National workshop on recent updates on Brain Research organised by Dept of Manasa Roga & Kaumarabhrithya from 25.5.2017 to 27.5.2017. A talk on "AYURVEDA THERAPIES AND DRUGS IN SPINAL CORD INJURIES" by DR.Ashvini Kumar M. M.D.,PhD. Professor, Department of Panchakarma,SDM College of Ayurveda and Hospital, Hassan, Karnataka.

1. Ayurveda Therapies
& Drugs in
Spinal Cord
Injuries
DR. ASHVINI KUMAR M
Professor, Department of Panchakarma
SDM College of Ayurveda & Hospital, Hassan
Mob:9448705660
e-mail : ashvinipanchakarma@gmail.com

2. • Spinal cord injury (SCI) - Ayurveda
treatment focuses on physically and
psychologically, so that in a short period of
time patients can maximize
their neurological recovery and general
health.
• Chikitsa Chathuspada- Success in treatment

3. Goal of Ayurveda Treatment
• Goal I- Preventive care
• Goal II- Restoration, Rehabilitation

4. Goal I- Preventive Care
• Preventing complications related to disability-
pressure ulcers, urinary tract complications, autonomic
problems and joint stiffness / contractures
• Nutritional deficiencies
• Psychological disturbances-
Post traumatic stress disorders-depression etc….

5. Preventive care Therapies
Joint stiffness / contractures-
------ Agni Chikitsa Lepa
------ Parisheka Sveda (Kashaya-Taila)
------ Upanaha (Salvana)
------ Local Basti-Kati/Greeva
------ Abhyanga (Murivenna, Vishagarbha Taila)

6. Autonomic problems
• Basti- Madhutailika Basti
• Shirodhara, Nasya- Kalyanaka Ghrita
• Shiro Pichu/Talam
• Balya Drugs- Kupeelu (Strychnos nuxvomica)

7. Nutritional Deficiencies
• Abhayanga
• Pizchil- Taila Parisheka
• SSPS, Mamsa Pinda Svedana
• Basti- Ksheera Basti, Bramhana Basti, Matra Basti
• Nasya

8. Psychological Disturbances
• Satvavjaya Chikitsa- Dhi Dhairya Aatmadi Vijnanam
• Shirodhara- Bramhi taila
• Nasya- Bramhi Ghrita
• Relaxation Techniques
• Medhya Dravya

9. Goal II- Restoration, Rehabilitation
Treatment Protocol
• Rookshana (Mild)- Snigdha Rookshana-Snehana-
Bramhana
• Marma Abhighata Chikitsa
• Shodhana-
-Ambulatory Patients – Mridu Virechana May be
planned
-Bed ridden – Shodhana Basti/ Shirovirechana Nasya

10. • Agni Chikitsa Lepa / Parisheka Sveda
(Dhanyamala/ Dashamoola)
• Sarvanga Abhyanaga +Parisheka (Bala Moola)
• Patra / Jambeera/ Anda Pinda Svedana
• Pizhichil- Taila Parisheka (Maha Masha / MN
Taila )
• SSPS/ Mamsa/ Masha/ Shali+ Cocunut
gratings+Soya Chunks+ Masha+Tila+ Rice Bran

11. ABHYANGA
UTSADANA-
UDVARTHANA
MOORDHNI THAILA
SHIROLEPA
KARNAPOORANA
ANGAMARDANA
SAMVAHANA

12. Basti
• Nostril- Nasya- Gate way to Head Brain
• Guda- Basti- Gate way to Gut Brain

13. Basti - (Bowel control persist )
• Niruha Basti- Shodhana / Shamana /
Brumhana
• Sneha Basti- Matra Basti
• Loss of bowel control- Guda Pichu

14. SHODHANA BASTI
DRAVYA QUANTITY
MADHU 140ML
SAINDHAVA LAVANA 5G
SNEHA 90ML
ERANDA MULADI BASTI KALKA 30G
ERANDA MULADI KWATHA 200ML
GOMUTRA 100ML
TOTAL@ 560ML
INDICATIONS:
Udavarta, Trika-Prishta Griha, Lekhana

15. KSHEERA BASTI
DRAVYA QUANTITY
MADHU 150ML
SAINDHAVA LAVANA 10 G
SNEHA-Sukumara / Tiktaka
/ Dadimadi/yanaka Ghrita
150ML
KALKA- Ashwagandha/ Guduci 40G
YASTIMADHU KSHEERAPAKA 300ML
TOTAL@ 640 ML
INDICATIONS: MARMA ABHIGHATA, SPINE-BRAIN INJURY
AMLAPITTA, PITTAJA SHULA, DAHA, PARINAMA SHULA: APD,
ULCERATIVE COLLITIS

16. MUSTADI YAPANA BASTI
DRAVYA QUANTITY
MADHU 120ML
SAINDHAVA LAVANA 10G
SNEHA - Maha Masha / MN Taila /
Ashwagandha / Kalyanaka Ghrita
120ML
MUSTADI YAPANA KALKA 20G
MUSTADI KSHEERAPAKA 200ML
MAMSARASA 100ML
TOTAL@ 560ML
INDICATIONS:
BALYA, MAMSA-SHUKRAKARA ETC

17. Nasya
• Pradhamana Nasya- Vacha/ BVC-
Sanjna Prabhodhaka
• Nasya – Panchagavya Ghrita, Jyotismati
Taila, Maha Panchagavya Ghrita
 Avapeedana- Hingu, tagara, Lashuna,
Mutra

18. Herbal Drugs
• Deepana –Pachana---- Panchakola, Trikatu etc
• Balya
• Medhya
• Mootrala

19. Balya Dravyas
• Enhancement of the strength and vitality of all
the organs and tissues in totality.
• Ex: Kapikachchu, Shatavari etc. These drugs
enhance the quantity of the tissues.
• This in turn leads to the increase in the
quantity of ojas. The increase of ojas provides
an increase in the vitality to the body.

20. Specific Balya Dravyas
• These drugs increase the strength and vitality
of specific organs…Ex…
 Tikta Dravyas (Bitter drugs) for stomach,
Arjuna for Heart,
Kupeelu for Spinal cord,
Tagara for Nervous system,
Loha for Rakta etc.

21. • Guduchi and Gokshura in a group of UTI patients
and reported the prevention of recurrence of UTI.
Mandip and Singh (1997)
• Ashvagandha, Shatavari,Mandukaparni,
Varahikanda, milk andKapikacchu increased IgM.

22. • ऐन्द्रय्रृषभ्यतिरसर्षययप्रोक्िाऩयस्याश्वगन्द्धास्स्िरारोहह
णीबऱातिबऱा इति दशेमातन बल्यातन भवस्न्द्ि।
{चरकसंहहिा सूत्रस्िानम ् ४/८-७}
ऐन्द्री – Baccopa monnieri
ऋषभी – Mucuna pruriens
अतिरसा (शिावरी) – Asparagus racemosa
ऋर्षयप्रोक्िा (मांसऩणी) – Argyreia petaloides
ऩयस्या (ऺीरववदारी / काकोलऱ) – Roscoea procera
अश्वगन्द्ध – Withania somnifera
स्स्िरा (शाऱऩणी) – Uraria picta
रोहहणी (कटुकी) – Picrorrhiza kurroa
बऱा – Sida cordifolia / Sida rhombifolia
अतिबऱा – Abutilon indicum

23. Medicines Used
• Brihat Vata Chinthamani Rasa
• Poorna chandrodaya rasa
• Makara dwaja
• Siddha Makara dwaja
• Yogendra Rasa
• Swarna Bhasma
• Rajata Bhasma
• Maha vata Vidhwansana Rasa
• Pishti –Mukta, Pravala

24. • Ghrita- Kalyanaka, Maha Kalyanaka, Bramhi,
Kooshmanda, Pancha Gavya, Vidaryadi, Shatavri
• Taila- Gandha Taila, Ksheerabala, Shacharadi , Maha
Masha, Murivenna, Dhanvanthara, Himasagara, Bramhi
• Kashaya- Dhanda Nayanadi, Sahacharadi, Asta Varga,
Maha Rasnadi, Sukumara, Gandarvahsthadi
• Asava Arista- Saraswatha, Ashwgandha, Bala Arista
• Churna- Ashwagandha, Bala, Kapikachu, Guduchi,
Bramhi,Shatavari, Tagara, Jatamamsi

25. SINGLE HERBS

26. Mandooka Parni- Centella asiatica
• Neuroprotective brain growth promoter.
• Promotes improved learning and memory.
Nootropic herbs (Medhya Rasayana) in Ayurveda: An update
Reena Kulkarni, K. J. Girish,1 and Abhimanyu Kumar2

27. Guduchi- Tinospora cordifolia
• Effective role against ischemic brain damage
• Neuro Protective, antioxidant activity
• enhances cognition (learning and memory)
Gupta AK. Vol. 1. New Delhi: Indian Council of Medical Research; 2003. Quality
Standards of Indian Medicinal Plants; p. 217.

28. Jatamamsi- Nardostachys jatamansi
• Neurological disorders like epilepsy, hysteria,
syncope, convulsions, and mental weakness,
Protective against neuro degenerative
disorders.
(Evidence-Based Complementary and Alternative MedicineVolume 2013 (2013), Article ID 142517, 5 pages
http://dx.doi.org/10.1155/2013/142517)

29. Kooshmanda- Benincasa hispida
• Balya , Bruhmana, antioxidant, Anxiolytic,
Antiepileptic
Ahir YU. Clinico-experimental study of Kushmandadi Ghrita in Generalized Anxiety
Disorder(DSM-IV) w.s.r.to Chittodvega. Jamnagar: Dept. of Kayachikitsa, IPGT and RA, Gujarat
Ayurveda University; 2005.

30. Vacha- Acorus calamus
• Medhya, Jeevaniya, Neuro protective, Sanjna
Sthapaka, Shirovirechaka, Promotes speech-
Voice.
Shukla PK, Khanna V, Ali M, Maurya R, Khan MY, Srimal RC. Neuroprotective effect of Acorus
calamus against middle cerebral artery occlusion-induced ischaemia in rat. Hum Exp
Toxicol. 2006;5:187–

31. Ashwagandha- Withania somnifera
• powerful adaptogen, it enhances the body's
resilience to stress
• potent antioxidant
• Anabolic effects
• slows, stops, reverses or removes neuritic
atrophy and synaptic loss
(Bhattacharya SK, Kumar A, Ghosal S. Effects of glycowithanolides from Withania somnifera on
animal model of Alzheimer's disease and perturbed central cholinergic markers of cognition
in rats. Phytother Res. 1995;9:110–113.)

32. Bala Mula Rasayana
• The powder of root of Bala (Sida cardifolia) in the
dose of 50gm with milk once daily in the
morning.
• Diet -Rice mixed with ghee and milk
• Duration-
12 days the aging is prevented for twelve years
100 days then young age is established for 100
years.

33. Lashuna Rasayana – Allium sattivum
• Day..1-4 days- 12 capsule of Lashuna (500mg)
• Day..5-8 … 24 nos
• Day..9-12 …. 36 nos
• Day..13-16 …. 48 nos
• Anupana 200 ml Milk
• Day 17th Sadyo virechana
• Lashuna used for Nasya also

34. Sum UP
• Multidisciplinary approach in the management of
Spinal Chord Injury (SCI)
• Rehabilitation management BY Understanding the
limitations
• Ayurveda medicines, Panchakarma and other
therapies brings hope in SCI management

35. Email- reservationyacindia@gmail.com ; Website- www.yacindia.com
Facebook- https://www.facebook.com/yogakshemaayurvedaindia
THANKS…..