5. Few Details About Parkinson’s Disease
❖ A progressive neurological disease.
❖ Parkinson’s is a major reason behind disability in
elderly people.
❖ In 2015, Parkinson’s Disease affected 6.2 million
people and resulted in about 117,400 deaths globally.
❖ Because of the tremors we also know it as- Shaking
Palsy.
6. What happens in Parkinson’s
❖ There are different symptoms in Parkinson’s
Disease.
❖ We can divide these in three categories-
❖ Motor, Non Motor and Neuropsychiatric.
7. Symptoms of Parkinson’s
1) Motor symptoms
These are the symptoms associated with the motor activities of the body. Therefore we know these as motor
symptoms.
• Bradykinesia- difficulty in initiating movements and slowness in executing
• movements.
• Difficulty in getting from chair
• Hypophonia
• Tremor-Pill rolling
• Rigidity
• Cogwheeling sensation
• Dystonia- muscle dysfunction characterised by spasms or abnormal muscle contraction
8. Symptoms of Parkinson’s
2) Non motor symptoms
These are more like cognitive symptoms of PD, thus known as non-motor symptoms
• Depression & Anxiety
• Cognitive impairment
• Sleep disturbance
• Sensory abnormality & Pain
• Loss of Smell
9. Symptoms of Parkinson’s
3) Neuropsychiatric symptoms
• Change in Mood
• Cognition- the mental processes by which knowledge is acquired.
• These include perception, reasoning, acts of creativity, problem-solving, and possibly
intuition
• Behaviour is accompaniment.
10. What happens in Parkinson’s Disease
❖ Dopamines are responsible in
two ways-
❖ Either there is a problem
with the production of
dopamines.
❖ Or the dopamine receptors
are not able to pick
dopamine.
11. –George H. W. Bush
“I have a form of Parkinson’s Disease, which I don’t like. My legs
don’t move when my brain tells them to. It’s very frustrating”
Parkinson’s is not about tremors!!
14. What goes wrong?
❖ Because someone used a word- Shaking
Palsy- let’s find something similar in
Sanskrit….. oh wow!! We have Kampvata!!!
❖ Hummm it is about Dopamine, lets find a
plant with Levodopa to help my
patients…… oh wow!! We have Krauncha
Seeds.
15. What Ayurveda Opines About PD?
❖ Parkinson’s disease is most commonly compared with “kampavata” or
“vepthu” like conditions- mentioned in the chapter of Vata Vyadhi of the
Samhitas. This is the reason, the normal Vata treatment is being applied on
this disease.
❖ The only thing we have with us, Parkinson’s Disease is a disorder of Vata!
❖ But Vata treatment is hardly helpful with patients of Parkinson’s Disease.
❖ We need to revisit the things one by one for better understanding of the
disease.
17. Revisiting the Shastra
❖ Ayurvedic pathology is based on the signs and symptoms because of this-
tri-sutra ayurveda- Hetu-Linga and Aushadha.
❖ If we look at this triad of Ayurveda- it is clear that for diagnosis “linga” aka
Laskshans- signs and symptoms are the basic tool.
❖ Besides this, when we talk about Nidaan Pancaka there out of five-
Purvaroop, Roop and Upshaya are based on the signs and symptoms alone.
18. Revisiting the Shastra
❖ Therefore these are the signs and symptoms which give a clearer idea about
the disease and on the basis of these- Samprapti- pathology decides.
❖ When we can understand the Samprapti, only than we can do Samprapti
Vighatana- reversal of pathology.
❖ In case of unsolved diseases like PD we are not able to decide and explain
the pathogenesis this is the biggest hurdle in deciding the treatment of
conditions like PD.
❖ When it comes to Samprapti and Anshansh Kalpana- everybody leaves it
behind by saying- “no it is complicated” and they leave the concept to a side.
19. Revisiting the Shastra
Guna Effected Vata Pitta Kapha
Chal Guna increased
and Sthir Guna
decreased
Stiff muscles Sthir Guna
Difficulty in standing,
walking and bodily
movements
Sthir Guna
Involuntary movements Chal Guna increased
and Sthir Guna
decreased
Rhythmic Muscle
contraction
Chal Guna increased
Slow bodily movement Sthir Guna
Slow shuffling gait Sthir Guna
Daytime sleep Sthir Guna
20. Revisiting the Shastra
Early awakening Chal Guna
Nightmares
Restless Sleep/ Sleep
disturbances
Chal Guna
Fatigue
Dizziness Chal Guna
Poor Balance Sthir Guna
Amensia Sthir Guna
Confusion in the
evening hours
Chal Guna
Dementia Sthir Guna
21. Revisiting the Shastra
Difficulty in thinking and
understanding
Sthir Guna
Difficulty in speaking Sthir Guna
Soft Speech Chal Guna
Anxiety Sthir Guna
Loss of smell Loss of Prithavi
Mahabhoot and that
depicts Sthir Guna
Dribbling of urine Chal Guna
Jaw Stiffness Sthir Guna
Blank stare Sthir Guna
Constipation Sthir Guna
Depression Sthir Guna
Difficulty in swallowing Sthir Guna
22. The Outcome
1. Vata and Kapha are involved in the pathology
2. Sthir and Chala Guna are imbalanced
3. Vata symptoms are related to Vata Kala- early morning restlessness and discomfort
in evening hours.
4. The balance of body - Sthairya (which is a Guna of Kapha) is challenged in almost
everywhere.
5. Tremors which are taken as most important sign by Ayurvedic scholars is occurring
in state of - sthirta - when body is not active - Resting tremors or involuntary
tremors.?
23. वि्या
1. Chala and Sthir Guna duet is disturbed
2. Vata is suppressed.
3. Kapha is increased.
Result is: Kapha is obstructing the Vata= Kaphavruta Vata
24. आिरर्
के िलं िायुमुद्ददश्य स्त्र्थानिेदात्तर्थाऽऽिृतम्||
के िलं िायुमु्हदश्य के धिच्गाद िेपथु आदयः उकताः,
तथा चािृतं िातमु्हदश्य के धिचदुकताः "ललङ्गं वपत्तािृते दािस्तृष्र्ा" इत्याहदना !!
आिरक आिृत
कफ
िात
िायोधाशतुक्षयाद्कोपो मागशस्त्यािरणेन ि
धातुक्षयाद आिरणात ि ….!!
35. समग्रं दुिःखमायत्तमविज्ञाने द्ियाियम ्| सुखं समग्रं विज्ञाने विमले ि
प्रततन्ष्ितम ्||
इदमेिमुदारार्थशमज्ञानां न प्रकाशकम्| शास्त्रं दृन्ष्िप्रणष्िानां
यर्थैिाददत्यमण्डलम ्||
All the sufferings - diseases of both body and mind - are caused by
ignorance. All happiness /health is due to the clear knowledge.
Just as the Sun cannot help a blind man to see things even with all
its light, similarly Ayurveda, which generously guides us through
the path of dharma, artha, kama, and moksha, cannot guide
someone devoid of its understanding or is a skeptic.
FINAL WORDS
36.
37. “Thanks for HEARING Me
Hope you LISTENED Me right ”
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