Ayurveda Atyayika Chikitsa. Dr. K. Shiva Rama Prasad, at

Transcription

1 Ayurveda Atyayika Chikitsa

2 A Technoayurveda International Presentation In Association with Ayurmitra Technoayurveda.wordpress.com CME on Kayachikitsa, Dr N.R.S. Government Ayurvedic Medical College, Vijayawada 12th Sep 2011 to 17th Sep 2011.

3 I am looking at the death face of the patient Silent, Helpless and impatient, to say my last word Sorry! This presentation is not just to entertain or expecting applaud from the audience, but is a true confession of the Ayurvedic Practitioner

4 What made us to be in this situation? Improper education Lack of interest in learning Or Ayurvedic medicines are not competent to combat the emergencies? Our system is not designed to care the patients of medical emergencies Why do we are scared of tackling the emergencies and trauma care Why always Ayurvedic Hospitals are with only death reaching, day counting paralytic patients who comes after all systems finish their experiments If we treat such neurological or respiratory conditions well in advance efficiently what is the rate of success after Tons of GOLD consumption as medicine

5 A sudden unforeseen crisis (usually involving danger) that requires immediate action Sudden state of danger etc., requiring immediate action. A condition requiring immediate treatment, where the patient with this is either conscious or unconscious.

6 What a coincidence! Speaker on Ayurveda emergencies not possible to attend the session So, I am called here to speak on Ayurveda Emergencies Management in emergency short notice Kindly bear with the presentation & Ideology on Ayurveda Emergencies in Emergency!

7 Medical Emergency A medical emergency is an injury or illness that is acute and poses an immediate risk to a person's life or long term health. These emergencies may require assistance from another person, who should ideally be suitably qualified to do so, although some of these emergencies can be dealt with by the victim themselves.

8 Treatment may require the involvement of multiple levels of care, from a first-aider to an emergency physician through to specialist surgeons. Any response to an emergency medical situation will depend strongly on the situation, the patient involved and availability of resources to help them. It will also vary depending on whether the emergency occurs whilst in hospital under medical care, or outside of medical care (for instance, in the street or alone at home). What is in emergency?

9 Emergency Medicine Emergency medicine is a medical specialty a field of practice based on the knowledge and skills required for the prevention, diagnosis and management of acute and urgent aspects of illness and injury affecting patients of all age groups with a full spectrum of undifferentiated physical and behavioral disorders. It further encompasses an understanding of the development of pre-hospital and in-hospital emergency medical systems and the skills necessary for this development

10 Classification - 1 Disease Emergency True Emergency Procedural Emergency Iatrogenic Emergency (Doctor Made condition) False Emergency Emotional Emergency Anxiety Emergency (Attendees Made condition)

11 Typology based on Risk Patient assessment omission inappropriate diagnosis - delay may result as life threatening Patient assessment commission inappropriate investigations Treatment omission failure / delay in giving treatment Treatment commission - inappropriate treatment given External disposal omission Failure to admit External disposal commission Not applicable for Emergency Internal disposal unable to provide Bed equipment etc Equipment service / machine failure Documentation (Legal) inadequate, inaccurate documentation Patients action consequences to themselves or others life threatening (insane) General failures of any other such as electricity, etc M Thomas, K Mackway-Jones, N Boreham, Derivation of a typology for the classification of risks in emergency medicine, Emerg Med J 2004;21: doi: /emj

12 Atyayika Typology Ayurveda emergencies are not away from the problem of patient The classification includes Tridosha and Srotas specific along with Agni, Ama & Dhatu We can not neglect the role of the rest in emergency The life in Ayurveda is dependent upon the Agni

13 Dosha & Srotas Out of tridosha, Vata is said as driver and performs all functions & the rest of two are lame Vata 5 types, includes different level of body functions and create emergency Impairment of 13 srotas along with sanjna & chesta vaha srotas may lead to either structural or functional anomalies Most of the time the structural impairments goes to the surgical emergency management and the functional to the medical emergencies

14 Tagged Typology of Emergency Surgical Emergency Usually all traumatic / accident cases Organ related pathology - Appendicitis, Acute abdomen, etc Medical Emergency Internal - Any functional impairments External - Snake bite, scorpion sting, etc

15 Vata & Emergency Why the Vata? As it is minute and penetrable in all channels and tissues Avrutavata symptoms mimic emergency Pranavata shiras as seat corresponds intellectual, cognitive, motor functions Udanavata uras as seat corresponds pulmonary, acid base & fluid regulation Samanavata digestive functions & movements in abdomen Vyanavata heart as seat cardio-vascular, Hemodynamics, etc Apanavata pelvic floor, excretory and expulsive functions

16 Emergency Resuscitation Vata उद न य जय दध वर मप न च न ल मय त २१९ सम न शमय च च व ऽध व य न त य जय त ण रआयश चत भ य र ऽ प थ न ह य य थ त र व २२० व थ न गमय द व ऽव त न त न वम गर ग न २२१ Udana to be brought to up (Chest)= Respiratory Resuscitation Apana is sent to down = active peristalsis created Samana is subsided = kindling fire, regulated digestion Vyanna is by all three methods (regulated, spread & excreted) Prana Protected well =??? Dosha shamana

17 Emergency measures Airway maintenance Life line introduction fluid and electrolytes maintenance Blood Pressure / Pulse regulation Consciousness recall Stomach wash if necessary Call another Doctor! If not possible! Or send the patient to better Hospital!

18 What to do in Ayurveda? Ayurveda suggest few routes of drug administration that bypass the digestion and act in Emergency eg: Vasti, Nasya, Lepa, etc. All the Rasa-Aushadha used in sub-lingual route are meant for Emergency Medical Practice Ayurveda Injections 25 years back experimentally prepared and marketed with success and withdrawn because of the Govt. policy are best and quick tools in tackling emergency

19 Tackling Jwara as Emergency I witness hyperpyrexia of degrees F for a child aged 5 years Cold sponging along with Mrutyunjaya ras made the fever to control very fast Along with what I have considered is soap water enema which made the temperature to drop in minutes gradually

20 Tackling Atisara as Emergency Loose motions are not such emergency unless the person goes in dehydration Along with the measures of controlling diarrhea Triphla Churna is mixed Ice-water along with ORH solution made the person to recover faster and sooner

21 Tackling Pakshaghata as Emergency A female patient aged 45 years approached with right side paralytic stroke where both upper & lower limbs are included along with facial paralysis I prescribed 1 tab Brihatvata chintamani along with Ekangaveer Ras for every 4th hourly for 24 hours resulted in to the normalcy and regulated the dose to 6th hourly on second day and 3rd day it was perfectly normal walk made me to continue the same medicines twice daily for that patient I continued same medicine daily once for another 21 days please note - nothing more then these two medicines

22 Tackling Tamaka swasa as Emergency Status asthmatics is bad situation for patient & Doctor Swasakasachintamani + Malla sindhura with tmala patra swarasa sub-lingual makes instantaneous relief 25 ml of Dashamoola taila or Dhanwantara taila Salwana sukhoshna Matra vasti makes the patient to get relief immediate

23 Conclusion There are many more situations drive physician in to emergency All situations can not be recorded We have to follow the needs of patient demands the situation with the equipment we have with us With out deviating the Ayurveda principles what ever it suggest we follow with situational dosage and intake methods we can tackle the emergencies through Ayurveda medicines. We require the parental route Ayurveda medicines to bring in to and practice Ayurveda in tradition and in scientific

24 It is right time to start.... Ayurveda Emergency Medicine

25 Do you feel this Critical & Emergency Doctor? Yes! I am short of 20,000 for my new CAR! I strongly recommend to start Suchiveda (Ayurveda Injection Therapy) and a Committee to study Ayurveda practice in Medical emergencies Now you Ask & Answer