{"id":2550,"date":"2021-01-08T08:38:05","date_gmt":"2021-01-08T08:38:05","guid":{"rendered":"https:\/\/ayurvedanetworkbhu.com\/?p=2550"},"modified":"2024-09-04T13:36:53","modified_gmt":"2024-09-04T08:06:53","slug":"lecture-on-scope-of-rasayana-in-geriatric-care-part-2-by-dr-mangalagowri-v-rao","status":"publish","type":"post","link":"https:\/\/ayurvedanetworkbhu.com\/?p=2550","title":{"rendered":"Module on &#8220;Jara and Jarajanya Vyadhis: An Analytical Approach&#8221; By- Dr. Mangalagowri V Rao"},"content":{"rendered":"<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/0oowIStKIeY\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><strong>JARA AND JARAJANYA VYADHIS: AN ANALYTICAL APPROACH<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p>Upanishads emphasize on the principle of living for hundred years. In the ancient era the people had a long and healthy life because of their healthy food habits and lifestyle.<\/p>\n<p>\u092a\u0936\u094d\u092f\u0947\u092e \u0936\u0930\u0926\u0903 \u0936\u0924\u092e\u094d \u0964\u0964\u0967\u0964\u0964\u091c\u0940\u0935\u0947\u092e \u0936\u0930\u0926\u0903 \u0936\u0924\u092e\u094d \u0964\u0964\u0968\u0964\u0964 \u092c\u0941\u0927\u094d\u092f\u0947\u092e \u0936\u0930\u0926\u0903 \u0936\u0924\u092e\u094d \u0964\u0964\u0969\u0964\u0964 \u0930\u094b\u0939\u0947\u092e \u0936\u0930\u0926\u0903 \u0936\u0924\u092e\u094d \u0964\u0964\u096a\u0964\u0964<\/p>\n<p>\u092a\u0942\u0937\u0947\u092e \u0936\u0930\u0926\u0903 \u0936\u0924\u092e\u094d \u0964\u0964\u096b\u0964\u0964 (\u0905\u0925\u0930\u094d\u0935\u0935\u0947\u0926, \u0915\u093e\u0923\u094d\u0921 \u0967\u096f, \u0938\u0942\u0915\u094d\u0924 \u096c\u096d)<\/p>\n<p>Even in the classics of Ayurveda, there is reference in our Samhitas about chanting of Raksha mantra in the ears of new born for a long and healthy life. Earlier lot of stress was given to prevent Jara by devoting entire branch Rasayana\/Jara Chikitsa including various types like Naimittika, Ajasrika etc Rasayanas. Presently world is drowning in fierce Psunami of chronic disorders making the life miserable even at an early age, further result in poor quality of life in old age and increasing burden of the society.<\/p>\n<p><strong>Importance of Rasayana<\/strong><\/p>\n<p>\u092f\u0925\u093e\u093d\u092e\u0930\u093e\u0923\u093e\u092e\u092e\u0943\u0924\u0902 \u092f\u0925\u093e \u092d\u094b\u0917\u0935\u0924\u093e\u0902\u0938\u0941\u0927\u093e| \u0924\u0925\u093e\u093d\u092d\u0935\u0928\u094d\u092e\u0939\u0930\u094d\u0937\u0940\u0923\u093e\u0902 \u0930\u0938\u093e\u092f\u0928\u0935\u093f\u0927\u093f\u092a\u0941\u0930\u093e||\u096d\u096e||<\/p>\n<p>\u0928 \u091c\u0930\u093e\u0902 \u0928 \u091a \u0926\u094c\u0930\u094d\u092c\u0932\u094d\u092f\u0902 \u0928\u093e\u0924\u0941\u0930\u094d\u092f\u0902 \u0928\u093f\u0927\u0928\u0902 \u0928 \u091a| \u091c\u0917\u094d\u092e\u0941\u0930\u094d\u0935\u0930\u094d\u0937\u0938\u0939\u0938\u094d\u0930\u093e\u0923\u093f \u0930\u0938\u093e\u092f\u0928\u092a\u0930\u093e\u0903 \u092a\u0941\u0930\u093e||\u096d\u096f||<\/p>\n<p>\u0928 \u0915\u0947\u0935\u0932\u0902 \u0926\u0940\u0930\u094d\u0918\u092e\u093f\u0939\u093e\u092f\u0941\u0930\u0936\u094d\u0928\u0941\u0924\u0947 \u0930\u0938\u093e\u092f\u0928\u0902 \u092f\u094b\u0935\u093f\u0927\u093f\u0935\u0928\u094d\u0928\u093f\u0937\u0947\u0935\u0924\u0947| Cha. Chi 1\/78-79<\/p>\n<p>As the nector is for immortality of <em>amaras, Rasayana <\/em>is nectar for sages in ancient times. By this there is no old age, no weakness, no disease, no death and the sages lived for thousands of years in olden days after consuming <em>Rasayana <\/em>drugs<\/p>\n<p><strong>Definition of Elderly <\/strong><\/p>\n<p>&#8220;Elderly&#8221; was once defined as being age 65 or above, but in the present scenario increasing elderly population has led to increase in active and healthy older people. Hence, it has been re- classified to &#8220;young old&#8221; (65 to 75), &#8220;old old&#8221; (75 to 85), and &#8220;oldest old&#8221; (85 and beyond). Geriatrics is another related term derived Greek word \u2018<em>geron\u2019<\/em> meaning &#8220;old man&#8221; and \u2018<em>iatros\u2019<\/em> meaning &#8220;healer&#8221;. Even though geriatrics is different from gerontology, the study of the aging process. Some consider, &#8220;Geriatrics&#8221; as &#8220;Medical Gerontology&#8221;.<\/p>\n<p><strong>Jara According to Ayurveda<\/strong><\/p>\n<p>xu\u00c9p\u00c9\u00c9\u00ccu\u00c9M\u00fc\u00c9xi\u00c9\u00d1 \u00a4\u00c9\u00d1\u00ceim\u00c9m\u00c9\u00c9x\u00c9\u00c9e\u00c9U\u00c9q\u00c9\u00d7ir\u00c9\u00d1\u00ccl\u00c9S\u00ec\u00c9 m\u00c9\u00ebM\u00d7\u00fci\u00c9r\u00c9\u00c8 i\u00c9\u00e5\u00c5\u00ccm\u00c9 \u00cc\u00b2k\u00c9\u00c9 II x\u00c9\u00d1. x\u00c9\u00d4. 1\/23 II<\/p>\n<p>The natural diseases comprise of hunger, thirst, old age, death, sleep etc. that occur naturally. They are of two types<\/p>\n<p>e\u00c9U\u00c9\u00c5\u00ccm\u00c9 r\u00c9S\u00c9\u00c5M\u00fc\u00c9s\u00c9\u00e5 p\u00c9u\u00c9\u00cci\u00c9 x\u00c9\u00c9 m\u00c9\u00ebM\u00d7\u00fc\u00cci\u00c9r\u00c9\u00c9\u00ef II<\/p>\n<p>Timely or ageing that sets in naturally and untimely or early onset ageing.<\/p>\n<p>M\u00fc\u00c9s\u00c9M\u00d7\u00fci\u00c9\u00c9l\u00c9\u00c9\u00c7 l\u00c9\u00c9\u00e5\u00c5m\u00c9c\u00c9\u00c9U\u00c9\u00e5\u00c5\u00cexi\u00c9 r\u00c9mr\u00c9i\u00c9\u00e6u\u00c9\u00c9\u00cexi\u00c9 p\u00c9\u00c9\u00e5e\u00c9l\u00c9m\u00c9\u00c9l\u00c9Ux\u00c9\u00c9r\u00c9l\u00c9\u00c9\u00ccS\u00cdp\u00c9\u00c8, Air\u00c9\u00celi\u00c9M\u00fc m\u00c9\u00eb\u00cci\u00c9M\u00fc\u00c9U\u00c9\u00e5 u\u00c9\u00c9 II Q\u00fbsW\u00fbh\u00c9 II<\/p>\n<p>There is no treatment for the natural ageing. However untimely or early onset ageing can be managed with diet and Rasayana or rejuvenation therapy.<\/p>\n<p><strong>Physiological changes due to ageing<\/strong><\/p>\n<p>o\u00c9\u00c9sr\u00c9\u00c7 u\u00c9\u00d7\u00ce\u00aezN\u00fb\u00ccu\u00c9q\u00c9\u00e5\u00efk\u00c9\u00c9 iu\u00c9aS\u00d8\u00cc\u00b9 z\u00c9\u00d1\u00a2\u00fc \u00ccu\u00c9\u00a2\u00fcq\u00c9\u00c9\u00e6 I o\u00c9\u00d1\u00ce\u00ae\u00c8 M\u00fcq\u00c9\u00e5\u00ef\u00celS\u00ecr\u00c9\u00c7 c\u00c9\u00e5i\u00c9\u00c9\u00e5 e\u00c9\u00cf\u00ccu\u00c9i\u00c9\u00c7 Sz\u00c9i\u00c9\u00c9\u00e5 W\u00d8\u00fbx\u00c9\u00e5i\u00c9\u00e7 II z\u00c9\u00c9 x\u00c9\u00c7 1\/6\/20II<\/p>\n<p>o\u00c9\u00c9sr\u00c9\u00c9u\u00c9xj\u00c9\u00c9 Sz\u00c9u\u00c9w\u00c9\u00c9\u00efS\u00d2m\u00c9\u00cbU u\u00c9\u00d7\u00ce\u00aeu\u00c9\u00efk\u00c9\u00efl\u00c9\u00c7 \u00cc\u00a7\u00c9\u00c7z\u00c9\u00b2w\u00c9\u00c9\u00efS\u00d2m\u00c9\u00cbU z\u00c9U\u00cfU\u00c7 c\u00c9iu\u00c9\u00c9\u00cbU\u00c7z\u00c9\u00b2U\u00c9w\u00c9\u00c9\u00efS\u00d2m\u00c9\u00cbU q\u00c9\u00e5k\u00c9\u00c9 i\u00c9\u00d1 a\u00c9\u00eb\u00c7j\u00c9\u00c9M\u00fcw\u00c9\u00efh\u00c9x\u00c9\u00c9q\u00c9jr\u00c9\u00ef\u00c3m\u00c9\u00c9 m\u00c9gc\u00c9\u00c9z\u00c9\u00b2w\u00c9\u00c9\u00efS\u00d2m\u00c9\u00cbU iu\u00c9M\u00e7\u00fc x\u00c9\u00c9 z\u00c9\u00e6\u00cdj\u00c9sr\u00c9\u00c3m\u00c9\u00c9 p\u00c9u\u00c9i\u00c9\u00cf\u00cci\u00c9 p\u00c9\u00c9u\u00c9\u00c8 w\u00c9\u00cc\u00b8 u\u00c9w\u00c9\u00c9\u00efS\u00d2m\u00c9\u00cbU S\u00d8\u00cc\u00b9\u00c8 x\u00c9mi\u00c9\u00cci\u00c9u\u00c9w\u00c9\u00c9\u00efS\u00d2m\u00c9\u00cbU \u00ccu\u00c9\u00a2\u00fcq\u00c9\u00c7 i\u00c9\u0160 x\u00c9\u00c9W\u00fbx\u00c9\u00c9\u00ccS\u00c3m\u00c9\u00c7 m\u00c9\u00eb\u00c9\u00a2\u00fcq\u00c9\u00c7 x\u00c9\u00c7el\u00c9q\u00c9\u00e7 l\u00c9u\u00c9\u00cci\u00c9u\u00c9w\u00c9\u00c9\u00efS\u00d2m\u00c9\u00cbU o\u00c9\u00d1\u00ce\u00ae\u00c8 z\u00c9i\u00c9u\u00c9w\u00c9\u00c9\u00efS\u00d2m\u00c9\u00cbU M\u00fcq\u00c9\u00e5\u00ef\u00celS\u00ecr\u00c9q\u00c9\u00e7 Sz\u00c9\u00c9\u00cdk\u00c9M\u00fcz\u00c9i\u00c9u\u00c9w\u00c9\u00c9\u00efS\u00d2m\u00c9\u00cbU c\u00c9\u00e5i\u00c9\u00b6\u00c9\u00e5i\u00c9l\u00c9xj\u00c9\u00c9l\u00c9\u00c7 \u00ccu\u00c9\u00c7zir\u00c9\u00cdk\u00c9M\u00fcz\u00c9i\u00c9\u00c7 m\u00c9Uq\u00c9\u00c9r\u00c9\u00d1q\u00c9\u00efl\u00c9\u00d1e\u00c9\u00c9l\u00c9\u00c9\u00c7 p\u00c9u\u00c9i\u00c9\u00cf\u00cci\u00c9 i\u00c9im\u00c9r\u00c9\u00c9\u00efj\u00c9\u00ef\u00c8<\/p>\n<p>As per Acharya Sarangadhara, there is depletion of one factor in every decade of life. In first decade, there is loss of childhood, second decade growth, third decade lusture, forth decade memory, fifth decade skin i. e onset of wrinkles, sixth decade eye sight, seventh decade shukra, eighth decade valor, ninth decade intelligence or cognition, tenth decade strength of motor organ, eleventh decade energy and twelfth decade life respectively.<\/p>\n<p>m\u00c9gc\u00c9\u00c9z\u00c9i\u00c9 e\u00c9U\u00c9m\u00c9c\u00c9\u00cfr\u00c9q\u00c9\u00c9l\u00c9z\u00c9U\u00cfU k\u00c9\u00c9i\u00c9\u00d4l\u00c9\u00c9\u00c7 \u00a4\u00c9r\u00c9\u00c7 r\u00c9\u00c9\u00cci\u00c9 z\u00c9l\u00c9\u00e6\u00c8 C\u00cci\u00c9 II x\u00c9\u00d1. x\u00c9\u00d4. 3\/ 11 Q\u00fbsW\u00fbh\u00c9 II<\/p>\n<p>Acharya Sushruta, opines that due to the impact of ageing there is gradual depletion of Dhatus and body.<\/p>\n<p><strong><em>Vatavriddhi <\/em><\/strong>in old age also leads to <strong>various <em>dhatukshaya <\/em><\/strong>as per <em>Ayurveda<\/em>. The <strong><em>Rasakshaya <\/em><\/strong>can be related to dehydration as a symptom due to decreased renin activity and aldosterone secretion, relative renal resistance to vasopressin, changes in functional status, delirium and dementia, medication side effects, and mobility disorders and dehydration risk increases because of the kidney&#8217;s decreased ability to concentrate urine, altered thirst sensation.<\/p>\n<p>The <strong><em>Mamsa kshaya <\/em><\/strong>can be compared with body composition changes as fat replaces muscle, in a process called sarcopenia in aged people. Research shows that exercise, particularly weight training, slows down this process. Because of the decrease in lean body mass, basal metabolic rate (BMR) declines about 5% per decade during adulthood. Total caloric needs drop, and lowered protein reserves slow the body&#8217;s ability to respond to injury or surgery. Body water decreases along with the decline in lean body mass.<\/p>\n<p>S\u00c9\u00e6o\u00c9\u00efsr\u00c9\u00c7 i\u00c9\u00d1 xu\u00c9p\u00c9\u00c9u\u00c9S\u00c9\u00e5w\u00c9e\u00c9U\u00c9\u00ccS\u00cdp\u00c9Uu\u00c9\u00e5\u00cd\u00a4\u00c9i\u00c9ur\u00c9\u00c7 II x\u00c9\u00d1. x\u00c9\u00d4. 35\/35 II<\/p>\n<p>Further, there is weakness naturally due to the process of ageing. Due to Vatavriddhi there is Asthikshaya. <strong><em>Asthikshaya <\/em><\/strong><strong>can be compared <\/strong>with the Bone Mass Decreases due to ageing. Approximately 3%-5% bone mass decrease for each decade beginning at the age of 40. Further leading to Osteoporosis and increased chances of bone fractures.<\/p>\n<p><strong><em>Indriya<\/em><\/strong><strong> <em>daurbalya <\/em><\/strong>(weakness of sense organs) is again a feature of <em>Jara<\/em>. The researches show that the production of saliva is reduced, and taste buds decrease in size and number. The anterior taste buds, which are for sweet and salt, are affected first, whereas the posterior taste buds, for bitter and sour, are affected later. Therefore, older adults become more sensitive to bitter or sour flavors and less sensitive to sweet and salty flavors. These changes in the taste buds start at about age 70 on the average. The ability to smell usually decreases with age, the diminished senses of smell and taste may decrease the pleasure of eating. The changes in taste are variable and may be associated with lifelong cigarette smoking, poor dental hygiene, and disease.<\/p>\n<p><strong>Causes for depletion during Jara<\/strong><\/p>\n<p>x\u00c9 Lu\u00c9\u00c9\u00b3\u00c9Ux\u00c9\u00c9\u00e5 u\u00c9\u00d7\u00ae\u00c9l\u00c9\u00c9\u00c7 m\u00c9\u00cbUm\u00c9Yu\u00c9z\u00c9U\u00cfUiu\u00c9\u00c9Sm\u00c9\u00eb\u00cfh\u00c9l\u00c9\u00c9\u00e5 p\u00c9u\u00c9\u00cci\u00c9. x\u00c9\u00d1. x\u00c9\u00d4. 14\/ 19<\/p>\n<p>x\u00c9 Lu\u00c9\u00c9\u00b3\u00c9Ux\u00c9 C\u00cci\u00c9 Az\u00c9\u00e5w\u00c9 k\u00c9\u00c9i\u00c9\u00d1 m\u00c9\u00c9\u00e5w\u00c9M\u00fc\u00c5\u00ccm\u00c9 u\u00c9\u00d7\u00ae\u00c9l\u00c9\u00c9q\u00c9m\u00c9\u00eb\u00cfh\u00c9l\u00c9 Dw\u00c9i\u00c9\u00e7 m\u00c9\u00eb\u00cfh\u00c9l\u00c9\u00c9\u00e5 p\u00c9u\u00c9\u00cci\u00c9 e\u00c9\u00cfu\u00c9l\u00c9q\u00c9\u00c9\u00a7\u00c9\u00c7 M\u00fc\u00cbU\u00cci\u00c9ir\u00c9j\u00c9\u00ef: M\u00d1\u00fci\u00c9\u00c8 m\u00c9\u00cbUm\u00c9Yu\u00c9 z\u00c9U\u00cfUiu\u00c9\u00c9i\u00c9\u00e7 Q\u00fbsW\u00fbh\u00c9<\/p>\n<p><em>Acharya Sushruta <\/em>mentions about the <strong>impaired absorption of <em>ahara rasa <\/em><\/strong>in elderly people. Researches also show decreased absorption of nutrients like iron and calcium due to reduced secretion of hydrochloric acid to aid in digestion. Absorption of vitamin B12 is reduced due to decreased intrinsic factor. Decreased levels of production of gastric hydrochloric acid (HCl), intrinsic factor, and digestive enzymes results in a decrease in the primary building blocks needed for healing i.e. proteins, fats, and complex carbohydrates. This dysfunctional state also affects the body\u2019s ability to absorb essential vitamins and minerals.<\/p>\n<p><strong>Agni in Jaravastha<\/strong><\/p>\n<p>\u00c9\u00aa\u00c9\u00c9\u00e4\u00bd\u00fd\u00c9\u00e4\u00ae\u00c9\u00caj\u00c9\u00a6\u00c9\u00d6H\u00fa\u00c9x\u00c9\u00c9\u00c6 i\u00c9\u00e4%xi\u00c9\u00a8\u00c9v\u00aa\u00c9\u00c9\u00can\u00fcM\u00c9\u00c9&amp; G\u00fa\u00a8\u00c9\u00c9i\u00c9\u00c2* i\u00c9\u00e8\u00a6\u00c9\u00c7\u00b4\u00c9\u00e4\u00cau\u00fc\u00b9\u00c9\u00a8\u00c9\u00bai\u00c9\u00d2Ih\u00c9\u00c9\u00e4 \u00a8\u00c9xn\u00fc\u00f5\u00c9\u00c9\u00caM\u00c9\u00ed&amp; \u00ba\u00c9\u00a8\u00c9\u00e8&amp; \u00ba\u00c9\u00a8\u00c9&amp;**8** Ashtanga Hridaya<\/p>\n<p>One of the causes for depletion during <em>Jara <\/em>is considered as <strong><em>Vishamagni<\/em>. <\/strong>As per modern researches also GI Motility decreases with age leading to constipation and gastro-intestinal distress, the patient may have feeling of fullness and eat less. Decreased gastric and pancreatic secretion inhibits fat and protein digestion. There is a decrease in glucose tolerance.<\/p>\n<p><strong>Relation between Agni and Jara<\/strong><\/p>\n<p>\u0906\u092f\u0941\u0930\u094d\u0935\u0930\u094d\u0923\u094b \u092c\u0932\u0902 \u0938\u094d\u0935\u093e\u0938\u094d\u0925\u094d\u092f\u092e\u0941\u0924\u094d\u0938\u093e\u0939\u094b\u092a\u091a\u092f\u094c \u092a\u094d\u0930\u092d\u093e| \u0913\u091c\u0938\u094d\u0924\u0947\u091c\u094b\u093d\u0917\u094d\u0928\u092f\u0903 \u092a\u094d\u0930\u093e\u0923\u093e\u0936\u094d\u091a\u094b\u0915\u094d\u0924\u093e \u0926\u0947\u0939\u093e\u0917\u094d\u0928\u093f\u0939\u0947\u0924\u0941\u0915\u093e\u0903||\u0969|| \u0936\u093e\u0928\u094d\u0924\u0947\u093d\u0917\u094d\u0928\u094c \u092e\u094d\u0930\u093f\u092f\u0924\u0947, \u092f\u0941\u0915\u094d\u0924\u0947 \u091a\u093f\u0930\u0902 \u091c\u0940\u0935\u0924\u094d\u092f\u0928\u093e\u092e\u092f\u0903| \u0930\u094b\u0917\u0940 \u0938\u094d\u092f\u093e\u0926\u094d\u0935\u093f\u0915\u0943\u0924\u0947, \u092e\u0942\u0932\u092e\u0917\u094d\u0928\u093f\u0938\u094d\u0924\u0938\u094d\u092e\u093e\u0928\u094d\u0928\u093f\u0930\u0941\u091a\u094d\u092f\u0924\u0947||\u096a|| \u092f\u0926\u0928\u094d\u0928\u0902 \u0926\u0947\u0939\u0927\u093e\u0924\u094d\u0935\u094b\u091c\u094b\u092c\u0932\u0935\u0930\u094d\u0923\u093e\u0926\u093f\u092a\u094b\u0937\u0915\u092e\u094d| \u0924\u0924\u094d\u0930\u093e\u0917\u094d\u0928\u093f\u0930\u094d\u0939\u0947\u0924\u0941\u0930\u093e\u0939\u093e\u0930\u093e\u0928\u094d\u0928 \u0939\u094d\u092f\u092a\u0915\u094d\u0935\u093e\u0926\u094d\u0930\u0938\u093e\u0926\u092f\u0903||\u096b|| \u0905\u0928\u094d\u0928\u092e\u093e\u0926\u093e\u0928\u0915\u0930\u094d\u092e\u093e \u0924\u0941 \u092a\u094d\u0930\u093e\u0923\u0903 \u0915\u094b\u0937\u094d\u0920\u0902 \u092a\u094d\u0930\u0915\u0930\u094d\u0937\u0924\u093f| \u0924\u0926\u094d\u0926\u094d\u0930\u0935\u0948\u0930\u094d\u092d\u093f\u0928\u094d\u0928\u0938\u0919\u094d\u0918\u093e\u0924\u0902 \u0938\u094d\u0928\u0947\u0939\u0947\u0928 \u092e\u0943\u0926\u0941\u0924\u093e\u0902 \u0917\u0924\u092e\u094d||\u096c|| \u0938\u092e\u093e\u0928\u0947\u0928\u093e\u0935\u0927\u0942\u0924\u094b\u093d\u0917\u094d\u0928\u093f\u0930\u0941\u0926\u0930\u094d\u092f\u0903 \u092a\u0935\u0928\u094b\u0926\u094d\u0935\u0939\u0903| \u0915\u093e\u0932\u0947 \u092d\u0941\u0915\u094d\u0924\u0902 \u0938\u092e\u0902 \u0938\u092e\u094d\u092f\u0915\u094d \u092a\u091a\u0924\u094d\u092f\u093e\u092f\u0941\u0930\u094d\u0935\u093f\u0935\u0943\u0926\u094d\u0927\u092f\u0947||\u096d|| Cha. Chi. 15\/3-7<\/p>\n<p>The person will be endowed with longevity, complexion, strength, health, enthusiasm, lusture, ojas, temperature, life, are all dependent on Agni. If Agni becomes completely subdued, it results in death. If it is in good state leads to long life devoid of illness. If Agni gets vitiated it leads to disease. The ingested food is digested and nourishes the bdy after getting transformed into body tissue, ojas, strength and complexion. The food is brought to Koshtha by the help of Pranavata and gets broken down into smaller units and fats get digested in presence of Agni kindled by the Samana Vata. The timely consumed food gets digested well and leads to growth.<\/p>\n<p><strong>Pachakagni the leader of Agnis<\/strong><\/p>\n<p>\u0905\u0928\u094d\u0928\u0938\u094d\u092f \u092a\u0915\u094d\u0924\u093e \u0938\u0930\u094d\u0935\u0947\u0937\u093e\u0902 \u092a\u0915\u094d\u0924\u0944\u0923\u093e\u092e\u0927\u093f\u092a\u094b \u092e\u0924\u0903| \u0924\u0928\u094d\u092e\u0942\u0932\u093e\u0938\u094d\u0924\u0947 \u0939\u093f \u0924\u0926\u094d\u0935\u0943\u0926\u094d\u0927\u093f\u0915\u094d\u0937\u092f\u0935\u0943\u0926\u094d\u0927\u093f\u0915\u094d\u0937\u092f\u093e\u0924\u094d\u092e\u0915\u093e\u0903||\u0969\u096f||\u00a0 \u0924\u0938\u094d\u092e\u093e\u0924\u094d\u0924\u0902 \u0935\u093f\u0927\u093f\u0935\u0926\u094d\u092f\u0941\u0915\u094d\u0924\u0948\u0930\u0928\u094d\u0928\u092a\u093e\u0928\u0947\u0928\u094d\u0927\u0928\u0948\u0930\u094d\u0939\u093f\u0924\u0948\u0903| \u092a\u093e\u0932\u092f\u0947\u0924\u094d \u092a\u094d\u0930\u092f\u0924\u0938\u094d\u0924\u0938\u094d\u092f \u0938\u094d\u0925\u093f\u0924\u094c \u0939\u094d\u092f\u092f\u0941\u0930\u094d\u092c\u0932\u0938\u094d\u0925\u093f\u0924\u093f\u0903||\u096a\u0966|| Cha. Chi. 15\/39-40<\/p>\n<p>Always the Jatharagni is the most important Agni. It is responsible for growth and depletion in the body. Hence, it should be maintained by means of intake of proper solid and liquid food as mentioned in the classics to promote strength and longevity.<\/p>\n<p><strong>Agni in Jaravastha<\/strong><\/p>\n<p>\u0926\u0947\u0936\u0915\u093e\u0932\u0930\u094d\u0924\u0941\u0935\u0948\u0937\u092e\u094d\u092f\u093e\u0926\u094d\u0935\u0947\u0917\u093e\u0928\u093e\u0902 \u091a \u0935\u093f\u0927\u093e\u0930\u0923\u093e\u0924\u094d||\u096a\u0969|| \u0926\u0941\u0937\u094d\u092f\u0924\u094d\u092f\u0917\u094d\u0928\u093f\u0903, \u0938 \u0926\u0941\u0937\u094d\u091f\u094b\u093d\u0928\u094d\u0928\u0902 \u0928 \u0924\u0924\u094d \u092a\u091a\u0924\u093f \u0932\u0918\u094d\u0935\u092a\u093f| \u0905\u092a\u091a\u094d\u092f\u092e\u093e\u0928\u0902 \u0936\u0941\u0915\u094d\u0924\u0924\u094d\u0935\u0902 \u092f\u093e\u0924\u094d\u092f\u0928\u094d\u0928\u0902 \u0935\u093f\u0937\u0930\u0942\u092a\u0924\u093e\u092e\u094d ||\u096a\u096a||<\/p>\n<p>The Agni gets deranged due to the consumption of food neglecting the factors like place, time, season, age, and suppression of natural urges. The deranged Agni, does not digest even the light food, and food gets fermented and gets transformed in to endotoxin.<\/p>\n<p><strong>Common geriatric ailments as per Ayurveda<\/strong><\/p>\n<p>\u091c\u0930\u093e\u0936\u094b\u0937\u0940 \u0915\u0943\u0936\u094b \u092e\u0928\u094d\u0926\u0935\u0940\u0930\u094d\u092f\u092c\u0941\u0926\u094d\u0927\u093f\u092c\u0932\u0947\u0928\u094d\u0926\u094d\u0930\u093f\u092f\u0903 | \u0915\u092e\u094d\u092a\u0928\u094b\u093d\u0930\u0941\u091a\u093f\u092e\u093e\u0928\u094d [\u0967] \u092d\u093f\u0928\u094d\u0928\u0915\u093e\u0902\u0938\u094d\u092f\u092a\u093e\u0924\u094d\u0930\u0939\u0924\u0938\u094d\u0935\u0930\u0903(\u0928\u0903) ||\u0967\u096f||<\/p>\n<p>\u0937\u094d\u0920\u0940\u0935\u0924\u093f \u0936\u094d\u0932\u0947\u0937\u094d\u092e\u0923\u093e \u0939\u0940\u0928\u0902 \u0917\u094c\u0930\u0935\u093e\u0930\u0941\u091a\u093f\u092a\u0940\u0921\u093f\u0924\u0903 | \u0938\u092e\u094d\u092a\u094d\u0930\u0938\u094d\u0930\u0941\u0924\u093e\u0938\u094d\u092f\u0928\u093e\u0938\u093e\u0915\u094d\u0937\u0903 \u0938\u0941\u092a\u094d\u0924\u0930\u0942\u0915\u094d\u0937\u092e\u0932\u091a\u094d\u091b\u0935\u093f\u0903 || Su. U. 41\/19-20||<\/p>\n<p>The individual suffering from emaciation due to ageing is also afflicted with loss of strength, cognitive, sensory and motor functions, tremors, anorexia, sound simulating the striking of bronze vessel, expectoration of Kapha, and heaviness of the body, nausea, watering of eyes, numbness and dry lustreless look.<\/p>\n<p>\u0915\u094d\u0932\u0948\u092c\u094d\u092f\u0902 \u091c\u0930\u093e\u0938\u092e\u094d\u092d\u0935\u0902 \u0939\u093f \u092a\u094d\u0930\u0935\u0915\u094d\u0937\u094d\u092f\u093e\u092e\u094d\u092f\u0925 \u0924\u091a\u094d\u091b\u0943\u0923\u0941 ||\u0967\u096d\u096c||<\/p>\n<p>\u091c\u0918\u0928\u094d\u092f\u092e\u0927\u094d\u092f\u092a\u094d\u0930\u0935\u0930\u0902 \u0935\u092f\u0938\u094d\u0924\u094d\u0930\u093f\u0935\u093f\u0927\u092e\u0941\u091a\u094d\u092f\u0924\u0947 | \u0905\u0924\u093f\u092a\u094d\u0930\u0935\u092f\u0938\u093e\u0902 \u0936\u0941\u0915\u094d\u0930\u0902 \u092a\u094d\u0930\u093e\u092f\u0936\u0903 \u0915\u094d\u0937\u0940\u092f\u0924\u0947 \u0928\u0943\u0923\u093e\u092e\u094d ||\u0967\u096d\u096d||<\/p>\n<p>\u0930\u0938\u093e\u0926\u0940\u0928\u093e\u0902 \u0938\u0919\u094d\u0915\u094d\u0937\u092f\u093e\u091a\u094d\u091a \u0924\u0925\u0948\u0935\u093e\u0935\u0943\u0937\u094d\u092f\u0938\u0947\u0935\u0928\u093e\u0924\u094d | \u092c\u0932\u0935\u0940\u0930\u094d\u092f\u0947\u0928\u094d\u0926\u094d\u0930\u093f\u092f\u093e\u0923\u093e\u0902 \u091a \u0915\u094d\u0930\u092e\u0947\u0923\u0948\u0935 \u092a\u0930\u093f\u0915\u094d\u0937\u092f\u093e\u0924\u094d ||\u0967\u096d\u096e||<\/p>\n<p>\u092a\u0930\u093f\u0915\u094d\u0937\u092f\u093e\u0926\u093e\u092f\u0941\u0937\u0936\u094d\u091a\u093e\u092a\u094d\u092f\u0928\u093e\u0939\u093e\u0930\u093e\u091a\u094d\u091b\u094d\u0930\u092e\u093e\u0924\u094d \u0915\u094d\u0932\u092e\u093e\u0924\u094d | \u091c\u0930\u093e\u0938\u092e\u094d\u092d\u0935\u091c\u0902 \u0915\u094d\u0932\u0948\u092c\u094d\u092f\u092e\u093f\u0924\u094d\u092f\u0947\u0924\u0948\u0930\u094d\u0939\u0947\u0924\u0941\u092d\u093f\u0930\u094d\u0928\u0943\u0923\u093e\u092e\u094d ||\u0967\u096d\u096f||<\/p>\n<p>\u091c\u093e\u092f\u0924\u0947 \u0924\u0947\u0928 \u0938\u094b\u093d\u0924\u094d\u092f\u0930\u094d\u0925\u0902 \u0915\u094d\u0937\u0940\u0923\u0927\u093e\u0924\u0941\u0903 \u0938\u0941\u0926\u0941\u0930\u094d\u092c\u0932\u0903 | \u0935\u093f\u0935\u0930\u094d\u0923\u094b \u0926\u0941\u0930\u094d\u092c\u0932\u094b \u0926\u0940\u0928\u0903 \u0915\u094d\u0937\u093f\u092a\u094d\u0930\u0902 \u0935\u094d\u092f\u093e\u0927\u093f\u092e\u0925\u093e\u0936\u094d\u0928\u0941\u0924\u0947 ||\u0967\u096e\u0966||<\/p>\n<p>\u090f\u0924\u091c\u094d\u091c\u0930\u093e\u0938\u092e\u094d\u092d\u0935\u0902 \u0939\u093f &#8230; |\u0967\u096e\u0967| Cha. Chi 30\/177-180<\/p>\n<p>The erectile dysfunction and loss of libido occurs in males and females respectively with the advancement of age. The age is classified into three namely Jaghanya (early), Madhya (middle) and Pravara (elder). Generally, reduction of Shukra sets in among elderly due to Rasadi Dhatu Kshaya and intake of Avrishya diet. Gradually depletion of strength, potency, senses, longevity, due to malnutrition, physical exertion, mental tiredness, ultimately resulting in Klaibya in old age. There is also excessive depletion of Dhatus and the elderly suffers from weakness, loss of lusture, loss of energy and gets afflicted disease easily.<\/p>\n<p>\u0938\u094d\u0925\u0935\u093f\u0930\u093e\u0923\u093e\u0902 \u091c\u0930\u093e\u0915\u093e\u0938\u0903 \u0938\u0930\u094d\u0935\u094b \u092f\u093e\u092a\u094d\u092f\u0903 \u092a\u094d\u0930\u0915\u0940\u0930\u094d\u0924\u093f\u0924\u0903 || Cha. Chi. 18\/30 ||<\/p>\n<p>The cough becomes incurable in elderly people.<\/p>\n<p><strong>Various health problems due to <em>Vatavriddhi<\/em><\/strong><\/p>\n<p><em>Sandhigatavata <\/em>(Rheumatic diseases e.g., osteoarthritis, rheumatoid arthritis, temporal arteritis\/polymyalgia rheumatic), <em>Pakshaghata <\/em>(Neurologic diseases like stroke and transient ischemic attack,), <em>Vatavyadhi <\/em>(dizziness\/syncope, body pain etc.) , <em>Raktagata vata, Kampavata <\/em>(Parkinson&#8217;s disease), as the age advances, Dementia immobility and gait disturbances, hearing and visual impairment Psychiatric diseases (e.g., depression), anxiety disorders, depression, elder abuse and neglect, suicide.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Multiple Choice questions<\/strong><\/p>\n<ol>\n<li>\u2018\u2026\u2026\u2026\u2026\u2026..\u092e\u094d\u0930\u093f\u092f\u0924\u0947, \u092f\u0941\u0915\u094d\u0924\u0947 \u091a\u093f\u0930\u0902 \u091c\u0940\u0935\u0924\u094d\u092f\u0928\u093e\u092e\u092f\u0903\u2019 the first word of this verse given in Charaka Samhita is<\/li>\n<li>\u0936\u093e\u0928\u094d\u0924\u0947\u093d\u0917\u094d\u0928\u094c<\/li>\n<li>\u092e\u0942\u0932\u092e\u0917\u094d\u0928\u093f<\/li>\n<li>\u0926\u0947\u0939\u093e\u0917\u094d\u0928\u093f<\/li>\n<li>\u0913\u091c\u0938\u094d\u0924\u0947\u091c\u094b\u093d\u0917\u094d\u0928\u092f\u0903<\/li>\n<li>Choose the right statement about stage of life and physiological predominance of Dosha<\/li>\n<li>Balyavastha\/ childhood \u2013 Pitta<\/li>\n<li>Yuva avastha\/ young age \u2013 Kapha<\/li>\n<li>Vriddha avstha\/ old age \u2013 Vata<\/li>\n<li>Vriddha avastha\/ old age \u2013 Kapha<\/li>\n<li>According to ayurveda Jara is-<\/li>\n<li>Swabhava bala privritta vyadhi<\/li>\n<li>Aadhyatmik vyadhi<\/li>\n<li>Aadhibhautik vyadhi<\/li>\n<li>Dev bala bala privritta vyadhi<\/li>\n<li>According to Acharya Sushruta gradual Dhatu Kshaya sets in by<\/li>\n<li>More than 60 years<\/li>\n<li>More than 50 years<\/li>\n<li>More than 40 years<\/li>\n<li>More than 70 years<\/li>\n<li>According to Acharya Sharngadhara, the diminution in vision occurs-<\/li>\n<li>After 40 years<\/li>\n<li>After 50 years<\/li>\n<li>After 60 years<\/li>\n<li>After 70 years<\/li>\n<li>In the old age group, what will be the suitable diet plan<\/li>\n<li>Vata Nashaka and Dhatu Poshaka<\/li>\n<li>Vata Vriddhikara and Dhatu Poshaka<\/li>\n<li>Pittahara and Dhatuhrasaka<\/li>\n<li>Guru, Santarpana and Agnimandyakara<\/li>\n<li>Geriatric health care includes which components among the following<\/li>\n<li>Rasayana therapy<\/li>\n<li>Satvavajay chikitsa\/ counselling<\/li>\n<li>Diet and Yoga<\/li>\n<li>All the above<\/li>\n<li>Generally the status of Agni during old age is \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.<\/li>\n<li>Vishamagni<\/li>\n<li>Mandagni<\/li>\n<li>Tikshnagni<\/li>\n<li>Samagni<\/li>\n<li>According to Acharya Charaka the Kasa in old age is \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..<\/li>\n<li>Sukha Sadhya<\/li>\n<li>Kashta Sadhya<\/li>\n<li>Yapya<\/li>\n<li>None of the above<\/li>\n<li>According to Ayurveda, during Jaravastha following changes occur<\/li>\n<li>The impaired absorption of Ahara Rasa<\/li>\n<li>Asthi Dhatu Kshaya<\/li>\n<li>Functional loss of sense organs<\/li>\n<li>All the above<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><strong>Answer Keys <\/strong><\/p>\n<ol>\n<li>A<\/li>\n<li>C<\/li>\n<li>A<\/li>\n<li>B<\/li>\n<li>C<\/li>\n<li>A<\/li>\n<li>D<\/li>\n<li>A<\/li>\n<li>C<\/li>\n<li>D<\/li>\n<\/ol>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Links for further Reading<\/strong><\/p>\n<ol>\n<li><a href=\"http:\/\/www.naturalmedicineoc.com\/Reading%20Corner%20-%20Geriatric%20Care.htm\">http:\/\/www.naturalmedicineoc.com\/Reading%20Corner%20-%20Geriatric%20Care.htm<\/a> (Geriatric Care)<\/li>\n<li>20Corner%20-%20Geriatric%20Care.htm\u00a0 (<em>Geriatric Nutrition: <\/em>Encyclopedia of Nursing and Allied Health)<\/li>\n<\/ol>\n<ol start=\"3\">\n<li><a href=\"http:\/\/www.drabelson.com\/Geriatric.html\">http:\/\/<\/a><a href=\"http:\/\/www.drabelson.com\/Geriatric.html\">drabelson.com\/Geriatric.html<\/a> (Nutritional Support For Common Geriatric Conditions)<\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12002816\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/12002816\/<\/a> (Role of saliva in the maintenance of taste sensitivity)<\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4791473\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4791473\/<\/a> (The National Osteoporosis Foundation\u2019s position statement on peak bone mass development and lifestyle factors: a systematic review and implementation recommendations)<\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7327232\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7327232\/<\/a> (The Physiology of the Gastric Parietal Cell)<\/li>\n<\/ol>\n<ol>\n<li><a href=\"https:\/\/academic.oup.com\/jcem\/article\/86\/12\/5830\/2849366\">https:\/\/academic.oup.com\/jcem\/article\/86\/12\/5830\/2849366<\/a> (Effect of Exogenous Cholecystokinin (CCK)-8 on Food Intake and Plasma CCK, Leptin, and Insulin Concentrations in Older and Young Adults: Evidence for Increased CCK Activity as a Cause of the Anorexia of Aging)<\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6442923\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6442923\/<\/a> (Sarcopenia: Aging-Related Loss of Muscle Mass and Function)<\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3731607\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3731607\/<\/a> (Translational physiology: from molecules to public health)<\/li>\n<li><a href=\"http:\/\/medicaljournals.stmjournals.in\/index.php\/JoAYUSH\/article\/view\/1873\">http:\/\/medicaljournals.stmjournals.in\/index.php\/JoAYUSH\/article\/view\/1873<\/a> (Critical Study on Ahara with Special Reference to Geriatrics)<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>JARA AND JARAJANYA VYADHIS: AN ANALYTICAL APPROACH \u00a0 Upanishads emphasize on the principle of living for hundred years. In the ancient era the people had a long and healthy life because of their healthy food habits and lifestyle. \u092a\u0936\u094d\u092f\u0947\u092e \u0936\u0930\u0926\u0903 \u0936\u0924\u092e\u094d \u0964\u0964\u0967\u0964\u0964\u091c\u0940\u0935\u0947\u092e \u0936\u0930\u0926\u0903 \u0936\u0924\u092e\u094d \u0964\u0964\u0968\u0964\u0964 \u092c\u0941\u0927\u094d\u092f\u0947\u092e \u0936\u0930\u0926\u0903 \u0936\u0924\u092e\u094d \u0964\u0964\u0969\u0964\u0964 \u0930\u094b\u0939\u0947\u092e \u0936\u0930\u0926\u0903 \u0936\u0924\u092e\u094d \u0964\u0964\u096a\u0964\u0964 \u092a\u0942\u0937\u0947\u092e \u0936\u0930\u0926\u0903 [&hellip;]<\/p>\n","protected":false},"author":20,"featured_media":3187,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"video","meta":{"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[116,97,42,54],"tags":[],"class_list":["post-2550","post","type-post","status-publish","format-video","has-post-thumbnail","hentry","category-complete-module","category-dr-mangalagowri-v-rao","category-rasa-shastra","category-videos","post_format-post-format-video"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"JARA AND JARAJANYA VYADHIS: AN ANALYTICAL APPROACH Upanishads emphasize on the principle of living for hundred years. 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