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significance of investigations in Panchakarma

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Lab role in pk

  1. 1. Significance of Laboratory Investigations in Panchakarma Significance of Laboratory  Investigations in PanchakarmaInvestigations in Panchakarma  @ KARMASADHANA – National Webinar Taranath Govt Ayurvedic Medical  College Ballari on 19 06 2020 Ayurmitra Nadi Guru College, Ballari on 19‐06‐2020 Follow the link  👇 For FB Livehttps://www.facebook.com/panchakarmapg.tgamc.1 Ayurmitra Nadi Guru Prof KSR Prasad (Technoayurveda)( y ) Professor & Head, Panchakarma, LN Ayurved College, Bhopal, MP 9290566566/9503227966 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ technoayurveda@yahoo.com
  2. 2. Introduction01 Significance of Laboratory Investigations in Panchakarma Introduction01 • As the patient approaches in the Panchakarma  OPD or any, at first we need to differentiate  l h d d dHealthy and disease condition • Ayurveda has adopted many diagnostic tools such  as Dasha vidha pariksha Ashtasthana Parikshaas Dasha vidha pariksha, Ashtasthana Pariksha,  Panchalakshana Nidana Pariksha, etc • But when we are in 21st Century Medical y Practices we adopted the contemporary tools of  examination for accuracy and easy approach in  diagnosis that do not support Ayurveda Principlesdiagnosis that do not support Ayurveda Principles  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  3. 3. Cross Road Philosophy02 Significance of Laboratory Investigations in Panchakarma • Few decades back, the Cross Road philosophy  Cross Road Philosophy 02 came out on discussion. It has the modalities of – – Ayurveda diagnosis & Ayurveda Treatment  • Ideal – Ayurveda diagnosis & Allopathic Treatment  N fi i h i i l• Not fit in to the principles  – Allopathic Diagnosis & Allopathic Treatment  • Not applicable for Ayurvedic field• Not applicable for Ayurvedic field  – Allopathic Diagnosis & Ayurveda Treatment  • Alternative application for the present day pp p y Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  4. 4. Background01 Significance of Laboratory Investigations in Panchakarma • There are more than 4,000 different diagnostic tests  available today  Background01 • highly‐skilled technicians, and specialized personnel to  interpret results drawn from sophisticated methods in  Laboratories  • serious challenges exist with assessing new tests   – Drug Administration (FDA) clearance  E id d t ti f f t & ff ti– Evidence demonstration for safety & effectiveness  – Cost effectiveness  • Ultimate principle is  Screening – Monitoring – Diagnosing  • Following ICPC ( International Classification of Primary  Care) codes and recommended Investigations are in needCare) codes and recommended Investigations  are in need Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  5. 5. What are Investigations03 Significance of Laboratory Investigations in Panchakarma • Investigations are the procedures that involve  l f bl d h What are Investigations 03 testing a sample of blood, urine, or other  material from the body under Physics and  Chemistry scientific principles with reproducibleChemistry scientific principles with reproducible  parameters  • Investigations can help to determine ‐Investigations can help to determine  – A Diagnosis,  – Plan of Managementg – Check to see if treatment is working (Prognosis) or  – Monitor the disease over time (Evaluation) Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  6. 6. Diagnostic Test04 Significance of Laboratory Investigations in Panchakarma • A diagnostic test is a procedure performed to  f d h f d Diagnostic Test04 confirm or determine the presence of disease in  an individual suspected of having a particular  diseasedisease  • Usually it is prescribed after the interrogation and  Examination of patient keeping in view of derivedExamination of patient keeping in view of derived  signs and symptoms or any other observations • Example is ‐ using molecular diagnostic test to p g g examine a patient suspected of having a  lymphoma Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  7. 7. Types of Investigations05 Significance of Laboratory Investigations in Panchakarma • Commonly we come across – Types of Investigations 05 – Common Pathological Investigations – Urine, etc – Haemetalogal Investigations – CBC, ESR, etcg g , , – Biochemical Investigations – RBS, Bl. Urea, etc – Serological Investigations – Tridot, etcSerological Investigations  Tridot, etc – Radiological Investigations – X‐Ray, CT Scan, etc – Microbiology Investigations – Culture etcMicrobiology Investigations  Culture, etc – Nuclear medicine Investigations – specific tests Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  8. 8. Reasons for Ordering a Laboratory Test01 Significance of Laboratory Investigations in Panchakarma • There are 4 major legitimate reasons for ordering  Reasons for Ordering a Laboratory Test01 a laboratory test:  • 1. Diagnosis (to rule in or rule out a diagnosis).  • 2. Monitoring (eg, the effect of drug therapy).  • 3. Screening (eg, for congenital hypothyroidism3. Screening (eg, for congenital hypothyroidism  via neonatal thyroxine testing).  • 4 Research (to understand the patho‐physiology4. Research (to understand the patho physiology  of a particular disease process). Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  9. 9. Introduction01 Significance of Laboratory Investigations in Panchakarma Introduction01 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  10. 10. What is our stand in Management06 Significance of Laboratory Investigations in Panchakarma • When we go through our practices, we come  What is our stand in Management 06 across – – Dosha (Humor) oriented Medical Management ( ) g – Vyadhi (Disease) oriented Medical Management  – Lakshana (symptom) oriented Medical ( y p ) Management  – Arishta (Complication) oriented Medical ( p ) Management  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  11. 11. Dosha & Investigations07 Significance of Laboratory Investigations in Panchakarma • To assess Dosha we are considering the – Dosha & Investigations07 – Prakruki assessment – which is unique from the  day of birth – • A non pathological entity or considered as Genetic entity  – Nadi Pariksha, in which we observe cardiac output  blood impulses interpreted to the pathological  alterations of Dosha • What biochemical or laboratory investigations  are in vogue for Dosha assessment are – NONE Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  12. 12. Vyadhi & Investigations08 Significance of Laboratory Investigations in Panchakarma • Disease evaluation is done basically on Dosha  Dushya Sammurchana Vyadhi & Investigations08 Dushya Sammurchana – • Nanatmaja and Samanyaja • Disease diagnosis is through Pancha Lakshana• Disease diagnosis is through Pancha Lakshana Nidana • State of disease is assessed or conformed  through Ashtastana Pariksha • Prognosis based on signs and symptoms of  Arishta LakshanaArishta Lakshana – Possibility of developing or converting the present day  Lab techniques to our disease Principle is acceptable  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  13. 13. Lakshana & Investigations09 Significance of Laboratory Investigations in Panchakarma • Any symptom based on its appearance can  Lakshana & Investigations09 offer a validation procedure  • Jwara is tapa – raise of temperature because  of expelling the Jathara Ushma – Can be measurable through units of  • Centigrade ‐ C • Fahrenheit  ‐ F • Kelvin ‐ KKelvin  K • Rankine ‐ R • Reaumur ‐ Re Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  14. 14. Arishta & Investigations10 Significance of Laboratory Investigations in Panchakarma • Arishta / Complications are also symptoms &  Arishta & Investigations10 Signs  • Many times a clinician depends upon  i ti ti h l t l t d POinvestigations such as serum electrolytes and PO2 & PCO2 to asses the Arishta condition  • The adaptations of these measurable units• The adaptations of these measurable units  require Ayurveda Arishta symptoms validation • The perceptional explanations of AsishtaThe perceptional explanations of Asishta Lakshana given are subjected for validation and  experimentation with suitable parameters  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  15. 15. Prakruti11 Significance of Laboratory Investigations in Panchakarma • Prakruti translated as constitution is‐ 1. Birth time inherited fixed Genetic (Purusha) constitution Prakruti11 1. Birth time inherited fixed Genetic (Purusha) constitution  2. Diseased (Rogi) constitution (altered by Food &  Environment)  3. Disease (Vyadhi) constitution (acquired by metabolism or  External origin) – We do not consider Birth Time Constitution for evaluatingWe do not consider Birth Time Constitution for evaluating  Disease either of the way like Nadi Pariksha • In a clinical situation we need to evaluate the presence of  Ch t h d i ll th M di i d l ff tChatushpada especially the Medicine or procedural effect  – we term the constitution and effect of Dravya i.e. Dravya  Prakruti / Pravrutti under Rasa‐Panchaka & constituents  evaluation Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  16. 16. Focus on Prakruti12 Significance of Laboratory Investigations in Panchakarma • Jata (Birth Time) Prakruti can be elicited as – Focus on Prakruti12 – Charaka described Prakruti is translated better as  Genetic demographic data as it is considering – • “Jati” – to know racial problems • “Kula” to  be considered as the Familial problems includes  even occupational issues p • “Desha” refer to the country of born and living • “Kaala” the season and circadian rhythmus influences • “Vaya” is Age ‐ relations in the pathological manifestations • Pratyatma Niyata has to understand it as a fundamental  physiological constitutionp y g Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  17. 17. Assessment13 Significance of Laboratory Investigations in Panchakarma • The evolution and assessments of  Assessment 13 Investigation in Ayurveda can be grouped as – – Disease Diagnostic or Progression  – Disease Prognostic or Risk (Arishta Lakshana) – Health Restoration (Swastha Paribhasha)  ( bh )– Drug action assessment (Dravya Prabhava)  – Process effect evaluation or Phalashruti validation Ul i l h Di i P i d• Ultimately they are Diagnostic, Prognostic and  Effect Validation Investigative Tools  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  18. 18. Diagnosis & Prognostic14 Significance of Laboratory Investigations in Panchakarma • Many serological investigations are disease centered – T id t t t t Diagnosis & Prognostic14 Tridot test, etc • Cardiac profile includes many Blood test that  individually or cumulatively draw the conclusionindividually or cumulatively draw the conclusion – Troponin (muscle protein), CKMB (creatinene kinase),  hsCRP etc can establish risk and propose line of  management alsomanagement also  • Liver Function Test is specifically of test for prognostic  and diagnostic conditions  are Organ centered g g • As per the disease diagnosis, prognosis and  assessment, it is a concern that we have contemporary  l b t t h i d tili th klaboratory techniques and utilize them as markers    Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  19. 19. Use of Diagnostic Test01 Significance of Laboratory Investigations in Panchakarma Use of Diagnostic Test01 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  20. 20. Use of Diagnostic Test01 Significance of Laboratory Investigations in Panchakarma Use of Diagnostic Test01 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  21. 21. Test Assessment01 Significance of Laboratory Investigations in Panchakarma Test Assessment01 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ A Policy Primer on , June 2011
  22. 22. Test Example01 Significance of Laboratory Investigations in Panchakarma Test Example01 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  23. 23. ICPC Codes01 Significance of Laboratory Investigations in Panchakarma ICPC Codes01 International Classification of Primary Care  Laboratory tests in general practice KCE reports 59C Federaal Kenniscentrum voor de Gezondheidszorg Centre fédéral dÊexpertise des soins de santé B l i H lth C K l d C t Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Belgian Health Care Knowledge Centre 2007
  24. 24. Drug / Procedure assessment15 Significance of Laboratory Investigations in Panchakarma • Ayurveda do require a set of investigations or  Drug / Procedure assessment 15 measurable parameters for assessing the  Medicine and Procedure  • This output can not be mere symptomatic  Disease pacification to say on Prabhava – The Prabhava also should be a measurable  parameter like Jwarahara, Mootrala, Hrudya, in  terms of parametersterms of parameters    • Same way the Phalasruti of the Panchakarma  procedure is brought to measurable Unitsprocedure is brought to measurable Units  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  25. 25. Example ‐ Differential Count01 Significance of Laboratory Investigations in Panchakarma Example  Differential Count 01 Increased Decreased Neutrophils Acute bacterial infection NeutropeniaNeutrophils Acute bacterial infection, Acute stress Pregnancy Neutropenia Aplastic anemia Widespread bacterial or viral Inflammation (IBS or RA) Trauma infection Recent chemotherapy or radiation therapy Lymphocytes Chronic bacterial infection Hepatitis multiple myeloma Bone marrow damage HIV, tuberculosis, or hepatitis infectionp y Mumps or Measles Lymphocytic leukemia / Lymphoma Leukemia and/or after chemotherapy or radiation treatments Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Lymphoma treatments
  26. 26. Example ‐ Differential Count01 Significance of Laboratory Investigations in Panchakarma Example  Differential Count 01 Increased Monocytes  Chronic inflammatory disease (IBS)  Infection (parasitic bacterial or viral)  Collagen vascular disease, such as lupus, vasculitis, or RA  Leukemia Eosinophils  Allergic disordersp g  Parasites  Tumors  Gastrointestinal (GI) disorders Gastrointestinal (GI) disorders  Skin inflammation Basophils  Food allergy  Inflammation Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/  Inflammation
  27. 27. Before Panchakarma Investigation16 Significance of Laboratory Investigations in Panchakarma – Hemoglobin % Before Panchakarma Investigation 16 – Differential count  – Vital Examination  – Check List Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  28. 28. Snehana17 Significance of Laboratory Investigations in Panchakarma Snehana17 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  29. 29. Abhyanga18 Significance of Laboratory Investigations in Panchakarma Abhyanga18 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  30. 30. Vamana19 Significance of Laboratory Investigations in Panchakarma Vamana19 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  31. 31. Verechana20 Significance of Laboratory Investigations in Panchakarma Verechana20 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  32. 32. Conclusion01 Significance of Laboratory Investigations in Panchakarma • Now it is fair to conclude that – W h d l d h I i i Conclusion 01 – We have to develop or adopt the Investigation  Methodology to obtain accuracy in diagnosis with  reproducible objective parameters of Assessmentreproducible objective parameters of Assessment  – Panchakarma assessment is based upon – • Reversal of Dosha to Normalcy• Reversal of Dosha to Normalcy,  • Organs to their functions,  • Tissues to their utility y – So, to establish Evidence Based Ayurveda Medicine  we need to follow Laboratory investigations  in  Ayurveda Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  33. 33. 01 Significance of Laboratory Investigations in Panchakarma Thank You01 Thank You Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
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significance of investigations in Panchakarma

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