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SUNSTROKE

Dr.S.Gopakumar MD (Ay)
MD – Roganidana, MD - Kayachikitsa
Assistant Professor,
Dept. of Roganidana
Govt Ayurveda College,
Thiruvananthapuram.
‘WARM’ WELCOME
‘BHUMI JWARA’

‘Bhoomikku Panikkunnu’
A yurveda

K
E
R
L akes
famous for
A
L
L iteracy
A
Sunstroke is a life-threatening condition in
which the body's heat-regulating system fails,
due to exposure to high temperatures.
Let us remember Vagbhata…….
Recent Clips
• Sun stroke is an acute, lifethreatening condition in which the
body's heat-regulating system
fails, due to prolonged exposure
to high temperatures, excessive
production of heat or commonly a
combination of the two.
• The body is unable to lose heat
adequately in order to return to its
normal temperature.
• Body temperature rises to very
high levels, which can damage
major organs.
Sunstroke can occur when the body's mechanisms
to rid itself of excess heat are overwhelmed by a
very hot or humid environment, or strenuous
physical activity.
Who are at Risks…?
• Young children
• Elderly people
• Individuals not used to physical
activity
• People suffering from certain
chronic medical conditions-DM
• Those involved in certain
sporting activities.
Why Heatstroke…?
• Significant physical exertion
on a very hot day can generate
heat beyond a healthy body's
ability to cool itself, because
the heat and humidity of the
environment reduces the
efficiency of the body's normal
cooling mechanisms.
• Other factors, such as
drinking too little water, can
exacerbate the condition
The General Picture…
• Symptoms of sunstroke
include elevated body
temperature
• Hot, dry skin
• Hyperventilation
• Mental confusion
• Eventual unconsciousness.
• Sunstroke can be preceded
by heat exhaustion, when
excess loss of fluids and salt
in sweat results in marked
weakness.
• Heat exhaustion may be
accompanied by heat
cramps: sudden painful
muscle spasms in the arms
or legs, and sometimes the
abdomen.
Symptoms and signs of
Sunstroke
• Hot, dry skin
• No sweating (usually)

• Skin is first flushed, then pale or purple
• Hyperventilation (rapid, shallow breathing)
• Rapid, bounding pulse (alternates between a
higher intensity than normal, then disappears
quickly)
• Body temperature rises
rapidly to 40°C or higher
• Headache
• Muscle cramps
• Dilated pupils
• Signs of mental disorder may
include incoherent speech,
disorientation, confusion,
aggressive speech or
behavior, agitation and
hallucinations.
• Lethargy or stupor (reactions
become extremely slow and
sluggish)
• Convulsions
• Loss of consciousness
• Symptoms of heat
exhaustion may include:
• Weakness and fatigue
• Tense or aching muscles
• Nausea and vomiting
• Pale, clammy skin
• Weak, rapid pulse
• Confusion
• Normal body
temperature (usually)
• Heat cramps
• Heavy sweating
• Dizziness or
lightheadedness
• Fainting
• Dark yellow or orange
urine
• Headache
• Diarrhea
Sunburn
• A sunburn is a burn to living tissue
such as skin produced by
overexposure to ultraviolet (UV)
radiation, commonly from the sun's
rays.
• Usual mild symptoms in humans and
animals include red or reddish skin
that is hot to the touch, general
fatigue, and mild dizziness.
• An excess of UV-radiation can be
life-threatening in extreme cases.
Exposure of the skin to lesser
amounts of UV radiation will often
produce a suntan.
Basic Approach

The primary
treatment goal for
sunstroke is to lower
the elevated body
temperature rapidly in
a controlled fashion.
Emergency care of sunstroke
• Remove the person's clothing and
immerse the body in a cold water bath. If
this is not possible, cover the body with a
wet sheet or towels, sponge down the body
with cool water or rub the limbs with icecubes.
• If water supply is limited, cooling the head
and neck becomes the priority.
• Place ice packs (if available) at the neck,
armpits and groin.
• Fan the person with a newspaper, towel or
electric fan to increase air flow and
evaporation.
• After the bath, move the
person to a cool place.
• Elevate the feet to direct blood
back toward the head.
• Massage the extremities (arms
and legs) to encourage the
return of cool blood to the
brain and the core of the body.
• If the person is conscious,
encourage him or her to sip
water or a soft drink.
• While cooling the body down,
take the person's
temperature rectally every 10
minutes and do not allow it
to fall below 38.5°C.
• Only immerse the person in a
cold bath until their
temperature falls to 39.4°C.
If you don't have a
thermometer, continue with
first aid until the body feels
cool to the touch. Resume
cooling if the body starts to
heat up again.
•

Sitting in a bathtub of cool
water (immersion method) can
remove a significant amount of
heat in a relatively short period
of time.
However, immersion in very
cold water is
counterproductive, as it causes
vasoconstriction in the skin and
thereby prevents heat from
escaping the body core.
Heat cramps
Heat cramps are
painful, involuntary
muscle spasms that
usually occur during
heavy exercise in hot
environments.
• Heat cramps are muscle spasms that result
from loss of large amount of salt and water
through exercise. Heat cramps are associated
with cramping in the abdomen, arms and
calves. This can be caused by inadequate
consumption of fluids or electrolytes.
• Frequently, they don't occur until sometime
later, especially at night or when relaxing.
Heavy sweating causes heat cramps,
especially when the water is replaced without
also replacing salt or potassium.
What to Do…?
• Rest briefly and cool down
• Drink clear juice or an
electrolyte-containing sports
drink
• Practice gentle, range-of-motion
stretching and gentle massage of
the affected muscle group
• Don't resume strenuous activity
for several hours or longer after
heat cramps go away
• Although heat cramps can be quite painful,
they usually don't result in permanent
damage.
• In order to prevent them, one may drink
electrolyte solutions such as Sports drinks
during the day or eating more fruits like
bananas.
Sunstroke in Ayurveda
• Kalabala pravritha
roga
• Vyapanna Rithukritha
Vyadhi
• Greeshma rithu related
changes
Water is essential for life…
So is Kapha dosha with Sneha guna
Loosing the Balance……

• Theekshnamsu
• Kaphakashaya

• Vathakopa
Samprapti Ghatakas
• Pitha vatha spectrum

• Soumya dhathu
kshaya
• Ojokshaya
Focus Areas

1. Greeshma
Rithu
2. Udakavaha
Srothodushti
3.Rakthavaha
Srothodushti
4. Dhoomopahatha
5. Swedathiyoa /Athisweda chikitsa
6. Athidagdha in Agnikarma
7. Dahadi Jwara
8. Rajika – A Kshudra roga of skin
Areas of focus
•
•
•
•
•
•
•

Greeshmacharya
Pithahara chikitsa
Udakavahadushtichikitsa
Dahadi jwara chikitsa
AthiSwedachikitsa/Swedathiyoga chikitsa
Dhoomopahathachikitsa
Ojokara chikitsa
• Acute Phase
• Chronic Phase

Management Principles
Bahya chikitsa

• Parisheka
• Avagaha
• Lepana
Ayurvedic ORS
• Paneeya Kalpanas

• Paneeyas mentioned in Athisara
• Paneeys mentioned in Thrishna chikitsa
Drugs
•
•
•
•
•

Drakshadi
Guloochyadi
Saribadi
Parookshakadi
Thikthakam etc…
Daha Prasamana Gana by CharakaLaja,Chandana,Kasmarya etc
Thrishna nigraha gana by Charaka

Shadanga Paneeya
Ksheerivrikshatwak Kwadha
External use
• Sathadhouthaghritha

• Mahathikthaka ghritha
• Pindathaila
• Chandanadi lepa…
Seasonal Life Style Modifications
•
•
•
•
•
•
•

Avoid exposure to sunlight
More water intake
Gardens and Parks
Non Spicy food
Mental fitness
No Alcohol
More fruits and juices…
Diet
•
•
•
•
•

Mandha
Laja tharppana
Panaka/Paneeyas
Ksheera based preparations
Phalavargas –
Dadima,Draksha,Mocha etc
‘Care Nature,Cure Naturally….’
The Future
• Nature
• Development…?
• Man
Sunstroke and it's Management - Dr.S.Gopakumar,Atreya Awardee

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Sunstroke and it's Management - Dr.S.Gopakumar,Atreya Awardee

  • 1. SUNSTROKE Dr.S.Gopakumar MD (Ay) MD – Roganidana, MD - Kayachikitsa Assistant Professor, Dept. of Roganidana Govt Ayurveda College, Thiruvananthapuram.
  • 4. A yurveda K E R L akes famous for A L L iteracy A
  • 5. Sunstroke is a life-threatening condition in which the body's heat-regulating system fails, due to exposure to high temperatures.
  • 6. Let us remember Vagbhata…….
  • 8. • Sun stroke is an acute, lifethreatening condition in which the body's heat-regulating system fails, due to prolonged exposure to high temperatures, excessive production of heat or commonly a combination of the two. • The body is unable to lose heat adequately in order to return to its normal temperature. • Body temperature rises to very high levels, which can damage major organs.
  • 9.
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  • 11. Sunstroke can occur when the body's mechanisms to rid itself of excess heat are overwhelmed by a very hot or humid environment, or strenuous physical activity.
  • 12. Who are at Risks…? • Young children • Elderly people • Individuals not used to physical activity • People suffering from certain chronic medical conditions-DM • Those involved in certain sporting activities.
  • 13. Why Heatstroke…? • Significant physical exertion on a very hot day can generate heat beyond a healthy body's ability to cool itself, because the heat and humidity of the environment reduces the efficiency of the body's normal cooling mechanisms. • Other factors, such as drinking too little water, can exacerbate the condition
  • 14.
  • 15. The General Picture… • Symptoms of sunstroke include elevated body temperature • Hot, dry skin • Hyperventilation • Mental confusion • Eventual unconsciousness.
  • 16. • Sunstroke can be preceded by heat exhaustion, when excess loss of fluids and salt in sweat results in marked weakness. • Heat exhaustion may be accompanied by heat cramps: sudden painful muscle spasms in the arms or legs, and sometimes the abdomen.
  • 17. Symptoms and signs of Sunstroke • Hot, dry skin • No sweating (usually) • Skin is first flushed, then pale or purple • Hyperventilation (rapid, shallow breathing) • Rapid, bounding pulse (alternates between a higher intensity than normal, then disappears quickly)
  • 18. • Body temperature rises rapidly to 40°C or higher • Headache • Muscle cramps • Dilated pupils
  • 19. • Signs of mental disorder may include incoherent speech, disorientation, confusion, aggressive speech or behavior, agitation and hallucinations. • Lethargy or stupor (reactions become extremely slow and sluggish)
  • 20. • Convulsions • Loss of consciousness • Symptoms of heat exhaustion may include: • Weakness and fatigue • Tense or aching muscles • Nausea and vomiting • Pale, clammy skin • Weak, rapid pulse
  • 21. • Confusion • Normal body temperature (usually) • Heat cramps • Heavy sweating • Dizziness or lightheadedness • Fainting • Dark yellow or orange urine • Headache • Diarrhea
  • 22. Sunburn • A sunburn is a burn to living tissue such as skin produced by overexposure to ultraviolet (UV) radiation, commonly from the sun's rays. • Usual mild symptoms in humans and animals include red or reddish skin that is hot to the touch, general fatigue, and mild dizziness. • An excess of UV-radiation can be life-threatening in extreme cases. Exposure of the skin to lesser amounts of UV radiation will often produce a suntan.
  • 23.
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  • 25. Basic Approach The primary treatment goal for sunstroke is to lower the elevated body temperature rapidly in a controlled fashion.
  • 26. Emergency care of sunstroke • Remove the person's clothing and immerse the body in a cold water bath. If this is not possible, cover the body with a wet sheet or towels, sponge down the body with cool water or rub the limbs with icecubes. • If water supply is limited, cooling the head and neck becomes the priority. • Place ice packs (if available) at the neck, armpits and groin. • Fan the person with a newspaper, towel or electric fan to increase air flow and evaporation.
  • 27. • After the bath, move the person to a cool place. • Elevate the feet to direct blood back toward the head. • Massage the extremities (arms and legs) to encourage the return of cool blood to the brain and the core of the body. • If the person is conscious, encourage him or her to sip water or a soft drink.
  • 28. • While cooling the body down, take the person's temperature rectally every 10 minutes and do not allow it to fall below 38.5°C. • Only immerse the person in a cold bath until their temperature falls to 39.4°C. If you don't have a thermometer, continue with first aid until the body feels cool to the touch. Resume cooling if the body starts to heat up again.
  • 29. • Sitting in a bathtub of cool water (immersion method) can remove a significant amount of heat in a relatively short period of time. However, immersion in very cold water is counterproductive, as it causes vasoconstriction in the skin and thereby prevents heat from escaping the body core.
  • 30. Heat cramps Heat cramps are painful, involuntary muscle spasms that usually occur during heavy exercise in hot environments.
  • 31. • Heat cramps are muscle spasms that result from loss of large amount of salt and water through exercise. Heat cramps are associated with cramping in the abdomen, arms and calves. This can be caused by inadequate consumption of fluids or electrolytes. • Frequently, they don't occur until sometime later, especially at night or when relaxing. Heavy sweating causes heat cramps, especially when the water is replaced without also replacing salt or potassium.
  • 32. What to Do…? • Rest briefly and cool down • Drink clear juice or an electrolyte-containing sports drink • Practice gentle, range-of-motion stretching and gentle massage of the affected muscle group • Don't resume strenuous activity for several hours or longer after heat cramps go away
  • 33. • Although heat cramps can be quite painful, they usually don't result in permanent damage. • In order to prevent them, one may drink electrolyte solutions such as Sports drinks during the day or eating more fruits like bananas.
  • 35. • Kalabala pravritha roga • Vyapanna Rithukritha Vyadhi • Greeshma rithu related changes
  • 36. Water is essential for life… So is Kapha dosha with Sneha guna
  • 37. Loosing the Balance…… • Theekshnamsu • Kaphakashaya • Vathakopa
  • 38. Samprapti Ghatakas • Pitha vatha spectrum • Soumya dhathu kshaya • Ojokshaya
  • 44. 6. Athidagdha in Agnikarma
  • 46. 8. Rajika – A Kshudra roga of skin
  • 47. Areas of focus • • • • • • • Greeshmacharya Pithahara chikitsa Udakavahadushtichikitsa Dahadi jwara chikitsa AthiSwedachikitsa/Swedathiyoga chikitsa Dhoomopahathachikitsa Ojokara chikitsa
  • 48. • Acute Phase • Chronic Phase Management Principles
  • 49. Bahya chikitsa • Parisheka • Avagaha • Lepana
  • 50. Ayurvedic ORS • Paneeya Kalpanas • Paneeyas mentioned in Athisara • Paneeys mentioned in Thrishna chikitsa
  • 52. Daha Prasamana Gana by CharakaLaja,Chandana,Kasmarya etc Thrishna nigraha gana by Charaka Shadanga Paneeya Ksheerivrikshatwak Kwadha
  • 53. External use • Sathadhouthaghritha • Mahathikthaka ghritha • Pindathaila • Chandanadi lepa…
  • 54. Seasonal Life Style Modifications • • • • • • • Avoid exposure to sunlight More water intake Gardens and Parks Non Spicy food Mental fitness No Alcohol More fruits and juices…
  • 56.
  • 58. The Future • Nature • Development…? • Man