DP
Uploaded byDr Soumya Patil
PPTX, PDF548 views

POST COVID MANAGEMENT –an ayurvedic approach by Dr soumya Patil.pptx

The document discusses the management of post-COVID symptoms through Ayurvedic treatments, highlighting the prevalence and impact of these symptoms in the population. It details various Ayurvedic modalities, such as rasayana therapy and individualized protocols, aimed at improving immune function and alleviating symptoms like fatigue, anxiety, and respiratory issues. The document also emphasizes the importance of lifestyle modifications and offers specific remedies for different post-COVID conditions.

Embed presentation

Download to read offline
Post COVID Management –An Ayurvedic Approach Presenter : Dr Soumya P Final year PG Scholar Department of Kayachikitsa Guide: Dr Sunil Kumar M Chabanur M.D.(Ayu)
CONTENTS  Aims and Objectives  Introduction  Statistics  Definition  Synonyms  Survey  People at risk  Post Covid symptoms  General treatment  Symptomatic treatment  Preventive measures  Summary  Conclusion  Take home message
AIMS AND OBJECTIVES To Understand The Post COVID Symptoms And Their Management Through Ayurvedic Treatment Modalities.
INTRODUCTION  COVID- 19, the recent virus outbreak declared as Pandemic by WHO threatened the world by its fast spreading nature and is yet creating an alarmed situation throughout the world by Post Covid Symptoms  A recent study on Post-COVID manifestation of symptoms showed that about 72 percent of participants had major complaints, only 10.8 percent of survivors assessed in the study had no symptoms or manifestations post COVID.  Depending on the Immunity of a person, COVID-19 can differ in its impact on different people.  Similarly, Post-COVID conditions, which has become a grave issue in recent times, have also taken a major toll on people's lives.
 Post covid manifestations can be understood as Agnimandya avasta and Dhatukshaya avastha in individual .  Hence modalities like Agnivardhaka and Rasayana property medication can be choosen .  Rasayana therapy is the one which brings the normalcy in Immune system by improving fundamentals like dhatu, agni, srotas. And ultimately fights against Post Covid Symptoms.
STATISTICS  India : A/C to WHO: Till Date Total cases- 11.9 M Recovered – 10.9 M Deaths : 158K  New cases last(24hrs) : 22854  Among them Post Covid symptoms : 1.5 M
DEFINITION A/C to NICE :  "Signs and symptoms that develop during or after an infection consistent with COVID-19, continue for more than 12 weeks and are not explained by an alternative diagnosis. It usually presents with clusters of symptoms, often overlapping, which can fluctuate and change over time.
SYNONYMS  Post Covid  Long-haul Covid  Long Covid
AS PER STUDY –INDIA  Post-covid-19 symptoms was reported among 1,451 of the 4,871 people covered under the project.  Over 40 diverse symptoms were reported during the period. Source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6930e1.htm#F1_down
PEOPLE AT RISK A/C to Studies : Pre-existing medical conditions https://www.cdc.gov/mmwr/volumes/69/wr/mm6930e1.htm
WHY ARE SOME PEOPLE AFFECTED ?  Persistent viraemia due to weak or absent antibody response.  Inflammatory and other immune reactions  Mental factors /post-traumatic stress
POST COVID MANAGEMENT PROTOCOL A/C to WHO :  The Post-COVID-19 Syndrome must be tackled through i. Clinical assessment ii. Psychological evaluation iii. Comprehensive rehabilitative care.
ACC TO AYURVEDA Nidana parivarjana yuktivyapashraya Satavajaya Rasayana Yoga and pranayama Pathya apathya Chikitsa of post covid can be considered under this : GUIDELINES for AYURVEDA PRACTITIONERS for COVID 19
Post covid Nidana parivarjana Yuktivyapashraya Satvaavjaya Yoga /pranayama Pathyaapathya Rasayana Rasayana Avoid crowds Mask/distance Samshamani vati Laxmivilas rasa Ashvasaan Rehabilitation Dharmartha vakya Agastya hareetaki Chyavanprash Suryanamaskara Brhamari pranayama Ushna jala yavagu Covid appropriate behavior
Fatigue Home quarantine Latent infection Radical theory Antibiotics FATIGUE
MANAGEMENT Modalities :  Pachan  Atapa  Vyayama  Abhyanga  Rasayana Abhyanga  Shatdhoutagrita  Chandanadyataila Kashaya Varga Jivaniya mahakashaya Shramahara mahakashaya Rasyana Kushmandavaleha Choorna Pravala Pishti Baladi ksheera Guduchi stava Arishta Ashvagandharishta Balarishta
Modalities Mode of action Pachana Strengthens Jataragni, does pachana of ama , ie free radicals .ex: musta, mishi Atapa Exposure to sunlight /triggers vit d production,increaseas metabolic activity /Enhance mood , release endorphins , increases immune system Vyayama Regular physical exercise enhances the antioxidant defence system and protects against free radical damage . Shramhara mahakashaya Due to guna samanya Posses rasayana property madhura rasa , guru snigdha guna, sheeta virya madhura vipaka . Guduchi satva Tridoshahara,rasayana,sangrahi,good immune modulator, contains zinc , calcium iron etc.. Ashvagandharishta Karma-Anulomana,Kaphavatashamaka Pharmacological action-Active principles like withasomniferin- A possess immunomodulatory action by increasing neutrophil adhesion and increasing RBC,reducing leukopenia.
HEADACHE Manasika bhava Covid appropriate behaviour Lifestyle modification Nasal irritation
TREATMENT CHOICES Modalities :  Svedana: Nadi,upanah,veshavar  Nasya : Navana  Shoolahara Aushadhi  Rasayana Nasya  Brihat Panchamoola Ksheera Nasya  Jeevaniya Gruta Nasya Rasyana  Dashamoola Haritaki Rasoushadi  Shirashooladivajra Rasa  Laxmivilasarasa  Godanti Bhasma Guggulu  Mahayogaraj Guggulu Kashaya  Dashamulakvatha  Shoolahara Mahakashaya Gana  Pathyadi Shadanga Kvatha
Modalities Mode of action Nasya Jeevaniya Gruta Nasya. Medicated Sneha has lipid soluble substance, easily absorbed by nasal mucosa enters the circulation. Shirashooladivajrarasa It has properties like Deepana (appetizer), Pachana (digestive), Shoolaghna (analgesic) and Jwaraghna Laxmivilas rasa Posses antioxidant ,anti-inflammatory action (abraka Basma and Vidarikanda ) It strengthens airway and lungs . Helps in sinusitis and headache . Mahayogaraj guggulu Due to anti-inflammatory and analgesic action it is helpful in all types of aches , it consists of bhasma which are oxide in nature does scavenge the free radicals and does decrease the pro inflammatory cytokines. Dashamulakvatha Dashamoola is having a Properties of Vata Shamana and it also reduces the stress and provides the good sleep to the patient.
SHORTNESS OF BREATH/DYSPNEA Chronic Inflammation Alveolar epithelial damage Continue use of mask
MANAGEMENT Grita  Tejovatyadi Ghrita  Dhanvantara Grita Rasoushadi  ShwasKuthar Rasa Rasayana  Chyavanaprash  Haridra Khanda  Agastya Hareetaki  Bhargiguda  Gudavalehya Modalities :  Svedana  Dhoomapana  Nasya  Shamana Svedana  Aktam lavana tailam , nadi prastara sankaraihi Nasya  Grutamanda And Saindhava Inhalation  with Karpoora and Nilgiritaila
Modalities Mode of action Svedana Does vasodilatation and improves exchange of gases ,Releases the obstruction and helps good airflow. Inhalation Clears the nasal pathway and aids good airflow. Shvasakutara rasa Shuddha parade, gandhaka , vatsanabha , tankana bhasma, manashila, trikatu / Vatakaphara,Ushna virya Agastya hareetaki Due to anti-inflammatory action helps reduces inflammation of lining of bronchial tubes and exerting soothing effects , also has mucolytic action , dilates the airway , and allow proper airway .
DRY COUGH Vata prakopa Inflammation Gut lung axis
MANAGEMENT Modalities :  Kavala  Dhoomapana  Rasayana  Shamana Gargle  Yashtimadhu phanta  Warm salt water Dhoomapana  Haridhra varti  Manashiladi dhooma  Ingutvagadi dhooma Grita  Kantakari Grita  Duralabhadi grita Choorna  Sitopaladi Choorna  Talisadi choorna Vati  Lavangadi Vati  Samshamani vati Rasayana  Vyaghri hareetaki avalehya  Kantakari avalehya Rasoushadi  Shvasakutara rasa  Naradiya laxmivilas rasa
Modalities Mode of action Steam Inhalation Dhoomapana dilates blood vessels & help in oxidation of blood. It leads to adequate tissue perfusion & oxygenation to the brain cells. They also possess antimicrobial & antifungal , antiviral properties. Sitopaladi Choorna Restore lung capacity, improve pulmonary performance and boost immunity and acts as immunomodulator and it posses anti- inflammatory and antioxidant property Dashamulakatutrayadi Kashaya Because of Ushna Virya it acts as Anti-inflammatory and Bronchodilator and promote proper airflow to lungs, Kaphavatahara Lavangadi Vati Its acts as demulcent, anti-inflammatory, expectorant It alleviates attack of cough by reducing throat irritation, and smoothness the airway Vyaghrihareetaki Lehya Acts as Immunostimulant, Anti-inflammatory, Anti-bacterial It acts as Shoothhara, Srotoshodaka and Vatanulomana Naradiya Laxmivilas Rasa Main ingredient- Abhraka Bhasma Therapeutic effect appears on lung, pleura and airway Anti-oxidant scavenges the superoxide radicles Tridoshahara
ABDOMINAL DISCOMFORT Gut immunity Viral replication Oral antibiotics Improper intake of food
MANAGEMENT Modalities :  Nidana parivarjana : spicy, oily, processed food  Avoid stress: yoga , meditation, vyayama  Deepana pachana  Chitrakadi vati  Yavanishadava choorna  Ashta choorna Shamana Yoga  Sutashekhar rasa  Yashtimadhuphanta Grita  Dadimaka gruta Rasayana  Amalaki rasayana  Madiphala rasayana
Modalities Mode of action Deepana , Pachan Ashta choorna , due to ushna and teekhsna guna , increases the gastric secretion and induces digestion and reduces ama and helps abdominal discomfort Chitrakadi Vati It act as deepana, Pachana, Vatanuloma, Grahi and Kaphavatahara Dadimaka Grutha Because of Ushna Virya acts as Amapachaka, Deepaka and Kaphavatahara Because of Madhura Rasa and Vipaka and Grutha acts as Vrunaroopaka and Tridhoshahara Yastimadhu Phanta It acts as antibacterial, antioxidant, and acts as rasayana due to madhura rasa , sheeta veerya and madhura vipaka does vrana ropana action . Sutashekhar Rasa It reduces the vidahi and shukta guna of aama rasa , due to Sheeta veerya and teekshna guna helps to restore the acidic balance and soothes the GI mucosa thus reduce irritation and helps. Madiphala Rasayana / Amalaki Its main ingredient –Matulunga, Trikatu and Saindhava Lavana Matulunga contains vit C which is immune booster Saindhva Lavana because of alkaline property maintains gastric pH and balances it.
WEIGHT LOSS Decrease physical activity Decrease food intake Decrease gut microbiota Inflammation
MANAGEMENT Modalities :  Deepana, pachana  Vyayama  Yoga  Nutritious diet  Rasayana Choorna  Avipattikar choorna  Ashvagandha choorna  Shatavari choorna  Vidarikanda churna Rasyana  Ajamamsa rasayana  Kushmanda rasayana
Modalities Mode of action Agni deepana Due to ushna and teeksha guna helps increases digestion and increase appetite , does remove amata and reduces the toxins in git . Yoga , vyayama Due to yoga and vyayama , there is increase in metabolic activity of body and increases energy consumption and increases food intake Pathya Taking Madhura rasa , Sheeta veerya and laghu snigdha bhojana , yavagu increases appetite and helps the good nutrition state Rasayana Due to similar qualities of ojas increases the Immunity and also acts as balya and bruhmana .
ANXIETY /PTSD Fear of illness/ discrimination Social isolation Death of family/ friend
MANAGEMENT Modalities :  Psychotherapy  Yoga/pranayama  Shirodhara  Abhyanga  Shamanoushadi Shamanoushadi  Manasamitravati  Kalyanaka grita  Brahmi taila  Narayana taila
Modalities Mode of action Kalyanaaka grita It has antioxidant property which acts upon the degenerative brain cells cells It also acts in normalizing the chemical changes in brain by balancing the neurotransmitters. Shirodhara Shirodhara has shown its anti-anxiety, antihypertensive& sleep inducing effect in few studies. It reduces the sympathetic tone thereby increasing alpha & theta wave activity in brain. Manasamitravati It posses anti-stress anxiolytic , antidepressant and neuroprotective action ,/its antioxidant activity aids in reducing oxidative stress and calm mind ,and induces sleep . Psychotherapy Ashwasana (Reassurance) Reassurance relieves fears, boosts self confidence and promotes hope in a patient under the Ashwasana Chikitsa. Pranayama Bramari pranayama- Relives Stress, Cerebral Tension Alleviating Anger , Anxiety, Insomnia Yoga Shavasana stimulates Parasympathetic nervous system , Autonomic nervous System which helps in psychosomatic relaxation
INSOMNIA Fear/ panic Re infection Day time sleep Isolation
MANAGEMENT Modalities:  Rasayana  Yoga/ pranayama  Abhyanga  Shirodhara Rasayana  Ashvagandha rasayana  Brahmi rasayana  Ajamamsa rasayana  Shankhapushpi rasayana Shamanoushadi  Manasamitravati Grita  Mahakalyanaka grita Taila  Narayana taila  Ksheerablataila
Modalities Mode of action Abhyanga It acts as shrama and vatahara , also acts as Pushti to body and mind , lipid aids good absorption in skin and stimulates receptors leads to vasodilation and increases serotonin level in brain and induces relaxation and sleep . Yoga Shavasana stimulates Parasympathetic nervous system , Autonomic nervous System which helps in psychosomatic relaxation Bruhmana chikitsa Ksheerabalataila having snigdha guna helps to reduce vata and induces sleep Brahmi rasayana It has neuronal dendritic growth stimulating by modulating dopamine, immuno modulatory activity revealed by increase in level of superoxide dismutase (SOD), glutathione peroxidase & gluthathione.
SYSTEM WISE RASAYANA Srotas Lakshana Rasayana Pranavaha Srotas Shvasa Kruchrata Agastya Haritaki Rasayan Chyavanprash Vardhaman Pippali Rasayana Rasavaha Srotas Shrama Ajamamsarasayana , Amrutabhallataka Rasayana. Annavaha Srotas Abdominal discomfort Madhiphala rasayana , Gritakalpana Manovaha Srotas Anxiety, Depression Brahmi rasayana, Medhya rasayana.
ACHARA RASAYANA  सत्यवादिनमक्रोधं दनवृत्तं मद्यमैथुनात्| अद ंसकमनायासं प्रशान्तं दप्रयवादिनम्||३०|| जपशौचपरं धीरं िानदनत्यं तपस्विनम्| िेवगोब्राह्मणाचाययगुरुवृद्धाचयने रतम्||३१|| आनृशंस्यपरं दनत्यं दनत्यं करुणवेदिनम् [१] | समजागरणिप्नं दनत्यं क्षीरघृतादशनम्||३२|| िेशकालप्रमाणज्ञं युस्विज्ञमन ङ् क ृ तम्| शस्ताचारमसङ्कीणयमध्यात्मप्रवणेस्वियम्||३३|| उपादसतारं वृद्धानामास्वस्तकानां दजतात्मनाम्| धमयशास्त्रपरं दवद्यान्नरं दनत्यरसायनम्||३४|| गुणैरेतैैः समुदितैैः प्रयुङ् िे यो रसायनम्| रसायनगुणान् सवायन् यथोिान् स समश्नुते||३५|| (इत्याचाररसायनम्)|  To acquire rasayana effect through social and personal conducts .
MODE OF ACTION STRESS Release of catecholamines Adrenaline Increase catabolic activity Dhatukshaya Ojakshaya Lowered Vyadikshamatva Samadhathu vruddhi Immunodeficiency disorders ACHARA RASAYANA Keeps suitable normal psychological activity Normal hormonal balance Restoration of normal anabolic activity Ojovruddhi Enhances immunity Psychoneuroimmunity
RASAYANA DRUGS ON IMMUNE SYSTEM Ashwagandha (Withania sominifera Dunal) बल्य रसायदन दतिा कषायोष्ण अदतशुक्रला ॥ Karma-Anulomana,Kaphavatashamaka Pharmacological action-Active principles like withasomniferin-A possess immunomodulatory action by increasing neutrophil adhesion and increasing RBC,reducing leucopenia. Form- Churna with milk Dose -3to6gms Aamalaki (Embilica officinalis Gaertn.) रक्तपित्तप्रमेहघ्नं िरं वॄष्यं रसायनम्। Karma -Anulomana,Dipana,Stambhan Pharmacological action -Tannins and phenolic compounds shown antipyretic and moderate cytoprotective and immune stimulating action by increasing immunoglobulin level Form- churna with Madhu Dose -3to6gm
Yashtimadhu (Glycyrrhiza glabra Linn) यष्टी पहमा गुरुः स्वापि चक्षुष्या बलवर्णक्र ु त्। Karma-Kantya,Vatanulomana,jvarghna Pharmacological action-glycyrrhiza polysaccharide has shown increased phagocytic capacity and increased WBC count boosts interferons. Form-Churna with milk Dose - 3to5gms . Guduchi (Tinospora cordifolia Wild) गुड ू ची कटुका पतक्ता स्वादुिाका रसयपन ॥ Karma- Anulomana,krimighna,deepana,pachana Pharmacological action-cordifolioside A,Tinocordiside acts as immunomodulatory by directly acting on J774A cells for activation of macrophages and also increases IgG antibodies Form-Swarasa orally Dose -10to20ml
Pippali (Piper longum Linn) पिप्पली दीिनी वॄष्या स्वादिाका रसायनी। Karma -Agnideepak,Rechaka,Jvargna Pharmacological action- Alcoholic extract Piperine shown increased WBC count, bone marrow cellularity and alpha esterase positive cells thus enhance immune system Form -Churna as Vardaman pippali Kushmanda (Benincasa hispida Cogn.) क ु ष्माण्डं बॄहर्ं वॄष्यं गुर पित्तास्र्वातनुत्। Karma-Kshyagna,Jvaragna,Shophahara Pharmacological action- Phenolic compounds shown anti oxidant activity by increasing vit c and scavenging the free radicals. Form -Phala rasa Dose -10to20ml
Shatavari (Asparagus racemosus Willd) महा शतावरी मेध्या ह्रुद्या वॄष्या रसायनी। Karma- Agnivardhaka,Sothagna,raktapittashamaka,Pustidaya ka Pharmacological action- Study shown root extract had increased antibodies to strain of whooping cough in immune response. Form -Kwatha and kalka are cooked with ghrita added with sugar Dose - 10to20ml Vidarikandha (Pueraria tuberosa D.C) शीता स्वयाण मुत्रला च जीवनी बलवर्णदा।गुरुः पित्तास्र्िवनदाहान् हन्ति रसायपन॥ Karma-Svarya,Varnya,Shukrala Pharmacological action-study, ethanolic extract saponins of drug shown that inhibition of delayed type of hypersensitivity and increasing phagocytosis. Form – Churna with milk Dose -2to6gms.
DURATION OF INTAKE OF MEDICATIONS  The above said medications alike Dhatu Poshana and Rasayana be provided for a time period of 45 days as per the discretion of physician Other groups of drugs which are protective in nature can be provided for 45-60 days as per discretion of the practitioner.
PATHYAAPATHYA  Lavanardraka bakshana  Laja , yavagu , saktu sevana  Spices like jeera, black pepper, garlic, coriander, ginger, Ajwain should be used in cooking  Kiratatikta , katuki, musta , parpataka , Amruta kashaya .  Tikta grita , patoladi grita
YOGA PRACTICES  The following Yoga-Asanas can be practised for 15 to 20 minutes to improves flexibility of the body and relieve mental stress  Sukshmavyayama (warm up) loosening exercises for all joints  Sitting postures like padmasana, sukhasana, vajrasana, paschimottanasana  Yogasana in supine position: pawanmuktasana, halasana, matsyasana  Yogasana in Prone position: bhujangasana, shalabhasana  Relaxing postures: Shavasana, Makarasana  Pranayama: Deep Breathing, Nadishodhana pranayama, Bhramari Pranayama 10 repetitions each  Meditation – 10 minutes
APUNARBHAVA CHIKITSA Achara rasayana Yoga/pranayam a Satvavajaya Rasayana Ahara Government of India Ministry of Health & Family Welfare Directorate General of Health Services Covid appropriate behavior Aushadha
IMMUNITY PROMOTING AYUSH MEDICINE  Ayush kvath -150 ml / day  Samshamani vati twice a day 500 mg  Guduchi choorna 1-3 gms with luke warm water for 15 days  Ashvagandha choorna 1-3 gms twice daily for 15 days  Amla one / day  Gargling with turmeric and salt  Chyavanprash 1 teaspoonful / day  It is also suggested by the Ministry of AYUSH that the use of  Chyavanprash in the morning (1 teaspoonful) with luke warm water/milk is highly recommended (under the direction of Registered Ayurveda physician) as in the clinical practice Chyavanprash is believed to be effective in post-recovery period. Government of India Ministry of Health & Family Welfare Directorate General of Health Services (EMR Division) Post COVID management protocol
FUTURE SCOPE  Ayurvedic protocol for Post COVID for enhancing immunity by Rasayana Aushadi.  Role of Ayurvedic Immunomodulatory herb in combating the cytokine storm.
ONGOING RESEARCH WORKS  National Institutes of Health, National Institute of Allergy and Infectious Diseases. A longitudinal study of COVID-19 sequelae and immunity. https://clinicaltrials.gov/ct2/show/NCT04411147external icon  University of California, San Francisco. Long-term impact of infection with novel coronavirus (COVID-19) (LIINC). https://clinicaltrials.gov/ct2/show/record/NCT0436215 https://youtu.be/ulJSEo2fWvA
SUMMARY Satvavajaya chikitsa Rasayana Pathya Yoga and pranayama Achara rasayana Ritucharya Dinacharya Covid appropriate behaviour
CONCLUSION  Much about the aftermath of the illness remains unclear or unknown, and there is even uncertainty about the term "recover" in the coronavirus context  According to Ayurveda concepts, there will be Dhatu-Kshaya & AgnimandyaAvastha Post COVID infection.  Hence, Dhatuposhana and Rasayana sevana drugs for at-least 45 days and to combat the residual effects of the virus on the body and to combat toxicity produced from antiviral drug therapy.  Deepana Pachana drugs may be used in case of abdominal discomfort .  Depending upon individuals Agni status and availability of medicine following drugs may be prescribed.  Ayurveda has enormous potential and treatment options which are available for enhancing the immunity and systemic illness and positively influence mental health , thus helpful in combating Post covid symptoms .  Hence Ayurveda should be used as main treatment modality for Heath restoration and Prevention of recurrence, rather than a adjuvant therapy in treating post COVID symptoms .
REFERENCES  https://integrativemedicine.arizona.edu/COVID19/sheltering_in_place.html  https://www.instagram.com/reel/CLv4H0Wgf23/?igshid=1vdxrgtq6p9eu  https://www.thehindu.com/sci-tech/health/the-hindu-explains-are-there-re-infection-fears-around-covid- 19/article32590566.ece  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3193654/  https://www.google.com/amp/s/www.easyayurveda.com/2012/08/28/guduchi-giloy-ayurvedic-details- benefits-usage-dose-formulations/  https://www.planetayurveda.com/library/sahachara-baladi-kashayam/  https://www.nejm.org/doi/full/10.1056/NEJMc2025179 published 21 July 2020  https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2768834 published 21 July 2020  https://www.medrxiv.org/content/10.1101/2020.07.09.20148429v1.full.pdf published 11 July 2020  6-month consequences of COVID-19 in patients discharged from hospital: a cohort study (Huang, January 2021).
“Boost your immunity and fight post covid symptoms”.
POST COVID MANAGEMENT –an ayurvedic approach by Dr soumya Patil.pptx

More Related Content

PPTX
Pathya Kalpana in Samsarjana Krama
byEbinuday
 
PDF
Gandush & Kawala
byAaptashri Ayurved & Panchakarma Clinic,Pune
 
PPTX
AROGYAVARDHINI VATI.pptx Aushadhi Kalpa 1
byDr Aparna, GJPIASR Anand
 
PPTX
Evolution of concept of guna
byAyurveda Network, BHU
 
PPTX
Brihat vata chintamani rasa.pptx as per NCISM
byDr Aparna, GJPIASR Anand
 
PPTX
Manas the ayurvedic and modern concept of human mind
byJAYAKRISHNAN K
 
PPTX
Uttara basti Indications & Contraindications
byAkshay Shetty
 
PPTX
Indications of Shodhana.pptx
byAkshay Shetty
 
Pathya Kalpana in Samsarjana Krama
byEbinuday
 
Gandush & Kawala
byAaptashri Ayurved & Panchakarma Clinic,Pune
 
AROGYAVARDHINI VATI.pptx Aushadhi Kalpa 1
byDr Aparna, GJPIASR Anand
 
Evolution of concept of guna
byAyurveda Network, BHU
 
Brihat vata chintamani rasa.pptx as per NCISM
byDr Aparna, GJPIASR Anand
 
Manas the ayurvedic and modern concept of human mind
byJAYAKRISHNAN K
 
Uttara basti Indications & Contraindications
byAkshay Shetty
 
Indications of Shodhana.pptx
byAkshay Shetty
 

What's hot

PPTX
Ayurveda hair cosmetlogy on Indralupta or Alopecia.pptx
byAyurgyan2077
 
PPTX
678632588-ATISARA-ppt best for ayurvedas
byPrithvirajNadar1
 
PPTX
P -1 T-3 GARBHA SHAREERA.pptx shukra, artava, monthly development
byMANOJ KUMAR
 
PDF
Utility of commentaries
byAyurmitra Dr.KSR Prasad
 
PPTX
CLINICAL ASPECTS OF BASTI AND ITS MODE OF ACTION
byPanchakarma Sdmcahhassan
 
PPTX
SAMPRAPTI VIGHATANA JWARA KAYACHIKITSA NCISM
byaabha302004
 
PDF
Satwavajaya Chikitsa in Unmada
bySachin Bagali
 
PPTX
Application of Dwadasha Ashana Pravicharana as Therapeutic Diet in Major NCDs...
byDr Arpitha R Sachin
 
PPTX
Charaka Samhita Sutra Sthana Chapter 22: Langhanabrumhaniya
byDr KHALID B.M
 
PPTX
VyadhiKshamatva.pptx
byVanshvardhanBhagora
 
PPTX
Drugs used in yakrit vikara( liver diseses)
byPuneshwar Keshari
 
PPTX
Garbha and masanumasika garbha vruddhi krama with special.pptx
byShivakumarAladakatti
 
PDF
PRAMEHA ppt pdf.pdf
byDrMalathiVenketesham
 
PPTX
Chandraprabha vati Aushadhi kalpa 1 ncism
byDr Aparna, GJPIASR Anand
 
PDF
1.1 - Introduction od PT&SR.pdf
byramveer sharma
 
PPTX
Yapana basti ,Yuktarata Basti & Siddha Basti
byAkshay Shetty
 
PPTX
Vyadhikshmatva.pptx 1.pptx
byAkshay Shetty
 
PPTX
OJAS - THE VITALITY & CORE ESSENCE,AND VIGOUR FOR NOURISHMENT
byaarathihariharan2
 
PPTX
Udvartana
byAdria Ellsworth
 
PPTX
Pravala panchamrita rasa.pptx as per NCISM
byDr Aparna, GJPIASR Anand
 
Ayurveda hair cosmetlogy on Indralupta or Alopecia.pptx
byAyurgyan2077
 
678632588-ATISARA-ppt best for ayurvedas
byPrithvirajNadar1
 
P -1 T-3 GARBHA SHAREERA.pptx shukra, artava, monthly development
byMANOJ KUMAR
 
Utility of commentaries
byAyurmitra Dr.KSR Prasad
 
CLINICAL ASPECTS OF BASTI AND ITS MODE OF ACTION
byPanchakarma Sdmcahhassan
 
SAMPRAPTI VIGHATANA JWARA KAYACHIKITSA NCISM
byaabha302004
 
Satwavajaya Chikitsa in Unmada
bySachin Bagali
 
Application of Dwadasha Ashana Pravicharana as Therapeutic Diet in Major NCDs...
byDr Arpitha R Sachin
 
Charaka Samhita Sutra Sthana Chapter 22: Langhanabrumhaniya
byDr KHALID B.M
 
VyadhiKshamatva.pptx
byVanshvardhanBhagora
 
Drugs used in yakrit vikara( liver diseses)
byPuneshwar Keshari
 
Garbha and masanumasika garbha vruddhi krama with special.pptx
byShivakumarAladakatti
 
PRAMEHA ppt pdf.pdf
byDrMalathiVenketesham
 
Chandraprabha vati Aushadhi kalpa 1 ncism
byDr Aparna, GJPIASR Anand
 
1.1 - Introduction od PT&SR.pdf
byramveer sharma
 
Yapana basti ,Yuktarata Basti & Siddha Basti
byAkshay Shetty
 
Vyadhikshmatva.pptx 1.pptx
byAkshay Shetty
 
OJAS - THE VITALITY & CORE ESSENCE,AND VIGOUR FOR NOURISHMENT
byaarathihariharan2
 
Udvartana
byAdria Ellsworth
 
Pravala panchamrita rasa.pptx as per NCISM
byDr Aparna, GJPIASR Anand
 

Similar to POST COVID MANAGEMENT –an ayurvedic approach by Dr soumya Patil.pptx

PPTX
Covid 19 & ayurveda
byArun Chhajer
 
PDF
swasthvritta and panchakarma in health promotion
byDr.Shalu Jain
 
PPTX
Enhancing self-care through Yoga during COVID19
byYogacharya AB Bhavanani
 
PDF
Basic Principles of Traditional Systems of Medicine
byPratibhaSonawane5
 
PPT
concept of ayurved and covid19
byvaidyasushilkumardub
 
PDF
Classical ayurvedic-prescriptions-for-common-diseases-for-registered-ayurvedi...
byAdriana Ferreira
 
PDF
Covid 19 an-ayurvedicperspective
byDr.Kirti Bhati
 
PDF
Management of Neurological Manifestations in Covid 19 through Ayurveda
byYogeshIJTSRD
 
PDF
Ayurveda Prescription according to different diseases.pdf
byChaudharyUditBhuplla
 
PPTX
Ayurvedic management covid 19
byDrkvnageswara Rao
 
PDF
siddha-guidelines 2023-1.pdf
byjagtamil1
 
PPTX
Ayurveda Treatment Protocol for COVID19 / Corona! - Dr Gowthaman
byGowthaman Krishnamoorthy
 
PPTX
Ayurvedic Approach on Covid 19
byDr.Datta Ambekar
 
PPS
Panchkarm Therapy
byDrAnil Bhardwaj
 
PDF
AYURVEDA: A HISORIC CONCEPT OF INDIA.pdf
byVeereshTopalakatti1
 
PPTX
Yoga physical and psycho-social revitalized in co vid era
byRemya E Nair
 
PPTX
Ayurveda boon for humanity in corona crisis by dr kukreja
byKamlesh Kukreja
 
PDF
20 09-08 pk in covid situation
byAyurmitra Dr.KSR Prasad
 
PPTX
Ayurveda & covid 19
byVenkata N Joshi
 
PDF
Ayush self immunity booster 31 march 2020 press information bureau
byDanilo Maciel Carneiro
 
Covid 19 & ayurveda
byArun Chhajer
 
swasthvritta and panchakarma in health promotion
byDr.Shalu Jain
 
Enhancing self-care through Yoga during COVID19
byYogacharya AB Bhavanani
 
Basic Principles of Traditional Systems of Medicine
byPratibhaSonawane5
 
concept of ayurved and covid19
byvaidyasushilkumardub
 
Classical ayurvedic-prescriptions-for-common-diseases-for-registered-ayurvedi...
byAdriana Ferreira
 
Covid 19 an-ayurvedicperspective
byDr.Kirti Bhati
 
Management of Neurological Manifestations in Covid 19 through Ayurveda
byYogeshIJTSRD
 
Ayurveda Prescription according to different diseases.pdf
byChaudharyUditBhuplla
 
Ayurvedic management covid 19
byDrkvnageswara Rao
 
siddha-guidelines 2023-1.pdf
byjagtamil1
 
Ayurveda Treatment Protocol for COVID19 / Corona! - Dr Gowthaman
byGowthaman Krishnamoorthy
 
Ayurvedic Approach on Covid 19
byDr.Datta Ambekar
 
Panchkarm Therapy
byDrAnil Bhardwaj
 
AYURVEDA: A HISORIC CONCEPT OF INDIA.pdf
byVeereshTopalakatti1
 
Yoga physical and psycho-social revitalized in co vid era
byRemya E Nair
 
Ayurveda boon for humanity in corona crisis by dr kukreja
byKamlesh Kukreja
 
20 09-08 pk in covid situation
byAyurmitra Dr.KSR Prasad
 
Ayurveda & covid 19
byVenkata N Joshi
 
Ayush self immunity booster 31 march 2020 press information bureau
byDanilo Maciel Carneiro
 

More from Dr Soumya Patil

PPTX
Vayaha vargeekarana.pptx
byDr Soumya Patil
 
PPTX
Trividha chikitsa in manasa roga by Dr soumya patil.pptx
byDr Soumya Patil
 
PPTX
Kaumarabhritya introduction.pptx
byDr Soumya Patil
 
PPTX
Role of agni in boosting immunity
byDr Soumya Patil
 
PPTX
National health campaign ayush.pptx
byDr Soumya Patil
 
PPTX
Formula prsesntation on Abhadya choorna.pptx
byDr Soumya Patil
 
PPTX
NRHM.pptx
byDr Soumya Patil
 
PPTX
Ayush hospital standards.pptx
byDr Soumya Patil
 
PPTX
Integumentary system.pptx
byDr Soumya Patil
 
PPTX
HOSPITAL_MANAGEMENT_STRATEGIES by Dr soumya Patil.pptx
byDr Soumya Patil
 
Vayaha vargeekarana.pptx
byDr Soumya Patil
 
Trividha chikitsa in manasa roga by Dr soumya patil.pptx
byDr Soumya Patil
 
Kaumarabhritya introduction.pptx
byDr Soumya Patil
 
Role of agni in boosting immunity
byDr Soumya Patil
 
National health campaign ayush.pptx
byDr Soumya Patil
 
Formula prsesntation on Abhadya choorna.pptx
byDr Soumya Patil
 
NRHM.pptx
byDr Soumya Patil
 
Ayush hospital standards.pptx
byDr Soumya Patil
 
Integumentary system.pptx
byDr Soumya Patil
 
HOSPITAL_MANAGEMENT_STRATEGIES by Dr soumya Patil.pptx
byDr Soumya Patil
 

Recently uploaded

PPTX
Physical education notes class ncert 12th
byjatinrg2009
 
PPTX
Psychological disorders affecting students well being.pptx
bymunushah
 
PPTX
ATTENTION - PART 1.pptx cognitive processes -For B.Sc I Sem By Mrs.Shilpa Hot...
bySHILPA HOTAKAR
 
PPTX
Elderly in India: The Changing Scenario.pptx
byMonika
 
PPT
Back, Deltoid, Scapular Muscles and Spaces
byDr Shivshanker S Patil
 
PPTX
ENGLISH3 PPT WEEK-3-QUARTER-3 day 1.pptx
byjocelynpamintuan001
 
PDF
Flower Bud Differentiation in Horticultural Crops LH_Lecture on FBD.pdf
bybisensharad
 
PPTX
Link based course access in Odoo 18.2 Elearning _ Odoo 19
byCeline George
 
PDF
APM Thames Valley Network: PMO Set Up and Configuration
byAssociation for Project Management
 
PPTX
Masterclass on Cybercrime, Scams & Safety Hacks.pptx
bykalkidirwhytap
 
PDF
Locations and Tentative dates of the IIC Regional Meet 2025 (1).pdf
byShridhar Deshpande
 
PDF
DIFFRENCE BETWEEN SOCIETY AND COMMUNITY.pdf
byJhasketan Kuanar
 
PDF
Grade 8 - Mathematics Quarter 3 week2 2025
byafterschoolwork8
 
PDF
Digital Journalism Ethics 2025 materi for Regulation & Ethic Media
byAdePutraTunggali
 
PDF
Celebrating International Project Management Day with AECOM
byAssociation for Project Management
 
PDF
What is Digital Engineering, and how can it be used to enhance Project Manage...
byAssociation for Project Management
 
PPTX
History in Your Hands Class 3 December 2025.pptx
byEilsONeill
 
PPTX
Workplace_Considerations_Career_Success.pptx
byKIPAIZAGABAWA1
 
PPTX
Anim na Hilig Ayon kay Johnn Holland.pptx
byNoelCespon
 
PDF
We Teach Life Sir(Palestine, Resistance)
byDr. Ilyas Babar Awan
 
Physical education notes class ncert 12th
byjatinrg2009
 
Psychological disorders affecting students well being.pptx
bymunushah
 
ATTENTION - PART 1.pptx cognitive processes -For B.Sc I Sem By Mrs.Shilpa Hot...
bySHILPA HOTAKAR
 
Elderly in India: The Changing Scenario.pptx
byMonika
 
Back, Deltoid, Scapular Muscles and Spaces
byDr Shivshanker S Patil
 
ENGLISH3 PPT WEEK-3-QUARTER-3 day 1.pptx
byjocelynpamintuan001
 
Flower Bud Differentiation in Horticultural Crops LH_Lecture on FBD.pdf
bybisensharad
 
Link based course access in Odoo 18.2 Elearning _ Odoo 19
byCeline George
 
APM Thames Valley Network: PMO Set Up and Configuration
byAssociation for Project Management
 
Masterclass on Cybercrime, Scams & Safety Hacks.pptx
bykalkidirwhytap
 
Locations and Tentative dates of the IIC Regional Meet 2025 (1).pdf
byShridhar Deshpande
 
DIFFRENCE BETWEEN SOCIETY AND COMMUNITY.pdf
byJhasketan Kuanar
 
Grade 8 - Mathematics Quarter 3 week2 2025
byafterschoolwork8
 
Digital Journalism Ethics 2025 materi for Regulation & Ethic Media
byAdePutraTunggali
 
Celebrating International Project Management Day with AECOM
byAssociation for Project Management
 
What is Digital Engineering, and how can it be used to enhance Project Manage...
byAssociation for Project Management
 
History in Your Hands Class 3 December 2025.pptx
byEilsONeill
 
Workplace_Considerations_Career_Success.pptx
byKIPAIZAGABAWA1
 
Anim na Hilig Ayon kay Johnn Holland.pptx
byNoelCespon
 
We Teach Life Sir(Palestine, Resistance)
byDr. Ilyas Babar Awan
 

POST COVID MANAGEMENT –an ayurvedic approach by Dr soumya Patil.pptx

  • 3.
    Post COVID Management–An Ayurvedic Approach Presenter : Dr Soumya P Final year PG Scholar Department of Kayachikitsa Guide: Dr Sunil Kumar M Chabanur M.D.(Ayu)
  • 4.
    CONTENTS  Aims andObjectives  Introduction  Statistics  Definition  Synonyms  Survey  People at risk  Post Covid symptoms  General treatment  Symptomatic treatment  Preventive measures  Summary  Conclusion  Take home message
  • 5.
    AIMS AND OBJECTIVES ToUnderstand The Post COVID Symptoms And Their Management Through Ayurvedic Treatment Modalities.
  • 6.
    INTRODUCTION  COVID- 19,the recent virus outbreak declared as Pandemic by WHO threatened the world by its fast spreading nature and is yet creating an alarmed situation throughout the world by Post Covid Symptoms  A recent study on Post-COVID manifestation of symptoms showed that about 72 percent of participants had major complaints, only 10.8 percent of survivors assessed in the study had no symptoms or manifestations post COVID.  Depending on the Immunity of a person, COVID-19 can differ in its impact on different people.  Similarly, Post-COVID conditions, which has become a grave issue in recent times, have also taken a major toll on people's lives.
  • 7.
     Post covidmanifestations can be understood as Agnimandya avasta and Dhatukshaya avastha in individual .  Hence modalities like Agnivardhaka and Rasayana property medication can be choosen .  Rasayana therapy is the one which brings the normalcy in Immune system by improving fundamentals like dhatu, agni, srotas. And ultimately fights against Post Covid Symptoms.
  • 8.
    STATISTICS  India : A/Cto WHO: Till Date Total cases- 11.9 M Recovered – 10.9 M Deaths : 158K  New cases last(24hrs) : 22854  Among them Post Covid symptoms : 1.5 M
  • 9.
    DEFINITION A/C to NICE:  "Signs and symptoms that develop during or after an infection consistent with COVID-19, continue for more than 12 weeks and are not explained by an alternative diagnosis. It usually presents with clusters of symptoms, often overlapping, which can fluctuate and change over time.
  • 10.
    SYNONYMS  Post Covid Long-haul Covid  Long Covid
  • 11.
    AS PER STUDY–INDIA  Post-covid-19 symptoms was reported among 1,451 of the 4,871 people covered under the project.  Over 40 diverse symptoms were reported during the period. Source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6930e1.htm#F1_down
  • 12.
    PEOPLE AT RISK A/Cto Studies : Pre-existing medical conditions https://www.cdc.gov/mmwr/volumes/69/wr/mm6930e1.htm
  • 13.
    WHY ARE SOMEPEOPLE AFFECTED ?  Persistent viraemia due to weak or absent antibody response.  Inflammatory and other immune reactions  Mental factors /post-traumatic stress
  • 15.
    POST COVID MANAGEMENTPROTOCOL A/C to WHO :  The Post-COVID-19 Syndrome must be tackled through i. Clinical assessment ii. Psychological evaluation iii. Comprehensive rehabilitative care.
  • 16.
    ACC TO AYURVEDA Nidanaparivarjana yuktivyapashraya Satavajaya Rasayana Yoga and pranayama Pathya apathya Chikitsa of post covid can be considered under this : GUIDELINES for AYURVEDA PRACTITIONERS for COVID 19
  • 17.
    Post covid Nidana parivarjana Yuktivyapashraya Satvaavjaya Yoga /pranayama Pathyaapathya Rasayana Rasayana Avoid crowds Mask/distance Samshamani vati Laxmivilasrasa Ashvasaan Rehabilitation Dharmartha vakya Agastya hareetaki Chyavanprash Suryanamaskara Brhamari pranayama Ushna jala yavagu Covid appropriate behavior
  • 18.
  • 19.
    MANAGEMENT Modalities :  Pachan Atapa  Vyayama  Abhyanga  Rasayana Abhyanga  Shatdhoutagrita  Chandanadyataila Kashaya Varga Jivaniya mahakashaya Shramahara mahakashaya Rasyana Kushmandavaleha Choorna Pravala Pishti Baladi ksheera Guduchi stava Arishta Ashvagandharishta Balarishta
  • 20.
    Modalities Mode ofaction Pachana Strengthens Jataragni, does pachana of ama , ie free radicals .ex: musta, mishi Atapa Exposure to sunlight /triggers vit d production,increaseas metabolic activity /Enhance mood , release endorphins , increases immune system Vyayama Regular physical exercise enhances the antioxidant defence system and protects against free radical damage . Shramhara mahakashaya Due to guna samanya Posses rasayana property madhura rasa , guru snigdha guna, sheeta virya madhura vipaka . Guduchi satva Tridoshahara,rasayana,sangrahi,good immune modulator, contains zinc , calcium iron etc.. Ashvagandharishta Karma-Anulomana,Kaphavatashamaka Pharmacological action-Active principles like withasomniferin- A possess immunomodulatory action by increasing neutrophil adhesion and increasing RBC,reducing leukopenia.
  • 21.
  • 22.
    TREATMENT CHOICES Modalities : Svedana: Nadi,upanah,veshavar  Nasya : Navana  Shoolahara Aushadhi  Rasayana Nasya  Brihat Panchamoola Ksheera Nasya  Jeevaniya Gruta Nasya Rasyana  Dashamoola Haritaki Rasoushadi  Shirashooladivajra Rasa  Laxmivilasarasa  Godanti Bhasma Guggulu  Mahayogaraj Guggulu Kashaya  Dashamulakvatha  Shoolahara Mahakashaya Gana  Pathyadi Shadanga Kvatha
  • 23.
    Modalities Mode ofaction Nasya Jeevaniya Gruta Nasya. Medicated Sneha has lipid soluble substance, easily absorbed by nasal mucosa enters the circulation. Shirashooladivajrarasa It has properties like Deepana (appetizer), Pachana (digestive), Shoolaghna (analgesic) and Jwaraghna Laxmivilas rasa Posses antioxidant ,anti-inflammatory action (abraka Basma and Vidarikanda ) It strengthens airway and lungs . Helps in sinusitis and headache . Mahayogaraj guggulu Due to anti-inflammatory and analgesic action it is helpful in all types of aches , it consists of bhasma which are oxide in nature does scavenge the free radicals and does decrease the pro inflammatory cytokines. Dashamulakvatha Dashamoola is having a Properties of Vata Shamana and it also reduces the stress and provides the good sleep to the patient.
  • 24.
    SHORTNESS OF BREATH/DYSPNEA ChronicInflammation Alveolar epithelial damage Continue use of mask
  • 25.
    MANAGEMENT Grita  Tejovatyadi Ghrita Dhanvantara Grita Rasoushadi  ShwasKuthar Rasa Rasayana  Chyavanaprash  Haridra Khanda  Agastya Hareetaki  Bhargiguda  Gudavalehya Modalities :  Svedana  Dhoomapana  Nasya  Shamana Svedana  Aktam lavana tailam , nadi prastara sankaraihi Nasya  Grutamanda And Saindhava Inhalation  with Karpoora and Nilgiritaila
  • 26.
    Modalities Mode ofaction Svedana Does vasodilatation and improves exchange of gases ,Releases the obstruction and helps good airflow. Inhalation Clears the nasal pathway and aids good airflow. Shvasakutara rasa Shuddha parade, gandhaka , vatsanabha , tankana bhasma, manashila, trikatu / Vatakaphara,Ushna virya Agastya hareetaki Due to anti-inflammatory action helps reduces inflammation of lining of bronchial tubes and exerting soothing effects , also has mucolytic action , dilates the airway , and allow proper airway .
  • 27.
  • 28.
    MANAGEMENT Modalities :  Kavala Dhoomapana  Rasayana  Shamana Gargle  Yashtimadhu phanta  Warm salt water Dhoomapana  Haridhra varti  Manashiladi dhooma  Ingutvagadi dhooma Grita  Kantakari Grita  Duralabhadi grita Choorna  Sitopaladi Choorna  Talisadi choorna Vati  Lavangadi Vati  Samshamani vati Rasayana  Vyaghri hareetaki avalehya  Kantakari avalehya Rasoushadi  Shvasakutara rasa  Naradiya laxmivilas rasa
  • 29.
    Modalities Mode ofaction Steam Inhalation Dhoomapana dilates blood vessels & help in oxidation of blood. It leads to adequate tissue perfusion & oxygenation to the brain cells. They also possess antimicrobial & antifungal , antiviral properties. Sitopaladi Choorna Restore lung capacity, improve pulmonary performance and boost immunity and acts as immunomodulator and it posses anti- inflammatory and antioxidant property Dashamulakatutrayadi Kashaya Because of Ushna Virya it acts as Anti-inflammatory and Bronchodilator and promote proper airflow to lungs, Kaphavatahara Lavangadi Vati Its acts as demulcent, anti-inflammatory, expectorant It alleviates attack of cough by reducing throat irritation, and smoothness the airway Vyaghrihareetaki Lehya Acts as Immunostimulant, Anti-inflammatory, Anti-bacterial It acts as Shoothhara, Srotoshodaka and Vatanulomana Naradiya Laxmivilas Rasa Main ingredient- Abhraka Bhasma Therapeutic effect appears on lung, pleura and airway Anti-oxidant scavenges the superoxide radicles Tridoshahara
  • 30.
    ABDOMINAL DISCOMFORT Gut immunityViral replication Oral antibiotics Improper intake of food
  • 31.
    MANAGEMENT Modalities :  Nidanaparivarjana : spicy, oily, processed food  Avoid stress: yoga , meditation, vyayama  Deepana pachana  Chitrakadi vati  Yavanishadava choorna  Ashta choorna Shamana Yoga  Sutashekhar rasa  Yashtimadhuphanta Grita  Dadimaka gruta Rasayana  Amalaki rasayana  Madiphala rasayana
  • 32.
    Modalities Mode ofaction Deepana , Pachan Ashta choorna , due to ushna and teekhsna guna , increases the gastric secretion and induces digestion and reduces ama and helps abdominal discomfort Chitrakadi Vati It act as deepana, Pachana, Vatanuloma, Grahi and Kaphavatahara Dadimaka Grutha Because of Ushna Virya acts as Amapachaka, Deepaka and Kaphavatahara Because of Madhura Rasa and Vipaka and Grutha acts as Vrunaroopaka and Tridhoshahara Yastimadhu Phanta It acts as antibacterial, antioxidant, and acts as rasayana due to madhura rasa , sheeta veerya and madhura vipaka does vrana ropana action . Sutashekhar Rasa It reduces the vidahi and shukta guna of aama rasa , due to Sheeta veerya and teekshna guna helps to restore the acidic balance and soothes the GI mucosa thus reduce irritation and helps. Madiphala Rasayana / Amalaki Its main ingredient –Matulunga, Trikatu and Saindhava Lavana Matulunga contains vit C which is immune booster Saindhva Lavana because of alkaline property maintains gastric pH and balances it.
  • 33.
  • 34.
    MANAGEMENT Modalities :  Deepana,pachana  Vyayama  Yoga  Nutritious diet  Rasayana Choorna  Avipattikar choorna  Ashvagandha choorna  Shatavari choorna  Vidarikanda churna Rasyana  Ajamamsa rasayana  Kushmanda rasayana
  • 35.
    Modalities Mode ofaction Agni deepana Due to ushna and teeksha guna helps increases digestion and increase appetite , does remove amata and reduces the toxins in git . Yoga , vyayama Due to yoga and vyayama , there is increase in metabolic activity of body and increases energy consumption and increases food intake Pathya Taking Madhura rasa , Sheeta veerya and laghu snigdha bhojana , yavagu increases appetite and helps the good nutrition state Rasayana Due to similar qualities of ojas increases the Immunity and also acts as balya and bruhmana .
  • 36.
    ANXIETY /PTSD Fear ofillness/ discrimination Social isolation Death of family/ friend
  • 37.
    MANAGEMENT Modalities :  Psychotherapy Yoga/pranayama  Shirodhara  Abhyanga  Shamanoushadi Shamanoushadi  Manasamitravati  Kalyanaka grita  Brahmi taila  Narayana taila
  • 38.
    Modalities Mode ofaction Kalyanaaka grita It has antioxidant property which acts upon the degenerative brain cells cells It also acts in normalizing the chemical changes in brain by balancing the neurotransmitters. Shirodhara Shirodhara has shown its anti-anxiety, antihypertensive& sleep inducing effect in few studies. It reduces the sympathetic tone thereby increasing alpha & theta wave activity in brain. Manasamitravati It posses anti-stress anxiolytic , antidepressant and neuroprotective action ,/its antioxidant activity aids in reducing oxidative stress and calm mind ,and induces sleep . Psychotherapy Ashwasana (Reassurance) Reassurance relieves fears, boosts self confidence and promotes hope in a patient under the Ashwasana Chikitsa. Pranayama Bramari pranayama- Relives Stress, Cerebral Tension Alleviating Anger , Anxiety, Insomnia Yoga Shavasana stimulates Parasympathetic nervous system , Autonomic nervous System which helps in psychosomatic relaxation
  • 39.
  • 40.
    MANAGEMENT Modalities:  Rasayana  Yoga/pranayama  Abhyanga  Shirodhara Rasayana  Ashvagandha rasayana  Brahmi rasayana  Ajamamsa rasayana  Shankhapushpi rasayana Shamanoushadi  Manasamitravati Grita  Mahakalyanaka grita Taila  Narayana taila  Ksheerablataila
  • 41.
    Modalities Mode ofaction Abhyanga It acts as shrama and vatahara , also acts as Pushti to body and mind , lipid aids good absorption in skin and stimulates receptors leads to vasodilation and increases serotonin level in brain and induces relaxation and sleep . Yoga Shavasana stimulates Parasympathetic nervous system , Autonomic nervous System which helps in psychosomatic relaxation Bruhmana chikitsa Ksheerabalataila having snigdha guna helps to reduce vata and induces sleep Brahmi rasayana It has neuronal dendritic growth stimulating by modulating dopamine, immuno modulatory activity revealed by increase in level of superoxide dismutase (SOD), glutathione peroxidase & gluthathione.
  • 42.
    SYSTEM WISE RASAYANA SrotasLakshana Rasayana Pranavaha Srotas Shvasa Kruchrata Agastya Haritaki Rasayan Chyavanprash Vardhaman Pippali Rasayana Rasavaha Srotas Shrama Ajamamsarasayana , Amrutabhallataka Rasayana. Annavaha Srotas Abdominal discomfort Madhiphala rasayana , Gritakalpana Manovaha Srotas Anxiety, Depression Brahmi rasayana, Medhya rasayana.
  • 43.
    ACHARA RASAYANA  सत्यवादिनमक्रोधंदनवृत्तं मद्यमैथुनात्| अद ंसकमनायासं प्रशान्तं दप्रयवादिनम्||३०|| जपशौचपरं धीरं िानदनत्यं तपस्विनम्| िेवगोब्राह्मणाचाययगुरुवृद्धाचयने रतम्||३१|| आनृशंस्यपरं दनत्यं दनत्यं करुणवेदिनम् [१] | समजागरणिप्नं दनत्यं क्षीरघृतादशनम्||३२|| िेशकालप्रमाणज्ञं युस्विज्ञमन ङ् क ृ तम्| शस्ताचारमसङ्कीणयमध्यात्मप्रवणेस्वियम्||३३|| उपादसतारं वृद्धानामास्वस्तकानां दजतात्मनाम्| धमयशास्त्रपरं दवद्यान्नरं दनत्यरसायनम्||३४|| गुणैरेतैैः समुदितैैः प्रयुङ् िे यो रसायनम्| रसायनगुणान् सवायन् यथोिान् स समश्नुते||३५|| (इत्याचाररसायनम्)|  To acquire rasayana effect through social and personal conducts .
  • 44.
    MODE OF ACTION STRESS Releaseof catecholamines Adrenaline Increase catabolic activity Dhatukshaya Ojakshaya Lowered Vyadikshamatva Samadhathu vruddhi Immunodeficiency disorders ACHARA RASAYANA Keeps suitable normal psychological activity Normal hormonal balance Restoration of normal anabolic activity Ojovruddhi Enhances immunity Psychoneuroimmunity
  • 45.
    RASAYANA DRUGS ONIMMUNE SYSTEM Ashwagandha (Withania sominifera Dunal) बल्य रसायदन दतिा कषायोष्ण अदतशुक्रला ॥ Karma-Anulomana,Kaphavatashamaka Pharmacological action-Active principles like withasomniferin-A possess immunomodulatory action by increasing neutrophil adhesion and increasing RBC,reducing leucopenia. Form- Churna with milk Dose -3to6gms Aamalaki (Embilica officinalis Gaertn.) रक्तपित्तप्रमेहघ्नं िरं वॄष्यं रसायनम्। Karma -Anulomana,Dipana,Stambhan Pharmacological action -Tannins and phenolic compounds shown antipyretic and moderate cytoprotective and immune stimulating action by increasing immunoglobulin level Form- churna with Madhu Dose -3to6gm
  • 46.
    Yashtimadhu (Glycyrrhiza glabra Linn) यष्टीपहमा गुरुः स्वापि चक्षुष्या बलवर्णक्र ु त्। Karma-Kantya,Vatanulomana,jvarghna Pharmacological action-glycyrrhiza polysaccharide has shown increased phagocytic capacity and increased WBC count boosts interferons. Form-Churna with milk Dose - 3to5gms . Guduchi (Tinospora cordifolia Wild) गुड ू ची कटुका पतक्ता स्वादुिाका रसयपन ॥ Karma- Anulomana,krimighna,deepana,pachana Pharmacological action-cordifolioside A,Tinocordiside acts as immunomodulatory by directly acting on J774A cells for activation of macrophages and also increases IgG antibodies Form-Swarasa orally Dose -10to20ml
  • 47.
    Pippali (Piper longum Linn) पिप्पलीदीिनी वॄष्या स्वादिाका रसायनी। Karma -Agnideepak,Rechaka,Jvargna Pharmacological action- Alcoholic extract Piperine shown increased WBC count, bone marrow cellularity and alpha esterase positive cells thus enhance immune system Form -Churna as Vardaman pippali Kushmanda (Benincasa hispida Cogn.) क ु ष्माण्डं बॄहर्ं वॄष्यं गुर पित्तास्र्वातनुत्। Karma-Kshyagna,Jvaragna,Shophahara Pharmacological action- Phenolic compounds shown anti oxidant activity by increasing vit c and scavenging the free radicals. Form -Phala rasa Dose -10to20ml
  • 48.
    Shatavari (Asparagus racemosus Willd) महाशतावरी मेध्या ह्रुद्या वॄष्या रसायनी। Karma- Agnivardhaka,Sothagna,raktapittashamaka,Pustidaya ka Pharmacological action- Study shown root extract had increased antibodies to strain of whooping cough in immune response. Form -Kwatha and kalka are cooked with ghrita added with sugar Dose - 10to20ml Vidarikandha (Pueraria tuberosa D.C) शीता स्वयाण मुत्रला च जीवनी बलवर्णदा।गुरुः पित्तास्र्िवनदाहान् हन्ति रसायपन॥ Karma-Svarya,Varnya,Shukrala Pharmacological action-study, ethanolic extract saponins of drug shown that inhibition of delayed type of hypersensitivity and increasing phagocytosis. Form – Churna with milk Dose -2to6gms.
  • 49.
    DURATION OF INTAKEOF MEDICATIONS  The above said medications alike Dhatu Poshana and Rasayana be provided for a time period of 45 days as per the discretion of physician Other groups of drugs which are protective in nature can be provided for 45-60 days as per discretion of the practitioner.
  • 50.
    PATHYAAPATHYA  Lavanardraka bakshana Laja , yavagu , saktu sevana  Spices like jeera, black pepper, garlic, coriander, ginger, Ajwain should be used in cooking  Kiratatikta , katuki, musta , parpataka , Amruta kashaya .  Tikta grita , patoladi grita
  • 51.
    YOGA PRACTICES  Thefollowing Yoga-Asanas can be practised for 15 to 20 minutes to improves flexibility of the body and relieve mental stress  Sukshmavyayama (warm up) loosening exercises for all joints  Sitting postures like padmasana, sukhasana, vajrasana, paschimottanasana  Yogasana in supine position: pawanmuktasana, halasana, matsyasana  Yogasana in Prone position: bhujangasana, shalabhasana  Relaxing postures: Shavasana, Makarasana  Pranayama: Deep Breathing, Nadishodhana pranayama, Bhramari Pranayama 10 repetitions each  Meditation – 10 minutes
  • 52.
    APUNARBHAVA CHIKITSA Achara rasayana Yoga/pranayam a Satvavajaya Rasayana Ahara Government ofIndia Ministry of Health & Family Welfare Directorate General of Health Services Covid appropriate behavior Aushadha
  • 53.
    IMMUNITY PROMOTING AYUSHMEDICINE  Ayush kvath -150 ml / day  Samshamani vati twice a day 500 mg  Guduchi choorna 1-3 gms with luke warm water for 15 days  Ashvagandha choorna 1-3 gms twice daily for 15 days  Amla one / day  Gargling with turmeric and salt  Chyavanprash 1 teaspoonful / day  It is also suggested by the Ministry of AYUSH that the use of  Chyavanprash in the morning (1 teaspoonful) with luke warm water/milk is highly recommended (under the direction of Registered Ayurveda physician) as in the clinical practice Chyavanprash is believed to be effective in post-recovery period. Government of India Ministry of Health & Family Welfare Directorate General of Health Services (EMR Division) Post COVID management protocol
  • 54.
    FUTURE SCOPE  Ayurvedicprotocol for Post COVID for enhancing immunity by Rasayana Aushadi.  Role of Ayurvedic Immunomodulatory herb in combating the cytokine storm.
  • 55.
    ONGOING RESEARCH WORKS National Institutes of Health, National Institute of Allergy and Infectious Diseases. A longitudinal study of COVID-19 sequelae and immunity. https://clinicaltrials.gov/ct2/show/NCT04411147external icon  University of California, San Francisco. Long-term impact of infection with novel coronavirus (COVID-19) (LIINC). https://clinicaltrials.gov/ct2/show/record/NCT0436215 https://youtu.be/ulJSEo2fWvA
  • 56.
  • 57.
    CONCLUSION  Much aboutthe aftermath of the illness remains unclear or unknown, and there is even uncertainty about the term "recover" in the coronavirus context  According to Ayurveda concepts, there will be Dhatu-Kshaya & AgnimandyaAvastha Post COVID infection.  Hence, Dhatuposhana and Rasayana sevana drugs for at-least 45 days and to combat the residual effects of the virus on the body and to combat toxicity produced from antiviral drug therapy.  Deepana Pachana drugs may be used in case of abdominal discomfort .  Depending upon individuals Agni status and availability of medicine following drugs may be prescribed.  Ayurveda has enormous potential and treatment options which are available for enhancing the immunity and systemic illness and positively influence mental health , thus helpful in combating Post covid symptoms .  Hence Ayurveda should be used as main treatment modality for Heath restoration and Prevention of recurrence, rather than a adjuvant therapy in treating post COVID symptoms .
  • 58.
    REFERENCES  https://integrativemedicine.arizona.edu/COVID19/sheltering_in_place.html  https://www.instagram.com/reel/CLv4H0Wgf23/?igshid=1vdxrgtq6p9eu https://www.thehindu.com/sci-tech/health/the-hindu-explains-are-there-re-infection-fears-around-covid- 19/article32590566.ece  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3193654/  https://www.google.com/amp/s/www.easyayurveda.com/2012/08/28/guduchi-giloy-ayurvedic-details- benefits-usage-dose-formulations/  https://www.planetayurveda.com/library/sahachara-baladi-kashayam/  https://www.nejm.org/doi/full/10.1056/NEJMc2025179 published 21 July 2020  https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2768834 published 21 July 2020  https://www.medrxiv.org/content/10.1101/2020.07.09.20148429v1.full.pdf published 11 July 2020  6-month consequences of COVID-19 in patients discharged from hospital: a cohort study (Huang, January 2021).
  • 59.

Editor's Notes

  • #7 The most common symptoms of COVID-19 are fever, tiredness, and dry cough. Some patients may have aches and pains, nasal congestion, runny nose, sore throat or diarrhea.
  • #12 Half of the symptoms were persistent/reappearing/or newly appearing ones. Remaining were newly developed symptoms.
  • #16 Physical rehabilitation will play a crucial role in assessing the impact on mobility, decreased/ increased exercise tolerance and muscle weakness. Also, psychological evaluation plays a big role in addressing Post Traumatic Stress Disorder (PTSD) amongst those who have battled severe COVID19 and had a prolonged stay in the hospital. These areas of focus will help diagnose and treat the long and short term complications amongst COVID-19 survivors.
  • #19 It is overall feeling of tiredness or exhaustion . It is an unusual response to viruses that can remain latent within your body. Decrease activity / exercise due to home quarantine Intake of antibiotics Radical theory :cytokine storm : Increased level of proinflammatory cytokines , which promote inflammation It is a condition which is seen in Dhatukshaya stages. It is clinical feature seen in Ojovisramsa.
  • #20 have properties : madhura rasa guru, snigdha guna, madhura vipaka, sheeta virya , vatapitta shmaka guna Due to guna samanya btwn smk and ojas.immunity is enhanced. Antioxidant anti inflammatory , Narasimha rasayana Enhance the proliferation of lymphocytes in response to mitogens Diabetic patients : Amalaki,haridra,silajatu exhibit antidiabetic role along with it also improves status of agni and ojus – 2012 Chyavanprash rasayana
  • #22 Due to Shoka ,Traasa of Covid infection, Apatarpana, Jagarana. Continues mask use ,decreased oxygen level ,dryness of nose / nasal irritation . Causes Bala Bramsha and lack of fluid in body / Rasa Shosha.
  • #24 Vata Shamana Shooleshu Prayein Pawan Prabhu|| shirashoola prana and vyana vayu are responsible Rasnasaptak*- Kwath- 30 - 40ml BD before food 2. Ashwagandharista 15 – 20 ml BD with water 3. Balarishta 15 – 20 ml BD with water 4. Devadaryadikwatha* 30 - 40 ml BD before food 5. Dashamoolakwath* 30 - 40 ml BD before food 6. Godantibhasma 500 mg – 1 gm BD/TDS daily with ghee, sugar, warm milk or water ” Sarvesuhetushu Shooleshu Prayein Pawan Prabhu|| ” “Sarvesuhetushu Shooleshu Prayein Pawan Prabhu|| ”
  • #25 Inflammation in upper portion of airway because of covid , causing airsac fibrosis thus causing obstruction to the airflow, ends up in dyspnoea. Due to invade of covid virus into nasal mucosa , affecting the mucosal cells and alveoli, causing damage to alveolar tissue , causes fibrosis or narrowing of alveoli Thus Obstructs the airflow.
  • #27 ) Sweda karma hastens this process by increasing the permeability of capillary and bringing the morbidities into an extracellular fluid by dilating and clearing the channels of the body. Finally, Sweda karma fascinates the transport of metabolites into the blood and lastly into Koshtha for easy elimination by Panchakarma. That is the probable mechanism or action potential of Sodhanangabhootaswedana to prevent and cure ailments 1. 2. ShwasKuthar Rasa* (125 - 250 mg) with Kantakari* (2 g) and pippalichurna (1 gm) given with mustard oil and jaggery 3. Mallasindoora* 125 mg + Talisadichurna 3gms + Shringabhasma 125 mg+ Abhrakabhasma 125 mg, with honey BD after food 4. Local application of saindhavaditaila to chest followed by Nadiswedana
  • #28 Due to Vataprakopa in later stages of covid, causes drying up of Kapha Sthana ie Uraha Pradesha , causes Vatprakopa, Villoma Gati of Vata, causes dry cough The nasal mucosa is able to mount a similar inflammatory response to the pulmonary airways. The sensory nerves contain neuropeptides and classical neurotransmitters 4~ that could stimulate the airway sensory nerves to sensitize the cough reflex and produce cough, but currently there is no direct evidence of such an influence on the cough reflex.
  • #30 1. Talisadi Churna (4 g)+ Madhuyashtichurna (2 g) BD with honey/ lukewarm water 2. Sitopaladichurna 3-6 gm with honey BD/ TDS or as required 3. Tankanabhasma* – 250 – 500 mg BD 4. Dashamoolakatutrayadi Kashaya* 20 – 30 ml TDS with water before food
  • #31 Gut holds a special place for fighting of infections in system ,gut microbiota fight out virus thus helps in active immune response. Replication of virus in gut leads to cell damage and disturb gut functioning . Due to intake of oral antibiotics Improper intake of food due to loss of taste and stress Due to hypochlorhydria
  • #32 DADIMASHTAKA CHURNA - 3 - 6 gm thrice a day - 1 hour before meal with lukewarm water or Takra (freshly prepared sanskarita with panchakolachurna) ASHTACHOORNAM - 3 - 6 gm twice a day with ghee and honey
  • #34 Alterations of smell and taste , as well as fatigue, lack off appetite , are reported as very prevalent symptoms in COVID-19, that could affect food intake . Decrease physical activity Decrease food intake Decreased gut microbiota and decreased absorption Home quarantine lead to lack of physical activity , leading to lean mass . Inflammation alters metabolic pathway ,contributing to anorexia and decreased food intake
  • #37 Fear of illness and social isolation experienced by covid 19 patients could exuberate stress in recovered patients. Being diagnosed with a life threatening illness. Death of family/friend due to covid .
  • #39  ( vinjamury et al., 2014;Nakanekar et l.,2015
  • #40 There is sense of fear and panic among patients , because of isolation and worrying about re infection . Loss of sleep not only affects mood and attention but also body's immune functioning and its ability to fight infections .
  • #53 Covid appropriate behaviour Drink adequate amount of warm water. The treatment is considered as best , which restore the function of dosha , dhatu, mala, without relapse of disease, depending on condition of dhatu avasta, and dosha avasta, shamana in the form of brihmana chikitsa such as grita, avaleha,and svarna vasta kalpa can be adopted to restore the function Take immunity promoting AYUSH medicine If health permits, regular household work to be done. Professional work to be resumed in graded manner.