –
– Desha Viruddha
– Kaala ViruddhaKaala Viruddha
– Prakruti Viruddha
• Vegadharana (Mala, Mootra,
देशकाला गुणिवपरीतानां कम
णामाहारिवकाराणां च मोपयो
गः [४] स क् , ागः सव [५]
ि ो ो ि ो ं
g ( , ,
etc)
• Atiyoga sandharana
चाितयोगायोगिम ायोगाना, सवा
ितयोगस ारणम् [६] , अस ारण
मुदीणानां च गितमतां, साहसानां
च वजनम आरो ानव ौ हेतमप
• Sahasa Gatimata – Adventures
• Follow right Arogya Anuvritti
च वजनम्, आरो ानुवृ ौ हतुमुप
लभामहे स गुपिदशामः स क्
प ाम ेित||३६||
चरकसंिहता िवमान थानम ३
चरकसिहता िवमान थानम् ३.
जनपदोद् ंसनीयिवमानम् 36

Jwara ‐ Most common in JD01
• Most common symptom in any JD
is Jwara – to regulate it
Jwara Most common in JD01
is Jwara – to regulate it
– Jwara is Amashaya samutha
– Pachana, Vamana, Apatarpana is
given
– Hot water is for Pachana
– Ushnodaka makes Anulomana
रत कायसमु ानदेश
कालानिभसमी पाचनाथ पा
नीयमु ं य िभषजः|
रो ामाशयसम ः ायो भेUshnodaka makes Anulomana,
Jatharagni vruddhikara, Shleshma
hara, smaller quantity is sufficient
to relieve thirst,
रो ामाशयसमु ः, ायो भ
षजािन चामाशयसमु ानां िव
काराणां पाचनवमनापतपणसम
थािन [१] भव ; पाचनाथ च पा
नीयम ं त ादेत रते ःto relieve thirst,
– Hot water is avoided only when the
person is in Daha, Bhrama, Pralapa,
Atisara
नीयमु , त ादत रत ः
य िभषजो भूिय म्|
चरकसंिहता िवमान थानम् ३.
जनपदोद् ंसनीयिवमानम् 40
Atisara
् ्

Apatarpana in JD01
• It is 3 stages ‐ Langhana, Langhana Pachana &
Apatarpana in JD01
It is 3 stages Langhana, Langhana Pachana &
Doshavasechana (Shodhana)
• Alpabala – LanghanaAlpabala Langhana
• Madhyabala – Langhana Pachana
• Bahu Dosha – Shodhana• Bahu Dosha – Shodhana
• Complicated patient not to be attended with
any of the above – intimate the seriousness ofany of the above – intimate the seriousness of
patient to relatives and apply shamana
chikitsachikitsa

Langhana01
1. Vamana – Emesis
2. Virechana – Purgation
Langhana01
2. Virechana Purgation
3. Nasya – Nasal insuflation
4. Basti ‐ Enema
5. Pipasa – Water input control
6. Maruta – Exposure to wind
7. Atapa ‐ Exposure to Sun
8. Pachana – carminatives
चतु कारा संशु ः िपपासा
मा तातपौ|
पाचना ुपवास ायाम े
9. Upavasa – Fasting
10.Vyayama – Exercise
ु
ित ल नम्||१८||
चरकसंिहता सू थानम्
२२ ल नबंहणीयोऽ ायः १८
२२. ल नबृहणीयोऽ ायः १८

Selection of Procedure in COVID situation01
• Langhana – Best in any Pyrexia except in Kshayaja, Anilaja,
Bhayaja, Krodhaja, Kama, Shoka, Shrama janya jwara
Se ec o o ocedu e CO s ua o01
y j , j , , , j y j
• Pachana ‐ In case of Taruna Jwara along with Langhana,
Swedana (Niragni), Tikta rasa yukta yavagu or Tikta rasa
paniya are said to be dosha Pachaka.paniya are said to be dosha Pachaka.
• Vamana ‐ Kapha pradhana jwara where Kanthopalepa or
phlegm is there looking at fitness Vamana done for
elimination of accumulation.elimination of accumulation.
• Virechana – If long time associated fever best is Virechana
Karma regulating the strength with ORS and maintaing
Agni.Agni.
• Nirooha Basti – is useful when the Dosha are in Pakwa and
patient complains of constipation or even in high grade
feverfever

Rules & Regulations on Ayurveda01
• We need to explain the context of
J d dh ffi i l d i
Rules & Regulations on Ayurveda01
Janapadodhwamsa to officials and convince
them for adoption of suitable Ayurveda
i h l d idmanagement with examples and evidences to
bring us in to main stream Health care system
• Legal Protection to seek from our governing
bodies in this regard as we use our Ayurveda
principle based management.

Best Prescription in COVID situation01
• Looking at the entire COVID scenario –
Best Prescription in COVID situation01
• Kaphahara ‐ Dashamoola Katutrayadi Kwath +
Amrutottram Kwatha in the morning
• Jwarahara – Tribhuvana Keerti Ras or Jayamangala
Ras 125 mg BD / TDS
S h P hk l K k• Swasahara – Pushkaramoolasava or Kanakasava
15ml BD / TDS
R kt k d H G i ik 125 BD / TDS• Raktaskandana Hara – Gairika 125mg BD / TDS
• Krimihara – Samirapannaga Ras or Malla Sindhura
125mg BD / TDS with Vidangarista Anupana125mg BD / TDS with Vidangarista Anupana

Conclusion01
• COVID like situations are not new for Ayurveda
• Literature provides abundant evidences of past
Conclusion01
• Literature provides abundant evidences of past
pandemic incidents
• All Panchakarma are done even in COVID and
post COVID situations as per Ayurveda principles
following precautions
• Apart from the main line treatment of discussed• Apart from the main line treatment of discussed
we may require medications according to stage
and symptoms
• The diet and regimen are regulated according to
the strength of the Patient
M k & Di t i i M t f JD /COVID• Mask & Distancing is Mantra for JD /COVID

01 Thank You
Thank You
01 Thank You

Precautionary measures & post COVID management through Panchakarma

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