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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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