پزشکی و سلامتطب سنتی

Ayurveda Life Science

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م خلرا ¢ ‎aw‏ للخ

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‘Ayur’‘veda’ - ‘Life’’Science’ Udai SJC - 3 March Happy Holi Nikhil Rasiwasia

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Ayurveda - Origins O Accurate dating is uncertain ™ More objectively identifiable after the advent of Buddhism (c. 500 BC) 1" Invasion of Darius, Alexander brought exchange O Significant medical content can be found in Rig-Veda (presumed origin c. 1500 BC) O Early writings on perishable bhojpatra

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Vedas O Itis the bedrock upon which Ayurveda rests O Considered to be composed around 1500-2000 BC O Four veda ™ Rig-veda : lots of stuff Sam-veda : Soma sacrifice Yajur-veda : entire sacrificial rite Athar-veda : non-relegious (1200 BC), lots of medical text (fever, diarrhes, heart disease, jaundice, cough, leprosy) O Authoritative supplements = Brahmanas Aranyakas (“the forest books", meaning treatises for sadhus living in the wilderness.) = Upnishads (self development spiritual text, philosophy, Meditation, and the nature of God )

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End of Vedic Period (500 BC) O Subsequent text deriving from primary vedic samhitas ™ Laid more emphasis on the dharma of self- development with explicit spiritual and philosophical content O Vedanta - derived from Upnishads O Ramayana O Mahabharat, Bhagavad Gita O Puranas - AD 320 to 520 - "tales of ancient times"

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Ayurveda and Buddhism Buddhism ™ attempt to purify, restructure and reform older vedic traditions. ™ Comfortable adopting Ayurveda 1" jivaka, - Taxila’s outstanding Ayurvedic physician, buddha’s personal physicin Ashoka (convert to buddhism established many charitable hospitals) Spread of Buddhism == spread of Ayurveda Nagarjuna - AD 100, brought about significant advances in Ayurveda - father of iatrochemistry - preparation of medicinal mineral substances 0 oo

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Westerm Medicine and Aurveda O Hippocrates : Father of western medicine ™ Humoral theory - blood, phelgm, yellow bile, black bile ™ Dietary therapy, influence of seasons on health O Aristotle ™ Relied heavily on empirical observation and naturalistic classification ™ Four prime qualities: hot, cold, wet, dry ™ Four fundamental essence: air, water, fire, earth

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Chinese medicine and ayurveda O Oldest extant chinese medical text - Huang-di Nei-jing or Inner classic of the Yellow Emperor (300 BC) O Similarities - because of exchange of ideas via Buddhism and trade.

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Ayurveda and Arab Medicine (Unani Tibb) O Arab medicine by Avicenna (AD 980) ™ Produced Canon of Medicine, a compendium of the previous works of Hippocrates and Galen O Mostly based on Greek medicine (Unani) O Reports of exchange of ideas - Ayurvedic physicians were invited to baghdad to teach and organize hospitals

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Earliest Texts 760 BC: Charaka Samhita - herbal or plant based pharmacopoeia 660 BC: Sushruta Samhita - Surgival approaches 7 Century : Ashtanga Sangraha of Vagbhata of Sindh - summary of previous two AD 100: Nagarjuna - iatrochemistry 1331: Madhava Nidana by Madhava of Kishkindha - Ayurvedic Diagnosis 14% Century - Sarangadhara Samhita - Pulse Diagnosis Dee Gly ‏ار اد‎ te,

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Ayurveda in 19% Century Ayurveda flourished till 12‘ century, till the Muslim invasion Not much progress from 12" to 17" century British invasion : 1833 virtually all ayurveda schools closed, opening of British medical schools 1920: a national revival and resurgence of interest in traditional Indian culture and practices 1946: Formal govt. recognition and reacceptance of Ayurveda and resurgence of research. Currently, however it holds a secondary place in medicine in India Indian 00 officially recognizes as legitimate: Allopathy, Homeopathy, Naturopathy, Unani Tibb, Ayurveda, and its cousins Siddha and Yoga. By yal ‏لل‎ 10-4

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Ayurveda vs Western Science ‎Philosophy‏ لآ ‎wW: treats discrete disease entities‏ ۲ ‎A: treats subtle dysphoria, whose disruptive trends may later‏ ™ ‎develop into discrete disease.‏ ‎O Diagnostic‏ ‎W: scientific objectivity and verifiability (accumulating‏ ™ ‎statistically significant data) - “experience-distant”‏ ‎A: pratyaksha (perceptive understanding of each individual) -‏ ™ ‎“experience-near”‏ ‎O Treatment‏ ‎W: Linear logic, categorical and uses a classification system of‏ = ‎disease.‏ ‎A: Maintenance of optimal health by daily proactive care,‏ ™ ‎continually modified according to seasonal changes‏ ‎O Belief‏ ‎A: Individual has the innate capacity for potential self-‏ ™ ‎correction and primary self healing‏ ‎

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Why Ayurveda? 0 Health maintenance rather than disease treatment O System of diet and lifestyle ™ enhance the quality of life by dealing with subtle trends that might lead to actual disease O Compatible with those whose beliefs include naturalistic, spiritual and consciousness-oriented approaches O Often require intentional and sustained self-discipline, perseverance and active personal role.

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Ashtanga Ayurveda Kayachikitsa | Internal Medicine Shalyatantra = Surgery Shalakya Tantra ۶ Otolaryngology(ENT), Ophthalmology Kaumarabhiritya ™ obstetrics, Gynecology and Pediatrics Agadatantra ™ Toxicology Bhutavidya =” Psychiatry Rasayana = Antiaging and rejuvenation Vajikarana ™ Reproductive and aphrodisiac medicine 07 8 ایا 0 0

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Theoretical Foundations O Darshanas - ideological systems a ake Sankhya - nontheistic creation sequence - by Kapila 3 Yoga - Gradual liberation of human spirit to attain Samadhi - by Patanjali O Nyaya Darshana - monotheistic system, logical approach of apprehending the world using reason 2 Vaisheshika - postulates that all objects in the physical universe are reducible to a finite number of atoms by Kanada 2 Purva Mimamsa (inquiry) - emphsis on discipline, ritual and service Uttara Mimamsa or Advita Vedanta - spiritually oriented, 0 hasizes the spiritual base of reality, human misperception hankara (AD . Nastika © Buddhism D1 Jainism 8 ۵۷۵

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Epistemology O Knowledge Process O From Nyaya Dharshana philosophy O Four cognitive faculties ™ Manas - mind as it experiences sensations ™ Chitta - transmitter from manas to higher cognitive functions = Ahamkara - self-identity that provides the individual with the experience of relative constancy. ™ Buddhi - most refined, discerning ability, intellect, wisdom o ‏ات‎ techniques of knowing Pratyaksha - direct sensory perception : Anumana - inference Sabda - authoritative statement ™ Upmana - Analogy

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World View Essentially unitary and dynamic, integrated coherence with actively interdependent aspects Dynamic aspect is fueled by constant interaction amongst three doshas - ‎Vata : movement‏ نا ‎™ Pitta : transformation ‎™ Kapha : consolidation ‎Othe fundamental regulatory principles of the body’s physiological functioning ‎Interplay between them modulates the interaction of the Gurvadi Gunas (10 pairs of opposite qualities) ™ Characterize all perceptible substances ‎0 ‎0 ‎

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Gurvadi Gunas Shita/ushna Snigdha/ruksha Guru/laghu Sthula/sukshma Sandra/drava Sthira/chala Mandaj/tikshna Mridu/kathina Slaksha/khara Picchila/sishada ۲7 ۲7 ۲ 0 ۵ ۲7 ۲ ۲ 5 5

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English please. Shita/ushna - cold/hot Snigdha/ruksha - wet,oily/dry Guru/laghu - heavy/light Sthula/sukshma - gross/subtle Sandra/drava - dense/liquid Sthira/chala - stable/mobile Mandaj/tikshna_ - dull/sharp Mridu/kathina ۲-3 0 Slaksha/khara - smooth/rough Picchila/sishada - sticky/clear ۲7 ۲7 ۲ 0 ۵ ۲7 ۲ ۲ 5 5

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Vedic Standards O Four basic life goals (purushartha) ®™ Dharma - individual's abidance with the inherent lawfulness in universe - purpose, duty, justice ™ Artha - possessions ™ Kama - Pleasure ™ Moksha - liberation

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Sankhya Model of Creation O Avayakta ™ pure existence in its unmanifest state ™ Absolutely transcendental, indescribable ™ Essence O Satyam - essential truth O Ritam - deep structure, self-correcting O Brihat - vast breath of its being ™ Two components 0 Purusha - primal immaterial matrix out of which all else emerge, pristine consciousness O Prakriti - when ‘purusha’ spontaneously moves, then at that moment the first material energy, prakriti, comes into being.

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Maha Gunas O Three axiomatic attributes that are inherent to maha gunas (subtle) ™ Sattva - pure, clear, harmony ® Rajas - dynamic movement, agitation ™ Tamas - interita, dullness O Highly rarefied potentials that impart direction and create a unique character.

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Ahamkara 0 Next step in the developmental process of prakriti OA giant leap which eventually becomes most characteristically individualized in human experience O Experience of personal sense of self. 0 Next all steps are material

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Pancha Mahabhuti O Ether/Space OD Air O Fire O Water O Earth

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Birth of Doshas - Vata LN CL SN ‏كته‎ Chest region Thoracic and throat region Hearth and navel region Hearth and circulatory vessels Pelvic region Prana Vata Udana Vata Samana Vata ‘Wana Vata Apana Vata Vata Airand ‏نس‎ Akasha

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Pitta posi exenenss Jouavosins oun | Pitta (Bile) ۵ Pachaka Pitta Liver and pancreas Water Ranjaka Pitta Liver and spleen Sadhaka Pitta Hearth Alochaka Pitta Eyes Bhrajaka Pitta Skin

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Kapha Kledaka Kapha Stomach Avalambaka ۷۵۵۲۸, chest and lower Kapha hack regions Bodhaka Kapha Mouth, Tongue and throat Tarpaka Kapha Head (cerebrospinal fluid) Sleshaka Joints Kapha Water and Earth Kapha (Mucus)

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