Sri Sri College of Ayurvedic Science & Research Hospital, Sri Sri University, Cuttack

PREVENTION OF GERIATRIC PROBLEMS BY CLASSICAL NUTRITIONAL & REJUVENATION THERAPY WITH SPECIAL APPROACH TO DIGESTIVE SYSTEM

PREVENTION OF GERIATRIC PROBLEMS BY CLASSICAL NUTRITIONAL & REJUVENATION THERAPY WITH SPECIAL APPROACH TO DIGESTIVE SYSTEM

Geriatric Problems capture clinical conditions that are frequently encountered in older persons have a deleterious effect on function & quality of life which are multifunctional health conditions that occur when the accumulated effects of impairments in multiple systems render an older person vulnerable to Situational changes. Vishamagni, dhatukshya & vatabriddhiare the most important& very common clinical conditions prevailing in older persons which happen due to accumulation of doshas in multiple system followed by srotodusti rendering the older persons to be affected by under nutrition & anorexia, falls & balance disorders, persistent pain, urinary incontinence etc. Out of all clinical conditions, vishamagni is most important which leads to under nutrition & anorexia & is the route of all diseases in older persons as in modern these persons  are vulnerable to higher circulating level of cholecystokinin inhibiting the secretion of HCL &Hcl  converts pepsinogen to pepsin, the first enzyme for protein digestion. Hence higher cholecystokinin in older persons hampers protein digestion. Similarly other proteases, amylases &lipases performing digestive functions & metabolic enzymes for metabolic functions become weaker in older persons causing different diseases. So to prevent normal situational changes in older age, vishamagni should be corrected & kept in normal condition by  the application of proper classical nutritional & rejuvenation therapy  resp.as prescribed by charak.

DEMOGRAPHY

  • Sometimes around the year 2020, for the first time ever, the number of people aged 65 and older in the world is expected to exceed that of children under age of 5 yr with significant negative impact on socio economic and health care planning of the present day society.
  •  Now the developing country India has started the similar trends.

INTRODUCTION

Ayurveda, the science of life and longevity has strength and indispensable rule in geriatric care by the support of one of its eight special branches Rasayanatantra. which is responsible for promoting nutritional, immunological and neuroprotective aspect of the body

COMMON GERIATRIC PROBLEMS

The common GIT diseases prevalent in old age are:

  • Agnimandya
  • Ajirna
  • Vivandha
  • Ánaha
  • Grahaniroga

CAUSES OF GERIATRIC PROBLEMS

  1. Vishamagni
  2. Vatavridhhi
  3. Dhatukshaya

Pachakagni has vital role to maintain the physical strength and longevity of human being which influences all other agni of our body. Older persons are vulnerable to Vishamagni which is a leading cause of improper digestion; as a consequence Vatadosha and Dhatus are disturbed resulting invatabriddhi and dhatukshaya. So agni has indispensable role in aging process and for the retardation of aging it is mandatory to promote agni(Digestive and metabolic fire)

MODERN VIEW

Causes of geriatric problems related to digestive system-

  • ↑circulating CCK.
  • ↓digestive enzymes (proteases, Amylases, lipasesetc)

MECHANISM

EFFECT OF CCK

CCK also causes anorexia

Older persons are vulnerable to higher circulating level of cholecystokinin which inhibits the satiety centre causing anorexia along with inhibiting the secretion of HCl and as a consequence protein digestion is hampered due to disturbances in conversion of pepsinogen to pepsin. Simultaneously its effects hamper the pancreatic digestive enzyme secretion. In this way digestion in the stomach and pancreas is disturbed in older persons. Decline in digestive enzymes in older age also cause improper digestion.

The effect of CCK along with decline of digestive enzymes of older persons lead to undernutrition causing following problems:

  • Immune dysfunction
  • ↓cognitive function
  • ↑Risk for falls, disability and mortality.
  • Decreased bone mass.
  • Impaired muscle function
  • Anemia

OTHER SIGNALING NETWORKS OF AGING

  • Hormones.
  • Inflammatory mediators (IL-6,CRP)
  • Antioxidant
  • IGF-I
  • DHEA
  • Testosterone
  • Vitamin –D
  • Selenium
  • Magnesium

TREATMENT

It is based on:

  • Promotion of Agni
  • Correction of above etiologies
  •  Both will be possible by the application of followings as described in charak

DRUGS:

Guduchi (Tinospora Cordifolia):-

Chemical ConstituentAction on body
Steroids :-β-sitosterol, hydroxyecdysoneEcdysteroneGiloinsterolIgA neuropathy, glucocorticoid induced osteoporosis ,  InhibitsIL-6 .
Glycosides:-18-norclerodane glucoside, Furanoidditerpeneglucoside, Tinocordiside, TinocordifoliosideCordiosidePalmatosidesmotor and cognitive deficits and hypothalamus. Immunomodulation: IgG increase.
Alkaloidsimmuno-modulatory roles. Neurological
Lactones :-derivatives [(5R,10R)-4R-8R-dihydrox y-2S-3R: 15,16-diepoxy-cleroda-13 (16), 14-dieno-17,12S: 18,1S-dilactone] TinosporidesNorepinephrine induced contractions. anti-microbial, anti-hypertensive
TyramineNeuromodulator ,anxiety, and depression

Amalaki (Emblicaofficinals):

Vitamin-c

  • Antioxidant
  • Protects against CAD
  • Corrects the lipid and glucose metabolism
  •  L-Ascorbic acid (AA) is a known iron bio-availability enhancer

Sankhapuspi (Convolvulus pluricaulis ):

  • Controls cortisol
  • Ethanolic extract reduces NEFA, Reduces cholesterol
  • Scopoline ß-Sitosterol, Convolvidine, Subhirsine, Convolvine, Phyllabine, Convoline and Confoline-improve memory

Pipalli (Piper longum):

  • Piperin-inhibits prostaglandin, cox- 1 pathway .
  •  Acts as anti-inflammatory

Aindri (Bacopamonnieri) :

Saponin reduces oxidative damage to neurons and reduces DHEA in mice model

Cow’s milk:

Cow caseinate –Anti oxidant

CONCLUSION

This is just a modern and classical co-relation of geriatricproblems .By the application of   the described drugs both as nutritional and rejuvenation purpose the Pathologic consequence of aging will decline which will lead to healthy life of older persons

REFERENCES:

1.Ch.Su.4(dr.BrahmanandTripathi).edition-2002              

2. Ch.Su.27 (dr.BrahmanandTripathi) edition-2002

3.Ch.Chi.13&  15 (dr.BrahmanandTripathi) ) edition-2002

4. Ch.Chi.1/1 (dr.BrahmanandTripathi) edition-2002

5.Harrison’s internal medicine(18th edition), vol-1,part-5,page-555.

6.Concise medical physiology by S.K. chaudhuri-6th edition.

7.Researcher Michel Reese Hospital, Chicago

8.DravyaGuna,  part-1 &  part-2 by P.V.Sharma.  

9.  Ganong’s Review of Medical Physiology:-24thedn

10. Guyton and Hall text book of medical physiology:- 12thedn

11. MANUAL  on Geriatric Health Care  Focusing on strength of Ayurveda

12. THE VOYAGE OF TINOSPORA CORDIFOLIA (GUDUCHI) FROM VEDIC TO MODERN ERA: A REVIEW – Dalai Sujit*, MohapatraBrahmanand, DwivediLaxmikant : Asian Journal of Pharmaceutical   Research and Development.

13. Traditional Indian Herbs Convolvulus pluricaulis and Its Medicinal Importance

Journal of Pharmacognosy and Phytochemistry 

14. Amla (Phyllanthusemblica L.)  Enhances iron dialysability:-Institute of Ayurveda and Integrative Medicine, No. 74/2

15. ANTIOXIDATIVE PROPERTY OF COW MILK CASEINATES HYDROLYZED WITH DIFFERENT PROTEASES:International Journal of Pharmacy and Pharmaceutical Sciences.

15. Effect of chyawanprash and vit-c on glucose tolerance and lipoprotein profile:-Deptt. Of Physiology and Pharmacology, AIIMS, New Delhi

16. MD scholar,deptt. of kayachikitsa,Gopabandhuayurvedamahavidyalaya,puri,
Odisha, Mob:9437292457, 9040621125.mail id:[email protected]
Prof. & Head, Deptt.  Of ShariraKriya, Gopabandhuayurvedamahavidyalaya,puri

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