IN WOMEN AND ELDERLY PEOPLE
All schools of medicine give special consideration to the care of women ,children ,the elderly and immunocompromised individuals. Although the medicament and diagnostic procedures for different diseases are the same but considering the specificity ,dosage and procedural requirement the diagnosis and treatment differ significantly in different categories of clients.
Many disease conditions are age and sex specific so special care and attention should be paid to them. In the context of panchakarma therapy while considering the indication and contraindication of different therapeutic procedures special attention is paid to bala[child] , vriddha[old age] , durbala[weak] and garbhini[ pregnant women]. If at all the therapy is to be given, it should be given with necessary precaution and appropriate modification.
PANCHAKARMA IN WOMEN
In the state of normalcy there may not be much difference in the panchakarma treatment of women patient than that of a man. In general women being soft and tender in constitution so the panchakarma should be planned accordindgly[like frequency, intensity,duration etc.]
A woman during pregnancy is essentially a high risk individual both from her own health point of view and from the point of the growth and health of the baby which she is carrying. Any drastic and vigorous therapy is contraindicated as it may induce abortion and miscarriage.Procedures like abhyanga, shirodhara, vasti in soften form could be prescribed but strictly under physician observation and keeping the stage of pregnancy and health of the woman in mind.[Basti is included in garbhini paricharya i.e. A.N.C.in ayurvedic texts].
The major female diseases for which women may seek panchakarma therapy are-
- Cervical spasm,cervical erosion,coital pain
It is a major problem for which she may seek advice of a panchaharma physician for an adjunct treatment.Infertility is multifaceted disease with multifactorial aetiology ranging from primary organic deficit and agenesis of reproductive organs, hormonal dysfunction ,blocadge of fallopian tubes etc. In such conditions samshodhana therapy could be of great help. Full panchakarma [snehana, swedana, vaman, virechana, vasti and nasya]claimed to biopurify the body which enhances the endocrine function by srotoshodhana[ cleaning of minute channels] .
Panchakarma therapy followed by fertility promoting medicines like rasayana[rejuvenation], vajikarana [aphrodiciac]and prajashtapana[for progeny] drugs are advisable.
Utterbasti [uterine basti] treatment for cleansing of uterus [to promote reproductivity of the endometrium and patency of cervix] is also mentioned in classical text .However it should be done with all aseptic measures and great precaution.
Pain during menstruation causes great discomfort to the woman .For such condition panchakarma [ snehana, swedana and required purificatory procedure]could be done .
Cervical spasm,cervical erosion,coital pain
Complaints of cervical spasm,cervical erosion etc. could be treated with pichu , parisheka, washing and uttarvastis along with Abhyanga ,Kayaseka and Pinda sweda. It will improve the overall health and neuromuscular co-ordination as well.
Another common disease of women irrespective of the age group is leucorrhoea. It is caused due to wide range of etiological factors including nutrition, hygiene, infection, hormonal dysfunction etc.
Vaginal douches with different drugs decoction and application of pichus with medicated vaginal wash could be used for treatment.
Menorrhagia and dysfunctional uterine bleeding are the other important ailments in women which needs management. Pichus application, abhyanga, basti ,shirodhara and kayaseka are the helpful procedures .
PANCHAKARMA AND GERIATRICS
An apparently normal elderly person should undergo periodical panchakarma therapy followed by rasayana in order to promote his overall health and to evert the effect of aging .
- Muscular weakness and atrophy
- Wrinkling of skin
- Greying of hair, hair fall
- Loss of vision
- Hearing and other senses loss
- Memory and cognition.
- Pscychomotor control and co-ordination
PART[ A ]
- DEEPANA , PACHANA
- SNEHANA/ ABHYANGA/ UDWARTANA
- BIOPURIFICATERY PROCEDURE AS PER REQUIREMENT OF PATIENT (VAMAN / VIRECHANA / BASTI (ASTHAPANA, ANUVASANA) / NASYA / RAKTAMOKSHANA)
PART[ B ]
- KAYASEKA/ PINDASWEDA/PATRAPOTTALI
- SHIRODHARA (TAKRA DHARA/ KWATH DHARA/DUGDHDHARA)
- SHIRO PICHU
- NETRA / KATI/ HRIDA TARPANA
PART[ c ]
SUITABLE RASAYANA SHOULD BE PRESCRIBED FOR IMMUNOMODULATION, LONGIVITY AND REGENERATION.
If an elderly person undergoes such a regimen once/ twice a year regularly the rate of his aging is retarded and the person remains physically fit and mentally alert till late in his /her life.
SCHEDULE FOR PANCHAKARMA
|REJUVINATION TREATMENT FOR HEALTHY AGING||ABHYANGASWEDANAPINDA SWEDAKAYA SEKA SAMSHODHANA [BIOPURIFICATION AS PER REQUIRMENT]||SHIRODHARA SHIROBASTI||RASAYANA THERAPY|
|BENIGN ENLARGEMENT OF PROSTATE||ABHYANGASWEDANABASTI KARMA||UTTAR BASTI||PALLIATIVE TREATMENT + RASAYANA||HYPERTENSION,IHD, DYSLIPIDEMIA||POORVAKARMA BASTI KARMA||EXCERCISEDIET CONTROL||PALLIATIVE TREATMENT + RASAYANA|
|DIABETIS||IN OBESE PATIENT FULL PANCHKARMA||EXERCISEDIET CONTROL||PALLIATIVE TREATMENT + RASAYANA|
|OSTEOARTHRITIS||ABHYANGASWEDANA(PATRA POTTALI BASTI KARMA||PINDASWEDAANNALEPAM||PALLIATIVE TREATMENT + RASAYANA|
|C.N.S.,DEGENERATIVE DISEASES||ABHYANGASWEDANAPINDA SWEDAKAYA SEKA||SHIROBASTISHIRODHARA||PALLIATIVE TREATMENT + RASAYANA|
|CANCER||ABHYANGAPINDASWEDAKAYASEKA||SHIROBASTI SHIRODHARA||PALLIATIVE TREATMENT + RASAYANA|
NOTE: This is a generalized suggestive schedule variation could be made during implementation as per need.