Treatment for healthy aging
Rasayana Chikitsa
Treatment duration – 21 to 28 days

Rasayana Chikitsa is the treatment for rejuvenation and regeneration of tissues, mental well-being, intellect and boosting of immune system. Rasayana treatments are done for those who have low immune system and lack vitality. There are two reasons for this treatment: one is to help diseased person get back to normalcy and the other is help a normal person enjoy enhanced vitality, immunity and intellect. This treatment starts with a two-week process of cleansing to eliminate toxins. It is only after this that the rejuvenation treatments start along with the specific medicines and diet. The aim is to arrest the degeneration of body cells and increase immunity. In fact, the treatment helps to keep individuals free from diseases even at an advanced age. During the first stage, the body is prepared for removing toxins through Snehanam, which involves making the body unctuous or oily internally and externally, and through Swedanam which means therapeutic sweating. Afterward Shodhana or elimination is done by appropriate Panchakarma techniques. By making the patient undergo these treatments, his doshas (body constitution) and its imbalances are stabilized before the rejuvenation process is started. During the rejuvenation stage treatments are given to improve vitality.

Treatment Process

1. Diagnosis

Any treatment offered at CGH Earth Ayurveda begins with the three kinds of diagnostic procedures in keeping with the pure Ayurveda treatments. These are: 1. Darshana — Observing 2. Sparshana – Palpating and 3. Prasna – Interrogating. The Vaidya determines your Doshas or body constitution through extensive examination of your body using these methods of diagnosis and accordingly arrive at a course of treatment.

2. Treatment Course

1. Poorvakarma – Preparatory stage

During the preparatory stage, the body is prepared for removal of toxins through two methods namely Snehanam where the body is oleated internally and externally and Swedanam where the body undergoes therapeutic sweating. Depending on the medical condition and Doshas, the Vaidya will determine the course of cleansing processes. The first stage that involves preparatory, cleansing and elimination in Rasayana Chikitsa called Poorvakarma can take up to 14 days.

Snehanam

Internal Oleation – The body is made unctuous internally through drinking of medicated ghee (clarified butter). This helps to loosen and move the toxins towards the gastrointestinal tract. Medicated ghee consumed over 3-7 days with increasing dosage according to doctor’s prescription with restricted diet is called Achapanam. The intake of medicated ghee with the normal diet is called Vicharana. For treatment at our healthcare centers, Achapanam method is mostly followed.

External Oleation of the body – The body is massaged with medicated oil to make it unctuous or oily externally. This treatment also aids in the removal of toxins. The different methods of oil application used are:

Uzhichil
Therapeutic oil application on the body
Dadhupushtiuzhichil
Therapeutic massage done to nourish the body with
medicated oil
Kalariuzhichil
Therapeutic massage of vital points on the body

Snehanam

Swedanam

Here the body undergoes therapeutic sweating based on each individual’s dominant dosha or body constitution and medical condition. There are different classifications for Swedanam therapies according to different texts. It can be broadly classified as Agnikruth (therapeutic steam with direct heat) and Anagnikrutha (therapeutic steam without any special apparatus).

Agnikruth
Anagnikruth

Drava

1. Parishekam

a. Pizhichil (pouring of lukewarm oil), Dhanyamla dhara (pouring of special fermented medicated water)

b. Kashaya dhara – Pouring of decoction on the body

Ushama

1. Pinda Swedam:

a. Podikizhi – Therapeutic massaging with warm pouches containing herbal powders

b. Elakizhi – Therapeutic massaging with warm pouches containing different herbs and medicinal leaves

c. Narangakizhi – Therapeutic massaging with warm pouches containing lemon, leaves and herbs

d. Dhanyamla kizhi – Therapeutic massaging using herbal pouches dipped in special herbal decoction called Dhanymla

c. Narangakizhi – Therapeutic massaging with warm pouches containing lemon, leaves and herbs

d. Dhanyamla kizhi – Therapeutic massaging using herbal pouches dipped in special herbal decoction called Dhanymla

e. Njavarkizhi – Therapeutic massaging using pouches containing medicinal rice, milk and decoction

2. Kumbhi swedam:

a. Steam bath

b. Nadi swedam – Local steam application through a hose, etc.

Anagnikruth

This is done without using heat from any direct source. There are ten different types of Anagnikruth Swedanam and these include covering the body with a heavy blanket, sitting in a warm room for a particular duration of time, etc. Hot water bag application, fomentation, applying heat from a hot stone or cloths etc.

Swedanam

SHODANA
Cleansing and Elimination stage

Shodana-anti

Shodanam means elimination. In Rasayna Chikitsa, the shodanam involves a remedial system to cure chronic diseases and long-term ailments through cleansing of the body. Through Shodana the toxic deposits are eliminated. The doctor will prescribe one or more of the following Panchakarma treatments to the patient:

1. Virechana – Therapeutic purging

2. Nasyam – Nasal cleansing

3. Vamana – Therapeutic vomiting

4. Kashayavasthi – Medicated enema

5. Snehavasthi – Medicated enema with oil

Samana or Paschatkarma
Rejuvenation stage

This is the third and final stage of the Rasayana chikitsa. Moderate corrective and rejuvenating treatments are given to the patient to maintain the beneficial effects of the whole cleansing procedure. The right diet and lifestyle is also prescribed by the physician in order to maintain the benefits of the treatment. Reverting to the old ways of life and diet could worsen the condition by facilitating faster and easier accumulation of toxins. The doctor’s prescribed course of action is designed to suit each body’s unique needs and make-up and following the instructions in its entirety is mandatory to the healing process. Depending on each individual’s condition, one or more of the treatments mentioned below are prescribed:

1. Dhathupushty Uzhichil
This therapeutic massage with special strokes is designed to nourish body with medicated oil

2. Elakizhi
Therapeutic massaging with warm pouches containing different herbs and medicinal leaves. This helps reduce inflammation in the body and to strengthen muscles

3. Kashaya dhara
Rhythmic pouring of decoction or medicated milk all over the body using a traditional vessel called kindi. This helps to pacify the dosha imbalance

4. Njavarakizhi
Application of medicinal rice gruel contained in a pouch over the body. This will strengthen the muscles, skin, bone and joints

5. Njavaratheppu
Application of medicinal rice paste. This treatment is more penetrating and is given for those who cannot take Najavarakizhi

6. Sarvanga Kshiradhara
Pouring of medicated milk to repair Vata and Pitta imbalance

7. Pizhichil
Pouring of lukewarm oil on the body

8. Thalapothichal
Application of medicated paste on the head. This treatment helps to calm the mind and is helpful in getting good sleep. With the right herbs, it is good for the hair also

9. Thakradhara
Pouring of medicated buttermilk over the forehead in a continuous stream

10. Ksheeradhara
Pouring of medicated milk on the forehead, body or both

Samana1

Upakarma or Supporting treatments

Upakarma

The doctor after diagnosis will determine if the patient requires supporting treatments mentioned below

1. Netra Kalpana – Treatment for the eye
Sekam (pouring or herbal water over closed eye), Aschyothanam (Eye drops), Vidalakam (Appling paste on eyelid), Anjanam (applying medicine inside the eyelid) Tharpanam (keeping a pool of medicated ghee over the eye) etc.

2. Murdha Tailam – Treatment for the head and neck region
Sirodhara (pouring of oil over forehead), Pichu (keeping a piece of cotton soaked in oil over head) and Sirovasthy (keeping a pool of oil on the head within a contained area, for a prescribed time.)

3. Karna Kalpana – Treatment for the ear
a. Karna poornam – Treatment for the ear by keeping oil inside ear
b. Karnadhoopanam – Treatment for the ear by fumigation

4. Oral treatments
Gandoosham (Holding medicated oil in the mouth without swallowing), Kabalam (gargling with oil) and Prathisaranam (applying paste inside the oral cavity).

5. Mukahalepam – Face treatment according to condition

6. Vasthy Treatments
A treatment for a specific area of the body by keeping medicated oil for a prescribed duration is also called vasthy. The oil is prevented from flowing down by creating a boundary with black gram dough. Depending on the part of the body, there are different types like Kadeevasthy for lower back, Januvasthy for knee, Greevas vasthy for the neck and Prushta vasthy for back etc.

healthy-aging-upkarma-2

Doctor’s note
The treatment procedures are determined according to each person’s medical condition and doshas. All of the above mentioned treatments are not given to a person at one time. Additional treatments for other ailments are given to the patient based on the doctor’s diagnosis.

3. Medicines

The therapeutic treatments are supported by special internal herbal medicines. Following the traditional Ayurvedic principles, medicines, both for external and internal use, are prepared at the CGH Earth Ayurveda’s healthcare facilities from organically grown local herbs at the herbal garden. These are freshly picked for use by the gardeners who care for them with love and attention. This enhances their effectiveness. The medicines are prepared at the Ayurveda kitchen based on hygienic and traditional practices. In fact, a well thought-out scientific principle is applied to the use of all these medicines which are prepared using intensive and lengthy

procedures using select ingredients and with a lot of spiritual dedication. Their consumption as per the physician’s instructions is very important and mandatory to the healing process. Specific medicines are also sourced from other reputed Ayurveda Pharmacies in Kerala.

Internal medicines
used in Ayurvedic treatments
typically include:

Kashayam – A herbal decoction
Choornam – A powdered medicine
Gulika – Tablets
Lehyam – Herbal Paste
Gritham – Medicated ghee.
Arishtam/ Asavam -Fermented decoction

External medicine —
Oils or Thailas:

Oils used as part of Panchakarma and other procedures are prepared with herbal decoction or fresh herbal juice. They are mixed with a medicinal herbal paste and sesame oil as the base and cooked together. This process is a long procedure taking up to 2-5 days to prepare ensuring the whole mix reaches a non-sticky stage after continuous stirring. The therapist massages this oil onto the skin making sure it is completely absorbed. This oil nourishes and regenerates the cells, stimulates the lymphatic system, releases the toxins and carries them to the surface of the skin. After treatment, the skin is washed with a paste made of chicken pea and lentil flour.

Continuation of the prescribed medication even after the treatment is recommended.

4. Food

Diet and lifestyle being core aspects of the Ayurvedic healing process, are integral to the treatment. There are many specific guidelines to be followed while consuming food as Ayurveda distinguishes six different tastes or Rasas which interact with the five elements in the body. Food is an intrinsic factor in balancing the bio-energies according to each individual’s body constitution and the balance of five elements. Ayurveda also strongly recommends the consumption of fresh and organic food and encourages mindful or meditative eating by which the full essence of food can be assimilated by the body in an aware, fully engaged and respectful manner. At CGH Earth Ayurveda these basic principles are strictly followed with the doctor prescribing a specific diet for each person with the focus being on a Sattvic diet that has a corrective and revitalizing effect. The chef at the kitchen on his part closely follows the doctor’s instructions for each individual’s diet and accordingly prepares his meals using freshly plucked vegetable organically grown at the herb garden, which in turn is tended to with care by a staff tuned to the healing ethos.

 

5. Yoga & Meditation

Yoga

Yoga is an ancient Indian physical, mental and spiritual practice with the origins dating back to the 5th or 6th century BC. It means to ‘integrate’ ‘combine’ or ‘unite’ and it addresses ways of integrating the body, senses, life force, the mind and the consciousness. Yoga is thus used to complement the whole healing process of the treatment with the Hatha style which concentrates mainly on the practice of physical postures (Aasanás) with an emphasis on meditation and Pranayama breathing techniques. This kind of yoga is accessible to all and is light so as to support the treatment process. There is no age limit and no previous knowledge or experience required. Each one is initially supported on an individual basis until he or she is ready to partake in the group exercises. This complete body and mind experience is aimed at improving your health and total well-being.

Meditation

With Ayurveda’s thrust on internal healing, meditation as a practice in disciplining the mind and the thinking process is made a core part of the treatment at CGH Earth Ayurveda. Meditation techniques are used to calm and relax both the mind and the body since both the mind and the body are closely tuned to each other. One of the effective techniques of meditation used here is the Candlelight Meditation in which a group sits around a burning candle and gazes at the flame for several minutes focusing on it as long as possible and praying together. This helps in gaining clarity, peace and positive energy.

6. Satsang

Satsang which can be translated as ‘true company’ (sat- true, sang- company) has always been one of the fundamental elements of Indian philosophy and it means: 1.Company of the highest truth, 2. The company of a Guru, 3. An assembly of people which listens to, talks about and assimilates the truth. This involves listening to or reading the scriptures, reflecting on them, absorbing their meaning, understanding and discussing the meaning of certain words and integrating their significance into one’s daily life. The idea of Satsang may be traced back to Rishis or ancient Indian spiritual masters such as Vedavyasa and Valmiki who explained their value in numerous ways. Satsangs are thus a significant aspect of the CGH Earth Ayurvedic treatments as they add the necessary uplifting edge to the whole recovery process by enhancing positive energy. Patients are therefore encouraged to partake of a rich cultural and spiritual offering including discourses, classical music and dance performances, Mantra chanting, candlelight meditation, Yoga discourses, Kalaripayattu demonstrations and doctors’ talks during the treatment course

Testimonials

“ I have come to Kalari six times with more or less the same enthusiasm each time and every time I leave in top shape, all perked up and full of energy to face the life of everyday. In addition, this year the company of guest was very nice which added to the quality of treatment. Thanks to Sir Cherry, Dr Jouhar and the beautiful team that surrounds them. With warm regards.”

– Richar Ambrosetti

“ Dear Staff of Kalari Kovilakom, thank you from the bottom of my heart for creating this incredible healing space — world class Ayurveda treatments, wise and caring doctors, tasty and healthy food, nurturing environment. All of these made our experience here one of the most unique, cleansing and invigorating time of our lives. We will spread the word about this place as we go back home and travel the world.”

– Nadezda and Elizaveta Babanova