Temperature & its uniformity of liquid material in case of Vata and ..... last Vega ( hours). 6.20 ... Standardization of basti karma with two different .... per feeding.
Recent Advances in Instrumentations and Techniques of Panchakarma Therapy Vaidya Vasant Patil, MD (Jamnagar) Consultant and MD, Atreya Ayurveda and Panchakarma Hospital, HUBLI Editor-in-Chief, JAHM (Journal of Ayurveda and Holistic Medicine) Associate Professor, Dept. of PG studies in Panchakarma, SSRAMC, INCHAL
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Topics Covered Tradition v/s. Technology Need and importance
General consideration for adopting the new technology
Recent advances in instrumentations and Techniques Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Introduction • In the present era, the developments in science and technology around the world, has made a fascinating and glorious movement, which is unavoidable and no one can able to be away from it. So it is the time to renew the methodology and technology of Panchakarma therapy, which is most needed and also Maharshi Vagbhata told to revise, renew the older methodology and technology according to the time. Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Is new technology is really needed? • Anadi • Shashvata • Apta Dvara Upadishta
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Is new technology is really needed?
Yuganurupe……. (Vagbhata) Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Need of new tools and techniques
• • • • • •
In order to compete with the rapidly growing global market, definitely there is need of new technologies and methodologies. The following are the few reasons why technology is needed – To make economical/cost effective therapies To increase the effectiveness of therapies To make the procedures easy, so less skill is needed To develop SOP of PK therapies for research & practice purpose To save the manpower. To save the time Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
General consideration for adopting the new technology • Effective - It should be as effective as classical technology in all the aspects e.g. therapeutic efficacy • Easy to handle • Economical • It should be safe, having no hazardous effects
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Snehana RECENT ADVANCES AND TECHNIQUES
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Massage Table • Adjustable – best for Basti, Nasya;
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Multi-purpose Massage Table
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Oil heating machine
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Oil heating machine (hot water bath)
Courtesy: Ayurveda engineering Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Kati Basti- Instrument
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Kati Basti • Traditional Method
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Area of improvisation • • • •
Ring Duration of therapy Maintaining uniform temperature Dependency on therapist
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Factors deciding efficacy of Kati Basti • • • • • • • •
Temperature & its uniformity Height of Oil Column Circumference of oil retention Duration of oil retention Site of oil retention Viscosity & specific gravity of oil The choice of oil Changing of oil Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Kati Basti - Current Method • Fiber Ring
• Fiber Ring
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Kati Basti Methods • • • • • •
Kati Basti Traditional method Kati Basti using steel or fiber ring Katibasti followed by Abhyanga Sweda Abhyanga Sweda Purvaka Kati Basti Infra Red Aided Kati Basti ( on going research) Kati Basti with Lumbar Traction
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Shape of ring • • • •
Circular Elliptical Rectangular Triangular
Changing of oil • On the end of 3rd day (dharakalpa-kayaseka) • On the end of 2nd day Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Abhyanga Sweda Purvaka Kati Basti • Deep penetration • Higher absorption • Quick results
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Infra Red Aided Kati Basti (on going research) Asha & Vasant Patil et.al.
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Infra Red Aided Kati Basti
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Kati Basti with Lumbar Traction • Abhyanga Sweda and then Lumbar traction followed by Kati Basti will more effective in conditions such as Disc Prolapse, radiculopathy
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Greeva Basti
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Janubasti-Hanubasti-Kurpara Basti Janu Basti In advanced cases it should be done on both Anterior aspect & Posterior aspect Hanu Basti - TMJ arthritis Kurpara Basti - Tennis & golfers elbow Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Shirodhara Yantra • Traditional method With mud pot
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Area of Improvisation • • • • • •
Recycling the oil Maintaining the temperature Oscillatory movement Dependency on therapist Drip height adjustment Drip flow control
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Factors deciding efficacy of Shirodhara • • • • • • • • • • •
Thickness of Drip Height of Drip Uniformity of drip flow Posture of patient – Shavasana is best Pin drop silence Temperature & its uniformity of liquid material in case of Vata and Kapha roga Duration Drip Method – Single point or oscillation Viscosity & specific gravity of oil The choice of oil Changing of oil Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Shirodhara Pot – Metal • Circular- wide mouth
• Narrow mouth
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Shirodhara Yantra -Automatic
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Shirodhara Yantra • Less effective • Complete relaxation of mind & body is not possible in sitting posture
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Shirodhara Yantra – Cristal Mind Merits: • Portable • Economical • Suitable for Jaladhara, Ksheeradhara Demerits: • No Oscillation facility • Drip flow cannot be controlled • Heating of oil is not possible Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Shirodhara Stand- adjustable with wheels
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Shirodhara Yantra -Automatic
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Shirodhara Yantra -Automatic
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Shirodhara- Methods • • • • •
Traditional method Current/Modified method Single point Shirodhara Shirodhara with Oscillation Shirodhara – both single point & oscillation alternatively
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Shirodhara –single point V/S oscillation Yogesh & Vasant Patil et.al. (2015)
• Clinically single point shirodhara provided better results
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Akshi tarpana Yantra Merits: • No Masha pishti req. • Easy to use • Less time consuming
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Abhyantara Snehana Area of Improvisation • Trial Dose fixation • Dose fixations • Assessment of Snigdhata Grade
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Abhyantara Snehana • Dose fixation
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Abhyantara Snehana- Trial Dose Fixation ( Vasant Patil et.al) Factor Pravara/Madhyama/Avara Agnibala Pravara/Madhyama/AvaraVyāyāma Śakti Pravara/Madhyama/Avara Sātmya Krūra / Madhyama / Mridu Koshţha Interpretation: If the score is 70 or more, then 50ml If the score is 50 or more, then 40ml If the score is less than 50, then 30ml Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Score 30/20/10 30/20/10 30/20/10 30/20/10
Dose fixation of Sneha (Varsha Badve et.al.)
A.B.I. = Test dose x T (Time taken for Digestion) Given dose
Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
Dose standardization – Vasant Patil et.al,
• Using the A.B.I. the following dose pattern for Śodha a Snehana is standardized • Dose pattern for Snehana (from 1st to 7th day): • Pravara Agni Bala: 40, 76, 108, 146, 205, 225 & 210 ml • Madhyama Agni Bala: - 37, 75, 116, 152, 201, 276 & 210 ml • Avara Agni Bala: -30, 50, 90, 130, 160, 220 Recent Advances in Instrumentations and Techniques of Panchakarma TherapyVaidya Vasant Patil
SNIGDHATĀ GRADE ASSESSMENT CRITERIA: (Vasant Patil et.al. ) • Total score of Samyak Snigdha Lakshana is 41 Score
Snigdhatā Grade
9-16
Uttama
17-24
Madhyama
25-32
Avara
>32
Ayoga
