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Ergonomics and Instrumentation 
in Panchakarma
KSR Prasad @ Disha2016KSR Prasad @ Disha2016
National Seminar Panchakarma Workshop
On 18‐03‐2016
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Medical Definition of ergonomicsMedical Definition of ergonomics
• Ergonomics is an applied science concernedErgonomics is an applied science concerned 
with the characteristics of people that need to 
be considered in designing things that theybe considered in designing things that they 
use in order that people and things will 
i ff i l d f l ll dinteract most effectively and safely—called 
also human engineering, human factors 
engineering.
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
InstrumentationInstrumentation
I t t ti i th• Instrumentation is the 
development or use 
of measuringof measuring 
instruments for 
observation, ,
monitoring or control. 
• An instrument is a 
device that measures a 
physical quantity, such 
as flow temperatureas flow, temperature, 
level, distance, angle, 
pressure, or utility etc.pressure, or utility etc. 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Common Example p
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
What is Ergonomics in a nutshellWhat is Ergonomics in a nutshell
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Process of ErgonomicsProcess of Ergonomics
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Controls in ErgonomicsControls in Ergonomics 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
New Instrumentation introduced in 
Panchakarma
P bl illi f t• Problem: spilling of water 
from nozzle while giving 
Bhashpa Sweda
outlet
Bhashpa Sweda
• Answer:  A handle with inlet 
and outlet with a controlRubber  and outlet with a control 
valve at the bottom, prevents 
the spill out gives extra 
Handle 
pressure to steam. Water 
dribbling can be effectively 
controlledInlet controlled. 
• See its practical utility at 
Disha 2016 work on hands
Inlet
Spill over nozzle
Disha‐2016 work on hands 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
p
Kosta Andhra Technique (KAT) Massage
• Problem: it is very 
difficult to do spinal 
massageg
• Answer:  
Th C t A dhThe Coast Andhra 
(Vizianagaram‐
)Barhampur technique) 
makes it simple
• This technique is with 
a stick and controla stick and control 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Male Uttaravasti Clamp Technique (MUCT) 
bl i• Problem: Uttravasti
is a problamatic
procedure needs 
sterile OT for the 
procedure
• Answer: It is made 
simple any where 
any time withany time with 
disposable materials 
Uttara Vasti in Male
F tifi d UV P dFortified UV – Procedure
Patra Paka 
• Heat the empty vesselp y
– To make disinfection 
• Pour the medicinePour the medicine
– 10‐15 ml of the 
selected medicine 
• Get it cooled
– To administer– To administer 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
F tifi d UV P dFortified UV – Procedure
Step 1 p
• Wear the gloves g
under aseptic –
antiseptic p
precautions 
• Retract theRetract the 
prepuce skin 
• Expose the urethra• Expose the urethra 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
F tifi d UV P dFortified UV – Procedure
Step 2 p
• Clean the glans g
and surrounded 
area witharea with 
Antiseptic  
l tisolution 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
F tifi d UV P dFortified UV – Procedure
Step 3 p
• Load the syringe 
ith di iwith medicine 
• Attach it to the 
feed tubefeed tube
• Gently push the 
syringe to fill thesyringe to fill the 
feed tube – where 
1 ‐2 drops of 
di i d tmedicine drops at 
the glans  
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
F tifi d UV P dFortified UV – Procedure
Step 4 p
• Gently insert feed tube in 
urethra 
• Pass the tube about 10 cms 
– till to the bladder 
sphinctersphincter
• Make sure that you are not 
inside the bladder 
– Retract the syringe piston ‐ if 
you are inside the bladder 
urine come in to syringe 
• If you are giving a Uttara• If you are giving a Uttara 
Vasti in to Bladder – it is 
confirmatory sign 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
F tifi d UV P dFortified UV – Procedure
Step 5p
• Pass the clamp around penis and lock with clamp 
holder
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
F tifi d UV P dFortified UV – Procedure
Step 6 p
• Gently push the y p
medicine 
C h ld b• Care should be 
taken – not to 
slip the tube 
inserted 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
F tifi d UV P dFortified UV – Procedure
Closure 
• Withdraw the tube
• Locked clamp will 
remain for 45 minutes 
• After 45 minutes• After 45 minutes –
– Release the lock with a 
cotton padding placed 
at urethra – to absorb 
the withdrawals 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Uttara Vasti in Male
h h i hi h i ?What happens in this technique?
Former technique followed by Ayurveda q y y
is placing the medicine in to Urinary 
Bladder. It is done by a catheter and 
syringe. 
Present technique passes Urethra –
Prostate – seminal vesicle – vas 
deferens – and Testicles.deferens  and Testicles. 
The whole medicine is rapidly 
absorbed along with local action of 
medicine. 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Conclusion 
• For every problem thereFor every problem there 
will be a solution is a old 
statement 
• For every Issue there will 
be a resolution is new 
h hthought 
• Ergonomics is a thought 
h kthat makes a 
uncomfortable situation 
to friendly convenientto friendly convenient 
position 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

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Pk ergonomics

  • 1. Ergonomics and Instrumentation  in Panchakarma KSR Prasad @ Disha2016KSR Prasad @ Disha2016 National Seminar Panchakarma Workshop On 18‐03‐2016 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 2. Medical Definition of ergonomicsMedical Definition of ergonomics • Ergonomics is an applied science concernedErgonomics is an applied science concerned  with the characteristics of people that need to  be considered in designing things that theybe considered in designing things that they  use in order that people and things will  i ff i l d f l ll dinteract most effectively and safely—called  also human engineering, human factors  engineering. Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 3. InstrumentationInstrumentation I t t ti i th• Instrumentation is the  development or use  of measuringof measuring  instruments for  observation, , monitoring or control.  • An instrument is a  device that measures a  physical quantity, such  as flow temperatureas flow, temperature,  level, distance, angle,  pressure, or utility etc.pressure, or utility etc.  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 4. Common Example p Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 5. What is Ergonomics in a nutshellWhat is Ergonomics in a nutshell Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 6. Process of ErgonomicsProcess of Ergonomics Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 7. Controls in ErgonomicsControls in Ergonomics  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 8. New Instrumentation introduced in  Panchakarma P bl illi f t• Problem: spilling of water  from nozzle while giving  Bhashpa Sweda outlet Bhashpa Sweda • Answer:  A handle with inlet  and outlet with a controlRubber  and outlet with a control  valve at the bottom, prevents  the spill out gives extra  Handle  pressure to steam. Water  dribbling can be effectively  controlledInlet controlled.  • See its practical utility at  Disha 2016 work on hands Inlet Spill over nozzle Disha‐2016 work on hands  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ p
  • 9. Kosta Andhra Technique (KAT) Massage • Problem: it is very  difficult to do spinal  massageg • Answer:   Th C t A dhThe Coast Andhra  (Vizianagaram‐ )Barhampur technique)  makes it simple • This technique is with  a stick and controla stick and control  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 10.
  • 11.
  • 12.
  • 13. Male Uttaravasti Clamp Technique (MUCT)  bl i• Problem: Uttravasti is a problamatic procedure needs  sterile OT for the  procedure • Answer: It is made  simple any where  any time withany time with  disposable materials 
  • 14. Uttara Vasti in Male F tifi d UV P dFortified UV – Procedure Patra Paka  • Heat the empty vesselp y – To make disinfection  • Pour the medicinePour the medicine – 10‐15 ml of the  selected medicine  • Get it cooled – To administer– To administer  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 15. Uttara Vasti in Male F tifi d UV P dFortified UV – Procedure Step 1 p • Wear the gloves g under aseptic – antiseptic p precautions  • Retract theRetract the  prepuce skin  • Expose the urethra• Expose the urethra  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 16. Uttara Vasti in Male F tifi d UV P dFortified UV – Procedure Step 2 p • Clean the glans g and surrounded  area witharea with  Antiseptic   l tisolution  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 17. Uttara Vasti in Male F tifi d UV P dFortified UV – Procedure Step 3 p • Load the syringe  ith di iwith medicine  • Attach it to the  feed tubefeed tube • Gently push the  syringe to fill thesyringe to fill the  feed tube – where  1 ‐2 drops of  di i d tmedicine drops at  the glans   Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 18. Uttara Vasti in Male F tifi d UV P dFortified UV – Procedure Step 4 p • Gently insert feed tube in  urethra  • Pass the tube about 10 cms  – till to the bladder  sphinctersphincter • Make sure that you are not  inside the bladder  – Retract the syringe piston ‐ if  you are inside the bladder  urine come in to syringe  • If you are giving a Uttara• If you are giving a Uttara  Vasti in to Bladder – it is  confirmatory sign  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 19. Uttara Vasti in Male F tifi d UV P dFortified UV – Procedure Step 5p • Pass the clamp around penis and lock with clamp  holder Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 20. Uttara Vasti in Male F tifi d UV P dFortified UV – Procedure Step 6 p • Gently push the y p medicine  C h ld b• Care should be  taken – not to  slip the tube  inserted  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 21. Uttara Vasti in Male F tifi d UV P dFortified UV – Procedure Closure  • Withdraw the tube • Locked clamp will  remain for 45 minutes  • After 45 minutes• After 45 minutes – – Release the lock with a  cotton padding placed  at urethra – to absorb  the withdrawals  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 22. Uttara Vasti in Male h h i hi h i ?What happens in this technique? Former technique followed by Ayurveda q y y is placing the medicine in to Urinary  Bladder. It is done by a catheter and  syringe.  Present technique passes Urethra – Prostate – seminal vesicle – vas  deferens – and Testicles.deferens  and Testicles.  The whole medicine is rapidly  absorbed along with local action of  medicine.  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 23. Conclusion  • For every problem thereFor every problem there  will be a solution is a old  statement  • For every Issue there will  be a resolution is new  h hthought  • Ergonomics is a thought  h kthat makes a  uncomfortable situation  to friendly convenientto friendly convenient  position  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/