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3/22/13

StressManagement

The AyurvedicWay

DR.GAURANG JOSHIDR.BHAVNA JOSHIMedical Directors,Atharva Multispeciality AyurvedaHospital,

Rajkot,Gujarat,India.

http://www.ayurvedindia.inhttp://www.atharvaayurveda.co

mhttp://www.ayurvedacancercare

v Multi Specialty AyurvedaHospital

v Cancer Research Center

v Panchakarma & Skin Care

Hospital



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असतो मा सदगमय तमसो मा जियोतग र मय

मृ यो् मा अमृ तं गमय

ॐ शािं त : शांि त : शांि त :

Asato maa sadgamaya Tamaso maa jyotirgamayaM ityor maa am itamṛ ṛ

gamaya

Om shaanti shaantiḥ ḥshaantiḥ

“From the unreal, lead us to theReal; from darkness, lead usunto Light; from death, lead usto Immortality. Om peace,peace, peace.”



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What Is Stress?

• Modern life is full of hassles,deadlines, frustrations, anddemands. For many people, stress is

so commonplace that it has becomea way of life. Stress isn’t always bad.In small doses, it can help you

perform under pressure and motivateyou to do your best. But when you’reconstantly running in emergencymode, your mind and body pay theprice.



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What Is Stress?

• Stress is a normal physical responseto events that make you feelthreatened or upset your balance in

some way. When you sense danger –whether it’s real or imagined – thebody's defenses kick into high gear in

a rapid, automatic process known asthe “fight-or-flight” reaction, orthe stress response.

•

The stress response is the body’s



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What Is Stress?

• The stress response also helps yourise to meet challenges. Stress iswhat keeps you on your toes during a

presentation at work, sharpens yourconcentration when you’reattempting the game-winning free

throw, or drives you to study for anexam when you'd rather be watching

TV.

•

But beyond a certain point, stress



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ow o you respon ostress?

• It’s important to learn how torecognize when your stress levels areout of control. The most dangerous

thing about stress is how easily it cancreep up on you. You get used to it. Itstarts to feels familiar even normal.

You don’t notice how much it’saffecting you, even as it takes aheavy toll.

The signs and symptoms of stressoverload can be almost anything.



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e o y s ressResponse

• When you perceive a threat, yournervous system responds byreleasing a flood of stress hormones,

including adrenaline and cortisol. These hormones rouse the body for

emergency action.

• Your heart pounds faster, musclestighten, blood pressure rises, breathquickens, and your senses become

sharper. These physical changes



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gns an symp oms ostress overload

1. Cognitive Symptoms

• Memory problems

•

Inability to concentrate• Poor judgment

• Seeing only the negative

• Anxious or racing thoughts

• Constant worrying



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Signs and symptoms of stress overload

2. Emotional Symptoms

• Moodiness

•

Irritability or short temper• Agitation, inability to relax

• Feeling overwhelmed

• Sense of loneliness and isolation

• Depression or general unhappiness



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3. Physical Symptoms

• Aches and pains

•

Diarrhea or constipation• Nausea, dizziness

• Chest pain, rapid heartbeat

• Loss of sex drive

• Frequent colds



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4. Behavioral Symptoms

• Eating more or less

•

Sleeping too much or too little• Isolating yourself from others

• Procrastinating or neglecting

responsibilities

• Using alcohol, cigarettes, or drugs torelax

•



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Causes of stress

1. Common external causes of stress

•

Major life changes• Work

• Relationship difficulties

• Financial problems

• Being too busy

•

Children and family



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Causes Of Stress

2. Common internal causes of stress

•

Inability to accept uncertainty• Pessimism

• Negative self-talk

• Unrealistic expectations

• Perfectionism

•

Lack of assertiveness



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Effects of chronic stress

• The body doesn’t distinguishbetween physical and psychologicalthreats. When you’re stressed over a

busy schedule, an argument with afriend, a traffic jam, or a mountain of bills, your body reacts just as

strongly as if you were facing a life-or-death situation. If you have a lot of responsibilities and worries, youremergency stress response may be“on” most of the time. The more your



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are cause orexacerbated by stress,

including• Pain of any kind

• Heart disease

•

Digestive problems• Sleep problems

• Depression

• Obesity

• Autoimmune diseases

•

Skin conditions, such as eczema,



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Stress Management

• What is stress management ?

• Treatment of depression by westernpsychiatry has several shortcomingsviewed from the eastern point of view. Most medications for majordepression have strong side effects.

No effective treatment exists forpeople who are just feelingtemporarily low. There are no ways to

prevent depression from the



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Stress Management

• Western antidepressant medicationstypically require a minimum of threeweeks to take effect. Ayurvedic

treatments, though gentler, begin toproduce results more quickly, withina few days or even a few hours. The

two treatments are compatible. (If you use the herbal treatmentsprescribed in Ayurveda, make surethat there is no interaction with theantidepressants and check with your



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Stress Management

• What type of causes of depression From AyurvedicPerspective ?

• From the standpoint of Ayurvedathere are two main causes of depression.An imbalance in the three

doshas, Vata, Pitta, and Kapha.• A lack of awareness of one's deeper,

inner Self.



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Stress ManagementAyurvedic Perspective

• From the Ayurvedic point of view,most depression is a kaphaimbalance that is the culmination of

vata and then pitta going out of balance. Initially the brain'selectrochemistry has an erratic

overreaction (vata imbalance), whichtriggers a loss of enzymatic activityin the metabolism (pitta imbalance).Kapha responds by trying to glueeverything down, bringing about



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• Sometimes depression is a pittadisorder. Allergies and the breakdownin metabolic processes they lead to

can also disturb brain chemistry. Thiscan cause dramatic mood swings,with depression as one of the

consequences. Vata imbalance alsocan cause depression



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• Ayurvedic Body-Type Treatments forDepression

• The treatment is based on the mind-body constitution of the person andwhich dosha is in imbalance.



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• In contrast, Ayurvedic methods of treating depression are gentle,natural, and effective. They

contribute to a long-lasting state of balance that reduce the tendencytoward recurrences. It offers a more

complete understanding of thenature and causes of depression.Ayurveda offers a more effectivetreatment of depression withoutnegative side effects and the real

ress anagemen y



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ress anagemen yAyurvedic Way

• In Ayurvedic Perspective The StressManagement Proceedure divide In 2Mode,

• 1.Life Style Management

• 2.Ayurved Panchakarma Proceeduresand Medicines.



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1.Life style Management

• In sanskrit the daily routine is calledas "Dinacharya". It means to mergeyour daily cycle with the natural

cycle of the Sun, Moon, Earth and theother planets in our Solar system."Dinacharya" is one of the best

things that you can do to stay inbalance, prevent disease and treatalmost any disease.

•

One way to describe the daily cycle" "



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Life Style management

• Waking

• From 2 to 6 the "Vata" element isdominant. The ideal time to aise isaround 4:30 to 5. This is the timewhen there is the most "Sattva" inthe air. It is the most fresh and pure

time of the day. Some exceptions tothis rule of rising are the very young,the old, parents with small children

and people with fevers or diarrhoea.



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Life Style Manegement

• Elimination

• As soon as possible empty your colonand bladder. If you wait until later inthe morning or during the day youare slowly poisoning yourself andcreating an opportunity for chronic

conditions to arise.



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Life Style Management

• Clean The Senses

• Wash the eyes with rose water and"Triphala" to purify the sight. Washyour ears and apply a tiny amount of sesame or almond oil in them topurify your hearing. Brush your teeth

and scrape your tongue with atongue cleaner to purify your mouthand sense of taste. Gargle with warm

water or herbal tea. Finally do "Jal-"



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• Oil Massage

• A major part of aging is the dryingout of tissue that results in slowertransport of nutrients into the celland body and toxic wastes out of thebody. Oil massage removes this

dryness, removes stangated flowsand organs, and nurtures your mindand your body. It also makes your

skin look great if you use the right



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Life Style Managemnet

• Exercise

• "Vyayama" is the name for physicalexercise. This can be anythingincluding "Yoga", walk, tai chi, a swimor whatever. This early morningexercise removes stangation in the

body mind, strengthens the digestivefire, reduces fat and gives you anoverall feeling of lightness and joy.

•

Bathing



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• Meditation

• For a few minutes to an hour sitdown and see who you really are,focus on focus, put your attention onawareness. See and be onlyconscious.Simply be quiet. Sit in

peace for just a little while.• Breakfast

• Take a light breakfast.Westernscience has studied the a in



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• Sundown

• Sundown is a special time of balancebetween day and night. This is thetime for evening prayers andmeditations in many cultures aroundthe world.

• Dinner (6:00 to 7:00)

• This meal should be lighter thanlunch. After dinner take a peacefulwalk with famil and friends.



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"Ayu" means life and "Veda" means knowledgefrom the Vedic texts. This holistic science is theknowledge of complete balance of the Body,Mind and Spirit , including emotions andpsychology, on all levels.

Ayurveda

•

Consideration,• Longevity,• Rejuvenatio

n• Self-

realization

therapies

• Herbs,• Diet,• Exercise,• Yoga,• Aromas,• Tantras,• Mantras,• Meditatio

n



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AyurvedaAyurveda is an ancient science of life, a traditional

and the oldest and most holistic medical systemavailable on the planet today. Its major premiseinvolves the symbiosis of mind, body and spirit.

Any imbalance in this synthesis results in physical

ailments. This ancient Indian medicine seeks toreestablish the harmony between the body and itshabitat.

It was placed in written form over 5,000 years ago inIndia, it was said to be a world medicine dealing withboth body and the spirit. Before the advent of writing,the ancient wisdom of this healing system was a partof the spiritual tradition of the Vedic Religion.

This has been handed down to us by means of ancientvenerable scripts as palm leaf books, leather leaves,etc. The oldest works in Ayurveda still available are theCharaka Samhita, Susrutha Samhita and AshtangaSamgraha.



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2.Panchakarma(Ayurvedic Detoxification)

• Panchakarma

• Ayurveda emphasizes preventativeand healing therapies along withvarious methods of purification andrejuvenation. Ayurveda is more thana mere healing system, it is a science

and art of appropriate living whichhelps to achieve longevity. It can alsoguide every individual in the

prevention of disease and long term

ress anagemen y



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2.Panchakarma Treatment• What is Panchakarma?

• As the name suggests, Pancha inSanskrit stands for Five and Karmaare the therapeutic measures,therefore Panchakarma means five

types of therapeutic measures.

These are undertaken for thepurification of the body and Ayurvedaconsiders it necessary before the

start of any other therapy. The logic



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ress anagemen y



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2.Panchakarma Treatment• The Panchakarma therapy of Ayurveda is comprised of five basictypes of advanced treatment for the

evacuation of vitiated Dosha (toxicmaterials) from the body. One canconsider this as a body de-tox

program. There are so manysubtypes of this therapy anddifferent types of herbal massages,fomentation's such as steam,

external oil treatments, Basti

ress anagemen y



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2.Panchakarma Treatment• individually to each person accordingto their specific constitution andspecific disorder or needs; the

treatment requires close observationand supervision.

• Why I shall opt for Panchakarma ?

• It is recommended for healthypersons and also as a preventivetreatment to keep physically and

mentally fit and energetic. It is also

ress anagemen y



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2.Panchakarma Treatment• Purvakarma: Pre-purificationMeasures for Panchakarma Before the actual operation of

purification begins, there is a need toprepare the body in prescribedmethods to encourage the release of

toxins. The two procedures areSnehana and Swedana.

• Snehana (Abhyangam) is the oil

massage. Oil is applied to the entire

ress anagemen y



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2.Panchakarma Treatment• Swedana(Medicated Steambath) is sudation or sweating and is givenevery day immediately following the

Snehana. An herbal concoction maybe added to the steam to furtherloosen the toxins from the individual.

Swedana liquefies the toxins andincreases the movement of toxinsinto the gastro-intestinal tract.

P ifi ti f



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Purification measures of

Panchakarma

• Vamana: Emesis Therapy When there is congestion in thelungs causing repeated attacks of

bronchitis, colds, cough or asthma,the Ayurvedic treatment istherapeutic vomiting - Vamana, to

eliminate the Kapha whic is causingthe excess mucus.

ress anagemen y



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2.Panchakarma Treatment• Virechana: Purgation Therapy When excess bile, Pitta, is secretedand accumulated in the gall bladder,

liver and small intestine, it tends toresult in rashes, skin inflammation,acne, chronic attacks of fever,

vomiting, nausea and jaundice.Ayurvedic literature suggests inthese conditions the administrationof therapeutic purgation or a

therapeutic laxative

Stress Management By



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Stress Management ByAyurvedic Way

2.Panchakarma Treatment• Nasya: Nasal Administration The nose is the doorway to the brain

and it is also the doorway to

consciousness. The nasaladministration of medication is calledNasya. An excess of bodily humors

accumulated in the sinus, throat,nose or head areas is elimin



ress anagemen y



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2.Panchakarma Treatment• . Basti therapy is divided in two maintypes - Anuvasana Basti -medicated oil enemas

• &

• Niruha Basti - medicated enema of decoctions and medicated oils.

yurve c



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yurve cPanchakarma(Detoxification

)• Why Panchakarma ?

• According to Ayurveda, every humanbeing is a unique phenomenon of cosmic consciousness. The threeDosha (humors) determine everyindividual’s psychosomatic

temperament or constitution. Vata(ether plus air), Pitta (fire plus water)and Kapha (water plus earth) are

called the Tridosha, meaning the

http://www.chakrapaniayurveda.com/constitution.html

http://www.chakrapaniayurveda.com/constitution.html



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Ayurvedic Panchakarma

• Word of caution

• Panchakarma is a very specialAyurveda treatment requiring properguidance from a highly trained andskillful Ayurveda practitioner. Oneshould consult with an Ayurveda

physician, not just someone with amodest amount of training prior todeciding on these cleansing

procedures.

A i t d P h k



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Associated PanchakarmaProceedures

• Other miscellaneous therapies of Panchakarma:

• Shirodhara: It is recommended inanxiety, depression, hypertension,insomnia etc.

• Kati Basti: Useful in differentbackaches.

• Janu Basti: Useful in arthritis of the knee joint.

Associated Panchakarma



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Associated PanchakarmaProceedures

• Pinda Sweda: Useful in neurologicalailments and in the management of different pains.

• Shashti-Shali Pindasweda: Useful inneurological ailments.

• Tarpanam: Useful in theailments of the eyes.

• Shirobasti: Useful in hair lossand the falling hair and otherdiseases of skull.



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Massage(Abhyangam)



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Ayurvedic Daily



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Ayurvedic DailyMassage:

• A Pleasant Prescription forMind/Body Health

• How can a ritual so luxuriouslyrelaxing, so blissfully comforting as afull-body warm oil massage rev upyour body and mind, gearing them

up for peak performance? There is anexplanation for the seemingcontradiction. Accumulated stress

and toxins in the mind and body

yanga - e



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yanga eAyurvedic Daily

Massage:• "Abhyanga" -- the ayurvedic oilmassage -- is an integral part of thedaily routine recommended by this

healing system for overall health andwell-being. Traditional ayurvedictexts wax eloquent on the benefits.

Here's what one says -- "Giveyourself a full body oil massage on adaily basis. It is nourishing, pacifiesthe doshas, relieves fatigue, provides

stamina, pleasure and perfect sleep,



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Benefits Of Abhyanga

• Increased circulation, especially tonerve endings

• Toning of the muscles and the wholephysiology

• Calming for the nerves

•

Lubrication of the joints• Increased mental alertness

• Improved elimination of impurities

from the body



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Nasyam



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Nasyam

• Nasyam involves administration of medicated oil through the nose tocleanse accumulated Kapha toxins

from the head and neck region



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Benefit Of Nasyam

• Trigeminal Neuralgia,

• Bel's Palsy,

•

Improves memory & eye sight,• Insomnia,

• Elimination of excess Mucus Hyper

pigmentation in the face,• Pre-mature graying of hair,

• clarity to voice,



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Benefit Of Nasyam

• Loss of smell and taste,

• Frozen shoulder,

•

Migraine,• Stiffness of the neck,

• Nasal Allergies

• Nasal Polyp,

• Neurological dysfunctions,

•

Paraplegiar, Sinusitis .



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Shiro Dhara



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What is Shirodhara?



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What is Shirodhara?

• Shirodhara is part of Panchakarmatreatment (Ayurvedic detoxificationprocess). It involves a steady stream

of warm oil being gently poured onthe 3rd eye center of the forehead

just between the eyebrows. This

calming process saturates the headwith the warm oil, soothing theperipheral nerves around the scalpand brain aiding in deep relaxation.

o can rece ve a



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o can rece ve aShirodhara treatment?

• Shirodhara is suitable for everyone.People who will especially benefitfrom it are those who suffer with:

• Stress

• Depression

•

Anxiety• Anger

• Irritability

Who can receive a



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Who can receive aShirodhara treatment?

• Confusion

• Feelings of being lost

•

Insomnia• Difficulties sleeping

• Headaches

• Epilepsy

• Vertigo

•

Dizziness

from the Shirodhara



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from the Shirodharatreatment?

• Deep feelings of relaxation andtranquility

• Relief from mental, physical and

emotional stress

• Ongoing treatments can assist with:

•

Relief from psychosomatic diseases• Reduction in panic attacks

• Improved memory and

concentration



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Kati Basti



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Kati Basti

• Kati Basti is the treatment for chronicback pain, lower back spasms,degenerative Spondilosis and nerve

pains. A series of these treatmentsare amazingly beneficial and relaxthe total body.



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Potli Massage



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Potli Massage

• This massage is particularly useful inspecific type of pain and diseasescondition and can be advised for the

whole body or any specific part. Wemake a special potli (therapeuticHerbal Blend), and this potli isspecific to Individuals Constitution,then warm oil is poured over the areato be massaged. External applicationof medicinal boluses, which are tied

in a cloth bag (potali). The Potali



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Who can receive a Potli



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Who can receive a PotliMassage Treatment?

• Paralysis

• Body Pain Due to Stress

•

Osteoarthritis• Rheumatoid arthritis

• Lean and thin persons

• Spondilosis

• Frozen shoulder



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Netra tarpan

e ra as e ra



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Tarpana)

• This treatment aims to provideoptimum rejuvenation to eyes. Pasteof Masha (black gram) is put around

the eye ball in such a way that thereshould be retention of oil. Thenherbal healing ghee (clarified butteroil) is put in this groove to lubricateeye and surrounding areas which willbe kept warm for 20 – 25 minutes.

This provides improved vision with

beautiful eyes and strengthening of

fi f b i



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Benefits of Netrabasti:

• Improves eyesight

• Beneficial in cases of eye diseaseslike drooping of eyelids (ptosis), night

blindness, cataract, blurred vision,stiffness and roughness of eyes,injury to eyes, sub conjunctival

hemorrhage, inflammatory lesions of the eyes, glaucoma, corneal ulcers,pain in the eyes and decreasedsecretion of lachrymal fluid.

( h )



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Karna Puran(Ear Therapy)

K P (E Th )



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• In Karna Puran or ear therapy, theears are filled with herbo-mineral oilswhich lubricate the delicate filaments

of the ear canal, dislodgingimpurities and sharpening hearing.

K P (E Th )



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• Karna Puran creates a feeling of deeprestfulness and may be useful intreating insomnia. Earaches,

deafness, ringing of the ears,headaches, giddiness, as well astooth and gum diseases may benefit.

M di t d St B th



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Medicated Steam Bath

M di t d St B th



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Medicated Steam Bath

• Precious herbal leaves and herbs areboiled and the medicated vapoursare passed to the steam chamber

where client is made to laying downwith relaxed body, keeping the headout, for a period of 20 to 30 minutes.

The steam will open up the verysmall pores of the skin, therebyremoving all toxins and balancing thethree doshas. A great therapy for

toning the skin and giving it a special

H id B ti



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Hrida Basti

H id B ti



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Hrida Basti

• This is especially Rejuvenating forthe organ of Heart. It strengthens theheart muscle, and increases strength

and vitality at a very essential level.• Good For Cardiovascular disorders

Like Angina Pectoris,Ischaemec Heart

disease.• Chest Pain Due to Cardiovascular

Disordersetc…

Y &M dit ti



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Yoga &Meditation

Th I t f Y



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The Importance of Yoga

Poses• Yoga poses have been developedover centuries of research andexperience. They have been found to

be extremely effective in:Increasing flexibility of the body

and freeing all the energy blocks.Besides increasing flexibility, thisleads to a healthier body. Helping tolose excess flab and weight -another cause of ill health.

Massaging the internal organs of

M dit ti Wh t it i ?



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Meditation: What it is?

• An ordinary person may considermeditation as a worship or prayer.But it is not so. Meditation means

awareness. Whatever you do withawareness is meditation. "Watchingyour breath" is meditation; listeningto the birds is meditation. As long asthese activities are free from anyother distraction to the mind, it iseffective meditation.




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• Meditation is not a technique but away of life. Meditation means 'acessation of the thought process' . It

describes a state of consciousness,when the mind is free of scatteredthoughts and various patterns . Theobserver (one who is doingmeditation) realizes that all theactivity of the mind is reduced toone.




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• Meditation is not a technique but away of life. Meditation means 'acessation of the thought process' . It

describes a state of consciousness,when the mind is free of scatteredthoughts and various patterns . Theobserver (one who is doingmeditation) realizes that all theactivity of the mind is reduced toone.

Distress Yo r Stress



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Distress Your Stress

• In Short To Remain Healthy Physicallyas well as Mentally,To Distress yourStress,Adopt

• Life Style according to Ayurveda

• Go For Ayurveda Proceedure LikePanchakarma & Its Associated

treatments LikeShirodhara,Nasyam,Massage atleastonce in a week or Fortnightly.

• Yo a and Meditaion

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