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Exploring Nadi Pareeksha (Pulse Diagnosis) and Panchakarma (Five Putative Procedure) in OPD Practice

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Exploring Nadi Pareeksha (Pulse Diagnosis) and Panchakarma (Five Putative Procedure) in OPD Practice Exploring Nadi Pareeksha (Pulse Diagnosis) and Panchakarma (Five Putative Procedure) in OPD Practice KSR Prasad Professor, Panchakarma http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Purpose and Learning Objectivities • The purpose of this Lecture is to introduce the OPD level Panchakarma and offering Nadi diagnosis skills – At the end of the lecture a minimum understanding of Nadi, Dosha finding through Nadi and proposal of Specific Panchakarma for the patient is possible – At the end of lecture utility and practicability of Panchakarma at OPD levels is understood – At the end of lecture exploring the utilization of the opportunities around practicing area is known Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Introduction • AYUSH role in National Health maintenance is around 12% and out of Ayurveda is 60% • Ayurveda is rich in common formulations that can be prepared and used any where with minimal skills • If the skills like –Diagnosis through Nadi and OPD lllevel PhkPanchakarma PdProcedures are adopted the AY‐GAD is alternative to AY‐GOD Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Introduction • Whether Ayurveda practitioner is able to avail and utilize the resources surrounded? – The answer is mostly “NO” • We have rich vegetation and Herbs around us • Ayurveda suggest many single and combination of herbal products that are “GOOD” for the common problems • LlLocal collecti on and dist rib uti on among the group can bring “GOLDEN DAYS” to Ayurveda Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Panchakarma • Panchakarma is a procedural part of AdAyurvedathiherapeutics establish ed for the Dosha elimination from the Body either from oral or rectal route (GI system) • In due course the Panchakarma extended to get rid of the Physical and Psychological DhDosha accumultdlated by envitlironmental or Dietetic misbehaviors also Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Panchakarma • Five karma are told as “Shodhana” / (Eliminative) “Langhana” in nature based on “Bahudosha Nirharana” • But only two karma are fully capable – (Poorna Shodhana) – “Vamana” (Upper GI cleanser) – “Virechana” (lower GI cleanser) • The other three karma are partial for elimi nati on as they are even used for Brimhana and others Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Panchakarma • Karma are attributed to Dosha – – Vata – Vasti (Basti) – Pitta – Virechana – Kapha – Vamana • The selection of patient for the karma are commonly based on Disease but not on the basis of Dosha – Which is wrong –it should be at the dosha sanchaya • We observe “Fitness” of patient always • But many times the expected results are not observed as the “Karma” is not suitable for the situation Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Panchakarma at OPD • A big question and debatable at Ayurveda community is – Panchakarma at OPD level and Instant and duration reduction in Panchakarma – the reasons to adopt OPD level or Sadya PhkPanchakarma are ‐ • Time schedules of the Patients are stingy • Sustenance capacities of patients are reduced • Herbs are less potent to yield long duration effects Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice How much PPhkanchakarma can be done @OPD • There is more feasibility and possibility to develop and practice instant time reduced portable OPD level Panchakarma • A small variants have to be introduced or altered for the present day in traditional practices of Panchakarma Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Sadya‐Snehapana • Propose: to get soften ing and liquef acti on of Shakhashrita Dosha • SltiSolution: SdSadya‐ShSnehapana tldtold by ShtSushruta to make unction instant • RiRecipe: Ghr ita (dose according to the weihight and Dosha) + Saindhava Lavana (10gm for 24 ml of Ghee) ++ advised to add Honey 10gm for each 24ml of Ghee and QS milk • Time of Application: Morning on empty stomach • Assumption of Effect: Fingers Greasing at anal wash & oily stools or floating oil at lavator y pan in 6 to 24 hours Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Sadya‐Swedana • Propose: to move the liquefied Dosha to Koshta (GIT) • Solution: Sadya‐Swedana with altered methods like long duration Hot water bath or steaming • Recipe: For sweating we can use common herbs of easily available like – Shigru (Drumstick), Nirgundi, or any churna according to disease etc instead of only Dashamoola etc. • Time of Application: Preferable after external Abhyanaga (il(oil applicati on – not massage) • Assumption of Effect: Forehead sweating Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Sadya‐Vamana • Propose: to remove the Kapha Dosha from Koshta (GIT) through oral orifice • Solution: Many Vamaka yoga are available • Recipe: Madanaphala pippali in 3‐6gm dose offer smooth evacuation after drinking full stomach milk followed by Saindhava Jala – Conform there is no cardiac problem through ECG and enquire GIT problems – If no previous Abhyanatara snehana is undertaken you may add 24ml of Ghrita to the Milk • Time of Application: Preferable on empty stomach at Kaphakala (6‐10 AM) • Assumption of Effect: Bile vomiting, Bitter tongue, Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Sadya‐Viihrechana • Propose: to remove the Pitta Dosha from Koshta (GIT) through Anal orifice • Solution: Many Virechana yoga are available • Recipe: Trivrut Avaleha 30gm + Ghrita 60ml + Saindhava 10gm + Honey 90ml followed by hot water sippings – Conform there is no IBS, Hemorrhoids, etc. – NO need of any previous snehapana as Ghrita is added to yygoga • Time of Application: Preferable at 6 AM or best when the patient is hungry and in pitta kala (10 AM to 2 PM) • Assumption of Effect: hot water evacuation – This program makes more secretion of HCl from stomach and Pancreatic Juice and Bile – So the total emptiness of the Gall bladder, Pancreatic Juice, cleansing of HCl production cells, shift of fluids from Internal to External compartment along with fluid regulation takes place Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Sadyo‐Vasti • Vasti or Basti means only Niruha or Asthapana Vasti • Ekanginka Niruha Vasti – a term continuously only Niruha is given • Vasti is a broad range treatment with many combinations and permutations • It is not Just Enema – it is far highest sophisticated technical route of medicine administration with density, temperature, pressure, intestinal dilatation, fluid shift, and many more components ildinvolved • Best Time to give is Vata Kala –4 ‐6 AM or 2‐6 PM Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Sadyo‐Nasya • As Nasya is a common program and Pratimarsha Nasya is in practice there is no need of any other alternative for the Nasya karma • Any time it can be given Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Uttara Vasti • Uttaravasti for the female do require instrumentation and sterile room with aseptic and antiseptic precautions • A new OPD method sterile disposable clamp method is derived for Male Uttaravasti • Easy, economical, infection free, effective • See for ppt on www.slideshare.net//ytechnoayurveda Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Nadi Diagnosis Introduction • Nadi Pareeksha (Pulse diagnosis) is a fantasy of the AdiAyurvedic Physi ci an • We lost the precision of information and thtechnol ogy in the time • Still with the information available through the doctrines of Ayurveda we are able to relocate and retrieve wisdom of Nadi Vijnana Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Nadi (Pulse) • Nadi Pareesksha is one among the eight meeodsoethods of examining gp a patie nt • We examine a patient for the understanding of – – Rogi Prakriti (Patient Body Constitution) – Vyadhi Prakriti (Disease Constitution) – Dosha Prakriti (Humoral Constitution) Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice History of Nadi (Pulse) • Brihatrayee gives kldfknowledge of – – Spandana – Praspandana – Aspandana, – but not focus diagnostic or prognostic Nadi Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Nadipareeksha & Panchakarma in OPD Practice Laghutrayee • SHARANGADHARA (13th A.D) – First time mentioned 15 types of Nadi that include – physiological, Psychological and pathological states of body correlated with those of the birds, reptiles and amphibians. 24 notable nadi are described for Nadi pareeksha – “DtDootana di” (Messenger pul)lse) – popular in AdhAndhra • BHAVAPRAKASHA 15th century AD – – Gender based Nadi – Three finger usage for thridosha • YOGARATNAKARA (16th century AD.) – included different Sites and methods of pulse examination and prognosti/diic / diagnosti c meth hdods Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
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