Best Practices

2. Title of the practice –: Marma Chikitsa

a) The context that required the initiation of the practice:

 Marma Chikitsa or Marma Therapy is a treatment generally practiced by Ayurveda Vaidyas in treating certain disease condition by cleansing the blocked Energy and restoring Health.

 Marma point is a juncture on the body where two or more types of tissue meet, such as muscles, veins, ligaments, bones or joints. Mild stimulation to these marma points removes the blockages and gives physical and psychological relief and relaxation.

b) Objectives of the practice

 To improve functional ability

 To relieve pain.

c) The Practice -

 Specific points are massaged / given pressure to stimulate the Marma points for regaining the normal function and relieve pain of the body part affected.

d) Evidence of success

 Immediate relief of Pain has been observed in various patients at OPD level.

 Improvement has been observed in the functional ability of admitted patients of Sciatica, Paralysis etc.

e) Problems encountered

  No problems were faced till today as we practice it as a part of treatment after the prior consent of the Patient.

f) Resources Required :

  OPD & IPD Ward of Kayachikitsa Department

3. Tittle of the practice - Nadi Pariksha

a) The context that required the initiation of the practice:-

 Nadi Pareeksha is also known as ‘Nadi chikitsa’ or the Ayurvedic pulse reading, which can accurately diagnose both physical and mental diseases as well as dosha imbalances. It is an important diagnostic tool used by Ayurvedic doctors and consists of various examination or physical tests. Nadi Pareeksha is widely used since 5000 years for the diagnosis of imbalance of dosha in the body and concluding a disease.

b) Objectives of the practice :

•  To Diagnose the disease.
•  To identify aggravated doshas and thus provide treatment accordingly.

c) The Practice :

•  Pulse diagnosis or Nadi Pareeksha is done using the signals obtained from the three precise locations on the wrist at the radial artery using the index, middle and ring fingers corresponding to Vata, Pitta, and Kapha.
•  The signals obtained from these locations are not only due to the contraction and relaxation of blood vessel but also a result of movement of blood through the artery.
•  The Physician use their experience and skill for accurate pulse reading. Any change in the nature of signal felt is a means of diagnosis of disease. The different waveforms obtained from vata, pitta, and kapha nadi have a shape similar to that of movement of a snake, frog, and swan.

d) Evidence of success

  Proper diagnosis of disease and positive feedback from the patient

e) Problems encountered :

 No problems were faced till today as we practice it as a part of treatment after the prior consent of the Patient.

f) Resources Required :

 OPD & IPD Ward of Kayachikitsa  Department

Streerog Prasutitantra Department

1. Title of the practice - Sutika Paricharya

a) The context that required the initiation of the practice:

 Pregnancy brings a lot of changes in the body of a woman. After delivery, the mother requires special care as she is very weak, sensitive and susceptible. Administering special remedies can provide necessary care and attention, right from the beginning of postpartum phase and can avoid many unwanted health problems in the mother. For which Sutika Paricharya is followed, which include some special practice and dietary guidelines.

b) Objectives of the practice :

•  To bring the woman’s health status to pre-pregnant state
•  To prevent any infection in woman during post partum period
•  Maintain personal hygiene
•  Proper Breast-care
•  Proper care of newborn by promoting proper breast feeding

c) The Practice :

•  Yonidhupan in Sutika – Yonidhupan is done from second day after delivery. It helps to maintain hygiene and to avoid infection. It also helps to heal the episiotomy wound.

Dhupan is done with drugs – vidanga, vacha, nimbi, triphala, guggul,

•  Care of episiotomy wound by application of Chandanadi tail which has vranropan property.
•  Diet in Sutika – In intial days woman is asked to have Ghruta yukta peya and yavagu. Which is easily digestible and helps to increase the appetite. Followed by normal and healthy diet.
•  Udarpatta bandhan- Wrapping soft cotton cloth over abdomen which helps in involution of uterus
•  Use of vatahara aushadha

 These medicinal regimens were utilized at the hospital for respective cases. Precautionary Kits were utilized for people at risk of contracting the disease.

d) Evidence of success

•  Mother was able to regain her strength with increase in appetite
•  There were no or minimal complications during her sutika kala
•  The involution and tone of uterus was proper

e) Problems encountered & Resources required:

  Patient is not willing to stay for 5 days after delivery

No. of Beneficiaries :

2. Title of the practice – Garbha sanskar

a) The context that required the initiation of the practice –

Positive thinking and positive attitude can go a long way in ensuring the mental and physical well-being of the mother, which is linked to well-being of baby inside her womb as well. Garbha sanskar helps develop that eternal bond between the mother and her unborn child.

b) Objectives of the practice :

•  To provide integrative holistic treatments to patients of Paralysis under single centre.

c) The Practice :

•  Hospital set-up: The Hospital has a well-equipped Paralysis Unit serving the patients with quality care.
•  Chronology of working- After initial diagnosis and emergency intervention in the Emergency Department, patients are admitted to the paralysis unit for further management and rehabilitation. Patients with Hemiplegia, Paraplegia, and Facial Palsy are admitted to the Unit.
•  Departments involved in patient care- The integrated approach includes regular follow-ups by Department of Neurology, and Ayurvedic treatment through Department of Kayachikitsa and Panchakarma. Regular Physiotherapy Care is also provided at the unit itself.
•  Ayurvedic Treatment- The Ayurvedic treatments include:

•  Use of Preventive and Therapeutic Ayurvedic Medicines to avoid further damage/recurrence, and to treat the current condition of the patient.
•  Panchakarma therapies - Snehan (oleation), Swedan (sudation by medicated steam), Pinda Swedana (sudation using medicated bolus and concoction), Nasya (medicated nasal drops), Shirodhara (oleation with oil stream to the head), etc. prescribed according to the condition and severity of the patient.

 The evidence-based scientific protocols are personalized for each patient according their body type and relevant clinical history.

d) Evidence of success:

 The hospital is diligently working towards organizing awareness programs and camps to help maximum patients avail the holistic services. The clinical success and word of mouth from discharged patients has led to a steady increase in the number of patients at the Unit over the year.

No. of Beneficiaries :

e) Problems encountered :

•  Availability of Radio-imaging and Clinical Laboratory for 24 hours- Hospital staff has to rely on external sources for emergency diagnostic services due to limited timings of clinical laboratory and unavailability of CT/ MRI machines.
•  Unavailability of Portable X-ray Machine – Since patients are usually bed-ridden, getting routine or emergency X-rays is difficult without a portable machine.

Resources Required :

•  Availability of 24 hour Clinical Laboratory within the Institute.
•  Rapid access to CT/ MRI facility.
•  Portable X-ray Machine.