LEPROSY

ROLE OF SWASTHAVRITTA IN LIFESTYLE DISEASES W.S.R to OBESITYPresented byDr. Rajalekshmy.P.RDept of Swasthavritta Amrita school of Ayurveda

1Guided by,Dr. K.JyothilalHead of the Department

Dr. Vandana Rani.MAssociate professorDept of Swasthavritta

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Life style2

The term life style denotes the interests, behaviour and behavioural orientation of an individual.

Denotes the way people live.

A lifestyle reflects an individual's attitude, values or outlook towards life.

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Changing life style.3Unhealthy habitsChange in food patternStressWesternization

Life style should be well coordinated with rational thinking and practical outlook.

Increasing globalization brings nothing but the change in life style and ignorance of health.These changes in the life style has led to various ill effects.3

Life style diseases

Lifestyle Disease or NCD (non communicable diseases / diseases of civilization) are diseases that appear to increase in frequency as countries become industrialized and life span increases.

Life style diseases takes years to develop.

And if occurred once, it is not easy to cure.4

Common LSD-

5ObesityArteriosclerosisCancerChronic Liver Disease/CirrhosisChronic Obstructive Pulmonary Disease (COPD)DiabetesHeart DiseaseNephritis/CRFStroke

Controllable risk factors6Habits, behaviours and practices that we can modify.

diet and body weight

daily levels of physical activity Smoking and alcohol abuse

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Uncontrollable risk factorsSome risk factors that contribute to your chances of developing a lifestyle disease are out of your control.7

Age

Gender

Heredity

Life style changes and diseases associatedDecreased physical activity of humans leads to less usage of energy. Thus leading to

Diabetes mellitusStrokeObesityHypertension

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Continuous and long time work without breaks. This can developCarpel tunnel syndromeMultiple sclerosisDementiaDepressionAnxiety DisordersChronic back aches etc

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Exposure to harmful and stressful environments without physical or mental rest. These brings aboutMalignancy of the parts exposedOccupational lung diseases (Silicosis, Fibrosis, Asbetosis)Cerebro-vascular diseases etc

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11Use of junk foods, packed foods for a long period Cancerous growth Arthritis Nutritional Deficiencies Skin disorders

Unnecessary usage of self medication

Liver DiseasesDepression

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12Usage of mobile phones, TV, computers etc Computer Vision Syndrome Anxiety disorder etc

Addiction of smoking, alcohol and drugs in adult groups Asthma Cancer Chronic liver disease/ Cirrhosis Bronchitis Other respiratory diseases

Life style diseases as per AyurvedaAyurveda considers the main etiological factors for all diseases as heena yoga, mithya yoga or ati yoga of kala, artha and karma. ( . )

All the diseases can be considered as the result of mithya ahara and vihara which we follow. Mithya ahara vihara vitiates agni diseases.

(. )

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How Ayurveda viewsAyurveda, the science of life has given prime importance to the protection of health of healthy individual.

This can be achieved by means of preventing diseases, preserving and promoting health.

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SwasthavrittaAyurveda has laid down all the preventive principles which are necessary in the maintenance of health under Swasthavritta.

Swasthavritta palana is the primary prevention mentioned in classics.

(.. - )By the practice of which an individual always lives with healthiness, a physician should instigate for such practice as because good health is the most desirable object of human beings.

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Prevention Dinacharya and ratricharya

Ritucharya

Trayopasthambha palana

Samyak vega pravartti

Ritu shodhana

Sadvritta

Rasayana

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Obesity

Obesity is ranked one among the top 10 selected health risks.Obesity may be defined as an abnormal growth of the adipose tissue due to an enlargement of fat cell size or an increase in number of fat cell or a combination of both.

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These indicate the weakening of the various body systems which in turn affects the physiological equilibrium.Thus mortality and morbidity rates are more in an obese person.

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BMI = actual body weight in kg height in metre2 BMI Terminology Below 20 Under weight 20-25 Normal 25-30 Over weight 30-40 Obese Above 40 Morbid obese18

Platform for hazards like hypertension, coronary heart disease, diabetes mellitus, osteo arthritis, infertility, impotency, psychological disorders like stress, anxiety, depression etc.

By fat cell size enlargement-Hyper trophic obesityBy fat cell number increase-Hyper plastic obesityBy the combination-Hyper trophic +Hyperplastic obesity19

Etiology20Exogenous

Over eatingDietary habitsDrinking habits

Endogenous

Endocrine factorsMiscellaneous

AgeSexOccupationSocio- economic statusPhysical activityDrugsheredity

Endocrine influence on obesity is seen both in normal physiological situation and in pathological state.20

Pathogenesis of obesity21Excessive lipid deposition

due to increased food intake, adipose cell hyperplasia or hyperlipogenesis.

Diminished lipid mobilization

due to either decreased lipolytic hormones or defective adipose cells.Diminished lipid utilization

due to defective lipid oxidation, defective thermo genesis or physical inactivity

SthoulyaA person having heaviness and bulkiness of the body due to extensive growth especially in abdominal region is termed as sthula and the state of sthula is called sthoulya. (b.p ma 39).

Acharya charaka has included athi sthula in ashta ninditiya purusha.

; - , , , , , , , (. )

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Sthoulya nidana

23aharatmakaviharatmakamanasikaAnya nidanaAtisampuranaAvyayamaHarsha nityatwamBeeja swabhavaSantarpanaAvyavayaAchintanamRasayana-vrishyati sevanaAdyasanaDivaswapnaManasonivrittiBrihmana therapyExcessive consumption of guru, madhura, snigdha, sheetha,sleshmala aharaBhojananantara snanam,nidraSaukhyam(Ca.su 21/4)

Samprapti ghataka24DoshaKledaka kapha, pacaka pitta,samana vata, vyana vataDushyaRasa, medasAgniJatharagni, dhatvagniSrotasMedovahaSroto dushtiSanga, margavarodhaAdhishtanaWhole body( vapavahana and medodhara kala)Udbhava sthanaAmashayaRoga margaBahyaAmaJataragni vaigunya janita, dhatwagni mandya janithaVyakta sthanaSarvanga( sphik, udara, sthana, gala)

Preventive strategy25

Utpatti hetu pariharam

purification through pancha shodhanaUdwartanaAbhyanga

Avoid kapha meda vridhikara ahara at pregnancy stage also.

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Nidana parivarjana

(. )Restrict- kaphakara medokara aharaControl- guru,madhura, sheetha, snigdha, pichila gunaAvoid atimatra aharam.Avoid oily preparations, fast foods, sweet drinks, etc. Eat in due course.Practice periodical fasting.

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Medo roga pathya-apathya28AharaPathyaApathyaShuka dhanyaYava, kodravaGodhuma, SaliShami dhanyaMudga, kulatha, chanaka, masuraMasha, tilaShakha vargaVrintaka, patra shakha, patolaMadhura phalaDravyaTakra, madhu, ushnodaka, tila tailam, sarshapa tailam, arishta, asava, jeerna madyaDugdha, navaneeta, ghritaMamsaRohita matsyaAnupa, audaka gramya mamsa (b.r 39/67-71)

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29PathyaApathyaJagaranaDiva swapnaVyavayaAvyavayaNitya bhramanaswapna prasangaChintana, shoka, krodhaAchintana, manaso nivritti

Vihara

(b,r 39/72-74)

Abrahmacharya (. )

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Nidra 31

(. )

Like proper diet, proper sleep is also essential for the maintenance of body.

Corpulence and emaciation are specially conditioned by proper and improper sleep.

In sthoulya, excessive thinking and remaining awake at night are recommended.

Samyak vega pravritti

(. ) Adharaneeya vega such as nidra and kshut should be controlled.

Excess sleep can produce sthoulya.

Uncontrolled kshut vega result in increased food intake and finally manifest as obesity.

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Anagatabadha chikitsa33

Ushapana Provides sympathetic stimulus

Increases thermogenesis

Increases energy expenditure

(.. )

People who drink 8 water every day at sunrise becomes free from all ailments. Natural appetite suppressant

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Vyayama

Energy in the first few seconds or minutes of exercise are derived from carbohydrates.At the time of exhaustion, 60-85% energy is derived from fats rather than carbohydates.Blood flow to adipose tissues increase by 4 times during exercise.Helps to deliver the fatty acid mobilized from fat depots to the working muscles. Amount of calories lost depend upon type of exercise, time duration, intensity and weight of the person.

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36Metabolic effects (. )

UdwartanaIncreases peripheral blood circulation.May burn the fatty layer in the sub cutaneous region of skin.Mobilization of fatty acids in adipose tissue.

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kapha meda vilayana property

Due to ushna, teekshna guna of dravya and forceful massage effect on roma koopa the veerya of drugs enter into body opens the mukhas of siras makes paka of kapha and medas.

There will be dravata vridhi of kapha and medas.

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Types- utsadana udgharshana

(su.chi 24/52-56)

Opening of the orifices of the veins and increase of keenness of the fire present in skin both occur from massaging, without any doubt.

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Ritu shodhana (. )

40DoshaAccumulationExpulsionShodhanaKaphaHemanta & shishiraVasanthaVamanaVatagreeshmaVarshaBastiPittavarshasharatVirechana & raktamoksha

Free radical theory Increased production of ROS in adipose tissue

Increased oxidative stress in accumulated fat

Lipid peroxidation

Cell damage

complications( CAD, stroke)

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Anti-oxidant therapyAntioxidants can retard lipid oxidation through-competitive binding of oxygen free radical blocking the propogation step by destroying or binding free radicals inhibition of catalysts stabilization of hydroperoxides

Therapy of supplementation of anti oxidants may prevent the risk of CAD etc in obesity.

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Vitamin E, a major lipid soluble anti oxidant in cellular membranes, protect against lipid peroxidation and prevents the loss of membrane fluidity.

Ascorbic acid(vit C) is a naturally occurring organic compound with antioxidant properties.

Some studies also suggest that vitamin C protects against LDL cholesterol oxidation, raises HDL, lowers total cholesterol and prevent CAD.

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ConclusionMaintaining healthy lifestyle behaviours is complex and constantly under challenge from external stressors.To Prevent and Manage the Life Style Disorders adaptation of principles Swasthavritta palana is an ideal option.

Prevention is better than cure

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Thank you