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Healthy Heart – An Ayurvedic
              Approach



Under the Guidance of,           By,
Dr.Ashalatha.M.                  Dr.Tanmaya.K.Acharya
H.O.D., Dept of P.G.Studies in
Dravyaguna,                      II M.D., Dept of Dravyaguna
G.A.M.C., Bengaluru              G.A.M.C., Bengaluru
Introduction
• India has the largest Cardio-vascular
  Disease rate in the world.
• Ganas mentioned specifically in Charaka
  and Sushrutha Samhita for Hrdya karma
  and Hrd roga
• Hrdya gana, Parushakadi gana,
  Bruhatyadi gana, Utpaladi gana, Balya
  dashemani, Lekhaneeya dashemani.
• Charaka Hrdya Gana:
 Amra                   Amrataka
 Likucha                Karamarda
 Vrkshamla              Amlavetasa
 Kuvala                 Badara
 Dadima                 Matulunga


• Sushruta Vargas:
• Bruhatyadi :
  Bruhati               Kantakari
  Kutajaphala           Patha
  Madhuka
• Parushakadi varga:
 Parushaka             Draksha
 Katphala              Dadima
 Rajadana              Katakaphala
 Sakaphala             Triphala


• Utpaladi varga:
 Utpala                Raktotpala
 Kumuda                Saugandhika
 Kuvalaya              Pundarika
 Madhuka
Amra :Mangifera indica
Phytoconstituents   Activity

Mangiferin : Poly   Alteration of Cardiac
phenol              mitochondrial energy
                    metabolism
Karamarda :Carrisa carandas
Phytoconstituents         Activity


Triterpene: Carissol Ia   Cardio tonic activity
            Carissic Ib
Bruhati :Solanum indicum
Phytoconstituents   Activity

Chlorogenic acid    Blood pressure
                    lowering effects
Madhuka :Madhuca indica
Phytoconstituents    Activity


Madhucosides A & B   Significant inhibitory
Protobassic acid     effects superoxide
                     release from
                     polymorphonuclear
                     cells.
Draksha :Vitis vinifera
Phytoconstituents   Activity

Procyanidins        Supplementation
                    makes the heart less
                    susceptible to
                    ischemia/reperfusion
                    damage.
Kamala :Nelumbo nucifera
Phytoconstituents   Activity


Daurisoline         Antiarrhythmic effect
Neferine            Hypotensive effect
Brahmi :Bacopa monnieri
Phytoconstituents        Activity
Sterol glycoside :       Antihypertensives
Bacosterol-3-0-beta-D-   Vasodilators
glucopyroside
Bacopa saponnin-C,
Bacopaside-1, Bacopaside
II
Chitraka :Plumbago zeylanica
Phytoconstituents   Activity


Plumbagin           Regression of
                    Atheroma
                    Reduces serum
                    cholesterol, LDL
                    cholesterol
Arka :Calatropis procera
Phytoconstituents   Activity


Calotropagenin      Inhibitors of Na(+) /K(+) -
                    ATPase to regulate heart
                    contractions
Conclusion
• Various approach towards
  cardio-protective activity:
   • Protective: Amra, Madhuka,
                 Draksha
   • Anti-hypertensives: Bruhati, Brahmi
   • Inotropic activity : Karamarda
   • Chronotropic activity : Kamala, Arka
   • Anti-cholesterol : Chitraka

• The need to fill the lacuna between
  Literature           Research         Implementation

• Rediscover the connection between ‘Plant’ and ‘Health’
References
•    Effect of mangiferin on mitochondrial energy production in experimentally induced myocardial
     infarcted rats.
     Department of Biochemistry, University of Madras, A.C. Tech., Guindy campus, Chennai-600 025, India.
•    BIOSYNTHESIS OF CAR1SSOL AND CARISSIC ACID.
     Department of Chemistry, University of Karachi, Karachi-75270, Pakistan.
•    Solanum indicum ssp. distichum extract is effective against L-NAME-induced hypertension in rats.
      Department of Pharmacology, Faculty of Pharmacy, Cairo University, Cairo, Egypt.
•    Madhucosides A and B, protobassic acid glycosides from Madhuca indica with inhibitory activity on
     free radical release from phagocytes.
      Department of Natural Products, National Institute of Pharmaceutical Education and Research, Sector 67,
     SAS Nagar, Punjab 160062, India.
•    Diet enriched with procyanidins enhances antioxidant activity and reduces myocardial post-
     ischaemic damage in rats.
     Istituto Chimico Farmaceutico Tossicologico, University of Milan, Italy.
•    Effects of neferine on transmembrane potentials of guinea pig myocardium.
     Li GR, Li XG, Lü FH
•    Bacopa monnieri and its constituents is hypotensive in anaesthetized rats and vasodilator in various
     artery types.
     Department of Physiology, Faculty of Medical Science, Naresuan University, Phitsanulok 65000,
     Thailand.
•    Hypolipidaemic and antiatherosclerotic effects of plumbagin in rabbits.
     Department of Zoology, University of Rajasthan, Jaipur.
•    Rapid identification of calotropagenin glycosides using high-performance liquid chromatography
     electrospray ionisation tandem mass spectrometry.
     Sophisticated Analytical Instrument Facility, Central Drug Research Institute, Lucknow, 226001,
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Ayurvedic Approach to Healthy Heart

  • 1. Healthy Heart – An Ayurvedic Approach Under the Guidance of, By, Dr.Ashalatha.M. Dr.Tanmaya.K.Acharya H.O.D., Dept of P.G.Studies in Dravyaguna, II M.D., Dept of Dravyaguna G.A.M.C., Bengaluru G.A.M.C., Bengaluru
  • 2. Introduction • India has the largest Cardio-vascular Disease rate in the world. • Ganas mentioned specifically in Charaka and Sushrutha Samhita for Hrdya karma and Hrd roga • Hrdya gana, Parushakadi gana, Bruhatyadi gana, Utpaladi gana, Balya dashemani, Lekhaneeya dashemani.
  • 3. • Charaka Hrdya Gana: Amra Amrataka Likucha Karamarda Vrkshamla Amlavetasa Kuvala Badara Dadima Matulunga • Sushruta Vargas: • Bruhatyadi : Bruhati Kantakari Kutajaphala Patha Madhuka
  • 4. • Parushakadi varga: Parushaka Draksha Katphala Dadima Rajadana Katakaphala Sakaphala Triphala • Utpaladi varga: Utpala Raktotpala Kumuda Saugandhika Kuvalaya Pundarika Madhuka
  • 5. Amra :Mangifera indica Phytoconstituents Activity Mangiferin : Poly Alteration of Cardiac phenol mitochondrial energy metabolism
  • 6. Karamarda :Carrisa carandas Phytoconstituents Activity Triterpene: Carissol Ia Cardio tonic activity Carissic Ib
  • 7. Bruhati :Solanum indicum Phytoconstituents Activity Chlorogenic acid Blood pressure lowering effects
  • 8. Madhuka :Madhuca indica Phytoconstituents Activity Madhucosides A & B Significant inhibitory Protobassic acid effects superoxide release from polymorphonuclear cells.
  • 9. Draksha :Vitis vinifera Phytoconstituents Activity Procyanidins Supplementation makes the heart less susceptible to ischemia/reperfusion damage.
  • 10. Kamala :Nelumbo nucifera Phytoconstituents Activity Daurisoline Antiarrhythmic effect Neferine Hypotensive effect
  • 11. Brahmi :Bacopa monnieri Phytoconstituents Activity Sterol glycoside : Antihypertensives Bacosterol-3-0-beta-D- Vasodilators glucopyroside Bacopa saponnin-C, Bacopaside-1, Bacopaside II
  • 12. Chitraka :Plumbago zeylanica Phytoconstituents Activity Plumbagin Regression of Atheroma Reduces serum cholesterol, LDL cholesterol
  • 13. Arka :Calatropis procera Phytoconstituents Activity Calotropagenin Inhibitors of Na(+) /K(+) - ATPase to regulate heart contractions
  • 14. Conclusion • Various approach towards cardio-protective activity: • Protective: Amra, Madhuka, Draksha • Anti-hypertensives: Bruhati, Brahmi • Inotropic activity : Karamarda • Chronotropic activity : Kamala, Arka • Anti-cholesterol : Chitraka • The need to fill the lacuna between Literature Research Implementation • Rediscover the connection between ‘Plant’ and ‘Health’
  • 15. References • Effect of mangiferin on mitochondrial energy production in experimentally induced myocardial infarcted rats. Department of Biochemistry, University of Madras, A.C. Tech., Guindy campus, Chennai-600 025, India. • BIOSYNTHESIS OF CAR1SSOL AND CARISSIC ACID. Department of Chemistry, University of Karachi, Karachi-75270, Pakistan. • Solanum indicum ssp. distichum extract is effective against L-NAME-induced hypertension in rats. Department of Pharmacology, Faculty of Pharmacy, Cairo University, Cairo, Egypt. • Madhucosides A and B, protobassic acid glycosides from Madhuca indica with inhibitory activity on free radical release from phagocytes. Department of Natural Products, National Institute of Pharmaceutical Education and Research, Sector 67, SAS Nagar, Punjab 160062, India. • Diet enriched with procyanidins enhances antioxidant activity and reduces myocardial post- ischaemic damage in rats. Istituto Chimico Farmaceutico Tossicologico, University of Milan, Italy. • Effects of neferine on transmembrane potentials of guinea pig myocardium. Li GR, Li XG, Lü FH • Bacopa monnieri and its constituents is hypotensive in anaesthetized rats and vasodilator in various artery types. Department of Physiology, Faculty of Medical Science, Naresuan University, Phitsanulok 65000, Thailand. • Hypolipidaemic and antiatherosclerotic effects of plumbagin in rabbits. Department of Zoology, University of Rajasthan, Jaipur. • Rapid identification of calotropagenin glycosides using high-performance liquid chromatography electrospray ionisation tandem mass spectrometry. Sophisticated Analytical Instrument Facility, Central Drug Research Institute, Lucknow, 226001,