Introduction
As age is increasing, prevalence of Vyadhi along with Kala also increasing. In elderly people degeneration of Dhatus occurs with Kala and Vaya which affects person’s physical, psychological and social aspects. This process is irreversible but it should be managed. As due to available treatment people’s life expectancy is increasing and more people moving towards old age but degenerating factors affecting old age daily lifestyle increasing independency on family members. Every human desire for healthy ageing. Contemporary science has evolved separate branch for cure of illness affecting elderly people known as geriatric medicine. but this branch only focuses on managing illness or disease and not promoting health or prevention of disease. this perspective can be achieved by oldest and most conventional system of medicine i.e., Ayurveda system of medicine.
The Government of India launches various national campaign to popularize the strength of Ayurveda and Yoga in geriatric health care. It is the demand of the hour to develop an effective holistic protocol for geriatric care by combining Rasayana, Panchkarma, Dietetics, Ayurvedic medicines along with yoga for promotion of geriatric care. Some Disorder of Nervous system that creates rhythmic shaking affecting any part especially hand or legs which is quite evident by seeing during voluntary movements such as eating, writing, standing and walking. in Ayurveda these all caused due to aggravated Vata (Chalatvam Guna of Vata increases) in Majja Dhatu results in Kampa or tremors.[1]
As ages increasing, old age people become more prone to malnutrition for many reasons including - Arochaka (Anorexia), Smritinash (Dementia), Manoavasada (Depression), Stroke, Kampavata (Parkinson disease) and other neurological disorders, Malabandha. The diet should be regulated taking into account the habitat, season, age, and according to one’s digestive capacity.[2]
We should opt for Chikitsa that holds potential for Vyadhi prevention by promoting Swasthya. Rasayana and Panchkarma promotes Swasthya and longetivity. Jarachikitsa and Rasayana can delay Vruddhavastha (ageing) and reduce geriatric degeneration. Vruddhavastha begins at 60-70 years.[3,4]
Various Karmas included in Panchkarma with the motive of promotion of physical and mental well-being like., Snehana, Swedana, Nasya, Shirodhara, Basti and many Upkarmas also included like., Lepan Chikitsa, Shashtika Shali Sweda, Tailadhara, Kati Basti, Janu Basti, Manaya Basti and list goes on.
Materials and Methods
Case Study
A 75 yr old female patient came to Rani Dullaiya Ayurvedic P.G. Hospital, Bhopal, M.P, in Panchkarma O.P.D. with complaint of unable to walk, stand (Kriya Akshamata) dependent on family member for mobility with associated complaint of indigestion (Ajirna, Mandagni), body weakness (Sharir Dourbalya), disturbed sleep (Anindra) and feeling of unconsciousness after standing, duration of suffering was 8-9 months .
Past history
No H/O Hypertension or diabetes mellitus or other metabolism disease, medical and surgery history.
Family history
No relevant family history.
Psychological evaluation
Patient was in normal. conscious state with no sign of stress or other mental disease.
Table 1: Treatment protocol followed
SN | Treatment | Rationale | Medicine |
---|
1. | Abhyanga | Vatanulomaka, Pushti, Ayu-Swapana - Sutvaktva, | Chandanabalalakshadi Taila |
2. | Bashp Peti Sweda | Stambha, Sheeta, Gauravghnam | Dashmool Kwath |
3. | Nasya | Uttamanga Shodhan, Srotas Shudhi , Indriya - Mana Prasanna, Nidra | Brahmi Ghrita |
4. | Shirodhara | Srotoshodhana | Brahami Jatamanshi Kashaya |
Table 2: Internal Medication
SN | Aushadi | Matra | Anupana | Rationale |
---|
1. | Triphala Churna | 1TSF HS | Shukhoushna Jala | Rasayana, mild laxative, antioxident |
2. | Ashwagandha Churna | 3gm BD | Sukhoushna Godugdha | Rasayana, Balakaraka, Kshayhara Vatakaphashamak |
3. | Syrup Dashmoolarishta | 20ml BD | Shukhoushna Jala | Vatavydhi - Kshay- Mandagni Dhatukshyahara, Pushtijanana, Teja - Shukra - Balapradhaa |