Presented at KLE'S BMK Ayurveda college, Belgaum, Karnataka on the occasion of Ayush doctors training CME - May 17th 2011

1. GERIATRIC PANCHAKARMA Dr Prathibha C K MD Panchakarma Lecturer Department of Panchakarma Amrita School of Ayurveda

2. INTRODUCTION Panchakarma- Shodhana Bahudoshavasta Avastitadosha Oldage- vatavruddha KaphaPittaKsheena Praheenadhatubala (shareera & Manas) Dr Prathibha Sharma CME Belgaum 18/05/2011 2

3. VAMANA Procedure Inv- ECG, Sugar level, LFT, CT BT, Ophthalmic examination Snehapana -Sadhya Honey & Saindhava Madana, Yasti, Pippali, Saindhava,Milk Shwasa Kushta, migrain, thyroid problems, unmada Avarashuddhi Dr Prathibha Sharma CME Belgaum 18/05/2011 3

4. PROBLEMS Heenasatwa RaktaVamana Parshwagraha, Angagraha Agravation of locomotar symptoms Dr Prathibha Sharma CME Belgaum 18/05/2011 4

5. VIRECHANA Procedure Virechana/ Nityavirechana Anulomana & sramsana – Snigdha Decrease vishramakala Trivrut, Aragwadha, Triphala, ErandaTaila Bulk forming purgatives No Danti, Jayapala Tridoshahara Almost all diseases – locomotary, manasika, nuerological, RF, DM, HTN, skin Dr Prathibha Sharma CME Belgaum 18/05/2011 5

6. PROBLEMS Constipation Habit AvaraShuddhi Dehydration To stop Pain increase Dr Prathibha Sharma CME Belgaum 18/05/2011 6

7. BASTI Ajanmamaranaat ArdhaChiktsa All dosha Sarvarthakaari NB, AB,UB Yoga basti/kaalabasti/karma basti Dr Prathibha Sharma CME Belgaum 18/05/2011 7

8. Krurakoshta prior to Virechana MB indicated AB – BruhanaShodhana Mrudu NB- Continuous usage Dr Prathibha Sharma CME Belgaum 18/05/2011 8

9. NIROOHA BASTI Procedure Erandamooladi-LBA Dashamoola-Nuerological, locomotary Ksheera-sandhigatavata KshaaraVaitarana- LBA, Amavata, Bamboostick Varunaadi – RF Amruthottaram - Vatarakta Dr Prathibha Sharma CME Belgaum 18/05/2011 9

10. Mustadiyapana- sarvagadapaha ErandamoolaadiYapana – LBA Piccha- IBS, Chrons disease Yastimadhu- daha, manasika Choorna – amashula Dr Prathibha Sharma CME Belgaum 18/05/2011 10

11. PROBLEMS Administration No retention Collapse Dr Prathibha Sharma CME Belgaum 18/05/2011 11

12. ANUVASANA BASTI Procedure Sahacharadi-Nuerological, LBA Dhanwantaram –Agantu GHE- Constipation Sukumaram- Constipation, bradna GTG- SGV Vastyamayantaka-Urinary Indukanta- Kushta, Amavata Dr Prathibha Sharma CME Belgaum 18/05/2011 12

13. Amrutaprasha- Debility Mahamasha- Parkinsons Karpasasthyadi- Pakshaghta, CS Ksheerabala-CS Dr Prathibha Sharma CME Belgaum 18/05/2011 13

14. UTTARA BASTI Urinary route Procedure Urine Ph Incontinance Dr Prathibha Sharma CME Belgaum 18/05/2011 14

15. NASYA Pratimarsha/ marsha Procedure No Shodhana KB, Shadbindu, Anu, Kalyanaka, Panchagavya Nuerological,Memory, balance,Ardita No much problem Dr Prathibha Sharma CME Belgaum 18/05/2011 15

16. SNEHA & SWEDA Importance Mode of action Namayantiyathanyaam Advantage – external No risk Avarabala Best for vata Dr Prathibha Sharma CME Belgaum 18/05/2011 16

17. SNEHANA Snehapana Murdhnitaila Abhyanga Dr Prathibha Sharma CME Belgaum 18/05/2011 17

18. SNEHAPANA Shamana & Brumhana Procedure Kalyanaka, Amrutaprasha, Sukumara, KB Balya, Tarpana, Deepana Nuerological, Psycological, Gastritis,IBS Dr Prathibha Sharma CME Belgaum 18/05/2011 18

19. MOORDNI TAILA Abyanga Seka Pichu basti Dr Prathibha Sharma CME Belgaum 18/05/2011 19

20. SHIROBHYANGA Dinacharya Indriyabalya Head ache, Sneezing, Alasya Dr Prathibha Sharma CME Belgaum 18/05/2011 20

21. SHIRASEKA Procedure Insomnia, headache, Taila, Jala,Ksheera, kashaya, Takra Dr Prathibha Sharma CME Belgaum 18/05/2011 21

22. SHIROPICHU Talapodichil Local Nuerological Dr Prathibha Sharma CME Belgaum 18/05/2011 22

23. SHIROBASTI Procedure Balya, vak, eye diseases Balance Pakshaghata Dr Prathibha Sharma CME Belgaum 18/05/2011 23

24. ABHYANGA Dinacharya Jarahara Padabhyanga Dr Prathibha Sharma CME Belgaum 18/05/2011 24

25. Tarpana Karnapoorana Gandoosha Dr Prathibha Sharma CME Belgaum 18/05/2011 25

26. SWEDANA Valuka CPS DPS PPS SSPS KayaSeka TailaDroni Local basti, pichu Dr Prathibha Sharma CME Belgaum 18/05/2011 26

27. Better snigdhasweda BP Avoid MahaSweda Dr Prathibha Sharma CME Belgaum 18/05/2011 27

28. RAKTAMOKSHANA Jalauka Pracchana Siravyadha Dr Prathibha Sharma CME Belgaum 18/05/2011 28

29. AGNIKARMA Twakdagdha Bindu, coin Dr Prathibha Sharma CME Belgaum 18/05/2011 29

30. Conclusion Basti karma can be adopted with due care in oldage. Snehana and swedana are the therapies of choice in geriatric problems. Dr Prathibha Sharma CME Belgaum 18/05/2011 30

31. THANK YOU ALL 18/05/2011 Dr Prathibha Sharma CME Belgaum 31