21 03-17 pk in opd

OPD services in Panchakarma
In Panchakarma
Ayurmitra & Nadi Guru
Prof KSR Prasad (Technoayurveda)
9290566566/9503227966 / technoayurveda@yahoo.com
Panchakarma CME from 15‐20 March 2021 @
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

01 Introduction
01 Introduction
• Present day lifestyle is different from the time
f P h k i t d d b A d
of Panchakarma introduced by Ayurveda
• The climatic and dietetic changes made
h d li t d iti
human delicate and sensitive
• The commencement of Industrialization and
k t l d th i di id l b d “NO
work style made the individual busy and “NO
TIME”
T t t d T t th “NO TIME” l
• To protect and Treat these “NO TIME” people
we need to adopt OPD level Panchakarma

01 Panchakarma
01 Panchakarma
• Panchakarma is an eliminative specialty for
accumulated toxins in the body
• Govt and NGOs are effectively taking the
y g
benefits of Panchakarma in to Public
• But the “NO TIME” population are not
But the NO TIME population are not
approaching the Ayurveda Panchakarma
thinking it as Rigid and Costly
thinking it as Rigid and Costly

01 Does Ayurveda accepts the OPD Practice?
01 Does Ayurveda accepts the OPD Practice?
• YES – It allows with CARE
• Ayurveda follows the Circadian Rhythms
and Dosha Migration to Shakha
( i h l) d K ht ( t l)
(peripheral) and Koshta (central)
• Patient is in need to follow the
instructions of Physician and Timing of
instructions of Physician and Timing of
the Panchakarma Event
• Based on Vaya – Ahoratra – Bhukta
Based on Vaya Ahoratra Bhukta
status one has to decide the
Panchakarma procedure

01 What we Need?
01 What we Need?
• Foremost requirement is a separate Room with
washroom facility
y
• The room selected should be under temperature
control (Air conditioned) closed room with
proffered dimensions of 12 x 14 feet carpet area
proffered dimensions of – 12 x 14 feet carpet area
& attached WC
• Equipment required are – Droni, Steaming
quipment required are roni, Steaming
equipment, Shirodhara / Sarvanga dhara
apparatus, different sizes pre fabricated local Vasti
equipment Vamana tray Panchakarma kitchen
equipment, Vamana tray, Panchakarma kitchen,
etc.
• Man power of Panchakarma therapist ( Female /
p p ( /
Male)

01 Any restriction of Panchakarma?
01 Any restriction of Panchakarma?
• The difference is between Healthy and
Diseased
Diseased –
– Healthy is advised Panchakarma in Ritu sandhi
Diseased is undertaken according to the severity
– Diseased is undertaken according to the severity
and necessity of Dosha elimination
• Follow the Room temperature control always
Follow the Room temperature control always
to avoid complications
– Kapha requires COLD climates always
ap a equ es CO c a es a ays
– Pitta can be accepted with NORMAL temperature
– Vata needs a WARM conditions

01 What procedures can be done at OPD
01 What procedures can be done at OPD
• In fact all procedures can be done in OPD
• Common practices are –
• Abhyanga – Gatra • Vamana
Abhyanga Gatra,
Shira, Mukha,
Pada Udvartana
Vamana
• Virechana
Pada, Udvartana,
• Nadi Sweda / Box
sweda (optional)
• Vasti
• Nasya
sweda (optional)
• Sneha Pana
• Shirodhara
• Jalukavacharana
• Rakta Mokshana
• Shirodhara Rakta Mokshana

01 OPD Abhyanga
01 OPD Abhyanga
• It is very easy procedure of OPD Panchakarma
• We need only a table and Skilled therapist
We need only a table and Skilled therapist
• No time restriction – can be done at any time of day for
30‐45 minutes
R i N l
• Room temperature is Normal
• Oils required can be heated on Induction stove
• Step to follow are –
Step to follow are
– Moisten the body with Lukewarm wet towel
– Supine – Back 2 posture Abhyanga
N di d i d f Abh ll
– Nadi sweda is easy to adopt after Abhyanga on small
Induction cooker
– Post Abhyanga body oil can be wiped with Tissue Paper or
S t t l d l t ith D t l
Soap water towel and later with Dry towel

01 Snehapana
01 Snehapana
• Much times we follow the Snehapana as a
Purvakarma for Vamana or Virechana
Purvakarma for Vamana or Virechana
• We can adopt the Snehapana as a procedure
for emaciated and Vata diseases such as
for emaciated and Vata diseases such as
Sandhivata
• Steps to follow
• Steps to follow ‐
– Undertake a Local massage for Limbs
Offer Salted Medicated Ghee with Milk
– Offer Salted Medicated Ghee with Milk
– Let the patient undergo Nadi sweda for 10‐15
minutes

01 Shirodhara
01 Shirodhara
• Shirodhara is a common program in OPD
Th Dh t i l i di l ith T il
• The Dhara material is accordingly either Taila,
Takra, Kashaya, Dugdha, etc.
• The equipment can be manual or semi automatic
The equipment can be manual or semi automatic
with Air cooler pump
• Step to follow are –
– Make Shirobhyanga for 10 minutes
– Dhara for 45 minutes
Wash only head with Ayurvedic Shampoo (Rita) in Sink
– Wash only head with Ayurvedic Shampoo (Rita) in Sink
– Apply the TALAM with Rasnadi Churna after drying the
Hair

01 Vamana
01 Vamana
• Vamana is a bit complicated program in OPD as it
requires the preparation – but possible – issue is
q p p p
the room is occupied for 3‐4 hours
• This can be planned at early hours – not to disturb
ti ti t
routine patients
• Abhyanga – Snehapana are done at OPD level and
Made “Ready”
Made Ready
• We can use a Tub for the Vomits collection
• The necessary liquids – Milk, Yastimadhu phanta,
y q p
Lavanodaka, etc and emergency needs such as
saline etc are made available
• The selection of Drug combination is important
• The selection of Drug combination is important

01 Virechana
01 Virechana
• Virechana we can plan at clinic or even at
patients home – observing with
Telemedicine
• The medicine combination selection is
important – Not every time Trivrut or
Abh di M d k b t d th
Abhayadi Modaka – but needs on the
basis of Dosha Nadi of Patient
A t i th ti b f
• As we are not using the unction before
Virechana – I prefer it along with
Virechana Dravya
Virechana Dravya

01 Vasti
01 Vasti
• Vasti preparation is tedious if done in traditional
b t if t i d t
way – but easy if we use wet grinder to prepare
• Undertaking local Abhyanga is easy at OPD
• Timings of Niruha Vasti in Keraliya Panchakarma
is done in early hours – but better to undertake
f f l
after proper evacuation of stools –
– if not give Vasti after lukewarm water enema
• The retention period is about 45 minutes in total
• See that the washroom is available

01 Nasya
01 Nasya
• Nasya karma is a OPD level procedure
either Marsha or Pratimarsha Nasya with
liquids or powders
• No much precautions are required
• Almost all diseases of head –
Almost all diseases of head
Pratishyaya, Ardhita, Shirashoola are
treated with Nasya in OPD
treated with Nasya in OPD

01 Akshitarpana
01 Akshitarpana
• A common procedure for vision disturbances
A common procedure for vision disturbances
or dry eye syndrome done in OPD
• Materials required are minimal but needs
• Materials required are minimal but needs
skills to do it
Af d i l i i l
• After procedure care is also minimal

01 Rakta Mokshana ‐ Siravyadha
01 Rakta Mokshana ‐ Siravyadha
• A common program Rakta Mokshana done in
A common program Rakta Mokshana done in
west coast in OPD level
• Siravyadha needs skill and bleeding control
• Siravyadha – needs skill and bleeding control
mechanism
E b d i OPD f
• Easy to be done in OPD for many
musculoskeletal diseases and Skin diseases

01 Rakta Mokshana ‐ Jalukavacharana
01 Rakta Mokshana ‐ Jalukavacharana
• Jalukavacharana even though easy to be
understood the procurement and
understood, the procurement and
maintenance of Jaluka is difficult
• It is better to adopt in OPD
It is better to adopt in OPD
Jalukavacharana under special
considerations
• As it is a natural anesthetic method –
patient even don’t feel of pain
• Many adopt this method in Skin diseases
like Acne, etc

01 Rakta Mokshana ‐ Cupping
01 Rakta Mokshana ‐ Cupping
• Either Dry or wet Cupping is getting prevalent
in OPD as this procedure is easy to adopt by
raising vacuum in the cup either by fire or
sucking the air out
• Wide range of diseases are treated with
g
cupping – musculoskeletal diseases are most
common

01 Agnikarma
01 Agnikarma
• Agnikarma is also much in practice in west
Agnikarma is also much in practice in west
coast mostly with Shalaka or with Acupressure
pinned cauterization
pinned cauterization
• Many muscular disease or disk compressions
are attended with this method
are attended with this method

01 Conclusion
01 Conclusion
• The OPD practice of Panchakarma is encouraged
i t i th ti t
in present scenario as the patients –
– Do not have time with their schedules
– Accommodating patients in a hospital environment is
– Accommodating patients in a hospital environment is
costly
– Above to all the new technology of Tele‐medicine is
developed to monitor patient online
• With OPD level Panchakarma development and
adaptation e can propagate Panchakarma in a
adaptation we can propagate Panchakarma in a
better way with cost effective patient friendly
environment
environment

01 Thank You
01 Thank You
Ayurmitra & Nadi Guru
Prof KSR Prasad
(Technoayurveda)
9290566566/9503227966 /
9290566566/9503227966 /
technoayurveda@yahoo.com

21 03-17 pk in opd

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21 03-17 pk in opd