A retrospective study on Padabhyanga in the management of Ghrudhrasi

Transcription

1 A retrospective study on Padabhyanga in the management of Ghrudhrasi Dr. Gayatri Gandhe, Prof & HOD, Panchkarma Dept G J Patel Ayurveda College & Research Centre

2 Ghrudhrasi

3 Ghrudhrasi analogous with lumbago & Sciatica

4 Presentation of Ghrudhrasi

5 Don ts as per to Sadvrutta Kuchelasthi-kantak-amedhya-kesha-tusha-utkara-bhasma-kapala-snana-balibhuminam pariharta/18 Prak shramat vyayamvarji syat/18 Na dushtayanani arohet/ Na janusamam kathinam asanam adhyasita/ Na anastirnam anupahitam avishalam asamam va shayanam prapadyet/ Na giri-vishama-mastakeshu anucharet/ Na drumama arohet/ Na jalogravegam avagahet/ Na asthini abhihanyat/ Na vigunam angaihi cheshtet/ Na sahasa-atiswapna-prajagara-snana-pana-ashanani asevet/ Na urdhwajanu chiram tishthet/ Na paryushitam anyatra mamsa-haritaka-shushkashaka-phal-bhakshebhyo/ Na asheshabhuk syat anyatra dadhi-madhu-lavan-saktu-sarpibhyo/ Na anruju kshuyat na adyat na shayita/

6 Importance of Pada region Conditions such as arthritis, diabetes, nerve & circulatory disorders can show their initial symptoms in the feet. So foot ailments can be your first sign of more serious medical problems American Podiatric Society

7 Abhyanga everyday. Kleshasahatva: kumbha, charma, aksha Vyayama-samsaha Drudha Sutvak Prashanta marutabhadham Susparsha Upachitanga Balavan Priyadarshana Alpajara Na cha abhighatabhihatam gatram abhyangasevino/ Vikaram bhajate atyartham balakarmani va kvachit

8 Padabhyanga Shiro-shravana-padeshu visheshena Sheelayet / C.Su.5

9 Padabhyanga- scope of actions Local effects Kharatva Rauskhya Sphutana Sukumarata Bala Local & distal effects Supti Stabdhata Ghrudhrasivata Sira-Snayu sankoch Sthairya Distal & pervasive effect Drushti-prasada Prashanta-vatatva

10 Marma- the vital points Junctions of Mamsa-Sira-Snayu-Asthi-Sandhi. ( Su.Sha.6/16) Marma - vital energy centers (Vishesha Pranasthana, Su.Sha.6/16) or remote points of energy control located all through the body Mostly all four types of Sira in the body are located in Marma region. (Su.Sha.6/ 19) They directly influence the functions of the internal organs in the body

11 Padabhyanga & Padamarma Sr. No. Marma Type Description Marmaghata parinama 1 Kshipra Snayu Padasya angushtha-angulyo madhye (deep peroneal nerve branch to great toe, combined tendon of abductor hallusis & flexor hallusis brevis, bifurcation of first common digital nerve, bifurcation of first metatarsal artery) 2 Talahrudaya Mamsa Madhyamangulim anupurven madhye Padatalasya (lateral plantar artery, medial & lateral plantar nerves, oblique head of abductor hallusis muscle, quadrates plantaris muscle, flexor digitorum brevis) 3 Kurcha Snayu Kshiprasya uparishtat ubhayato (Tarso metatarsal & inter-tarsal ligaments, extensor digitorum brevis, dorsalis pedis & dorsal inter-tarsal arteries, tendons of extensor digitorum longus, extensor hallusis longus & peroneus tertious muscles, branches of deep peroneal nerve) 4 Kurchashira Snayu Gulfasandhe adho ubhayato (Deltoid, talo-calcaneal & calcaneo-fibular ligaments, annular ligaments, tendon of tibialis anterior akshepen maranam rujabhi maranam padasya bhramanavepane ruja-shofau 5 Gulfa Sandhi Pada-jnghayo sandhane (Ankle joint & distal tibio-fibular articulation, medial malleolar ligament, anterior ligament, longus ligament, deltoid ligament, posterior ligament, anterior talo-fibular ligament, posterior talo-calcaneal ligament, fibulocalcaneal ligament, lateral talo-calcaneal ligament ruja, stabdhapadata, khanjata

12 Abhyanga Matra kala (Dalhana)

13 Reflexology Reflexology is a science that seems to be derived from the core of the ancient Ayurvedic knowledge.

14 Reflexology" As above, so below It is a kind of foot massage based on the principles of Chinese medicine, According to reflexologists, the entire body is mapped onto the foot

15 Reflexology peripheral neuropathy Helps to improve metabolism & energy releasing process in the body Stimulates blood circulation in the body Aids in elimination of toxins from the body (fmri -increase in blood flow to kidneys and to the intestines) Beneficial in stimulating nervous system (EEGs measure alpha and theta waves, blood pressure was decreased, and anxiety was lowered) Helps to improve cognitive health Beneficial effects in stress, anxiety, insomnia, migraine, chemotherapy in cancer etc (Kunz & Kunz 2008, Song, 2015 Yadav, 2015)

16 Reflexology peripheral neuropathy Dr. Jesus Manzanares, a physician from Spain, has spent years studying the neurophysiological basis for reflexology. Dr. Manzanares' research has identified and biopsied deposits ("crystals") that were located in reflex areas of the feet. These deposits are associated with pain, contain nervous fibers, and have different characteristics based upon their degree of acuity or chronicity (Manzanares, 2007).

17 Reflexology peripheral neuropathy Using thermographic pictures of the soles of the feet before and after reflexotherapy, along with similar pictures of the spinal column, Dr. Piquemal was able to show a change in the thermal pattern on the sole of the feet "that was reflected on the skin of the back for each of the five selected [cutaneous] zones" (2005). The importance of this research is that it ties reflexology work on the feet to blood flow of inner organs (lung, liver, stomach, pancreas, and small intestine), either through vasoconstriction or vasodilation via the autonomic nervous system. It appears that reflexology may be able to play a role in regulating blood flow disturbance, at least to these organs.

18 An ancient answer to modern illnesses The Nervous System which is made up of the brain, spinal chord and the nerves and their minute nerve endings, works hand in hand with the Endocrine System They regulate all the functions of the entire body by releasing hormones, or chemicals that produce the desired physical response in our bodies in order to achieve homeostasis Research has shown that therapeutic massage stimulates the nervous system to produce hormones that have tremendous benefit on the entire body (eg. Dopamine, Serotonin, Endomorphins)while at the same time reduces unwanted or out of balance levels of chemicals that can have a detrimental effect on us (eg cortisol)

19 Skin permeability & percutaneous absorption Concentration Molecular Weight of the molecule Duration of contact Solubility of medication Physical condition of the skin Part of the body exposed including the amount of hair on the skin. Intercellular lipid pathway Transcellular permeation Through the appendages (hair follicles, glands)

20 Absorption of fats through skin The stratum corneum is the outermost layer of the epidermis and the rate-limiting barrier in absorption of an agent. Thus, how quickly something passes through this thicker outer layer determines the overall absorption. The stratum corneum is primarily composed of lipophilic cholesterol, cholesterol esters and ceramides. Thus lipid-soluble chemicals make it through the layer and into the circulation faster, however nearly all molecules penetrate it to some minimal degree. Toxins and toxicants can move through the layers by passive diffusion.

21 Studies done on Padabhyanga Extensive work on Padabhyanga & Drushtiprasada Various studies done on Abhyanga & Ghrudhrasi separately Huge number of studies done worldwide to observe correlation of foot massage or foot reflexology in pain management, low backache, sciatica, rheumatoid arthritis, cerebral palsy etc. Branches like Padaveda also cropping up considering the importance of Pada

22 Probable mode of action Na cha syat Ghrudhrasivato padabhyangen padayo/ C Ghrudhrasivato shamam yati padabhyangen padayo?

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24 Tvak = seat of Sparshanendriya Tvak - Sparshanendriya controlled by Vata Vata-sthanani Basti Purishadhanam Kati Sakthini Padau Asthini Pakvashaya Vata Governing & controlling factor of the body Voluntary & involuntary movements under its jurisdiction Constitutional ground for Shrotra & Sparsha Motive of touch & hearing sensations Padabhyanga in Ghrudhrasi Abhyanga Therapy done through skin (Tvak) of Pada region as a media, for adequate time period, using Vata & Kapha Shamak drugs, could be an easy, quick & suitable access for the management of pure Vatavyadhi like Ghrudhrasi Taila, Vasa, Majja = excellent Vatashamaka drugs

25 Upasnehana nyaya circulatory & neurological mechanisms (C.Sha.6) Based on mentioned references, it appears that Padabhyanga could prove to be a valuable treatment in the management of Ghrudhrasi which needs a strong clinical correlation

26 Stability, Steadiness & Strength