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OJAS – ENDOCRINOLOGY - IMMUNOLOGY
                        BY
     Prof. Dr. N. Satya Prasad, M.D., PGDHM
                  GOLD MEDALIST
             Sr. Reader / Civil Surgeon
    Post Graduate department of Kayachikitsa
    Dr. B.R.K.R. Government Ayurvedic college
              Hyderabad, A.P., India
        Email: satyapnamburu@gmail.com
“The Natural force within each
 of us is the greatest healer of
             disease”
        - Hippocrates
OJAS

    रसादीनां शुबान्तानां धातूनां यत्परं तेजःतत्खलु ओजःतदे व
    रसादीनां    ान्तानां      ां यत्परं    ःतत्खलु
     बलम ् इित ! सु. सू.

    the supreme essence of all saptadhatus from Rasa to
     Sukra is known as Ojas.
    It means vigour or the essential energy of the Immune
     system.
    Ojas is responsible for strength, vitality and Immunity
     against the diseases.
Hence Ojas is said as


   ूधमे जायते ह्योज: शरीरे ~िःमन ् शरीिरनाम ्
    ूधमे जायते
    सिपर्वनम ् मधुरसम लाजगिन्ध ूजायते,
          र् र्
    ॅमरै : फलपुंपेभ्यो यधासन्ीीयते मधु
                        यधासन्ीीयते
    तद्वदोजःःव ् ममर्भ्यो (शरीरे भ्यो) गुणैःसिन्ीयते सदा.
                                            सिन्ीयते

   It is very clear that the Ojas is established in Hridaya
    very from the starting of the life which is like Honey and
    with Laja gandha (like smell of pop corn) .
So now what to be understand this?
   Homocysteine is an amino acid with the formula
    HSCH2CH2CH(NH2)CO2H.
   It is a homologue of the amino acid cysteine, differing by
    an additional methylene (-CH2-) group.
   It is biosynthesized from methionine by the removal of
    its terminal methyl group.
   Homocysteine can be recycled into methionine or
    converted into cysteine with the aid of B-vitamins.
   While detection of high levels of homocysteine has been
    linked to cardiovascular diseases.
CONCEPT OF OJAS
   The concept of Ojas in Ayurveda is very subtle and
    fundamental.
   The two main functions of Dhathus are :
              ‘SHAREERA DHARANA’
                        and
              ‘SHAREERA POSHANA’
   That is sustaining and maintaining body as well as
    nourishment of the body.
   Ojas sustains the body.
"The human body heals itself and nutrition
  provides the resources to accomplish the
  task."
                Roger Williams Ph.D. (1971)
BIOLOGICAL STRENGTH
                            (BALA)

      िऽिवधं बलं सहजं कालजं युिक्तबतं च ! च.सू.
      िऽिवधं बलं सहजं कालजं        ु तं

   Sahaja :- Genetic or constitutional , which is from time
    of formation of foetus.
   Kalaja :- The bala (strength) is gained as per the season.
     e.g. In Hemantha rithu is at its highest and in Greeshma
    it is very lowest.
   Yuktikritha :- This is acquired strength which is achieved
    or induced with the help of dietary and other regimen.
    i.e with the help of Rasayana.
Bala/ strength
 Bala/vitalityprinciple--firm integrity to the
  muscles, good voice, complexion, motor&
  sensory functions, and intellect to perform
  their natural functions.
Immunity-Ojas
 The quintessence of all the tissues
  denotes that--
 Ojas is our vital energy.
 Pervades all tissues, cells, and spaces.
 The ultimate distillation of each tissue
  combined together and it is the main
  determinant of our immune status and
  hence our resistance to disease.
Ojas pervaded in entire body

    ओज: सवर्शरीरःथं िःनग्धं शीतं िःथरं िसतम ् !
              रीरःथं िःनग्धं शीतं िःथरं
    सोमात्मक शरीरःथं बलपुिष्टकरं मतम ् ! भा.ू.पू.
            ं शरीरःथं      ष्टकरं

    Ojas is pervaded in entire body in the way of …
    Snigdha (moist),
    Sheetal,
    Sthira (gives stability and support),
    Soma (nature of nectar),
    Transparent and strengthens and nourishes the body.
Ojas is one and ultimate immunity in the body

     येन ओजसा वतर्यिन्त ूीिणता: सवर्देिहन:
     यिते सवर्भूतानां जीिवतं नावितष्टते ! ......
     यितेु        ानां जीिवतं नावितष्टते
     .... यत शरीरसःनेह: ूाण यऽ ् ूितिष्टता: !
     तत्फला बहधा वा ता: फलन्तीव ित महाफला !
                ु
   Every individual is living due to Ojas without which they
    are unable to live or they die.
   This Ojas stays in the body right from the embryo
    stage.
   It is in the form of essence of Rasa and enters into heart
    during its formation and sustains throughout the life.
Basic Components of the Immune
            System
 Pathogen,  Bacteria, Viruses, Infections,
  and parasites
 Leukocytes
 Antibodies
 Antigens


                                     Virus
Pathogens and all the other stuff
   Any biological agent that causes illness and/or disease to
    its host. Also known as a germs, simple as that!

                                   Different types of pathogens
                                   include the following:
White Blood Cells                     Leukocytes
                                   (White Blood Cells)




                                                              Other Types of
          lymphocytes
                                                                  WBC




T cells     B Cells     NK Cells                    Eosinophils           Macrophages
Antibodies & Antigens
   Antigens= a fragment of a protein or peptide from the
    pathogen, taken to the surface of the infected cell and
    bound in an MHC (major histocompatibility complex)
    molecule.
   The class 1 MHC complex molecule and the foreign
    peptide form the antigen, which can be read by the
    receptors on Killer T cells.
      Antigen
                             Cell
      Class 1 MHC molecule

       Pathogen
Antibodies & Antigens
Antibodies are produced by B cells, when stimulated by
lymphokines from helper T cells. The antibody attaches to the
antigen, completing the signal, coding the infected cells for
destruction.
Antibodies are constructed of DNA fragments, making them so unique
and almost innumerable.




   Antigen
                                Cell
   Class 1 MHC molecule

    Pathogen
Helper T cells- secrete
                                       T cells!               Killer T cells- They find
lymphokines that direct B cells                               specifically coded infected
into producing antibodies and                                 cells, and then destroy them
also direct the Killer T cells as to                  T cells with cytotoxins. They may
which cell they get to eliminate.                             be directed by Helper T cells


                           Helper T cell (Th)                        Killer T cell (Tk)



          Memory T cell                          Suppressor T cell



                                                              Suppressor T cells- in charge
                                Helper T cell
                                                              of slowing and stopping the
                                                              immune response after the
                                                              foreign substance is destroyed.
                                 Killer T cell
NK Cells
   NK, stands for Natural Killers, meaning they do not need
    to be activated by a class 1 MHC receptor

   NK cells play a major role in the Innate Immune System

   Activated by interferons and macrophage-derived
    cytokines

   Contains a virus until killer T cells develop, and then kills
    the virus.
B cells
   B Plasma Cells- when the B cell           B Memory Cells- These are the
    produces the antibody for a                same as B plasma cells, except
    specific antigen, it begins to clone       they remain inactive until the
    itself into B plasma cells, that           secondary immune response
    produce more of that particular
    binding antibody.                         Secondary immune response is
   These cells release                        considered anytime the body
    immunoglobulin, or antibodies.             encounters a pathogen after the
                                               first time. Quicker response time.
   B plasma cells have a 5 to 7 day
    life-span                                 Primary response is the first
    all its protein synthesis energy is       time the body encounters a
    going into the production of               specific pathogen, Lag period
    Antibodies, not self preservation.         before B cells respond.
OJAS IS ALSO ULTIMATE FORM OF
                 ENDOCRINES

   ENDOCRINE MEANS SECRETIONS ARE MADE
    WITHOUT VESSELS LIKE OJAS IS ALSO IN THE SIMILAR
    WAY OF SUPPORT TO THE BODY.

   HENCE ENDOCRINES ALSO INCLUDED IN THE OJAS.



                 HOW ?
HORMONE


   A hormone is a chemical released by a cell or a
    gland in one part of the body that sends out
    messages that affect cells in other parts of the
    organism.
   Only a small amount of hormone is required to
    alter cell metabolism.
   In essence, it is a chemical messenger that
    transports a signal from one cell to another.
Feedback Mechanisms
 Stimulus
   change  in homeostatic environment
   signal sent to CNS

 Response
   signalsent from CNS
   produce effect
   body returns to homeostasis
Basic ES cont.
   ES and NS = 2 main
    control systems of
    body
   Endocrine organs
    located throughout
    body
   Actions mediate all
    tissues
   Control of ES
    through feedback
    mechanisms
ES Anatomy basics

A.   Exocrine gland
      Ducts
      Lumen and
       surfaces

B.   Endocrine gland
      Chemical
       messengers
      Blood stream
Positive Feedback
 Baby pushes on cervix
 Nervous signal to Hypothalamus
 Hypothal. manufactures OXY
 OXY transported to POSTERIOR
  PITUITARY & released
 OXY stimulates uterine contraction
 Loop stops when baby leaves birth canal
Regulation of homeostasis
 Nerves
   fast
   governing


 Hormones
   mainly
         metabolism, growth, differentiation,
   reproduction
Hypothalamus:
                Hormone production:
   •GHRH, CRH, TRH, GnRH
   •Somatostatin
   •ADH           “Classic” glands
                              Epiphysis:
Pituitary:                        •Melatonin
     •Growth hormone
     •Prolactin               Thyroid gland:
     •ACTH, MSH                  •T3, T4
     •TSH                        •Calcitonin
     •FSH & LH
                              Parathyroid
    •Oxytocin                 glands:
    •ADH                          •Parathyroid h.

Pancreas:                     Adrenal cortex:
    •Insulin                     •Cortisol
    •Glucagon                    •Aldosterone
                                 •Androgens
Ovaries:
   •Estrogens                 Adrenal medulla:
   •Progesterone                 •Catecholamines
Hormone production:
Endothelium:
               Less traditional sources
    •Endothelins
    •NO
                                 Cardiocytes:
    •Prostanoids,...
                                     •ANP
Immune system:
    •Cytokines
Platelets, mesenchyme:
    •Growth factors              Kidney:
                                     •Erythropoietin
                                     •RAS

Placenta:                        GIT:
    •All hormones                   •Gastrin
                                    •Cholecystokinin
                                    •Secretin,...

Adipocytes:                      Gonads:
    •Leptin                          •Inhibins
                                     •Activins
Hormones, cytokines,
          growth factors

   Common aspects:
       small quantities
       regulate other cells
       act through receptors

   Tight interactions between immune and
    endocrine systems
Ojas-two types
  Ojas is said to be of two types:

 1.Para Ojas :- exists in a quantity of eight
 drops and is located within the heart; its
 loss leads to death.

 2.Apara Ojas :- is distributed throughout
 the body.
Immunity in Ayurveda
 Immunity=    vyadhi kshamatwa
 Vyadhi= disease
 Kshamatwa=resistance
 Also called ‘Bala’ in ancient texts
Sahaja Bala
 Sahaja Bala- inherited- comes from the
  parents.
 The effect will be at the chromosomal
  level.
 Nothing can be done except to pacify the
  defects through various modalities of
  Ayurveda.
Kalaja Bala
    Kalaja Bala -related to time–
   Time of day, season, age, and place of birth link
    to immunity.
   Places with an abundance of water, ponds, cool
    and pleasant climatic conditions are kapha-
    dominating areas and contribute to stronger
    immunity.
   Strength is greater in the early morning, spring,
    and youth than in evening, summer and old age.
Yuktikruta Bala
 Yukti
      kruta Bala represents acquired
 immunity, in which disease can be
 defended against through Ayurveda.

 Focuseson three plans for acquiring or
 enhancing immunity
Three plans for acquiring immunity

 Satmya-suitable diet
 Vyayama-exercise
 Rasayana-rejuvination
1.Satmya
    1. Satmya -suitability.

   Adapting to wholesome substances ,giving up
    unwholesome substances, to which the physiology has
    been addicted since birth promotes immunity.


   Wholesome food to suit your constitution and good
    digestion  proper formation of the 7 dhatus or
    tissuesgood essence of the seven dhatus/ojas
2. Vyayama -exercise
.Daily exercise of up to 50% of one’s
 exertion capacity enhances digestion,
 removes ama/toxins, strengthens tissue
 metabolism promotes immunity.
Rasayana
 रसायनं
  रसायनं   तज्जेयम ् यज्जराव्यािध नाशनम ् !
 Promoting  the whole physiology,
 producing resistance against disease both
 physically and mentally.

 Building
         positive state of mind, purification
 therapy/panchakarmas, herbs
   RASAYANA OUSHADHAS GIVEN BY ‘CHARAKA’:-

   Vayasthapana varga (Ch.Su):- Amrutha, Abhaya,
    Dhatri, Mukta (Rasna), swetha (Rasna bheda),
    Jeevanthi, Athirasa (Satavari), Manduka parni,
    Sthira (Muyyaku ponna), Punarnava.

    Among all the above ‘AMALAKI’ is sreshtam in
    view of its easy availability than ‘Soma’ though it
    is powerful than amalaki.
Rasayana includes
 Ahara Rasayana—good dietary habits
 Vihara Rasayan- proper daily routine
 Achara Rasayana-good conduct
 Aushadha Rasayana –drugs
Ahara rasayana
 Nutritious diet
 Have milk and ghee in diet
 Timely eating
 Not less , not excess
 Avoid preservatives, refined foods, fried
  foods
Vihara Rasayan
 Timely work, rest and sleeping habits
 Proper care of the body
 Regular exercise
 No addictions
Achara Rasayana (good conduct)

 Peaceful mind
 Free from anger and ego
 Good interpersonal relationships
 Respecting elders and teachers and
  preceptors
 Regular prayers and meditation
Some Rasayanas
 Amalaki
            Harithaki
                           Pippali
Lohabhasma
                              Shilajith
  Vidanga
                 Guggulu
  Brahmi
                                     Triphala
RESEARCH ON PIPPALI

   Recent research conforms the effectiveness of Pippali in
    a variety of situations.
   Several have shown immunostimulatory and anti-giardial
    effects of Pippali .
   Pippali is similarly effective against entamoeba
    hystolytica.
   A 2006 study published in the Journal of Phytomedicine
    shows that Pippali inhibits liver fibrosis in animal studies.
   This provides support for the traditional use of Pippali in
    alcoholic liver disease and chronic hepatitis.
Pippali
    Pippali’s anti-inflammatory and analgesic effects may be
    equal to that of Ibuprofen, according to one animal
    study .

   “This indicates that P. longum root has weak opioid
    (synthetic norcotic like but not derived from opium) but
    potent NSAID (non steroidal anti-inflammatory) type of
    analgesic activity”.

   Another study demonstrated that Pippali is a useful anti-
    cancer agent.
Westren research confirms use of Triphala in
                     Pancreatic cancer

   A recent research conducted by University of Pittsburgh revealed that
    ‘Triphala’, a general ayurvedic medicine meant for stomach ailments has
    the property of hindering growth of cancer cells in the Pancreas.

   The Research report, conducted by Pittsburgh Cancer Institute, shows
    that use of Triphala inhibited the growth of cancer in mice, which were
    implanted with human pancreatic tumors.

   This study has generated quite a lot of interest in Western health and
    medical circles, particularly, when a growing interest is seen in
    alternative therapies, including Ayurveda.
TRIPHALA research entity
   In a study titled ‘Potential of traditional Ayurvedic formulation,
    Triphala, as a novel anticancer drug’ published in the January 2006
    issue of Cancer Letters, scientists at the Radiation Biology and
    Health Sciences Division, Bhabha Atomic Research Centre, found
    that Triphala had the ability to induce cytotoxicity (cell death) in
    tumor cells but spared the normal cells.

   Also, a December 2005 report in the Journal of Experimental and
    Clinical Cancer Research from the Radiation and Cancer Biology
    Laboratory at Jawaharlal Nehru University noted that Triphala was
    effective in reducing tumor incidences and increasing the
    antioxidant status of animal constituents.
Immunity-some more factors
  Uterine health of mother: A healthy uterus for a baby’s growth
 Nutrition after birth: Wholesome, adequate and timely nutrition in
  infancy improves immunity.

   Constitution: Kapha constitution people have stronger immunity
   Mind: A strong mind , positive thinking increase Ojas /immunity.

   Meditation for spiritual growth: Orienting the mind towards
    spirituality  greater self-awareness and positive thinking
    enhancing mental strength and overall immunity.
A Short History of Medicine

2000 B.C. - "Here, eat this root."

1000 B.C. - "That root is heathen, say this prayer."

1850 A.D. - "That prayer is superstition, drink this potion."

1940 A.D. - "That potion is snake oil, swallow this pill."

1985 A.D. - "That pill is ineffective, take this antibiotic."

2000 A.D. - "That antibiotic is artificial. Here, eat this root."
Ojas boosters
Honey + ghee in unequal quantities
    Water + milk + ghee
        Water + honey + ghee
              Water + honey + ghee + milk
                 Water + milk
                    Water + honey
                       Water + ghee
                           Milk + honey
                               Milk + ghee
                                 Milk + honey + ghee
                                    Pure milk
                                      Pure honey
                                         Pure ghee
                                           Pure water
               Triphala with honey
Natural foods Rasayanas
   Haritaki (Terminalia Chebula): fruit pieces are
    cooked with four parts of water till they soften, allowed
    to cool. One part of ghee and one part of honey is added
    to this and kept aside for three days. It should be
    consumed later taking care of digestion power. After this
    rasayana is digested shashtika sahli rice with cow’s milk
    is consumed. This gives very good memory power and
    eyesight.
   Lemons: improve immunity, remove toxins

   Ginger: Ginger improves digestion and removes ama -
    should be consumed forty-five minutes before meals to
    give a very good appetite and digestion.

    Cumin Seeds: Cumin seeds helps in digestion, digests
    and expels ama and balances doshas. To expel body
    toxins start the day with drinking lukewarm water with
    powdered cumin and ginger.
 Green  Gram: very light to digest and is
 excellent for people who have digestion
 problems. They are among the best
 legumes, for their supreme digestibility
 and health giving qualities. Those who
 prefer light food can opt for this food.
   Dates and Figs: excellent source of energy,
    help to build the body tissues and improve the
    hemoglobin percentage- eat two to three dates
    or figs a day.

    Almonds: nourishing and life-supporting. Eat
    five to six almonds a day to build energy and
    strength, help in reducing the blood cholesterol
    levels, in improving memory.
 Lassi:an excellent nutritive, digestive
 beverage. can be used during meals or
 taken as a desert after meal.

 Can be taken by adding a little sugar or
 honey and a little ground cardamom/ by
 adding roasted cumin seeds and little salt.
 Seasonal   Fruits: Always use the juicy
 fresh fruits which are available in the
 season. They are of high nutritive value
 and are body purifiers, also.
Ojas
Ojas

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Ojas

  • 1. OJAS – ENDOCRINOLOGY - IMMUNOLOGY BY Prof. Dr. N. Satya Prasad, M.D., PGDHM GOLD MEDALIST Sr. Reader / Civil Surgeon Post Graduate department of Kayachikitsa Dr. B.R.K.R. Government Ayurvedic college Hyderabad, A.P., India Email: satyapnamburu@gmail.com
  • 2. “The Natural force within each of us is the greatest healer of disease” - Hippocrates
  • 3. OJAS रसादीनां शुबान्तानां धातूनां यत्परं तेजःतत्खलु ओजःतदे व रसादीनां ान्तानां ां यत्परं ःतत्खलु बलम ् इित ! सु. सू.   the supreme essence of all saptadhatus from Rasa to Sukra is known as Ojas.  It means vigour or the essential energy of the Immune system.  Ojas is responsible for strength, vitality and Immunity against the diseases.
  • 4. Hence Ojas is said as  ूधमे जायते ह्योज: शरीरे ~िःमन ् शरीिरनाम ् ूधमे जायते सिपर्वनम ् मधुरसम लाजगिन्ध ूजायते, र् र् ॅमरै : फलपुंपेभ्यो यधासन्ीीयते मधु यधासन्ीीयते तद्वदोजःःव ् ममर्भ्यो (शरीरे भ्यो) गुणैःसिन्ीयते सदा. सिन्ीयते  It is very clear that the Ojas is established in Hridaya very from the starting of the life which is like Honey and with Laja gandha (like smell of pop corn) .
  • 5. So now what to be understand this?  Homocysteine is an amino acid with the formula HSCH2CH2CH(NH2)CO2H.  It is a homologue of the amino acid cysteine, differing by an additional methylene (-CH2-) group.  It is biosynthesized from methionine by the removal of its terminal methyl group.  Homocysteine can be recycled into methionine or converted into cysteine with the aid of B-vitamins.  While detection of high levels of homocysteine has been linked to cardiovascular diseases.
  • 6. CONCEPT OF OJAS  The concept of Ojas in Ayurveda is very subtle and fundamental.  The two main functions of Dhathus are : ‘SHAREERA DHARANA’ and ‘SHAREERA POSHANA’  That is sustaining and maintaining body as well as nourishment of the body.  Ojas sustains the body.
  • 7. "The human body heals itself and nutrition provides the resources to accomplish the task." Roger Williams Ph.D. (1971)
  • 8. BIOLOGICAL STRENGTH (BALA) िऽिवधं बलं सहजं कालजं युिक्तबतं च ! च.सू. िऽिवधं बलं सहजं कालजं ु तं  Sahaja :- Genetic or constitutional , which is from time of formation of foetus.  Kalaja :- The bala (strength) is gained as per the season. e.g. In Hemantha rithu is at its highest and in Greeshma it is very lowest.  Yuktikritha :- This is acquired strength which is achieved or induced with the help of dietary and other regimen. i.e with the help of Rasayana.
  • 9. Bala/ strength  Bala/vitalityprinciple--firm integrity to the muscles, good voice, complexion, motor& sensory functions, and intellect to perform their natural functions.
  • 10. Immunity-Ojas  The quintessence of all the tissues denotes that--  Ojas is our vital energy.  Pervades all tissues, cells, and spaces.  The ultimate distillation of each tissue combined together and it is the main determinant of our immune status and hence our resistance to disease.
  • 11. Ojas pervaded in entire body ओज: सवर्शरीरःथं िःनग्धं शीतं िःथरं िसतम ् ! रीरःथं िःनग्धं शीतं िःथरं सोमात्मक शरीरःथं बलपुिष्टकरं मतम ् ! भा.ू.पू. ं शरीरःथं ष्टकरं  Ojas is pervaded in entire body in the way of …  Snigdha (moist),  Sheetal,  Sthira (gives stability and support),  Soma (nature of nectar),  Transparent and strengthens and nourishes the body.
  • 12. Ojas is one and ultimate immunity in the body येन ओजसा वतर्यिन्त ूीिणता: सवर्देिहन: यिते सवर्भूतानां जीिवतं नावितष्टते ! ...... यितेु ानां जीिवतं नावितष्टते .... यत शरीरसःनेह: ूाण यऽ ् ूितिष्टता: ! तत्फला बहधा वा ता: फलन्तीव ित महाफला ! ु  Every individual is living due to Ojas without which they are unable to live or they die.  This Ojas stays in the body right from the embryo stage.  It is in the form of essence of Rasa and enters into heart during its formation and sustains throughout the life.
  • 13. Basic Components of the Immune System  Pathogen, Bacteria, Viruses, Infections, and parasites  Leukocytes  Antibodies  Antigens Virus
  • 14. Pathogens and all the other stuff  Any biological agent that causes illness and/or disease to its host. Also known as a germs, simple as that! Different types of pathogens include the following:
  • 15. White Blood Cells Leukocytes (White Blood Cells) Other Types of lymphocytes WBC T cells B Cells NK Cells Eosinophils Macrophages
  • 16. Antibodies & Antigens  Antigens= a fragment of a protein or peptide from the pathogen, taken to the surface of the infected cell and bound in an MHC (major histocompatibility complex) molecule.  The class 1 MHC complex molecule and the foreign peptide form the antigen, which can be read by the receptors on Killer T cells. Antigen Cell Class 1 MHC molecule Pathogen
  • 17. Antibodies & Antigens Antibodies are produced by B cells, when stimulated by lymphokines from helper T cells. The antibody attaches to the antigen, completing the signal, coding the infected cells for destruction. Antibodies are constructed of DNA fragments, making them so unique and almost innumerable. Antigen Cell Class 1 MHC molecule Pathogen
  • 18. Helper T cells- secrete T cells! Killer T cells- They find lymphokines that direct B cells specifically coded infected into producing antibodies and cells, and then destroy them also direct the Killer T cells as to T cells with cytotoxins. They may which cell they get to eliminate. be directed by Helper T cells Helper T cell (Th) Killer T cell (Tk) Memory T cell Suppressor T cell Suppressor T cells- in charge Helper T cell of slowing and stopping the immune response after the foreign substance is destroyed. Killer T cell
  • 19. NK Cells  NK, stands for Natural Killers, meaning they do not need to be activated by a class 1 MHC receptor  NK cells play a major role in the Innate Immune System  Activated by interferons and macrophage-derived cytokines  Contains a virus until killer T cells develop, and then kills the virus.
  • 20. B cells  B Plasma Cells- when the B cell  B Memory Cells- These are the produces the antibody for a same as B plasma cells, except specific antigen, it begins to clone they remain inactive until the itself into B plasma cells, that secondary immune response produce more of that particular binding antibody.  Secondary immune response is  These cells release considered anytime the body immunoglobulin, or antibodies. encounters a pathogen after the first time. Quicker response time.  B plasma cells have a 5 to 7 day life-span  Primary response is the first  all its protein synthesis energy is time the body encounters a going into the production of specific pathogen, Lag period Antibodies, not self preservation. before B cells respond.
  • 21.
  • 22. OJAS IS ALSO ULTIMATE FORM OF ENDOCRINES  ENDOCRINE MEANS SECRETIONS ARE MADE WITHOUT VESSELS LIKE OJAS IS ALSO IN THE SIMILAR WAY OF SUPPORT TO THE BODY.  HENCE ENDOCRINES ALSO INCLUDED IN THE OJAS. HOW ?
  • 23. HORMONE  A hormone is a chemical released by a cell or a gland in one part of the body that sends out messages that affect cells in other parts of the organism.  Only a small amount of hormone is required to alter cell metabolism.  In essence, it is a chemical messenger that transports a signal from one cell to another.
  • 24. Feedback Mechanisms  Stimulus  change in homeostatic environment  signal sent to CNS  Response  signalsent from CNS  produce effect  body returns to homeostasis
  • 25. Basic ES cont.  ES and NS = 2 main control systems of body  Endocrine organs located throughout body  Actions mediate all tissues  Control of ES through feedback mechanisms
  • 26. ES Anatomy basics A. Exocrine gland  Ducts  Lumen and surfaces B. Endocrine gland  Chemical messengers  Blood stream
  • 27. Positive Feedback  Baby pushes on cervix  Nervous signal to Hypothalamus  Hypothal. manufactures OXY  OXY transported to POSTERIOR PITUITARY & released  OXY stimulates uterine contraction  Loop stops when baby leaves birth canal
  • 28. Regulation of homeostasis  Nerves  fast  governing  Hormones  mainly metabolism, growth, differentiation, reproduction
  • 29. Hypothalamus: Hormone production: •GHRH, CRH, TRH, GnRH •Somatostatin •ADH “Classic” glands Epiphysis: Pituitary: •Melatonin •Growth hormone •Prolactin Thyroid gland: •ACTH, MSH •T3, T4 •TSH •Calcitonin •FSH & LH Parathyroid •Oxytocin glands: •ADH •Parathyroid h. Pancreas: Adrenal cortex: •Insulin •Cortisol •Glucagon •Aldosterone •Androgens Ovaries: •Estrogens Adrenal medulla: •Progesterone •Catecholamines
  • 30. Hormone production: Endothelium: Less traditional sources •Endothelins •NO Cardiocytes: •Prostanoids,... •ANP Immune system: •Cytokines Platelets, mesenchyme: •Growth factors Kidney: •Erythropoietin •RAS Placenta: GIT: •All hormones •Gastrin •Cholecystokinin •Secretin,... Adipocytes: Gonads: •Leptin •Inhibins •Activins
  • 31. Hormones, cytokines, growth factors  Common aspects:  small quantities  regulate other cells  act through receptors  Tight interactions between immune and endocrine systems
  • 32. Ojas-two types Ojas is said to be of two types:  1.Para Ojas :- exists in a quantity of eight drops and is located within the heart; its loss leads to death.  2.Apara Ojas :- is distributed throughout the body.
  • 33. Immunity in Ayurveda  Immunity= vyadhi kshamatwa  Vyadhi= disease  Kshamatwa=resistance  Also called ‘Bala’ in ancient texts
  • 34. Sahaja Bala  Sahaja Bala- inherited- comes from the parents.  The effect will be at the chromosomal level.  Nothing can be done except to pacify the defects through various modalities of Ayurveda.
  • 35. Kalaja Bala Kalaja Bala -related to time–  Time of day, season, age, and place of birth link to immunity.  Places with an abundance of water, ponds, cool and pleasant climatic conditions are kapha- dominating areas and contribute to stronger immunity.  Strength is greater in the early morning, spring, and youth than in evening, summer and old age.
  • 36. Yuktikruta Bala  Yukti kruta Bala represents acquired immunity, in which disease can be defended against through Ayurveda.  Focuseson three plans for acquiring or enhancing immunity
  • 37. Three plans for acquiring immunity  Satmya-suitable diet  Vyayama-exercise  Rasayana-rejuvination
  • 38. 1.Satmya 1. Satmya -suitability.  Adapting to wholesome substances ,giving up unwholesome substances, to which the physiology has been addicted since birth promotes immunity.  Wholesome food to suit your constitution and good digestion  proper formation of the 7 dhatus or tissuesgood essence of the seven dhatus/ojas
  • 39. 2. Vyayama -exercise .Daily exercise of up to 50% of one’s exertion capacity enhances digestion, removes ama/toxins, strengthens tissue metabolism promotes immunity.
  • 40.
  • 41. Rasayana  रसायनं रसायनं तज्जेयम ् यज्जराव्यािध नाशनम ् !  Promoting the whole physiology, producing resistance against disease both physically and mentally.  Building positive state of mind, purification therapy/panchakarmas, herbs
  • 42. RASAYANA OUSHADHAS GIVEN BY ‘CHARAKA’:-  Vayasthapana varga (Ch.Su):- Amrutha, Abhaya, Dhatri, Mukta (Rasna), swetha (Rasna bheda), Jeevanthi, Athirasa (Satavari), Manduka parni, Sthira (Muyyaku ponna), Punarnava.  Among all the above ‘AMALAKI’ is sreshtam in view of its easy availability than ‘Soma’ though it is powerful than amalaki.
  • 43. Rasayana includes  Ahara Rasayana—good dietary habits  Vihara Rasayan- proper daily routine  Achara Rasayana-good conduct  Aushadha Rasayana –drugs
  • 44. Ahara rasayana  Nutritious diet  Have milk and ghee in diet  Timely eating  Not less , not excess  Avoid preservatives, refined foods, fried foods
  • 45. Vihara Rasayan  Timely work, rest and sleeping habits  Proper care of the body  Regular exercise  No addictions
  • 46. Achara Rasayana (good conduct)  Peaceful mind  Free from anger and ego  Good interpersonal relationships  Respecting elders and teachers and preceptors  Regular prayers and meditation
  • 47. Some Rasayanas Amalaki Harithaki Pippali Lohabhasma Shilajith Vidanga Guggulu Brahmi Triphala
  • 48. RESEARCH ON PIPPALI  Recent research conforms the effectiveness of Pippali in a variety of situations.  Several have shown immunostimulatory and anti-giardial effects of Pippali .  Pippali is similarly effective against entamoeba hystolytica.  A 2006 study published in the Journal of Phytomedicine shows that Pippali inhibits liver fibrosis in animal studies.  This provides support for the traditional use of Pippali in alcoholic liver disease and chronic hepatitis.
  • 49. Pippali  Pippali’s anti-inflammatory and analgesic effects may be equal to that of Ibuprofen, according to one animal study .  “This indicates that P. longum root has weak opioid (synthetic norcotic like but not derived from opium) but potent NSAID (non steroidal anti-inflammatory) type of analgesic activity”.  Another study demonstrated that Pippali is a useful anti- cancer agent.
  • 50. Westren research confirms use of Triphala in Pancreatic cancer  A recent research conducted by University of Pittsburgh revealed that ‘Triphala’, a general ayurvedic medicine meant for stomach ailments has the property of hindering growth of cancer cells in the Pancreas.  The Research report, conducted by Pittsburgh Cancer Institute, shows that use of Triphala inhibited the growth of cancer in mice, which were implanted with human pancreatic tumors.  This study has generated quite a lot of interest in Western health and medical circles, particularly, when a growing interest is seen in alternative therapies, including Ayurveda.
  • 51. TRIPHALA research entity  In a study titled ‘Potential of traditional Ayurvedic formulation, Triphala, as a novel anticancer drug’ published in the January 2006 issue of Cancer Letters, scientists at the Radiation Biology and Health Sciences Division, Bhabha Atomic Research Centre, found that Triphala had the ability to induce cytotoxicity (cell death) in tumor cells but spared the normal cells.  Also, a December 2005 report in the Journal of Experimental and Clinical Cancer Research from the Radiation and Cancer Biology Laboratory at Jawaharlal Nehru University noted that Triphala was effective in reducing tumor incidences and increasing the antioxidant status of animal constituents.
  • 52. Immunity-some more factors  Uterine health of mother: A healthy uterus for a baby’s growth  Nutrition after birth: Wholesome, adequate and timely nutrition in infancy improves immunity.  Constitution: Kapha constitution people have stronger immunity  Mind: A strong mind , positive thinking increase Ojas /immunity.  Meditation for spiritual growth: Orienting the mind towards spirituality  greater self-awareness and positive thinking enhancing mental strength and overall immunity.
  • 53. A Short History of Medicine 2000 B.C. - "Here, eat this root." 1000 B.C. - "That root is heathen, say this prayer." 1850 A.D. - "That prayer is superstition, drink this potion." 1940 A.D. - "That potion is snake oil, swallow this pill." 1985 A.D. - "That pill is ineffective, take this antibiotic." 2000 A.D. - "That antibiotic is artificial. Here, eat this root."
  • 54. Ojas boosters Honey + ghee in unequal quantities Water + milk + ghee Water + honey + ghee Water + honey + ghee + milk Water + milk Water + honey Water + ghee Milk + honey Milk + ghee Milk + honey + ghee Pure milk Pure honey Pure ghee Pure water Triphala with honey
  • 55. Natural foods Rasayanas  Haritaki (Terminalia Chebula): fruit pieces are cooked with four parts of water till they soften, allowed to cool. One part of ghee and one part of honey is added to this and kept aside for three days. It should be consumed later taking care of digestion power. After this rasayana is digested shashtika sahli rice with cow’s milk is consumed. This gives very good memory power and eyesight.
  • 56. Lemons: improve immunity, remove toxins  Ginger: Ginger improves digestion and removes ama - should be consumed forty-five minutes before meals to give a very good appetite and digestion. Cumin Seeds: Cumin seeds helps in digestion, digests and expels ama and balances doshas. To expel body toxins start the day with drinking lukewarm water with powdered cumin and ginger.
  • 57.  Green Gram: very light to digest and is excellent for people who have digestion problems. They are among the best legumes, for their supreme digestibility and health giving qualities. Those who prefer light food can opt for this food.
  • 58. Dates and Figs: excellent source of energy, help to build the body tissues and improve the hemoglobin percentage- eat two to three dates or figs a day. Almonds: nourishing and life-supporting. Eat five to six almonds a day to build energy and strength, help in reducing the blood cholesterol levels, in improving memory.
  • 59.  Lassi:an excellent nutritive, digestive beverage. can be used during meals or taken as a desert after meal. Can be taken by adding a little sugar or honey and a little ground cardamom/ by adding roasted cumin seeds and little salt.
  • 60.  Seasonal Fruits: Always use the juicy fresh fruits which are available in the season. They are of high nutritive value and are body purifiers, also.