Changes

==== Construction of a hospital ====

==== Construction of a hospital ====

A well equipped facility with the following recommended criteria is needed for various ayurvedic purification treatments:

#A well equipped facility with the following recommended criteria is needed for various ayurvedic purification treatments:

#'''Location'''- An architect should design the building on a site not situated in a hilly terrain nor located near a bigger building but located on a clean, sunny, flat surface near a water reservoir.  

##'''Location'''- An architect should design the building on a site not situated in a hilly terrain nor located near a bigger building but located on a clean, sunny, flat surface near a water reservoir.  

#'''Facilities'''- The building should have all the necessary facilities for indoor patients, with good source for light, water, ventilation, kitchen, and sanitation (toilet, bath, etc).  

##'''Facilities'''- The building should have all the necessary facilities for indoor patients, with good source for light, water, ventilation, kitchen, and sanitation (toilet, bath, etc).  

#'''Staff requirements'''- For smooth running of the hospital, adequate staff support should be made available.  The attendants should possess necessary nursing skills, good conduct, hygiene, character, devotion, and compassion and be conversant in the administration of therapies.

##'''Staff requirements'''- For smooth running of the hospital, adequate staff support should be made available.  The attendants should possess necessary nursing skills, good conduct, hygiene, character, devotion, and compassion and be conversant in the administration of therapies.

#'''Recreational measures'''- The fact that various forms of recreation such as  music, poetry, and drama were suggested, made available or arranged within hospices or healthcare facilities shows how elaborate and extensive the field of healthcare management was within Ayurveda. Today, hospices or healthcare services providers arrange for televisions and music system in the rooms of patients.  

##'''Recreational measures'''- The fact that various forms of recreation such as  music, poetry, and drama were suggested, made available or arranged within hospices or healthcare facilities shows how elaborate and extensive the field of healthcare management was within [https://en.wikipedia.org/wiki/Ayurveda Ayurveda]. Today, hospices or healthcare services providers arrange for televisions and music system in the rooms of patients.  

e. Drugs, equipments and other resources: Kitchen appliances and utensils of varied sizes should be available within the kitchen. Arrangements should be made for the availability of bedding with appropriate furnishings (bedsheet and pillow), towel, clean cloths, cotton, wool and various other equipments for smooth induction of oleation, massage, sudation, emesis, purgation, medicated enema, and nasya to the patients. There should also be grinding stones with pestle, knife, smoking pipes, weighing scale, enema tubes and measuring vessels. Food articles like ghee, oil, muscle fat, honey, salt, gruel, various types of wine and dhanyamla should be available in the hospital. Various drugs like shali (rice), mudga (pulses), tila, kullattha, parushaka, and triphala should be made available, along with drugs to treat complications arising duringprocedures. This is akin to having a pharmacy within the premises of a hospital.

##'''Drugs, equipments and other resources''': Kitchen appliances and utensils of varied sizes should be available within the kitchen. Arrangements should be made for the availability of bedding with appropriate furnishings (bedsheet and pillow), towel, clean cloths, cotton, wool and various other equipments for smooth induction of oleation, massage, sudation, emesis, purgation, medicated enema, and ''nasya'' to the patients. There should also be grinding stones with pestle, knife, smoking pipes, weighing scale, enema tubes and measuring vessels. Food articles like ''ghee'', oil, muscle fat, honey, salt, gruel, various types of wine and ''dhanyamla'' should be available in the hospital. Various drugs like ''shali'' (rice), ''mudga'' (pulses), ''tila'', ''kullattha'', ''parushaka'', and ''triphala'' should be made available, along with drugs to treat complications arising during procedures. This is akin to having a pharmacy within the premises of a hospital.

b. General plan of treatment-

#'''General plan of treatment'''- The patient should be admitted in the hospital for administration of therapeutic emesis and purgation procedures. Before application of these cleansing procedures, the patient should undergo some pre-therapeutic procedures such as ''langhana-pachana'' (restricted diet and improving digestion), ''snehana'' (oleation) and ''swedana'' (sudation). Their importance and mode of action is enumerated below:

The patient should be admitted in the hospital for administration of therapeutic emesis and purgation procedures. Before application of these cleansing procedures, the patient should undergo some pre-therapeutic procedures such as langhana-pachana (restricted diet and improving digestion), snehana (oleation) and swedana (sudation). Their importance and mode of action is enumerated below:

##''Langhana-pachana'':

1. Langhana-pachana-

###''Langhana'' (light diet and exercise)-

1. Langhana- (light diet and exercise)

*In the modern world, there is increased food consumption, especially the consumption of junk food that cause increased stress on our metabolism. The normal human body has sufficient capabilities to remove most metabolic toxins if upawasa (fasts) are observed periodically. These fastings help “clear the backlog” of excess strain put on our bodily systems, quite like the way an office clerk clears his backlog of work on a specific day when there is no new work. An  ''upavasa'' (fasting) is a custom that helps make people abstain from heavy meals. While light aerobic exercises are very good in expelling toxins accumulated in the body by way of sweating and calorie consumption, fastings help provide relief to our digestive systems.

• In the modern world, there is increased food consumption, especially the consumption of junk food that cause increased stress on our metabolism. The normal human body has sufficient capabilities to remove most metabolic toxins if upawasa (fasts) are observed periodically. These fastings help “clear the backlog” of excess strain put on our bodily systems, quite like the way an office clerk clears his backlog of work on a specific day when there is no new work. An  upavasa (fasting) is a custom that helps make people abstain from heavy meals. While light aerobic exercises are very good in expelling toxins accumulated in the body by way of sweating and calorie consumption, fastings help provide relief to our digestive systems.

###''Pachana'' (Digestants):

2. Pachana- Digestants:

*Digestants or digestives help in aiding the process of digestion and metabolism in our bodies.   

a. Digestants or digestives help in aiding the process of digestion and metabolism in our bodies.   

*They aid in the digestion of ama[undigested intestinal products and intermediate metabolites] already present in the body.  

b. They aid in the digestion of ama[undigested intestinal products and intermediate metabolites] already present in the body.  

##''Snehana'':

2. Snehana-

###''Snehapana''- Unctuous agents or fats that make dosha slimy, moist, slippery and work as solvents:

Snehapana- Unctuous agents or fats that make dosha slimy, moist, slippery and work as solvents:

*Use of fats as a solvent: There are two types of solvent in biochemistry - polar and non-polar. Among polar solvents, water is the best while among non-polar solvents, ketones (intermediate metabolic products of fats) are the best solvents. These solvents, during their course of internal administration, may react with cellular and metabolic debris and convert them into a soluble form that could be easily excreted out through urine, faeces or sweat by means of [[Panchakarma]] procedures.

• Use of fats as a solvent

*Use of fats as a high energy substance-Oils and fats yield 9 KCal energy in contrast to 4.5 Kcal from carbohydrates and proteins, which could be expended as a substitute or replacement source of energy during purification procedure.

There are two types of solvent in biochemistry - polar and non-polar. Among polar solvents, water is the best while among non-polar solvents, ketones (intermediate metabolic products of fats) are the best solvents. These solvents, during their course of internal administration, may react with cellular and metabolic debris and convert them into a soluble form that could be easily excreted out through urine, faeces or sweat by means of [[Panchakarma]] procedures.

##''Swedana''- As discussed earlier, ''swedana'' helps liquefy sticky ''dosha'' within our bodies and opens the orifices of circulatory channels (''srotas''), while facilitating the process of dissolving of harmful doshas before they are ejected out through the gut by means of subsequence therapies.

• Use of fats as a high energy substance-

*''Abhyanga'' (massage) – The recommended method of massage involves employing pounding and thumping-like action similar to that employed in washing of cloths, for better removal of impurities.

Oils and fats yield 9 KCal energy in contrast to 4.5 Kcal from carbohydrates and proteins, which could be expended as a substitute or replacement source of energy during purification procedure.

*''Swedana'' (heat) – it is the application of heat (either dry or wet) on the external body surface to remove ''ama'' and ''mala'' from the body. Just as cleaning is more effective with warm water, similarly removal of ''ama, dosha'' and ''mala'' is easier with fomentation or applying heat to the body.

 

C. Swedana- As discussed earlier, swedana helps liquefy sticky dosha within our bodies and opens the orifices of circulatory channels (srotas), while facilitating the process of dissolving of harmful doshas before they are ejected out through the gut by means of subsequence therapies.

 

• Abhyanga (massage) – The recommended method of massage involves employing pounding and thumping-like action similar to that employed in washing of cloths, for better removal of impurities.

• Swedana (heat) – it is the application of heat (either dry or wet) on the external body surface to removeama and mala from the body. Just as cleaning is more effective with warm water, similarly removal of ama, dosha and mala is easier with fomentation or applying heat to the body.