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A CRITICAL REVIEW OF ABHYANGA WITH SPECIAL REFERENCE TO ITS CONTEMPORARY RELEVANCE
Abstract
Abhayanga is one of the foremost massage maneuvers mentioned in the Ayurvedic texts like Brihattrayi and Laghutrayi. It is the oldest technique for healing, preventing diseases and promoting health. It has been included in the Dinacharya and also as the treatment measure for a variety of diseases. It is also a part of the pre-therapeutic procedures of Panchakarma. Abhyanga improves blood circulation (arterial as well as venous), lymphatic flow and thus offers nourishment to the body cells. It not only de-stresses the whole body but also strengthens the nervous system, improves blood circulation, removes toxins and improves the overall well-being of the person. Besides offering an immuno-modulatory action, it improves the quality of life thus benefitting the persons of all the ages. The ancient Ayurvedic literature as well as modern references was referred to have a critical study of the classification of massage; to compare between Abhyanga and Massage; to study the mode of action according to Ayurvedic and modern view. This being the Bahiparimarjana Chikitsa plays a vital role in improving the quality of life, thus fulfilling the basic motto of Ayurveda. Modern studies have proven that, Abhyanga has potential psychogenic and physiologic benefits. It can certainly be said that Abhyanga, “Adds life to years” rather than “Years to life” and thus bears a strong contemporary relevance. This review article is meant to have a critical review of Abhyanga with special reference to its contemporary relevance.
... It is a fantastic moisturiser. It improves nutrient [8] absorption, wisdom, memory, and body lustre. vitamin A stops macular degeneration and the formation of cataracts. ...
Introduction: The formulations described in Charak Chikitsa Stana compendia generally contain ingredients of Ghrita which include in Panchagavya. Ghrita is a well-known which contain various medicinal properties used in various formulations. These formulations are indicated for preservation of health and cure of variety of diseases conditions. Aim and Objective: Description of Ghrita and its formulations can be traced in Charak Chikitsa Stana. However, a single hand information regarding formulations of Ghrita, is not available. Hence, attempt is made in the present paper to gather therapeutic, pharmacological classical formulations of Ghrita. Material & Method: In the present study Ghrita were reviewed through Charak Chikitsa Stana. Therapeutic efficacy of Ghrita is discussed on the basis of available compiled data. In present review, total 140 Observation And Results: Ghrita were found in Charak Chikitsa Stana indicated in internal and external applications . These Ghrita are used in treating skin diseases, alopecia, arthritis, Plihodar (spleen diseases), Apasmar (epilepsy), Arsha (Haemorrhoids),Shoth(Swelling) etc. It is a drug of choice in treatment of many diseases and proved remarkable pharmacological activities. Conclusion: Goghrita have high therapeutic potential if used in various diseases. This study may help as guideline to researchers for planning their pharmaceutical, pre-clinical or clinical studies.
Complementary and Alternative Medicine
Ayurveda literally means ‘science of life’. According to Ayurveda the term health does not stand only for the freedom from diseases but it is called as healthy only when a person’s mind, sense organs and the soul are in a perfect state of equilibrium to endow happiness and the body is free from diseases. So it is clear that maintaining a good health was for the longevity of life, which Ayurveda is meant for. Maharshi Charaka has used the term ‘Samhanana’ to denote the compactness of body. According to him the man, measure of whose growth is proportionate and whose limbs are symmetrical, is never in consequence of firmness or strength of his senses, overwhelmed by the force which put forth.
A compact body is characterized by the symmetrical and well divided bones, well-knit joints and well bound muscles and blood. An individual having a compact body is very strong, otherwise he is weak. Thus a patient should be examined with reference to his samhanana or compactness of the body. This is the main reason for why Ayurveda has given paramount importance on maintaining a positive health, either by following strict routine daily life and doing particular things or by getting some therapeutic measures, like Rasayana, Panchakarma etc. Abhyanga is the therapeutic intervention of Panchakarma in which the body is treated with simple or medicated oil on particular body part according to need. Whenever there is a discomfort or uneasiness over the body we unknowingly try to soothe it through massage.
Abhyanga has been considered as an important part of the external Snehana. It produces relaxation of soft tissues and relives the pain. Abhyanga causes relaxation to mind, useful in the treatment in Aches, Hypertension, helpful in Bipolar disorders, and pain management. The main aim of the study is to assess the role of Abhyanga on Lipid profile of healthy individuals. Tila taila obtained from the seeds of Sesamum indicum Linn. was used for abhyanga. Fifteen healthy volunteers were selected irrespective of Religion, age and sex. The Routine Hematological, Biochemical tests were done before and after 7 days course of abhyanga in seven positions. The results showed clinically insignificant reductions in Lipid profile. In this study an attempt was made to observe the efficacy of abhyanga on lipid profile of healthy individuals. But the result showed abhyanga is not at all having a significant intervention in the lipid profile. Findings indicate that Abhyanga is not having an active intervention in Lipid profile. As the sample size is very small, further studies are required to find the exact action of Abhyanga on the healthy individual's lipid profile.
Neonatal period is very crucial phase of life. One has to provide systematic, luxurious and sophisticated neonatal care. Ayurveda mentioned very scientific approach toward newborn care as Jatamatra Paricharya; means a protocol. Abhyanga is one of these care protocols. Neonatal massage with lubricant is in practice around the world and resembles with Ayurveda Abhyanga process. In vitally stable neonates Abhyanga can be done with particular precaution considering the indications and contraindications. Abhyanga and massage are not totally identical. Abhyanga increases the strength, nourishes body, improves skin texture and accelerates the healthy growth and development of newborn. Increased weight gain, reduced pain, enhanced attentiveness, reduced depression and enhanced immune function (increased natural killer cells and natural killer cell activity) are some advantages of newborn massage. During Abhyanga prevent harmful and painful practices and social taboos, like stretching of limbs, pulling of ear and nasal cartilages etc should not be practiced. Oil which is suitable for baby according to local conditions should be use. Bala Taila is one of the best oil among the all oil preparations in Ayurveda. Hence though Abhyanga is consider as complimentary and traditional ancient practice, it is very useful for the healthy newborn and contribution to modern health society. The present article is a systematic review of the neonatal massage across the world to establish the role of Ayurveda newborn care protocols having potential to contribute neonatal health, as key message to modern health world.
Aromatherapy and hand massage therapies have been reported to have some benefit for people with dementia who display behavioural symptoms; however there are a number of limitations of reported studies. The aim is to investigate the effect of aromatherapy (3% lavender oil spray) with and without hand massage on disruptive behaviour in people with dementia living in long-term care.
In a single blinded randomised controlled trial 67 people with a diagnosis of dementia and a history of disruptive behaviour, from three long-term care facilities were recruited and randomised using a random number table into three groups: (1) Combination (aromatherapy and hand massage) (n = 22 , (2) Aromatherapy (n = 23), (3) Placebo control (water spray) (n = 22). The intervention was given twice daily for six weeks. Data on residents' behaviour (CMAI) and cognition (MMSE) were collected before, during and after the intervention.
Despite a downward trend in behaviours displayed not one of the interventions significantly reduced disruptive behaviour.
Further large-scale placebo controlled studies are required where antipsychotic medication is controlled and a comparison of the methods of application of aromatherapy are investigated.Trial registration: ACTRN12612000917831.
The objective was to determine the effect of myofascial techniques on the modulation of physiologic and psychologic variables.
Forty-one (41) healthy male volunteers were randomly assigned to an experimental or control group.
The experimental group underwent 3 manual therapy modalities: suboccipital muscle technique, compression of fourth intracranial ventricle, and deep cervical fascia technique. The control group remained in a resting position for the same time period under the same environmental conditions.
Temperature, heart rate, and systolic and diastolic blood pressure (BP) were measured before, during, and after the intervention. State and trait anxiety levels and depression level were evaluated before and after the intervention.
Repeated-measures analysis of variance revealed a significant time x groups interaction [F = 4.7(1,40); p = 0.036] for state anxiety. There were no significant time x group interaction effects for depression [F = 0.33(1,40); p = 0.57] or trait anxiety [F = 3.76(1,40), p = 0.060]. Among physiologic parameters, a significant time x group interaction was found for systolic BP [F = 2.86(6,240); p = 0.033] and heart rate [F = 2.89(6,240); p = 0.036].
Psychologic modulation is observed after application of manual therapy techniques, with a decrease in state anxiety in the experimental group. Heart rate and systolic BP were modulated during the course of myofascial induction techniques. All of these effects were observed up to 20 minutes after the therapy.
An equivalent groups design with a treatment group of 19 patients and a control group of 20 patients was used to investigate the impact of massage therapy on patients' perceptions of post-operative pain. Data were analysed using analysis of covariance repeated measures (within subjects) design. Controlling for age, the results indicated that massage produced a significant reduction in patients' perceptions of pain over a 24 hour period. A linear positive relationship emerged between patients' age and the duration of the massage. The study indicates that further investigation of the potential for massage to reduce pain is warranted.
Few treatments for back pain are supported by strong scientific evidence. Conventional treatments, although widely used, have had limited success. Dissatisfied patients have, therefore, turned to complementary and alternative medical therapies and providers for care for back pain.
To provide a rigorous and balanced summary of the best available evidence about the effectiveness, safety, and costs of the most popular complementary and alternative medical therapies used to treat back pain.
MEDLINE, EMBASE, and the Cochrane Controlled Trials Register.
Systematic reviews of randomized, controlled trials (RCTs) that were published since 1995 and that evaluated acupuncture, massage therapy, or spinal manipulation for nonspecific back pain and RCTs published since the reviews were conducted.
Two authors independently extracted data from the reviews (including number of RCTs, type of back pain, quality assessment, and conclusions) and original articles (including type of pain, comparison treatments, sample size, outcomes, follow-up intervals, loss to follow-up, and authors' conclusions).
Because the quality of the 20 RCTs that evaluated acupuncture was generally poor, the effectiveness of acupuncture for treating acute or chronic back pain is unclear. The three RCTs that evaluated massage reported that this therapy is effective for subacute and chronic back pain. A meta-regression analysis of the results of 26 RCTs evaluating spinal manipulation for acute and chronic back pain reported that spinal manipulation was superior to sham therapies and therapies judged to have no evidence of a benefit but was not superior to effective conventional treatments.
Initial studies have found massage to be effective for persistent back pain. Spinal manipulation has small clinical benefits that are equivalent to those of other commonly used therapies. The effectiveness of acupuncture remains unclear. All of these treatments seem to be relatively safe. Preliminary evidence suggests that massage, but not acupuncture or spinal manipulation, may reduce the costs of care after an initial course of therapy.
To investigate the effectiveness of massage therapy in reducing physiological and psychological indicators of stress in nurses employed in an acute care hospital.
Randomised controlled trial.
Acute care hospital in Queensland.
Sixty nurses were recruited to the five week study and randomly assigned to two groups.
A 15 minute back massage once a week. The control group did not receive any therapy.
Demographic information, a life events questionnaire and a brief medical history of all participants was completed at enrolment. Physiological stress was measured at weeks one, three and five by urinary cortisol and blood pressure readings. Psychological stress levels were measured at weeks one and five with the State-Trait Anxiety Inventory (STAI).
Differences in the change in urinary cortisol and blood pressure between the two groups did not reach statistical significance. However, STAI scores decreased over the five weeks for those participants who received a weekly massage. The STAI scores of the control group increased over the five week period. These differences between the groups were statistically significant.
The results of this study suggest that massage therapy is a beneficial tool for the health of nurses as it may reduce psychological stress levels. It is recommended that further large studies be conducted to measure the symptoms of stress rather than the physiological signs of stress in nurses.
The 5th edition of this world renowned textbook is the result of a thorough updating of every chapter with respect to the mechanism of action and use of older agents and the addition of important new drugs. The philosophy and objectives of the earlier editions are continued, however, together with the same thoughtful organization, clarity and authority that have long made 'Goodman and Gilman' the standard book in the field. Although less dynamic or outmoded sections have been condensed or eliminated, the basic organization remains the same, with major attention being given to the well established, safe and effective prototypal drugs. After a discussion of the general principles of pharmacokinetics, special attention is given to drugs acting on the CNS, local anesthetics, drugs acting at synaptic and neuroeffector junctions, autacoids, cardiovascular drugs, water, salts and ions, drugs affecting renal function and electrolyte metabolism, drugs affecting uterine motility, gases and vapors, heavy metals and antagonists, locally acting drugs, antiparasitic drugs, antimicrobial drugs, antineoplastic drugs, drugs acting on the blood and hematopoietic system, hormones and hormone antagonists, vitamins and even the principles of prescription writing and patient compliance instruction. There is a detailed subject index referring to both medical concepts and drug names, generic as well as proprietary. This book will prove invaluable to both students and graduates in many areas of the biomedical sciences.
Transdermal drug delivery system established itself as an integral part of a novel drug delivery system because of various factors like high bioavailability, absence of first pass metabolism, steady drug plasma concentration. There aremany obstacles that do not allow drug to penetrate deeper into the skin. Now a day's various skin penetration enhancement techniques have been developed to limit this barrier by use of various natural penetration enhancers like essential oils. This review covers the role of essential oils in a transdermal drug delivery system as a skin permeation enhancer because of various factors like natural from its origin, promising penetration enhancement activities and mechanism of action is probably due to its increased skin vehicle partitioning by the oils.
High blood pressure is associated with elevated anxiety, stress and stress hormones, hostility, depression and catecholamines. Massage therapy and progressive muscle relaxation were evaluated as treatments for reducing blood pressure and these associated symptoms. Adults who had been diagnosed as hypertensive received ten 30 min massage sessions over five weeks or they were given progressive muscle relaxation instructions (control group). Sitting diastolic blood pressure decreased after the first and last massage therapy sessions and reclining diastolic blood pressure decreased from the first to the last day of the study. Although both groups reported less anxiety, only the massage therapy group reported less depression and hostility and showed decreased urinary and salivary stress hormone levels (cortisol). Massage therapy may be effective in reducing diastolic blood pressure and symptoms associated with hypertension.
This paper is a report of a review to assess evidence of the effectiveness of massage for patients with cancer, in terms of reducing physical or psychological symptoms, improving quality of life, or producing unwanted side effects.
Patients with cancer may use complementary therapies, including massage and aromatherapy massage. However, their use and provision by state-financed healthcare services is controversial.
A systematic review was carried out, using the Cochrane principles. No meta-analysis was appropriate. An initial comprehensive search of electronic databases search was carried out in 2003 and updated in 2006. Eligible trials were randomized controlled trials, controlled before-and-after (pre-post) studies and interrupted time-series studies. Participants were adults with a diagnosis of cancer and receiving care in any healthcare setting. Interventions were limited to massage and/or aromatherapy massage carried out by a qualified therapist. Outcome measures to be included were patient-reported levels of physical and psychological indices of symptom distress and quality of life (measured using validated assessment tools).
In the review, 1325 papers were considered. Ten trials met the inclusion criteria and their results suggest that massage might reduce anxiety in patients with cancer in the short term and may have a beneficial effect on physical symptoms of cancer, such as pain and nausea. However, the lack of rigorous research evidence precludes drawing definitive conclusions.
Further well-designed large trials with longer follow-up periods are needed to be able to draw firm conclusions about the efficacy and effectiveness of massage for cancer patients.
Evaluating the effectiveness of nursing interventions in decreasing pain is a top priority for clinical research. Unfortunately, most of the research on cancer pain relief has been limited to treatment studies involving the administration of analgesics. Research is needed to determine which nonanalgesic methods of pain control are effective and under what conditions. Consequently, an experimental study was designed to test the effectiveness of massage as an intervention for cancer pain. Twenty-eight patients were randomly assigned to a massage or control group. The patients in the massage group were given a 10 minute massage to the back; the patients in the control group were visited for 10 minutes. For males, there was a significant decrease in pain level immediately after the massage. For females, there was not a significant decrease in pain level immediately after the massage. There were no significant differences between pain 1 hour and 2 hours after the massage in comparison with the initial pain for males or females. Massage was shown to be an effective short-term nursing intervention for pain in males in this sample.
Data are reviewed on the effects of massage therapy on infants and children with various medical conditions. The infants include: premature infants, cocaine-exposed infants, HIV-exposed infants, infants parented by depressed mothers, and full-term infants without medical problems. The childhood conditions include: abuse (sexual and physical), asthma, autism, burns, cancer, developmental delays, dermatitis (psoriasis), diabetes, eating disorders (bulimia), juvenile rheumatoid arthritis, posttraumatic stress disorder, and psychiatric problems. Generally, the massage therapy has resulted in lower anxiety and stress hormones and improved clinical course. Having grandparent volunteers and parents give the therapy enhances their own wellness and provides a cost-effective treatment for the children.
This study was done to investigate a nonpharmacological means of relaxation with 30 hospice clients. The purpose was to examine the effects of slow stroke back massage (SSBM) on systolic and diastolic blood pressure, heart rate and skin temperature. SSBM was associated with decreases in systolic BP, diastolic BP, and heart rate and with an increase in skin temperature. SSBM was shown to produce modest clinical, but statistically significant changes in vital signs which were indicative of relaxation. It is a cost-effective treatment which adds to the comfort of hospice clients.
The purpose of this exploratory study was to examine the effects of therapeutic massage (consisting of effleurage, petrissage, and myofascial trigger point therapy) on pain perception, anxiety, and relaxation levels in hospitalized patients experiencing significant cancer pain. Thirty minutes of therapeutic massage was administered on two consecutive evenings to nine hospitalized males diagnosed with cancer and experiencing cancer pain. The subjects' self-reports of pain and relaxation (measured by Visual Analogue Scales) as well as anxiety (measured by the Spielberger State Anxiety Inventory) were recorded before and immediately after the intervention. The objective physiologic measures of heart rate, respiratory rate, and blood pressure were obtained before, immediately after, and, finally, 10 min after the massage intervention. Massage therapy significantly reduced the subjects' level of pain perception (average = 60%) and anxiety (average = 24%) while enhancing their feelings of relaxation by an average of 58%. In addition to these subjective measures, all physiological measures (heart rate, respiratory rate, and blood pressure) tended to decrease from baseline, providing further indication of relaxation. In conclusion, although the exact mechanism is not known, therapeutic massage is a beneficial nursing intervention that promotes relaxation and alleviates the perception of pain and anxiety in hospitalized cancer patients.
Critically ill patients are deprived of sleep and its potential healing qualities, although many receive medications to promote sleep. No one has adequately evaluated holistic nonpharmacological techniques designed to promote sleep in critical care practice.
To determine the effects of (1) a back massage and (2) combined muscle relaxation, mental imagery, and a music audiotape on the sleep of older men with a cardiovascular illness who were hospitalized in a critical care unit.
Sixty-nine subjects were randomly assigned to a 6-minute back massage (n=24); a teaching session on relaxation and a 7.5-minute audiotape at bedtime consisting of muscle relaxation, mental imagery, and relaxing background music (n=28); or the usual nursing care (controls, n=17). Polysomnography was used to measure 1 night of sleep for each patients. Sleep efficiency index was the primary variable of interest. One-way analysis of variance was used to test for difference in the index among the 3 groups.
Descriptive statistics showed improved quality of sleep among the back-massage group. Initial analysis showed a significant difference among the 3 groups in sleep efficiency index. Post hoc testing with the Duncan procedure indicated a significant difference between the back-massage group and the control group; patients in the back-massage group slept more than 1 hour long than patients in the control group. However, the variance was significantly different among the 3 groups, and reanalysis of data with only 17 subjects in each group revealed no difference among groups (P=.06).
Back massage is useful for promoting sleep in critically ill older men.
The effect of foot massage on patients’ perception of care following laparoscopic sterilization as day case patients
This randomized-controlled study examined the effects of foot massage on patients’ perception of care received following surgery. The sample of 59 women who underwent laparoscopic sterilization as day case patients were randomly allocated into two groups. The experimental group received a foot massage and analgesia post-operatively, whilst the control group received only analgesia post-operatively. Each participant was asked to complete a questionnaire on the day following surgery. This examined satisfaction, memory and analgesia taken. The 76% response rate was comparable with other patient satisfaction studies following day-case surgery. Statistical analysis showed no overall significant difference in the pain experienced by the two groups; however, the mean pain scores recorded following surgery showed a significantly different pattern over time, such that the experimental group consistently reported less pain following a foot massage than the control group. This study has attempted to explore the use of foot massage in a systematic way and is therefore a basis for further study.
This article describes the findings of an empirical study on the use of foot massage as a nursing intervention in patients hospitalized with cancer. The study was developed from the earlier work of Ferrell-Torry and Glick (1992). In a sample of 87 subjects, a 10-minute foot massage (5 minutes per foot) was found to have a significant immediate effect on the perceptions of pain, nausea, and relaxation when measured with a visual analog scale. The use of foot massage as a complementary method is recommended as a relatively simple nursing intervention for patients experiencing nausea or pain related to the cancer experience. Further research into its effectiveness in the management of these symptoms by the family at home is warranted.
This study explores the effect of slow-stroke back massages on anxiety and shoulder pain in hospitalized elderly patients with stroke. An experimental quantitative design was conducted, comparing the scores for self-reported pain, anxiety, blood pressure, heart rate and pain of two groups of patients before and immediately after, and three days after the intervention. The intervention consisted of ten minutes of slow-stroke back massage (SSBM) for seven consecutive evenings. One hundred and two patients participated in the entire study and were randomly assigned to a massage group or a control group. The results revealed that the massage intervention significantly reduced the patients' levels of pain perception and anxiety. In addition to the subjective measures, all physiological measures (systolic and diastolic blood pressures and heart rate) changed positively, indicating relaxation. The prolonged effect of SSBM was also evident, as reflected by the maintenance of the psycho-physiological parameters three days after the massage. The patients' perceptions of SSBM, determined from a questionnaire, revealed positive support for SSBM for elderly stroke patients. The authors suggest that SSBM is an effective nursing intervention for reducing shoulder pain and anxiety in elderly patients with stroke. From a nursing perspective, this nursing practice provides a challenge and an opportunity for nurses and family caregivers to blend alternative therapies with technology to provide more individualized and holistic patient care.
Hypertension, one of the most pervasive disease processes in the United States, can lead to target organ damage. Although there is no one cause of primary hypertension, the theory of an unchecked long-term stress response continues to be a valid argument. Conversely, eliciting the relaxation response may alter the course of the unchecked stress response. Massage therapists have suggested that their therapy elicits the relaxation response and therefore can decrease blood pressure (BP) and hypertension. This preliminary study tested the effects of a regularly applied back massage on the BP of patients with clinically diagnosed hypertension. In this experimental, pretest-posttest study, a 10-min back massage was given to the experimental group (n = 8), three times a week for 10 sessions. The control group (n = 6) relaxed in the same environment for 10 min, three times a week for 10 sessions. Analysis of variance determined systolic BP changed significantly, F(1, 12) = 17.90, p = .001, between groups over time as did the diastolic BP, F(1, 12) = 8.34, p = .014. Effect size was 2.25 for systolic pressure and 1.56 for diastolic pressure (alpha of .05 and power at .80). This preliminary study suggests that regular massage may lower BP in hypertensive persons.
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