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    Osteoporosis and Its Ayurvedic Management

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    DrVikas
    Osteoporosis is a systemic skeletal disease characterized by low bone mass and deterioration of bone tissue. It affects millions of people worldwide, especially post-menopausal women, and leads to fractures which impose a significant economic burden. In Ayurveda, it can be compared to the condition of Asthi Kshaya, or loss of bone tissue. Its management includes preventing risk factors, cleansing therapies, herbal formulations to strengthen bone tissue, and lifestyle modifications related to diet and exercise. Ayurvedic treatments such as herbal oils, ghee, and medicated enemas can help balance vata dosha and strengthen bone while avoiding aggravating factors.

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    Osteoporosis and Its Ayurvedic Management

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    DrVikas
    797 views48 pages
    Osteoporosis is a systemic skeletal disease characterized by low bone mass and deterioration of bone tissue. It affects millions of people worldwide, especially post-menopausal women, and leads to fractures which impose a significant economic burden. In Ayurveda, it can be compared to the condition of Asthi Kshaya, or loss of bone tissue. Its management includes preventing risk factors, cleansing therapies, herbal formulations to strengthen bone tissue, and lifestyle modifications related to diet and exercise. Ayurvedic treatments such as herbal oils, ghee, and medicated enemas can help balance vata dosha and strengthen bone while avoiding aggravating factors.

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    Osteoporosis is a systemic skeletal disease characterized by low bone mass and deterioration of bone tissue. It affects millions of people worldwide, especially post-menopausal women, and leads to fractures which impose a significant economic burden. In Ayurveda, it can be compared to the condition of Asthi Kshaya, or loss of bone tissue. Its management includes preventing risk factors, cleansing therapies, herbal formulations to strengthen bone tissue, and lifestyle modifications related to diet and exercise. Ayurvedic treatments such as herbal oils, ghee, and medicated enemas can help balance vata dosha and strengthen bone while avoiding aggravating factors.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    797 views48 pages

    Osteoporosis and Its Ayurvedic Management

    Uploaded by

    DrVikas
    Osteoporosis is a systemic skeletal disease characterized by low bone mass and deterioration of bone tissue. It affects millions of people worldwide, especially post-menopausal women, and leads to fractures which impose a significant economic burden. In Ayurveda, it can be compared to the condition of Asthi Kshaya, or loss of bone tissue. Its management includes preventing risk factors, cleansing therapies, herbal formulations to strengthen bone tissue, and lifestyle modifications related to diet and exercise. Ayurvedic treatments such as herbal oils, ghee, and medicated enemas can help balance vata dosha and strengthen bone while avoiding aggravating factors.

    Copyright:

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    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
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    The document talks about osteoporosis and its Ayurvedic management. It discusses the causes, classifications, treatments and lifestyle guidelines for osteoporosis according to Ayurvedic principles.

    The document classifies osteoporosis into three primary types - post-menopausal osteoporosis, senile osteoporosis and secondary osteoporosis caused by other factors like hyperthyroidism.

    Some of the Ayurvedic treatments mentioned are vasti karma (medicated enema and poultices), internal and external administration of herbs, oils and ghee, rasayana herbs and special kerala treatments involving massage and medicated ghee.

    Osteoporosis And Its

    Ayurvedic Management

    By :
    Dr. Vikas Saroch
    Osteoporosis in
    Ayurveda…….??????
    Can Be Compared
    …?????
    Introduction
    • Health of healthy person
    • To cure diseased one
    • Equilibrium of Dosha, Dhatu, Mala
    • Asthi gives the strength ,protection , shape to
    shareera
    • Osteoporosis is an important cause of
    fractures especially at wrist, hip and vertebra
    • Cost of inpatient and community care of these
    fractures was estimated in 1995 at 7 billion
    and $ 14billion in UK and USA respectively.
    Conti…
    Statistically
    • In 2003, 2.5crore women in India.
    • Number is expected to rise by further one
    Crore in next decade
    • More than 20 Crore women all over world
    • Over 15% females over 50 years in United
    States have osteoporosis
    • Average age of Indian population is 62years
    • Decadal growth rate for population above 60
    year age is 5-8% higher than that for total
    population.
    • India is expected to have 11 Crore senior
    citizens (> 60 year age) by year 2015.
    • Aging, too, is an important cause of
    osteoporosis.
    Recent Works
    • By CCRAS Asthi Kshya (Osteoporsis):
    Mode of action (Calcium metabolism,
    Hormonal effects in relation to Parathyroid
    Hormones, Oestrogen Vitamin D- metabolism).
    • Sanjay Kadlimatti et al.,clinical evalution of the
    role of tikta ksheera basti and ajasthi bhasma in
    the management of asthi kshaya.
    • Critical analysis of the concept of Asthi Kshaya
    vis-a-vis osteoporosis.
    0steoprosis
    • Systemic skeletal disease characterizes by
    lowered bone mass and micro architectural
    deterioration of bone tissue.
    • As per WHO
    • osteoporosis based on
    I. Bone mineral content (BMC)
    II. Bone mineral density (BMD)
    • Reduction in BMC and BMD distrust's micro
    architectural
    Cont…
    • As per WHO in women as a bone mineral
    density 2.5 standard deviation below peak
    bone mass (20 yrs. healthy female).
    • Most common in women after menopause

    • Can also develop in man

    • Gluco - corticoid induced osteoporosis


    • A reduction in bone density and a change in
    bone structures
    • Rate of bone resorption is greater than the rate
    on bone formation
    • Bones become previously porous, brittle and
    fragile
    CLASSIFICATION
    • 2 Types / 3 Types
    • Primary Osteoporosis
    • Secondary Osteoporosis
    • Type1 : Post menopausal and can occur from 2-3
    years before to 15-20years after cessation of
    menses.
    • Type2 : Senile osteoporosis occurring in men and
    women with equal frequency.
    • Type3 : Other causes such as hyperthyroidism, mal
    absorption syndromes, chronic renal failure, drugs,
    etc.
    Osteoporotic And Normal Bone
    Etiology Of Osteoporosis
    • Remains asymptomatic for considerable
    period till bone loss become advanced.
    • Vertebral bodied become soft and compress
    • Clinical term Dowager’s Hump And Widow’s
    Humb
    Symptomatology
    Risk Factors
    • Age : • Nutrition :
    a. Post-menopause a. Low calcium intake
    b. Advance age b. Low vitamin D
    c. Low testosterone in c. High phosphate intake
    men d. Inadequate calories
    d. Decreased calcitonin
    Contd….
    • Physical exercise • Lifestyle choices
    a. Sedentary a. Caffeine
    b. Lack of weight-bearing b. Alcohol
    exercise c. Smoking
    c. Low weight and body d. Lack of exposure to
    mass index sunlight
    Asthi Dhatu
    • Asyate Iti Asthi
    • One which is present in its own state for
    longer time
    • Twacha, mamsa and asthi (as per sushruta)
    Guna and karma
    • Guru
    • Khara
    • Kathina
    • Sthula
    • Sthira
    • Deha Dharana
    • Majja pusthi
    • Seat Of Vata
    Asthi Kshaya
    • Kshaya means loss , decline, decay, diminution

    • Dalhan has aptly defined kshaya as


    ‘swapramanhaani’ (S. Su. 15/24)
    • Chakrapani describes it as rahasaha or
    nyuntvam (Ch. Su. 17/4).
    • Asthi kshaya ……………………..definition
    Cont.…
    • Can be understood on the basis of
    ashrayaashrayi bhava
    • Asthi is seat of Vata
    • Asthi and Vata are inversely proportion
    (Vagbhata)
    • No direct etiology has been mentioned

    • Ahara, Vihara, Mansika etc.


    Different Terms
    • Asthisaushirya
    • Asthidaurbalya
    • Asthishieeran
    • Ashitlaghav,
    • Asthishunyata, Riktata And

    • Asthimardav
    Involvement Of Srotas

    • Asthivaha

    • Medovaha

    • Majjavaha
    • Purishavaha
    Symptoms Of Asthi Kshaya
    • Asthi toda , bheda
    • Ruja
    • Asthi shula
    • Kesha vikara
    • Loma/roma vikara and paata
    • Nakha vikara and paata
    • Samshru vikara and paata
    • Danta vikara and paata
    As Per Harita
    • Bala Kshaya
    • Meda
    • Utsaha Hani
    • Shosha
    • Shopha
    • Ati Manda Chestha
    • Anga Bandha
    Modern diagnostic methods
    • X ray
    • DEXA - (Dual Energy X ray Absorptiometry)
    • Quantitative computed tomography (QCT) and
    • Quantitative ultrasound (QUS)
    • Bone biopsy
    • Bone markers
    a. Formation markers (osteoblastic activity).
    b. Resorption markers (osteoclastic activity).
    Diagnostic Facilities for Osteoporosis

    X – Ray

    Densitometry

    Laboratory, New Bone


    markers
    Bone Biopsy
    Risk Factors Person

    Densitometry diagnosed patient

    X-Ray Diagnosed Patient

    History of Low-Trauma
    (Fragility) Fracture
    MANAGEMENT
    Ayurvedic Management
    • Prevention is better than cure
    • Detoxification and balancing the Dosha’s
    • Nidana parivarjna
    • Shodhana
    • Shamana
    • Rasayana
    • Pathyaapathya
    • Use Of Swa yoni vardhan Dravya
    Nidana Parivarjana
    • Provocation of vata
    • Vitition of medovaha,asthivaha,majjavaha and
    purishavaha srotas
    • Prevent injury to vital organs
    Shodhana
    • Involvement of vata and asthi
    • For vata – (snehana , swedana)
    • Asthi – snigdhatha,aoshana and kharathwa
    (arundatha in AH)
    • Vasthi kalpana – combination of ksheera or
    ghrita with thiktharasa drugs
    • Vat aggrevated in its own sthana – severe
    condition
    • Vasthikalpana – key role in treatment
    Shamana
    • Internal and external administration
    Swayoni Dravya
    • Similar To Respective Dhatu
    • Based On Samanaya Siddhanta
    • Similar Guna Such As Guru, Kathina, Khara,
    Sthula, Sthira etc.
    • Drugs e.g. Ajasthi, asthi Bhasma Of Different
    Animals ,Pravala, Shankh, Shukti Bh, etc
    • Use Of Ghrita ,Bitter Subustances Combined
    With Milk And Ghee
    • Black Gram ,Meat/Meat Soup, Rice Etc.
    Taila
    • Kshirabala
    • Chandana bala lakshadi
    • Dhanvantri
    • Bala guduchyadi
    • Balaashwagandhadi
    • Lakshadi
    • Mahalakshadi
    • Gandhataila
    • Kethakimooladi
    Ghrita
    • Pancha Tikta Guggulu
    • Patoladi
    • Mahatikataka
    • Panch Tikata
    • Tiktaka
    • Indukanta
    Guggulu Kalpa
    • Mahayograj
    • Lakshadi
    • Aditayapaka
    • Yograja
    • Panchtikta Guggulu Ghrita
    Kshira Paka
    • Arjuna kshirapaka
    • Ashwagandha kshira paka
    • Panchatikta – Nimba , Amritha, Vrisha, Patola
    Nidighika
    Rasayana
    • Chyavanaprasha
    • Shilajatu
    • Dwitiya bramha
    • Chathurtha triphala
    Keraliyan Line Of Treatment
    • Kayaseka (Pizhichil)
    • Increase’s dhatu sara and dhathu dritatha
    • Use of Maha sneha
    • Ksheerayukta virechana or erandataila –
    vatanulomana without any complication
    • Ksheeravasthi
    Rasousadhis
    • Kukkudanta Bhasma
    • Pravala Bhasma
    • Sankha Bhasma
    • Srinrpativallabha Rasa
    • Pravala Bhasma
    Pathyapathya
    Pathya
    • Pathya :
    • Madhura rasa dominant subustance
    • Rice,black gram,milk
    • Butter milk,butter,ghee
    • Meat soup
    • Exercise
    • Exposure to early morning sun rays
    Apathya
    • Bitter, Pungent, Astringent • Excessive sexual intercourse
    • Dry , cold, property • Day sleep
    dravya’s • Night awakening
    • Madya • Suppression of natural urges
    • Shuskha mamsa , shaka • Smoking etc.
    • Excessive eating

    • Fasting

    • Heavy exercise
    Conclusion
    • Correcting Dhatwaagni And Vatasamana can
    control osteoporosis effectively
    • Proper Ahara - Vihara are supportive to main
    stream treatment.
    • Maintenance of Vata – Agni - Asthi is the
    target in the management of osteoporosis.
    References
    • Sanjay Kadlimatti et al.,Clinical Evalution Of The Role Of Tikta Ksheera Basti
    And Ajasthi Bhasma In The Management Of Asthi Kshaya.AYU Vol.30
    No2,Apl-june 2009.
    • Sanjay Kadlimatti et al.,Critical Analysis Of The Concept Of Asthi Kshaya Vis-
    a-vis Osteoporosis.AYU Vol.30,Oct- Dec 2009.
    • Dr.S Gopakumar,Clinical Approach To Osteoporosis In Ayurveda APTA May
    09.
    • Sushruta Samhita
    • Charaka Samhita
    • Astanga Hridayam
    • www.scribd.com
    • www.nlam.com
    BE AWARE
    Of
    The Silent Thief

    Thank you…………..

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