AYURVEDA ANCIENT WISDOM FOR MODERN PSYCHIATRY
اسلاید 1: www.tabaye.ir
اسلاید 2: AYURVEDA : ANCIENT WISDOM FOR MODERN PSYCHIATRYSudha Prathikanti, MDUniversity of California, San Franciscowww,prathikanti.com/teaching
اسلاید 3: AYURVEDA: SCIENCE OF LIVINGFIVE GREAT BHUTASTHREE GREAT DOSHAS
اسلاید 4: AYURVEDA: THE THREE GREAT DOSHAS Each dosha has specific expression in every dimension of human being: Vata moves ---> body, mind, subtle energy Pitta heats ----> body, mind, subtle energy Kapha binds ---> body, mind, subtle energy.There is implicit and explicit understanding that body, mind and spirit are manifestations of the same life-force.
اسلاید 5: AYURVEDA: IMPORTANCE OF INDIVIDUAL CONSTITUTIONEach person has unique constitution of 3 doshas Constitution ascertainedthru careful history & exam Pulse Body Build & Weight Tongue, Skin, Hair, Nails Circulation Climate Tolerance Speech / Motor Activity Emotional Tendencies Memory & Cognition Eating / Elimination Patterns Sleeping Patterns
اسلاید 6: . VATALean, bony buildRapid walk and talkErratic appetite & staminaSensitive to wind & coldQuick, flexible mindLearn fast, forget fastLess willpower, resolveEasily anxious, unsettledRespond well to:Regular, long sleepFrequent meals: warm & richWarm, moist climate.PITTAMedium buildForceful walk & talkStrong appetite & staminaSensitive to heatSharp, penetrating mindLike to plan & leadGreat willpower, resolveEasily irritable, competitiveRespond well to:Moderate sleepRegular meals: cool & sweet Cool climateAYURVEDA: CONSTITUTIONAL TYPES. KAPHALarge, hefty buildSlow walk and talkSteady appetite & staminaSensitive to fog & coldDeliberate, steady mindLearn slowly, good memoryComplacent, forgivingEasily depressed, clingyRespond well to:Less sleepFewer meals: light & spicy Warm, dry climate
اسلاید 7: AYURVEDA: HEALTH AS HARMONIOUS LIVINGHealth: living in balance with basic constitutionIllness: living out of balance with basic constitution
اسلاید 8: .VATA EXCESS-- Significant anxiety -- Insomnia-- Anorexia-- Weight loss-- Motor agitation-- Compulsive talkingKAPHA EXCESS-- Profound anhedonia-- Hypersomnia-- Hyperphagia-- Weight Gain-- Apathy & Listlessness-- Paucity of speechAYURVEDA: DEPRESSION ASDOSHA IMBALANCE
اسلاید 9: AYURVEDA: REMEDIES FOR DOSHA IMBALANCEPurification Procedures Food & SpicesHerbal MedicineHerbal Massage & BathYoga Asanas & ExercisePranayamaMeditationSensory ExperienceSocial ExperienceAttention to Nature TimeClimateEnvironmentDosha-correcting remedies may be applied to every dimension, not just dimension where symptoms manifest
اسلاید 10: EVIDENCE BASE FOR AYURVEDIC REMEDIES IN PSYCHIATRYPANCHAKARMAHERBSHATHA YOGAMEDITATION
اسلاید 11: AYURVEDA RESEARCH WORLDWIDEIndia BritainGermanyAustralia
اسلاید 12: Photo 6
اسلاید 13: Steam chamberPANCHAKARMA:ABHYANGA &SVEDANA
اسلاید 14: PANCHAKARMA:SHIRODARA
اسلاید 15: Photo 4PANCHAKARMA:NASYA
اسلاید 16: PANCHAKARMA STUDIES Open controlled trial: Normal subjects undergoing panchakarma had reduction in depression, anxiety, overall distress compared to subjects taking didactic classes (Schneider, Cavanaughet et al 1990)Open controlled trial: Subjects with Parkinson’s Disease receiving both panchakarma and an Ayurvedic herbal remedy exhibited more improvement in neurological symptoms than did a small control group receiving only the herbal remedy. (Nagashayana, Sankarankutty, et al 2000).Many other panchakarma studies for medical conditions are summarized in “Scientific Basis for Ayurvedic Therapies” by Lakshmi Mishra (CRC Press: 2003)
اسلاید 17: Photo 5AYURVEDIC HERBS
اسلاید 18: PSYCHOTROPIC HERBS IN AYURVEDABacopa MonnieraWithania somniferaValeriana jatamansiConvolvulus pluricaulisRauwolfia serpentinaCentella asiaticaMandukparniJatamansiSarpagandhaAshwagandhaShankpushpiBrahmiAntipsychotic Effect -- Rauwolfia * -- Centella (in polyherbal) Anxiolytic Effect -- Valeriana -- Centella* -- Withania -- Convolvulus -- Bacopa *Antidepressant Effect --- Withania --- ConvolvulusSoporific Effect -- Valeriana * -- Centella (in polyherbal)Cognitive Enhancement -- Centella* -- Withania * -- Convolvulus -- Bacopa *
اسلاید 19: SAFETY ISSUES WITH AYURVEDIC RMEDIES Mass Production Over-the-counter AvailabilityPlant ContaminantsMisidentification of HerbsCircumventing De-toxification Unorthodox CombinationsHerb-Drug Interactions
اسلاید 20: HATHA YOGARandomized controlled trialsPranayama + asana reduces symptoms in depressed college students Pranayama equivalent to tricyclic in treating depressed psych inpatientsHatha yoga + methadone equivalent to psychotherapy + methadone in reducing relapse in opiate usersYoga breathing improves spatial memory learning in normal schoolchildrenHatha yoga reduces anxiety & depression in normal adultsNon-randomized controlled trialsHatha yoga equivalent to swimming in producing mood benefits in women, may be superior to swimming in menHatha yoga superior to muscle relaxation and visualization in improving mood and alertnessHatha yoga related to higher life satisfaction, better overall mood, better coping with stress
اسلاید 21: MEDITATIONChronic anxiety (TM, MBSR)Chronic pain (RR, MBSR)Chronic insomnia (RR)Recurrent Depression (MBSR)Overall emotional well-being (RR, MBSR)Less anxiety and depressionIncreased sense of controlIncreased empathy
اسلاید 22: INTEGRATIVE MEDICINE: THE BEST OF BOTH WORLDSIntegrative Medicine might restore the soul to medicine…the soul being that part of us that is most important but the least easy to delineate.Richard Smith British Medical Journal January 2001
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