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PRESENTED BY

DR.RAJIMUNNISA BEGUM

P.G SCHOLAR K.C dept.

Dr.B.R.K.R govt.Ayurvedic college.hyd.

&

DR.D.R SUNIL KUMAR .BAMS

Scope of ayurvedain geriatric health

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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

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Health problems1.Joint problems2.Impairment of special senses3. Cardio vascular disease4.Hypothermia5.Cancer, Prostate enlargement, Diabetes&6. Accidental falls

Psychological problems 1. Emotional problems

2. Suicidal tendency3. Senile dementia, Alzheimer’disease

Social problems Poverty, Loneliness, Dependency, Isolation, Elder

abuse, Generation Gap

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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%

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Preventive geriatricsSpecific management for medical conditions

RehabilitationsSatwavajaya

chikitsa

Yuktivyapasrayachikitsa

Daiva vyapashraya

chikitsa

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Primordial prevention

• Pre geriatric care

Primary prevention

• Health education

• Exercise, Yoga,& Athmavidya

Secondary prevention

• Annual medical check-up

• Early detection ( Universal approach, Selective approach)

• Treatment

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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

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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

rehabilitation9

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 ChikitsaProcedures.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.

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Ayurvedicapproach

is based on

•Hita charya ( Ahara, Vihara, Manasa)

•Dinacharya & Ratricharya, Ritucharya, Sadvrtta

•Rasayana / Vajeekarana

•Manasopachara & Achara Rasayana

•Vyadhi pratyaneeka

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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 acharasand avoiding Ahita acharas thus striking an equilibrium between the psycho somatic elements

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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

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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

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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 chikitsaenhances 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 abhootpunaryuva ”

(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

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Vardhakya avastha invariabily presents with

Psyosomatic afflictions

Glani

Sada

Nidra & Tandra

Alasya

Nirutsaha

Asamarthya chesta of

Sareera & manas

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Implementation of

Manodosha ousadha sangraha – Dhi, Dhairya & Atmadi

vignana

Satwavajaya chikitsa

Daiva vyapashraya chikitsa

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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.

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Ref;charaka

Mandukaparni

svarasa

Yastimadhu

churnawith milk

Guduchisamoolasvarasa

Sankhapuspikalka

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Best one is sankhapuspi

Dirghayu

Smrti

Medha

Arogyam

Tarunavayas

Prabha

Varna

Svara

Audaryametc….

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THANK YOU