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Inaugural Address Presidential Address Life Style Diseases Prevention of Life Style Diseases - Asthma Research Activities and its important findings at Amala Ayurveda Research Centre Role of Life Style in the Causation of Diabetes Mellitus Role of life style in the causation of arthritis Prevention of Life Style Diseases LIfe Style Diseases - Food as a cause and medicine Annals of Amala Seminars Amala through ages Sweet moments Our well wishers The Hands Behind.............. Our New Ventures Enjoy!! Leisures Cardiovascular Disease and Herbs What is Ayurveda Veritta Chinthakal Kumari (Katar Vazha) Nizhalam Sauhrudham Reminiscence Hobbies for profit and pleasure Drawing You are me Laughter - The Best Medicine Velipadu Amala Quotable quotes Two Friends Karinochi Tongue Twisters Jeevitha Margam Drawing Committee List
CONTENTS
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Page No.
Dr. C. K. Ramachandran Dr. K. Rajagopalan Dr. M. Vijayakumar Dr. Christina Doctare Dr. M. Kesavan Dr. K. Muraleedharan Dr. K. Sasidharan Dr. Sr. Austin Dr. S. Gopakumar
25 28 31 36 39 45 52 58 75 81 82 83 85 86 87 89 90 91 96 97 98 101 102 103 105 106 107 108 109 110 111 112 113 115 116 117
Dr. C. I. Jolly Dr. Dhanya K. Anto Dr. Nirmala Dr. Reshmi P. Jose Dr. Jitsy A. G. Dr. Silcy P. Ittoop Dr. Anwar Niyaz Dr. Barbara Joan Ms. Shehnaz Dr. Aruna Devi T. P. Dr. Arun R. Sr. Tesline SH Dr. Thejus Thomas Dr. Jesmon Thomas Mr. Benny C. A. Dr. Nimisha Solomen Dr. Mithya K. A. Dr. Jaimo Joseph
SCIENTIFIC SESSIONS
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Respected Padmabushan Rev. Fr. Gabriel, who is our great acharya and guru. Throughout his life he is a Karmayogi, through that karma he has worshipped god, we are proud of him. Then respected Fr. George Pius (Director of Amala Cancer Hospital), Mr. T. V Antony ex-chief Secretary, Govt. of Tamil Nadu, Fr. Deljo Puthoor (Assoc. Director of . Amala Ayurvedic Hospital & Research Centre), Dr. Kesavan - Chief Physician of Amala Ayurveda Hospital - Now I will start with the topic Prevention of life style diseases. It is a simple and common topic that had been burning from 1940 onwards. There was an era, an era which we called vedic era when they were not bothered about diseases. Then came the era of communicable diseases where many people died and that era lasted till the end of 19th century. After this era, came the era of degenerative diseases. Now, I am just recollecting a phrase from the gospel of Mathews Let your lights so shine before men so that they will see your good work & glorify your Lord who is in heaven. So that should be our ultimate aim. You will be imbibing knowledge from here & you will get certain points like how to handle the patients how to tackle their deseases. And now what is meant by life style disease and what is the definition? There are several definitions; one is ; it is considered to be a disease of longevity. Then another definition, it is a disease of civilization or we can say a disease of industrialization. Some people opine if as the disease of 20th century. But from Ayurvedic point of view as well as various vedic points of view, I can make a definition in relationship of people with the environment. We are going away from nature by destructing the environment. The new generation dont know what they are doing. He is going away from his wisdom. In Ayurveda, we call this as Prajnaparadham - A mistake that he is doing on his own wisdom and that is responsible for destruction of whole environment. He has conqured the animal kingdom. He thinks that he can become victorious by destructing all plants & trees. This is our present situation. There are about 40,000 international papers, which help to tackle various disease like HTN, coronary diseases & obesity. From all these, I selected only few papers and they are life style intervention in all cases of coronary diseases those which can give rise to sudden death and cardiac failure. In that papers they explained about yoga, exercises along with food regulation and in that way they produce certain results. In villages, we have plenty of fresh air, plenty of plants, unpolluted
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There is a wonderful description by susrutha in that he has described in gulmadikara and their avarana doshas leading to heart attack with IVF. This is from atharva veda. This sloka shows the importance of exercising in front of rising sun (surya namaskara). Drinking the pure water which is coming from himavan and doing exercises infront of rising sun prevents heart attack. Now-a-days, there are two important diseases - cancer and heart attack. In advanced countries these two diseases reached the peak level and now it is coming down because people follow what the doctor says. But in developing countries, it has never come down because people dont follow the doctors advice. India will be the number one country by 2020 in the incidence of diabetes. This is a wonderful description given by charaka
(S.x 4/51)
Mandholsaha - inert Athisthoola - overweight Athisnigdha - fat accumulation Mahasana - Continously taking food. & Prameha take him away from the world. If all these are getting corrected in life, then there will be no diabetes but nobody does it. In 1961 there was only 6% and now it is 16% to 19%. Recently a study in Amritha shows 19% diabetes in Ernakulam. So I am concluding key topic. Everybody should take one decision to modify their life style and bring awareness. Otherwise there will be a rapid increase in the rate of diabetes and obesity. When we take the coronary disease cases, 82% will be due to diabetes. So diabetes is the silent killer and it is the number one villian in India. So if we are not taking any stern decision to control our life style, we have to face disasters due to HTN, hypercholestremia, stroke, heart attack etc.
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What is normal body mass index? It should ideally less than 25. Body mass index (BMI) Normal Overweight Obesity I II III 30-34.9 35-39.9 >40 morbid obesity Less than 25 More than 25 29.9
Example: Weight of the individual 80 Kilograms and the height is 160 cms BMI = 80 /1.61.6 = 31.25 Another way of calculating the obesity is to calculate the waist hip ratio. This is especially important in the type of obesity prevalent in our community (truncal obesity).The normal ratio for women and men are 0.85 and 0. 95 respectively Recommendation Match intake of energy (calories) to overall energy needs. Limit food with high calories and low nutritional values. Maintain a level of physical activity that achieve fitness and balances the energy expenditure. Observational evidence shows that fruits, vegetables, whole grain, fibers legumes, fish and fish oil reduce cardiovascular risk Diabetes mellitus The exact reason for the rapid increase in the number of diabetic population in India is not very clear but lots of environmental factors are postulated. How do environmental factors influence this clinical condition?
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V
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Bd
} Bd
6 am 5 pm 10 am
c)
d) e)
f)
External medications a) Oil massage x 14 days b) Nasyam with Ksheerabala (101) 8 drops x 7 days c) Dhanya kizhi x 21 days d) Udwarthanam x 21 days with Kolakulathadi choornam Disharged on 01.03.2004 Observation Body wt reduced Asthma & tinnitus cured
Followup -
CONCLUSION
My dream is that we should have an integrated approach towards healing people. In acute phases, we do need the allopathic treatment. We have to launch an integrated research approach towards medicines with the help of Allopathy & Ayurveda. Allopathic medicines have more side effects. so we have to give preference to Ayurveda. I will cherish all the memories and I would like to congratulate you all for celebrating the 25 years of Amala Ayurvedic Hospital.
V
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Chief Physician & Research Officer Amala Ayurvedic Hospital & Research Centre Thrissur
RESEARCH ACTIVITIES AND ITS IMPORTANT FINDINGS AT AMALA AYURVEDA RESEARCH CENTRE
This centre was established on 27.02.1982 as a grant-in-Aid Research unit under CCRAS, Govt. of India. TITLE OF THE FIRST PROJECT: LEUKEMIA AND ALLIED DISEASES DURATION : 3 years No. of patients studied : 54 DRUGS SELECTED FOR RESEARCH: 1. Varanadi kw 60 ml kanchanara guggulu - (1) Bd - before meals 2. Rasasinduram 500 mg (1) - with beetel leaf juice and Honey - Bd 3. Gomutraharitaki lehyam - 10 gm - bd 4. Khadirarishtam - 25 ml - Bd - after meals.
SUPPORTIVE TREATMENTS The LEPANA having the proprties of Shophakara and Vrunaropana is used in malignant tumours and ulcers in accordance with concerned Doshas. The application of oil was done on painful sites. ANALGESICS: The analgesics such as proxivon etc were allowed to continue for patients with severe pain. SODHANA THERAPY Inorder to eliminate the vitiated Doshas and restore the normal bowel movements the procedures such as Virechanam, Kashayabasti, Taila basti were administrated as per the need. DIET: Vegetarian diet. Use of salt, sour and pungent were reduced. GROUP: 2 TITLE OF PROJECT : - CANCER RESEARCH Duration - 3 years No.of patients studied - 59
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GROUP: 3 TITLE OF PROJECT : HEAD AND NECK CANCER Duration - 1 year No. of patients studied - 30 DRUGS SELECTED FOR RESEARCH 1. Cap. Solamarin 500 mg Bd - Solanum trilobatum 2. Cap. Plumbagin 500 mg Bd - Plumbago zeylanica 3. Cap. Echetamine Chloride - 500 mg - Bd - Alstonia Scholaris. These medicines were supplied in the form of capsules from captain sreenimoorthi drug Research Institute, Madras. Diet and supportive therapies were as above. OBSERVATIONS FROM EXPERIMENTAL ANALYSIS. 1. All types of cancer patients were included in research study. 2. It was observed that the research medicines reduced the side effects of the Radiation and chemotherepy in cancer patients. 3. The recurrence of malignancy was observed to be comparitively less in case of research patients. 4. The research medicines were proved to increase immunity. 5. Those patients who were taking the research medicines stopped analgesics either partially or completely. 6. There was no recurrence of the disease in 5 % of the patients who underwent radiation, surgery and chemotherapy. 7. The research medicines were proved to increase Hb%, decrease ESR and sustain the normal level of WBC. SINGLE CASE STUDY 1. EMBRIYONAL SARCOMA Age: 1year old female child Presenting complaints : 4 x 3 inch protrusion on the lumbar spine area, paraplegia, weight loss, Highly constipated. Previous treatment : Chemotherapy from RCC, Thiruvananthapuram. Result: - Not responding to C. T Medicines : - As first group of Medicines
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ACUTE LYMPHOBLASTIC LYMPHOMA LEUCOPENIA INFECTIVE HEPATITIS. Age : 27 (Female) Presenting Complaints : Anorexia, Vomiting, General weakness, pain in right hypochondriac region, lack of appetite, anaemia, fever, stomach belching, yellowish colour of urine, eye, skin and itching. Previous treatment: CT from RCC, Thiruvananthapuram, developed jaundice stopped C.T. Investigation before treatment Blood Hb - 12.5 % TC - 1700 S. Bilirubin
3.
T D I.D
37 25 12
Hbs Ag - positive.
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4. 5.
Salt free diet. INVESTIGATION AND OBSERVATION AT OUR CENTRE 1. Considerable changes to the disease was observed after 10 days of treatment. 2. Within 2 months of medications, serum bilirubin values attained normal level. The symptoms such as fever, vomiting and general weakness were relieved. The appetite become normal. 3. There was gradual disapearance of the side effects of chemotherapy such as blackish discolouration and falling of hair. 4. Within 6 months of treatment, patient regained complete health. 5. There was no signs of recurrence of the disease during 10 years of follow up period. 6. The patients had not undergone any other treatment such as CT after our medication. The patient is still alive. CASE No. 4 : HEPATOCELLULAR CARCINOMA (Hbs Ag +ve) Age : 62 years (Male) Presenting Complaints : - Weight loss, General weakness, pain at Rt. hypochondrium, Lack of appetite. Previous treatment: Rt. hepatic artery and abnormal branches of artery embolised (3 sitting of chemoembolisation) from kovai Medical Centre. Blood report before treatment S. Billirubin
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{ T -- 1.2 D 0.3
Bd
Aswagandha Choornam - 5 gm
} Bd with milk
Chandraprabhavati - (1) Bd with milk Rasasinduram 250 mg Bd with Honey and Beetel leaf juice Dhan. T - Ext. application Kakamachi patram 10 leaf daily in the morning.
Investigations after treatment. Hb - 13.3.% S. Bilirubin SGOT - 24 SGPT - 17 Alk phosphatase - 185 Alfa feto protein - 41.5 10/ml T - 1.2 D - 0.3
Body wt - 77 kg CT Scan report : Follow up CT Scan shows retraction of lipidoil nodular area seen with no increase in size. Observation: Remarkable changes noticed in Alfa feto protien and body wt. development of disease observed in follow up study of 5 years.
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No.
4) 5) 6) 7) 8) 9)
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DM is the most popular among lifestyle diseases. Around 40 million of world population suffer from this disease with an amazing number of undiagnosed cases. India stands first with 30 million patients and holds the defamatory status of the Diabetic Capital. Advances in the field of medicine has raised the life expectancy adding to the adult population. But the emerging scenario is of a desparate population crippled in the most active period of life. Our tendency to blindly adopt the western culture, our changing environment at home, workplaces, schools etc has gradually paved way for the entry of lifestyle disorders into our society. In this context, it would be worthy to hold a discussion on Diabetes Mellitus.
Times of India Reports Todayss generation of children may be the first in modern history to have shorter life span than their parents Dr. Vishal Bali, CEO Wackard group of hosp. Statistics :- Health Check :- (25-35 age group) in % g High cardiac risk 67.08 g High blood pressure 30.94 g Diabetes 16.92 g High blood cholestrol 47.12 g Psychosomatic Stress 10.89 g Head aches 26.38 g Respiratory disorders 10.89 g Digestive ailments 24.12 g Joint disease 32.16 g Immune disorders 13.88 (Courtesy - Times of India)
Frightening news 12 year old undergoes bypass surgery 25 year old suffer heart attack Life style - the prime cause 70% of all illness is lifestyle related and 50% of our medical cost is incurred in treating them. Life style refer to patterns in which people live, spend time and money.
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India - diabetic capital India with 40.9 million diabetic subjects has the largest number of diabetic subjects in the world and hence the difamatory distinction of The diabetic capital. There are about 36 million known cases of DM in India alone. It is estimated that for each diagnosed case of DM, three more undiagnosed cases of DM exist. Prevention & Control Two strategies currently exist for reducing onset of DM. Life style interventions. Drugs Life style intervention - the better choice:Programme Research Group study found, that life style interventions delivered over 2.8 years reduced the incidence of DM by 58% and 31% reduction with drugs. (BMJ - Jan. 2007) Prevalence of DM in rural indians remain low (2.4%) and in urban areas it has raised to 12%. Diabetes - pathogenesis How does DM occur:insulin secretion (deficiency) g g
Response of peripheral tissues to insulin (inefficiency) Rise in blood glucose level (hyperglycaemia) Glycogenolysis - glycogen stored in the liver is broken down. Gluconeogenesis - Protein broken down into amino acids which are then converted to glucose in the liver.
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Visceral Obesity:Body fat distribution, especially visceral adipose tissue accumulation has been found to be a major correlate of a cluster of diabetogenic, prothrombotic and proinflammatory metabolic abnormalities referred to as metabolic syndrome. Due to its anatomic location and peculiar metabolic, hyperlipolytic activity, the expanded, visceral adipose deposit is a key correlate of the altered cardiometabolic risk profile observed among the individuals with a high risk abdominal obesity phenotype. Risk Factors Genetic / hereditary Family history Environmental 2.3% 5 - 10% 30%
- Genetic loads the gun and environment pulls the trigger. Mother affected Father affected Both parents affected Certain races :g g
The risk of diabetes is greater in certain races such as asian. Indians are genetically predisposed to heart diseases, HTN & DM.
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Obesity - 20% or more than optimum body. Central / visceral obesity:- More wt around abdomen than on hips and thighs. High blood pressure - More than 135/85 mm Hg. Increasing age - risk of developing DM increases progresively with age. Certain drugs - eg:- steroids Alcohol Smoking Gestational diabetes Viruses Cows milk :- Babies fed on cows milk in early life (up to 3-4 months of age) have more chances of developing type I DM in later life. Free radicals :- Agents that increase free radical production (smoking, air pollution, faulty diet etc.) cause destruction of pancreatic cells. Obesity - The combination of insulin resistance and hyperinsulinaemia can lead to a catabolic cascade which results in other disturbances. Obesity Insulin resistance / hyperinsulinemia HTN NIDDM Dyslipidemia
g g g g g g g
Atherosclerosis
Ayurveda The concept of life style related diseases (Ever sick persons) The eversick class comprises the priests, Kings officers, the merchants and prostistutes.
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1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) 14) 15) 16) 17) 18) 19)
Pathogenesis:Ayurvedic view - Salient features:1) Gluco centric (Kaphadusti) 2) Medhocentric (Medodusti) 3) Gluco-lipo centric (Kapha medhodusti) 4) Multi centric (Sannipatika dusti - multiple system involvement) The role of Kapha - medho dusti in pathogenesis of DM has been unanimously accepted by all ayurvedic scholars. Functional role of kidneys in diabetogenesis is a salient concept of Ayurveda. Consensus - Ayurveda & Western Science reach a consensus on Kapha - medho dusti in diabetogenesis. Example of a normal spun blood sample and a lipaemic sample from a diabetic pt with serum TG concentration 150 m/l. In the latter serum is densely lipaemic and is topped by a layer of chylomicrons. (Courtesy of Dr. Andrews iverren)
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Lipoprotein lipase TG product LDL receptor activity Lipoprotein glycation Diabetes has a multifactorial pathogensis and broad spectrum of clinico pathological consequences.
LIFE STYLE - CURRENT TRENDS 1) Diet:Since the late 90s there has been a change for the worse in the average urban indians food profile. 48.14% consuming high fat diet. The % of people eating out frequently is now 29.66%. 28.10% urban indians indulge in high salted diet. 53.23% of youth is non-vegetarian. 30.79% does not consume fresh fruits or vegetables. (Wellness division, Apollo hospital, Hyderabad) 2) Alcohol:People choose to drink alcohol for all sorts of reason, from toasting the happy couple to drowning sorrows and numbing pain. The average age at which people start drinking has come down from 28 in the 1980s to 20 today and kids as young as 15 are addicted. Very often their parents are the last to know. 3) Exercise:Just an hours walk a day decreases:Chances of heart diseases by 30-40%. Risk of stroke by 25-30% Chances of breast cancer by 20%. Risk of DM by 50% 55.57% probably do not and probably have never exercised. It is healthy to walk 10,000 steps daily. Average indians may do with just 4000 steps. (Wellness divison, Apollo hospital, Hyderabad)
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5)
6)
7)
Sleep:Day time sleep makes kids dull (Study report - Fukishma universit, Japan) Study compared children who attended all day preschool where 90 minutes naps compulsory, with *** children of the same age, who slept only when they requried it. Obligatory nap - Makes the children Moody in the morning Poor in academic performance, planning and organizational skills. Because of the lasting influence of obligatory sleep on their Sleep and wake cycles, children continued to be less intelligent when they move on to higher classes and stop napping. Lifestyle managmeent seems no longer a luxury, but a necessity. Moderation is the key word. The tragedy of life is not death, but we let die inside of us while we live. (normal cousins) D Diet R Relaxation E Exercise A Attitude M Medicine 8)
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CAUSES FOR LIFE STYLE DISEASES The recent studies show that many of the illnesses are caused by other than infections from micro organisms. It is a fact that the way of life can influence health. Ayurveda states that our system is made of food and disease as well. Currently there is great prevalence of life style diseases which get precipitated by reaction to food, environment, regimens and routines. The onset of LSD is insidious and years to develop and once encountered do not tend themselves easily to cure and is the result of exposure over many years to unhealthy diet regimens and routines. The following could be the reasons in general for such diseases. Stress related environment Sedentary Living Style Improper daily regimen Improper personnel habits Environment factors These factors in general lead to joint diseases STRESS RELATED ENVIRONMENT These are human experiences in daily life. It assumes medical significance on disproportionate situations. Stress is caused by hectic work schedule pressure at work place and physical and mental health problems. The studies show that stress is a sort of pain and releases fatty acids which accumulates in vessels which produce various disease processes in the system. Immune system also becomes vulnerable. Stress and hormonal imbalance can increase pain level in disease conditions. SEDENTARY LIFE STYLE In a lifestyle that does not involves any physical activities at home and work area gains weight and calorie utilization becomes low. It adds trauma to weight bearing joints. Excess
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This also leads to insomnia, anxiety, digestive disorders, neurological ailments & immunological problems & Cardiovascular diseases. IMPROPER PERSONNEL HABITS The socio economic status is miserably related to the habits of alcoholism, smoking and drug addictions etc. The survey shows that the consumption of alcohol is increasing in our society creating chaos in families and produce chronic ailments with severe sufferings in individuals. In fact the noncompliance of daily regimens as prescribed in Ayurveda can cause such conditions. This leads to joint diseases (arthritis) liver diseases, heart problems, cancer, anxiety, tension, hyperacidity. ENVIRONMENTAL FACTORS It is a fact that the environment in which we live is highly polluted by various reasons as Pollution - Air, Water & Earth, Climatic Conditions, weather changes, Aeroallergens. These can potentially involve in the actiology of diseases including arthritis. ARTHRITIS This disease could be analogous with Vaata raktha in Ayurveda. The symptoms of arthritis could also be related to Aamavaata and Sandhivaata. Arthritis is an inflammation of one or more joints caused by the wear and tear injury or any infection. It comes from two Greek words, Arthron meaning joints and itis meaning inflammation. It affects almost half of the population of the world and 1% of the population of India.
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Research Officer & Consulting Physician Amala Ayurvedic Hospital & Research Centre Thrissur
In these eight persons obese and emaciated are the worst personalities. In these two types emaciated one are less harmful compared with obese one. When subjected to disease, degree of suffering in the case of obese persons is far greater than emaciated ones. Definition A person is said to be very obese when he has lack of enthusiasm to (in physical activity) disproportional to the growth of his body, and his movement of the shoulders, abdomen and breasts.
Aggravation of meda
Obesity
Aggravation of vata
Obstruction of channel
Difficulty to breath Giddiness Perspiration has a disagreeable smell More appetite Short lifespan Sexual debility Fever Enlargement of abdomen Fistula Diabetes Loss of movements of thigh Abscess Nodules Ref:
3. Krichra Vyavayatha :- Sexual debility (Sexual debility due to the small quantity of semen and also due to the obstruction to the channel of semen by medas). 4. Daurbalya :- General debility (General debility due to inequilibrium of dhatus). 5. Daurgandhya:- Foul smell (Bad smell is caused by the inherent defect, nature of fat tissue and also due to excessive sweating). 6. Atisweda:- Over sweating (As the food is associated with kapha and it is fluid and heavy, during physical exercise, it comes out us excessive sweat). 7. 8. Atikshuth:- More hunger Atipipasa:- More thirst (Because of the strong digestive power and the presence of vayu in excessive quantity, there is excessive hunger and thirst).
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Chikitsa
(Line of treatments) For the obese person, foods which are difficult to digest (heavy food) and which make the person thin should be prescribed. Guru chatharpanam cheshtam stoolanam karshanam prathi Vataknannapanani sleshma medo harani cha Rookshoshna vasthyastheekshna rooksha api udwarthanani cha Ref; Charaka.samhita.sutra.21 Ashtanga.Hrudaya.Sutra 14 Ashtanga.Sangraha.Sutra. 24. Susrutha samhita.sutra .15 According to Ashtanga Hrudaya, those treatments which reduce meda, kapha and vayu are desirable. In obesity daily langana is also indicated by the same text.
Chikitsa
Adravya
Dravya
Ahara
Aushada
Shamana
Single Drugs
Oushadha
Single Drugs Triphala Guduchi (Tinospora cordifoliya) Abhaya (Terminalia chebula) Guggulu (Commifora mukul) Silajathu (Bitumen) (Along with fresh juice of Agni mantha) (Go-mutram) Loharaja Pure Gingely oil 15ml to 30ml in divided doses. Honey Water Ref; Charaka.samhita.sutra.21 Bhaishajya Ratnavali Ashtanga.Sangraha.Sutra.24 Ashtanga.Hrudaya.Sutra 14 Susrutha samhita.sutra .15
sthoulyadhikara
Formulations
d Vyoshadi sakthu
It is prepared out of Vidanga, Nagara, Kshara, and fine powder of Loha, Barley and Amalaka along with honey, cure disorders of profound obesity. Ref:- Ashtanga.Sangraha.Sutra. 24.
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Decoction prepared out of Madana, Triphala, Musta, Saptaha, Arista, Vatsa, Patha, Aragwada helps to reduce obesity. This drugs can be apply as paste or the medicated water prepared out of this , can be used for taking bath to reduce obesity. Ref:- Ashtanga.Sangraha.Sutra. 24.
d Amruthadi guggulu
d Triphaladyam Thailam
- Ashtanga Hrudaya
d Thrayooshanadyam lehyam
Ref:Yogamrutham Sthoolachikitsa
d Varaasanadi kwatham
Kwatha prepared out of Vara, Asana, Agnipathra,Haridra should be taken along with honey is said to be good for cases of obesity. Ref: Sahasrayogam - sthoulyadhikara
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Ref;Ashtanga.Hrudaya.Sutra 14
d Shaddaranam Kashaya
Ref:Susrutha samhita. Sutra Those drugs which are having the properties of Teekshna (pungent), Rooksha (rough), also hot in potency can be prescribed in the treatment of obesity.
Rasaushadhi
1. Shila sindhoora 2. Shudha Manashila 3. Shudha Parada 4. Shudha Gandhaka 5. Arogya Vardhini rasa 6. Agnithundi Vati 7. Vidangadi Loha 8. Chandraprabha Vati 9. Lakshmivilasa rasa 10.Mahayogaraja Guggulu 1 2 masha 2 4 tablets / Day 1 Gram / Day 2 4 tablets / Day 1 4 rathi 1 2 rathi with honey
Adravya Chikitsa
d Vyayama Regular exercise
Persons who are strong and who indulge in fatty food(daily);in cold seasons and spring season should do the exercise to half of their strength only; while others and in other seasons should do the exercise mildly. Note: Half the capacity of the person is understood by the appearance of perspiration on his forehead, nose , axilla, joints of the limps and feeling of dryness of the mouth. Ref; Ashtanga Hrudaya Sutra.2 Astanga Sangraha Sutra.2 Regular exercise for about 30-60 minutes daily.Exercises include walking, swimming and stretching.
Yoga therapy
According to Yogic science Soorya Namaskara is having a important role in the treatment of obesity. The following Asanas also are beneficial for the same.
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Apathya - Shaali - Wheat - Milk - Sugarcane products - Black gram - Internal and external application of oil - Fish - Meat - Sugar products - Heavy food - Fruits like banana, mango, chikku, jack fruit, - Grapes and dates. - Bath using cold water - Rasayana therapy - Exposure to cold - Day sleep - Wearing garlands (perfumed) Ref:- Bhaishajya Ratnavali - sthoulyadhikara Now a days the sedentary life style by the over use of television and computer causing obesity in adults and even in children also.
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Table Courtesy of the National Institutions of Health Waist size in obesity BMI category Waist less than or equal to 40 in.(men)or 35in.(women) Waist greater than 40 in.(men) or 35in (women) Causes of obesity Genetic Environmental Psychological Certain illness - Hypothyroidism - Cushings syndrome - Depression - Certain neurological problems Drugs Steroids and some antidepressants
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Cancer Gallbladder disease and gallstones Liver disease Osteoarthritis Gout Pulmonary problems Reproductive problems like menstrual irregularities and infertility. Psychological problems like depression Heart diseases like congestive heart failure Hypertension Non insulin dependent diabetes.
Practical Points that has to be noted to control obesity 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Restrict the over use of television, computer and video games Daily exercise Restriction of food(avoid fatty and heavy foods) Avoid artificial juices, cold drinks, ice cream, pitza etc Avoid fast food Avoid fried things Restrict the over use of rice and rhizomes like potato Food restriction should be done gradually. Avoid day sleep Do purgation therapy once in a month More fibre diet.
Clinical evaluation
Case No.1 Name: Bulbul Dammam Presenting complaints g Over weight g Palpitation g pain on major joints g History of hypertension General Examinations Weight 110 Kg Height 1.5m BMI 48.9
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Diet
Ashgod (Benincasa hispida) juice one glass empty stomach Honey Water frequent use Salad with Cucumber, tomato, Carrot, Onion(Noon) Rice with vegetables along with horse gram soup
Treatment given
Internal Medication 1. Maharasnadi Kwatha 2. Balaristam 3. Liposem 4. Sallaki 5. Sedol 15ml b d 25mlbd 1 bd 1 bd 2 Hs
External Medication 1. Oil Massage with Narayana tailam + Baluka swedam 2. Udwarthanam with Kulatha choornam Discharged on 11-04-2007
- 7 days - 11 days
Observation
Body weight reduced about 8 kgs Clinical reports Cholesterol (Total) Triglycerides HDL Cholesterol LDL Cholesterol 140 mg/dl 80 mg/dl 46 mg/dl 78 mg/dl
Diet Advised vegetarian diet Follow up - continue the above medicines for three months. Case No.2 Name: Hans Sterner Presenting complaints g Over weight g Palpitation g History of hypertension g History of diabetes mellitus
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Treatment given
Internal Medication 1. Shaddharanam kashayam 2. Liposem External Medication 1. 2. Kashaya vasti using Sahacharadi mezhu Udwarthanam with kulatha(Horse gram) choornam 8 days 28 days 15ml b d 1 bd
Case No.3
Name : Ander Weden Presenting complaints g Over weight g Palpitation g History of hypertension since 2 months g History of diabetes mellitus General Examination Weight Height BMI 143 Kg 1.8m 44.13 Appetite Motion Sleep BP Good 2 times 7 hours 160/100 mm of Hg
Clinical reports Cholesterol (Total) Triglycerides HDL Cholesterol LDL Cholesterol Admitted on 05-02-07
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Treatment given
Internal Medication 1. 2. 3. Shaddharanam kashayam Liposem Diabecon 15ml b d 1 bd 2 tds The patients is taking 36 units of insulin bed time and also anti diabetic tablets.
External Medication 1. 2. Kashaya vasti using Sahacharadi mezhu -Yoga vasthi Udwarthanam with kulatha(Horse gram)choornam -28days
Discharged on 01-04-07 Observation Body weight reduced about 16 kgs Insulin stopped during the treatment Clinical reports Cholesterol (Total) Triglycerides HDL Cholesterol LDL Cholesterol
Diet Advised vegetarian diet Follow up medicines - continue the above medicines for 3 months
Case No.4
Name : Manfred Flieser Presenting complaints g Over weight g Palpitation g piles
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External Medication 1. Kashaya vasti using Sahacharadi mezhu -Yoga vasthi 2. Udwarthanam with kulatha(Horse gram)choornam -28days Discharged on 19-02-05 Observation Body weight reduced about 33 kgs Clinical reports Cholesterol (Total) Triglycerides HDL Cholesterol LDL Cholesterol
Diet Advised vegetarian diet Follow up medicines - continue the above medicines for 3 months Conclusion
g g g g
Shadharanam Kashaya, Liposem are found to be effective in obesity Diet is having an important role in obesity Udwarthana with kulatha choorna is very effective in obesity Exercise is said to be essential in the management of obesity.
All obese persons are not having lipid profile raised, those who are having a raised level of lipid profile is having reduction in their lipid levels.
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ANNALS OF AMALA
Year
1973 April 13 1976 Aug. 16 1981-Oct. 16 1982 1983-March 19 1984 1987 1988 1989 1990 1992 1994 2004 2005 Aug. 29 2005 Sept. 08 2007 2008
Events
Sri. V. V. Giri, President of India laid the foundation stone for Amala Cancer Hospital CMI Congregation headed by Fr. Gabriel took the trusteeship of Kerala Cancer Society for building the hospital Sri. B. Sankaranand (Honble Central Minister for health) laid the foundation stone for Amala Ayurveda Hospital Govt. of India sanctioned a grant-in-aid research unit under CCRAS for cancer & allied diseases Sr. K. Karunakaran, Chief Minister of Kerala inaugrated Ayurveda Hospital Developed a Herbal Garden with about 500 species of Medicinal plants Started a preparation unit Foundation stone laid for Arurveda Bhavan Inaugurated Ayurveda Bhavan Additional floor constructed for Main hospital Started Research on AIDS Ayurvedic Research Centre started in Germany for 1 year A Herbarium was started in Ayurveda Hospital under the name of Fr. Gabriel, founder director of Amala ISO 9001:2000 Cetification GMP Cetification Foundation stone laid for Silver Jubilee Memorial building Dept. of Science & Technology has sanctioned the project named as Cultivation of Medical plants in Ayurveda hospital.
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SEMINARS
YEAR 1988 1990 1991 1992 1993 1994 1999 2000 2001 2002 2004 2007 DATE April 24 March 10 March 16 Jan 11 March 13 March 12 March 17 March Feb 10 Sept 21 Feb 14 Aug 4 Pangu Cancer Epilepsy Jaundice Gridharasi Arsoroga HIV / AIDS Multiple Sclerosis Holistic approach in the practice of medicine Use of traditional medicine on HIV / AIDS Viswachi Prevention of life Style disease TOPIC
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WHAT IS AYURVEDA
Ayurveda, the traditional medicine of India, is in uninterrupted practice since prehistoric ages. Utilization of the traditional systems of medicine for promotive, preventive and curative health services is being seriously considered in many parts of the world. WHO, in one of their resolutions, has emphasised the utilization of these healers by the under developed and developing countries. Ayurveda lays more emphasis on the promotion of positive health for prevention of diseases. In the process of disease manifestation several organs are involved. The disease takes its origin from a particular place moves through a particular channel. Afterall it gets manifested in a particular region. Therefore the treatment always aims at correcting from root like a plant. Above all ayurveda not only deals with human beings but also it includes the science of plants (Vrikshayurveda) as well as animals (Mrugayurveda). The word Ayurveda is composed of 2 Saskrit terms, viz Ayus meaning life and Veda meaning the knowledge and taken together, it means the science of life Caraka Father of Ayurved defined it as