Geriatric problem in becoming a challenge to the society. Aging is phenomenon which indicates that as one is growing older, he is loosing his age or nearing death the end of life. It has been an earnest desire of a man to have disease free, long and happy life, from time immemorial. In the blown-up human civilization of present era, in the midst of increased susceptibility to various stresses, it is natural ti anticipate majority of population as having undesired health problems resulting in short life span. This was envisaged by our reverend Acharyas and they have found the solution thousands of years age after an extensive search to explore the means and methods for Hitayu, Sukhayu and Dirghayu in the concept of Rasayana. This not only helped to attain Longer, healthier life but also helped to curtail some of the dreadful diseases. The Aushadhi is of two types the first category of drug has been stated to promote and preserve health, strength and longevity in a healthy person. the second one has got capacity to cure the diseases of the ailing and afflicted people. The first object, related to an increase in Bala (The physical and immunological strength of the body) and Ojas (a vitalizing agent or life principle) in healthy person is achieved by resort to Rasayana and Vrishya.

the next object is obtained mostly by subduing the curative properties of the drug.

The term Rasayana comprises of two words

i.e. Rasa and Ayana. Here the first one signifies either Rasa Raktadi Dhatu of the body or Rasa, Virya & Vipakas of drug or an excellence of the same for the preservation and maintenance of healthy life etc the second one conveys the sens of Apyayana which suggests a measure or methodology to saturate or enrich or to conduce a special benefit to the body. It has been said that one

which has capacity to enrich the seven body tissues or the drug possessing the qualities to saturate or replenish the body tissue, by means or their Rasa, Virya and Vipaka or that which can provide benefit and keep an excellence of life and its other causative factors with the help of some qualities of the drug, is to be designated as Rasayana. Hence the Rasayana thereby can be taken as measure to infuse the vigour and strength to the body tissues by saturating them with vitalizing nutrients.

Basic concept of Rasayanas: Ayurveda has paid special attention to improve the natural process or resistance not only to a disease but also to prevent the old age and preserve the youthfulness in healthy persons. The underlying theory is that, if the waste products of the tissue metabolism are removed from the body and the body is made quite free and pure to accept the vitalizing and replenishment therapy, the youthfulness could be preserved and the life many be prolonged to its optimum. Rasayana has got its special qualities to contribute in the above said manner by preventing the old age and destroying the causes of usual occurrence of diseases. It is the only measure by which one can meet and control the natural wear and tear process of the body through full filling t h e r e q u i r e m e n t s. I t i n c r e a s e s t h e Jivaniyashakti (vital energy) in the body and by restoring it; man can enjoy long life, full of vigour and vitality.

Significance of Rasayana

• It aims specially at the promotion of strength and vitality in body.
• It acts as measure to contribute an excellence and maintain the integrity of Saptadhatus of the body and thus increases the
• It helps in the promotion of memory,

intelligence and Arogya (disease free State) preservation of youth age, lusture, complexion voice, generosity, and maintenance of optimum strength of the body and senses.

• It confers the capacity to get accomplished spoken words, command of the respect and regard of the people and promotion of the bodily glow. It is a measure by which as excellence of Rasadi Dhatus is achieved and
• It was the great sages, the seers, who were votaries of Rasayana, lived for thousands of years without being afflicted with old age, infirmity, disease and even death itself. A regular use of Rasayana in the prescribed manner, not merely attains longevity on the earth but goes by the auspicious was of the devine stages and finally reaches to imperishable

Concept of aging as a necessity of Rasayana Therapy: Aging is a multidimensional natural p r o c e s s o f p e r s o n a l i z e d b i o l o g i c a l phenomenon of individuals. In childhood progressive change of developmental phase take place while after attainment of age there is progressive decline of functional status with varing degree.

The process of anabolism and catabolism are occurring in body but anabolic activity gains the upper hand over catabolic activity in the earlier phase of life and as the age advances, it becomes vice versa i.e. when the age moves towards middle age, the anabolic activity is counter poised by catabolic activity. With age advancing, anabolic activity become over

powered by catabolic activity triggering of degenerative changes ending in death. Chakrapani while commenting on the (Ca.Sa 7/17) verse says that by governing union (sanyoga) and disunion (Vibhaga) Vayu plays a v i t a l r o l e i n S h a r i r a r a m b h a a n d Shariravinasha process. These two words points at anabolic and catabolic process taking place in life. The definition of Kaya indicates the underlying anabolic activity. While its synonym Sharira indicates towards catabolic activity. Likewise, the synonyms given for Ayu also show total body’s metabolic activity, such as Dhari, Jivitam, Nityaga, and Anubandha.

Levels of Rasayana Effect

1. Rasa : Promote nutrient value of plasma
2. Agni : Promote biofire system responsible for digestion and
3. Srotas : Promote micro circulation and tissue

Types of Rasayanas

1. Organs Specific
   1. Medhya Rasayana: Shankhapushpi Gudduchi, Mandhukaparani
   2. Hridya Rasayana: Arjuna:
   3. Chakshushya Rasayana: Triphala
2. A g e s p e c i fi c : V a g b h a t t a a n d Sharangdhara have mentioned that in individual goes an losing the age related qualities and if this loss is compensated by a specific Rasayana in specific age group the rate of aging can be reduced to same extent and can produce

Age in years Loss Suggested Rasayana 0-10 Corpulance Vacha, Kashmari 11-20 Growth Kashmari, Bala, Ashwagandha 21-30 Lusture Amalaki 31-40 Intelect Brahmi, Shankhapushpi Age in years Loss Suggested Rasayana 41-50 Skin Glow Bhringraja, Jyotishamti 51-60 Vision Jyotishmati, Triphala 61-70 Virility Kapikachhu 71-80 Strength Not Effective 81-90 Mentia3 Not Effective 91-100 Locomotion Not Effective 3. Use specific a) Kamya Rasayana - Used in healthy persons for promotion of health. i) Prana Kamya (longevity) ii) Sri Kamya (Body lusture) iii) Medhya (Mental competence) b) Naimittika Rasayana : Disease specific e.g. Shilajita in diabetes Method of use specific: 1) Kutipraveshika - Indoor regimen it is adopted after bio purification by P a n c h k a r m a i n w e l l c o n t r o l l e d conditions. Indications of Rasayana The medicinal preparation purposely made for prolonging the span of life and destroying the old age problems, result fruitful only in those: - • Who are self-controlled • Disciplined • Perfectly purified by their physique and mind. In this reference Charaka has stated that one who practices the therapy without getting eliminated his physical and mental disturbing factors, gains only it’s gross and general benefits and not the details and specified one. Consecrated to austerity, celibacy meditation and peace. These are the code of conducts of five which are essentially required to have the maximum benefit of the Rasayana. Charaka have stressed that Kuti praveshika Rasayana is administered only in those. Who are physically mentally and economically well prepared? Contraindiciations • Preoccupied in other tan spiritual or moral endeavour. • Not self-controlled or the persons who are particularly engaged in irregular dietary habits and sexual happiness. Sushruta has mentioned that the persons those who have not gone under the purification process should not be given Rasayana Therapy He has further advocated the unfitness of seven types of persons: (1) Who are not self-restrained (2) Slothful (3) Indigent (4) Heedless (5) Indulged in sinful acts (6) Addicted to any vice (7) Pays disregard to the drugs. Hence these above said points deserve a special consideration while instituting the therapy with the real sense of benefits. Age of Rasayana administration: Charaka Says that total growth and development is incomplete up to 30 years. So Rasayana administered during the earlier phase of Youvana can increase the nourishment to all Dhatus thereby improving the defense system of body. Madhyam Vaya is endowed with complete growth and development of all the body tissues as well as total functioning of mental faculties. The individual will be having good strength and there will be no deterioration of tissue elements. In such a stage, Rasayana administration can boost the immune system and delay the aging process. No Acharya have told that Rasayana should not be given in Vriddha Vastha. But i t is clearly understood that Vridhavastha is not the proper age for starting the administration of Rasayana because after 60 years naturally there occurs the declamation of body functions. As a result, the assimilation, absorption and movement of essence to all D a h t u s g e t s d i m i n i s h e d l e a d i n g t o incomplete achievement of desired effect. Therefore, the views of Charaka arrived at a conclusion that Rasayana supplementation yields its maximum beneficial effects in early adulthood. Sushruta has emphasized that young or who have reached middle age are best ones for Rasayana intake (Su. Chi. 24/3) Factors diminishing the effect of Rasayana 1. Presence of Virodhakara Bhava: Due to this Rasayana Dravya does not render the essence necessary for all Dhatus thereby reduces the formation of Prashata Dhatu. S h o d h a n a i n B a l a y a V a s t h a a n d Vriddhavastha: Shodhana Karma indicated before rasayana therapy is contraindicated in Balyavastha and vridhavastha because it results in Dhatu Kashya leading to destabilization of whole-body functions and derangement o f A g n i e v e n t u a l l y h a m p e r i n g Dhatuvriddhi. CASE PRESENTATION 1. Multidisciplinary Perspectives on Social Gerontology: Multidisciplinary perspectives involves examining an issue from the viewpoints of multiple distinct academic disciplines, combining their theories, methods, and knowledge to achieve a more holistic understanding a n d t o d e v e l o p i n n o v a t i v e, comprehensive, solutions. This approach is widely used in education, research and problem- solving, particularly for complex challenges like sustainable development, where integrating social, economic, and environmental insights is essential. 2. Gerontology: Gerontology is the multidisciplinary study of aging, encompassing biological psychological, social and environmental aspects of later life. It examines the physical, mental and social changes associated with aging, as well as societal shifts due to an aging population and applies this knowledge to develop policies and programs for older adults. Essentially, gerontology seeks to understand the aging process and its implications for individuals and society. 3. Situational Analysis of Senior Citizens: A situational analysis of senior citizens reveals growing populations worldwide, particularly in India, leading to developmental challenges in healthcare, finances and social support. Key issues include increasing chronic and neuro degenerative diseases like dementia, high r a t e s o f p o v e r t y a n d fi n a n c i a l dependency, and the psychological effects of loneliness and social isolation due to changing family structures. Urbanization and economic pressures often worsen the situation for older a d u l t s, n e c e s s i t a t i n g i n t e g r a t e d healthcare and social services to improve their quality of life and ensure their well- being. 4. Approaches to the Aging and the Human Rights Framework: Approaches to aging under the human rights framework recognize older people’s inherent dignity and entitlement to rights, promoting their participation, non-discrimination, and access to services like health and education. This includes adopting a human-rights based approach (HRBA) that applies universal principles, empowering both older individuals as rights-holders and governments as duty- bearers to meet their obligations. Other approaches include the World Health Organization’s (WHO) Active Ageing Model, which fosters well-being through pillars of health, lifelong learning, participation, and security, and an anti- institutional approach that critiques care homes and promotes human rights-based alternatives to institutional care. 5. Health and Ageing: Health and aging refers to the process of maintaining functional ability and wellbeing in older age, rather than just the absence of disease. The world Health Organization (WHO) defines healthy ageing as encompassing the ability to meet basic needs, learn, contribute to society, and maintain relationship, emphasizing the importance of supportive physical social, and policy environments. Key aspects of healthy aging include maintaining physical and mental capacities, fostering s u p p o r t i v e r e l a t i o n s h i p s a n d environment, and adopting lifestyle habits like a balanced diet and regular physical activity. 6. Physical and Physiological Health: Physical health refers to the state and structural aspects of the body, such as body composition and height, while physiological health refers to the proper functioning of the body’s internal processes, including metabolic processes, heart rate, blood pressure, and organ function. Both are crucial for overall well- being, with exercise and good nutrition supporting both physical development and the efficiency of physiological systems like the circulatory and respiratory systems. 7. Social and Psychological Health: Social and psychological health are intertwined aspects well-being with psychological health encompassing mental and emotional states and social health referring to one’s ability to form and maintain meaningful relationships and engage with others. Positive social connections reduce stress and improve resilience, while poor social health and isolation can lead to mental health issues s u c h a s d e p r e s s i o n, c r e a t i n g a bidirectional relationship where poor mental health can also hinder social functioning. 8. Ambulatory Medicine 9. Cardiology 10. Critical Care 11. Endocrinology, Metabolism and Nutrition 12. Foundations of Clinical Practice 13. Gastroenterology & Hepatology 14. Geriatric Medicine 15. Hematology & Oncology 16. Hospice & Palliative Medicine 17. Hospital Medicine 18. Infectious Disease 19. Nephrology & Urology 20. Neurology 21. Post-Acute Care 22. Psychiatry 23. Pulmonology 24. Rheumatology 25. Nutritional 26. Orthopedic 27. Diabetology 28. ENT 29. Ophthalmologist 30. Physical Medicine & Rehabilitation 31. Oncology 32. Surgery YEAR 2021-2022 PATIENTS REPORT GRAPH YEAR 2022-2023 PATIENTS REPORT GRAPH YEAR 2023-2024 PATIENTS REPORT GRAPH YEAR 2024-2025 PATIENTS REPORT GRAPH

The Rasayana therapy amis specially at promotion of health, strenght and vitality in the body. It contributes as excellence and maintains the integrity of Saptadhatus (body tissues) of the body and thus increase the longevity. The Rasayana therapy has got its special qualities in preventing old age and destroying the causes of usual occurrence of diseases. Aging occurs as a result of constant biological activities throughout living period. As the age advances the anabolic activities become over powered by catabolic activities triggering of degenerative changes ending in death. Therefore, Rasayana therapy is the only measure by which one can meet and control the natural wear and tear process of the body through full filling the requirements. The process of aging can be justified on the theory of free radical oxidant theory. These free radicals or very reactive molecules are produced endogenously through normal metabolic process or exogenously from sources such as air pollution, radiation and foods we consume. They easily react with vital molecules in the body such as DNA c a u s i n g m u t a t i o n s a n d l e a d i n g t o development of aging. The Rasayanas consist of substances that provide the much-needed stability to the free radical by allowing the paring of electrons. Therefore, the Rasayana therapy counter acts the free radical attack. These are nontoxic and also show anti stress property. Thus they indicate about having antioxidants properties (R.Govindrajan et.al.)

R e c e n t a d v a n c e s a l s o j u s t i f y t h e i r adaptogenic action because adaptogens are substances that normalize body functions, s t r e n g t h e n s y s t e m s a n d f u n c t i o n s compromised by stress and have effect against a wide variety of environmental and emotional stress. This elite class of herbs impart strength energy, stamina, endurance and improve mental clarity. Lake wise Rasayanas also possess the qualities of Medhya, Pushtikara, Dehindriyadradhikara, Bramhaniya, Jivniya etc and improve body’s defense system.

Adoptogens can normalize body imbalance by supporting adrenal function. They counter act the adverse effect of stress. The enable the body cells to access more energy. The cells eliminate toxic byproducts of the metabolic process and help the body to utilize oxygen more efficiently (Dr. Frank et. al)

Geriatrics is emerging as a challenging specialty because of over growing population of aged people all over the world.

T r a d i t i o n a l r e m e d i e s o r h e r b a l information of Rasayanas are the only answer to meet out the problems. Emblica officinalis, Curcuma longa, Withania sominifera are high promising plant species useful for old age.