Dementia in ayurveda perspective ;
Dementia, a syndrome with many causes , is defined as an acquired deterioration in cognitive abilities that impairs the successful performance of activities of daily living. Memory is the most common cognitive ability lost with dementia. Language , visiospatial ability , calculation , judgement , and problem solving mental faculties are also affected.. Neuropsychiatric and social deficits also arise in many dementia syndrome, resulting in depression, apathy , hallucinations, delusions, agitation, insomnia, and disinhibition. Most patients with Alzheimer’s disease begin with memory impairment , although in other dementias , such as frontotemporal dementia , memory loss is not present. Dementia results from the disruption of specific large scale neuronal networks ; the location and severity of synaptic and neuronal loss combine to produce the clinical features. Behavior and mood are modulated by noradrenergic , serotonergic , and dopaminergic pathways , whereas cholinergic signaling is critical for attention and memory functions. The dementias differ in the relative neurotransmitter deficit profiles ; accordingly , accurate diagnosis guides effective pharmacotherapy..The single strongest risk factor for dementia is increasing age.. The combined study of unmaada and vaata vyaadhi help to draft ayurveda principle in dementia..the characteristic microscopic findings are neuritic plaques and neurofibrillary tangles.. These changes lead to avarana , especially concerned with praana and vyaana ; leading to decrease in cortical levels of several proteins and neurotransmitters. Vaata , especially praana is regulator of mental , motor , sensory , and social functions.. Vyaana is responsible for rasaraktadi vikshepana , udana is for prayatna , karma , balaadi , samaana for local metabolism and apaana for clearance of accumulated undue substances.. Praana aavrita vyaana , udaana aavrita praana , samaana aavrita vyaana and praana aavrita apaana can be seen in different dementia.. Since it’s syndrome , so multiple etiopathogenesis is present.. Treatment plan is variable depending on specific avarana. Praana is crucial to manage with help of keeping normal udaana, samaana , vyaana and apaana.. Harshana , aashvaasana , urdhajatru karma , yapana basti , deepaniya ghrita , different rehabilitation program , vaataghna , balya , medhya , anulomaka , Rasayan like Brahma Rasayan , shilajita , guggula with milk are choices ..
.Prof. Dr. Satyendra Narayan Ojha ,
MD (KC), Ph.D.
Director , Yashawant ayurveda college , Post graduate teaching and research center ,
Kodoli ,Panhala , Kolhapur..
drsnojha@rediffmail. com – See more at: http://infoayushdarpan.blogspot.in/#sthash.2lNYqjH9.dpuf