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Effect of Bahirprimarjana Treatment(Taila Abhyanga) in the Management of
Inflammatory Disorders
Dr. Arpit Gupta
PGDPK II yr.
Dr.K.H.H.V.S.S. Narasimha Murthy
Supervisor
Department of Kayachikitsa
Faculty of Ayurveda, IMS,BHU, Varanasi
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InflammationInflammation is part of the complex biological
response of vascular tissues to harmful stimuli, such as
pathogens, damaged cells, or irritants.
This is sequence of specific physiological behaviors
that occur in the response to a non specific agents.
Acts To:
1) Neutralize or destroy offending agent
2) Restricts tissue damage to smallest possible
area3) Alert body to threat of tissue injury
4) Prepares injured area for healing
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Causes of Inflammation Exogenous or Endogenous Trauma
Surgery
Infection
Caustic chemicals
Extremes of heat or cold
Immune responses
Ischemic responses
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Cardinal Signs of Acute Inflammation
Heat Redness Swelling Pain Loss of function
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Inflammation in a Tissue
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Acute Inflammation ComponentsPhysiological Symptoms
Responses
Release of soluble mediators
Vasodilation
Increased blood flow
Extravasation of fluid (permeability)
Cellular influx (chemotaxis)
Elevated cellular metabolism
Heat (calor)
Redness (rubor)
Swelling (tumor)
Pain (dolor)
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Acute Inflammation Components
Physiological SymptomsResponses
Release of soluble mediators
Vasodilation
Increased blood flow
Extravasation of fluid (permeability)
Cellular influx (chemotaxis)
Elevated cellular metabolism
Heat (calor)
Redness (rubor)
Swelling (tumor)
Pain (dolor)
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Acute Inflammation Components
Physiological SymptomsResponses
Release of soluble mediators
Vasodilation
Increased blood flow
Extravasation of fluid (permeability)
Cellular influx (chemotaxis)
Elevated cellular metabolism
Heat (calor)
Redness (rubor)
Swelling (tumor)
Pain (dolor)
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Acute Inflammation Components
Physiological SymptomsResponses
Release of soluble mediators
Vasodilation
Increased blood flow
Extravasation of fluid (permeability)
Cellular influx (chemotaxis)
Elevated cellular metabolism
Heat (calor)
Redness (tubor)
Swelling (tumor)
Pain (dolor)
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Acute Inflammation Components
Physiological Symptoms
Responses
Release of soluble mediators
Vasodilation
Increased blood flow
Extravasation of fluid (permeability)
Cellular influx (chemotaxis)
Elevated cellular metabolism
Heat (calore)
Redness (tubor)
Swelling (tumor)
Pain (dolor)
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Stages of Inflammation
I. Neurological response- sympathetic nervous system,
causes constriction of blood
vessels
II. Vascular response
include triple response
A. Vasodilatation- Of capillaries and arterioles -
Thin red line( 3-50 sec.)
B. Edema - Wheal- Pale, soft, swollen
area(1-5 min.)C. Pain
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Inflammation Outcome - Resolution
Chronic
Inflammation
Acute
Inflammation
Healing
Injury
Abscess
Ulcers
Fistula
Sinus
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Bahirparimarjana Chikitsa
The bahirprimarjana chikitsa areadvocated to clean the body from outsides.Like massage, application of medicated
pastes, or pouring taila, decoction etc overwhole body or affected parts.
Bahirparimarjana procedures areessentially Physiotherapy of Ayurveda.
Keraliya Pancha Karma procedures are amodified form of physiotherapy.
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Bahirparimarjana Procedures Abhyanga
Snehana
Swedana
Seka & pariseka
Lepa
Avagahana
Mardana
Utsadana
Sencana
Dhupana
Gandhana
Massage Therapy
Oliation Therapy
Steam Bath
Pour liquids over body
Paste application
Decoction Bath in a tub
Deep massage
Fomentation
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TAILA ABHYANGA(MASSAGE) UTSADANA
SWEDANA PARISEKA
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MASSAGE
SEKA & SENCANA
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Taila Abhyanga (Massage Therapy)
Abhyanga is the application of oil
to the skin followed by massage in
specific directions.
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Benefits of Abhyanga
Vata hara:- Relive in imbalance of vata i.e. pain
etc
Kapha hara:- Alleviates imbalance of Kapha
dosha i.e. swelling
Abhighata sahyatva:- reduces the effect of trauma
if any
Dhatu pusthi janana:- promotes the excellence ofbody tissue
Pusthikara : nourishes the body tissue
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Mechanism of Abhyanga
Massage
Improves blood circulation
Facilitates removal of toxins from thetissues
Relives physical and mental fatigue
Betters the functioning of the musculo-skeletal system
Clears stiffness and heaviness in the body
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Indications Cranial nerve disorders
Neurological disorders
Ache in any part of body like LBP, Injury,
sport injury, sprain, strain etc
Degenerative joint disorders e.g. OA, RA
etc.
Dermatological disorders e.g. psoriasis,urticria etc.
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Abhyanga - Scientific Studies A study held in 11 persons.
Study held at Buck Institute and published in the February 1stonline edition of Science Translational Medicine.
The men exercised hard, riding a stationary bike until they could
ride no more. After that, one leg got a 10-minute massage. The
researchers compared muscle cells from the two legs at a verydeep level and did biopsy of muscles of that massaged leg after
2.5 hrs.
Research showed that massage dampened the expression of
inflammatory cytokines in the muscle cells and promoted
biogenesis of mitochondria, which are the energy-producing unitsin the cells.
Pain reduction associated with massage may involve the same
mechanism as those targeted by conventional anti-inflammatory
drugs.
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OTHER STUDY
Suppression ofneutrophil accumulation in mice bycutaneous application ofGeranium(P. graveolens)essential oil.
Study published in Journal of Inflammation 2005.
Cutaneous application of essential oils, especiallygeranium oil, can suppress the inflammatorysymptoms with neutrophil accumulation and edema.
Other oils such as Lavender, EucalyptusandTea treeoils also suppressed the activity.
So it is prove that massage may help in reducinginflammation.
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