ashwagandha

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2. Panchakarma treatment of
HRUDDROGA
1. Epidemiology of heart diseases:
In today’s world most deaths are
attributable to non communicable
diseases (32 million) and just over
half of these (16.7 million) are a
result of CVD . In developed
countries heart diseases and
stroke are the 1 and 2 leading
cause of death for adult men and
women.
In India prevalence of CVD is reported to be 2-3 times higher in
the urban population as compared to the rural population .

3. 2. Common manifestations of heart diseases :
- IHD
- HYPERTENSION
- CEREBROVASCULAR DISEASE(STROKE)
- CONGENITAL HEART DISEASE
- RHD
- Hritshoola
- Hridrava
- Hridayshoonyata
- Hriddgraha
- Hrridbheda
- Hridstambha
- Hridspanda
- Hridayshotha
- Hridayavishuddhi
- Shabdasahishnuta
- Shvasavarodha
- Moha,darana,toda,

4. - Kasa
- Moorcha
3.What is hridaya
) ­ hrit all the blood enters heart
da ­ddait blood again spreads in entire body the Pranas /
blood
ya ­ inayamait it regulates
Different connotations
 As per Shushrut Samhita.
t~ iW stnaantryaaoma-Qyao )dyaM
naama mama- |
SaaoiNat kfp`saadjaM )dyaM |
)dyaM [it caotnaa | ….DlhNa
)dyaM maatRjaM |
p`aNavah QamanyaanaaM
maUlasqaana |
It’s a isaramama-

5. puNDrIkoNa sadRSaM )dyaM
syaadQaaomauKma
jaaga`tstiWksait
…sau.saU 4-32
Thus is the cause of consciousness.
 In nadi vidnyan it has been described to be a muscular
organ beating frequently.
 Maharshi sushrut states that the organ is a shira
marma and it is one in number.
 Aamarkosha - hridaya = mind.
 Heart is the site of pain of body and mind.
………chakrapani
 kRtvaIya-
During fetal development origin of heart occurs prior to
other organs and it is the site of buddhi and mana.
 Acharyas say that development of heart completes in
fourth month of fetal life.

6. ANATOMY OF HEART

7. daoYadUYya saMbaMQa :

8. PANCHAKARMA

9. Panchakarma therapy is a unique therapy which aims at
elimination of body toxins in the form of vitiated vata, pitta
and kapha dosha. There are following procedures involved :
 Porvakarma -:
 snehan
 swedan
 Pradhan karma
 vamana
 virechan
 basti
 nasya
 raktamokshan
 Paschat karma
 Samsarjan karma
 Shamana
Use of snehan in heart diseases

10. By, massaging with oils like bala, ashwagandha etc. the vitiated
vata gets pacified , it helps
in microcirculation ,reduces
peripheral resistance &
increases muscular tone of
heart .In abhyantara sneha,
administration of ghrita ,
brings the lipid soluble
toxins into the koshtha in
much more acceptable
form .
SNEHA KALPA
As per ch. Chi. 26

11. 1. Vataj hridroga- punarnavadi taila, haritakyadi ghrita,
pushkarmooladi kwath, pathyadi kalpa.
2. Piitaj- drakshadya ghrita, kashekuradi ghrita, sthiradi
ghrita,
3. Kaphaj- katphaladi kwath, krushnadi choorna,
udambaradi leha.
As per yogratnakar,
Narayana taila/ shatavari taila- best vatshaman karma,
indicated in mitral regurgitation
Use of Swedan in heart diseases
As Hruddaya is Aswedya organ, if necessary swedan is
given by Hands/pearls / Lotus leaves .

12. Sarvanga swedan is indicated.
It reduces the pain & inflammation thereby reducing Vata.It
increases the blood circulation .It increases vascular
elasticity & acts as muscle relaxant. As it improves the
relaxation & contraction of arteries hence it is used
successfully for pumping action. The doshas are brought in
to the circulation and finally eliminated through maha strotas
The
snehan helps in
liquefaction of plaques &
swedan helps in
elimination of these
plaques. Ultimately the
diseases like arterial
sclerosis &
arthrosclerosis are
successfully controlled.
snaohi@lannaa: kaoYzgaaQaatUgaa
vaa sa`aotaolaInaa yao ca
SaaKaisqasaMsqaa : |
daoYaa: svaodOsto d`ivakR%ya
kaoYzM naIta: samyak SauiwiBaina-
i)yanto||
Use of Vaman in Heart diseases

13. Vaman is emission or induced vomiting .It removes kapha
dosha thus creating lightness in the body. Vaman is the
procedure involving elimination of dushit kapha through oral
route. As per Charak sidhisthan 1, any vaman dravya after
its administration initially reaches heart due to its veerya &
thus removes doshas from heart & eliminates it out of the
body.
Due to vaman the dushit
part of avalambak kapha
is removed & its
Prasadbhuta portion is
maintained.
Vaman helps in
maintaining the prakrut gati of prana & udan vayu.It is also
known as to remove toxins in form of various enzymes from
liver.
A research conducted in Padmashree Dr.D.Y.Patil college of
Ayurveda & Research institute on 30 patients implies that
vaman plays a major role in reducing the mediastinal
lymph node congestion.
Though as per granthas madanphala,yashtimadhu , is
commonly used for vaman; Vacha/Pippali/Saindhava have
great importance as prakshepa dravyas as they have been
found effective in reducing cholesterol, lipoprotiens .Thus
these drugs are considered as most effective drug in
controlling heart diseases among lekhaniya gana of Charak

14. Use of Virechan in Heart diseases
Virechan eliminates mainly pitta dosha through anal route.
It removes the accumulated toxins in liver & gall bladder
thereby cleaning the whole of GIT.
Virechan is effective in controlling krimij hridroga .
.
As per Charak sutrasthan 24 ,Virechan is one of the best
therapy indicated for raktadushti & thus it also removes any
sort of hridaydushti as hriday is basically
SaaoiNatkfp`saadjaM
Congestive cardiac failure & respiratory distress are related
to each other. Thus by controlling tamakshwas by giving
Virechan we can also control the diseases of heart by
mainyaining the anuloma gati of vata.
VIRECHAN KALPA
Narayana choorna -5-10gm. …… ch. Ch 13/125-132
Pittaj hridroga - Mridu virechan with draksha ,sita , madhu,
parushaka, ……… ch chi 26/90

15. Use of basti :
It’s a medicated enema which cleanses accumulated toxins
of all the tridoshas through alimentary canal especially vata
dosha
It maintains proper functioning of vyan vayu
SaaKaagataa: kaoYzgataaEca raogaa
mamaao-Qva-savaa-
vayavaaMgajaaEca |
yao saMita taoYaaM na tau
kiEcadnyaao: vaayaao:parM
janmaina hotaurista ||
tsmaaiccaik%saaQa-imait p`idYTa:
kR%snaaMicaik%saaip ca baistrokO:
|
Basti kalpa-
Vataja hridroga - Dashamooladi basti
Pittaja hridroga - Padmakadi basti
Kaphaja hridroga - Aragvadhadi basti
Tridoshaja hridroga - Erandamoolasiddha
yuktaratha basti

16. USE OF NASYA:

17. Nasya is said to act as balya for ]rsqaana, thus it may act
as strength promoter for accessory muscles of heart and
thus improves the pumping action of heart.
NASYA KALPA (VAG. CHI. 6/26-27)
Vataja hridroga-Taila siddhikaran with bilva, rasna, yava,
kola, devdaru, punarnava, kulattha, panchamoola.
USE OF RAKTAMOKSHAN :

18. Sarvadaihik raktamokshan removes the impure blood from
all over the body and thus detoxifies heart.
REJUVENATION
THERAPIES :
HRIDBASTI,HRIDDHARA:
Allowing the medicated oil to stagnate on the chest around
the heart. Very effective in coronary artery blocks,
congestive cardiac failure and reduces spasm.

19. SHIRODHARA :
Shirodhara helps to alleviate anxiety and mental stress
 Takra dhara - indicated in de-
addiction treatment of alcoholism
and tobacco smoking ,masheri
which may pose a threat to heart.
 Dugdha dhara - indicated in
anxiety and pittaj hridvikara.

20. UDVARTAN :
It plays a major role in fat dissolution and also increases
microcirculation.
PINDA SWEDA:
Indicated in Angina pectoris.
It reduces the coronary spasm and strengthens the
myocardiuim.
DHOOMAPAN :

21. )%kNzoMid`yasaMSauiw......
It checks the remnants of kapha dosha after vaman karma
Also it absorbs the excess
secretions.
LIFE STYLE:
Improving your lifestyle by adoption of ethical elements
mentioned in 'Achara Rasayana' is must if you really want
to stay away from mental and physical stress and from
eventual hypertension. It is certain that stress can cause
hypertension. Anxiety, secondary to acute stage can cause
rise in your blood pressure. Relaxation and removal of stress
will help to lower mildly elevated levels of blood pressure
Love and affection and affectionate touch can significantly
drop, your blood pressure.

22. Speak truth. Lying has been found to boost blood pressure,
because it require a lot of mental exercise.
Speak gently; don’t get annoyed for coronary - heart -
disease. .
Laughter Study shows that laughter decreases adrenaline
and cortisol production
Yoga and Breath Therapy:
Yoga as we all know it is aimed to unite the mind, the body,
and the spirit. Research shown that regular practice of Corpse
Pose controls high blood pressure.
Meditating & practicing breathing exercises regularly are
essential to establishing a new relaxation response in place of
the hypertensive reflex to stress.
Chanting the mantra 'OM' or listening to a recording of it in the
early morning and evening is also beneficial

23. Benefits of Yoga
 Stable autonomic nervous system equilibrium
 Respiratory rate decreases
 Blood Pressure decreases (of special significance for
hyporeactors)
 Cardiovascular efficiency increases
 Gastrointestinal function normalizes
 Endocrine function normalizes
 Excretory functions improve
 Strength and resiliency increase
 Immunity increases
Conclusions

24. SWOT Analysis
Strengths Weakness
 Enormous treasure of Unavailability of Raw
ancient Knowledge materials
 Guidance of old Vaidyas  Lack of interest in
 Efficacy of Ayurvedic drugs learning Sanskrit text
in so called non-curable Lack of evidence
diseases based practice
Opportunity Threats
Niche in Therapeutics Growing global
Domestic and competition
International Exposure Traditional working
 Availability of  Globalization and
modern technique for patency of Ayurvedic
research medicine by Westerns