COVID – 19 disease caused by SARS-CoV-2 Coronavirus is relatively a new disease, with fresh information being known on a dynamic basis about the natural history of the disease, especially in terms of post-recovery events. After acute COVID-19 illness, recovered patients may continue to report a wide variety of signs and symptoms including low-grade fever, fatigue, body ache, cough, sore throat, difficulty in breathing etc. all of which may relapse and remit. If the symptoms persist for 4-12 weeks post-recovery, it is called ongoing symptomatic COVID and if they last for over 12 weeks, it is called post-COVID syndrome.

Keeping this in view, RISHI put forth a holistic rejuvenation and management protocol for follow up care and well being of all post COVID recovering patients incorporating conventional treatment modalities along with our C 30 IMMUNITY BOOSTER.  The recovery period is likely to be longer for patients who suffered from a more severe form of the disease and those with pre-existing illness.

AYURVEDA AND POST COVID MANAGEMENT

Ayurveda insists that any abnormalities in the body are caused by the imbalance of the elemental substances vata, pitta and kapha along with accumulation of aama. Addedly is the dhatu kshaya and agni mandya condition post COVID-19 infection. The impact depends upon severity of disease, prakriti ,satwa, satmya and age of the individual.

So, the focus is to bring the doshas in balance and detoxify the body to make it ready for overall healing. Our post covid management protocol completely revitalizes the body, restores balance to health and thereby ultimately prevents illness. Since the toxins are removed from your body, all the bodily systems can function more efficiently that eventually leads to a healthy and fit body and mind.

C 30 IMMUNITY BOOSTER launched a new by RISHI distinctively boost the immune system of each body constitution, thereby maintaining optimum health and preventing COVID-19.

POST COVID SYMPTOMS

COVID-19 can result in prolonged illness and persistent symptoms, even in young adults and persons with no underlying medical conditions. Here at RISHI, we provide a holistic and comprehensive management for the following post COVID symptoms.

• Low grade fever
• Cough
• Chronic fatigue syndrome
• Body ache
• Sore throat
• Diarrhoea
• Vomiting
• Loss of appetite
• Insomnia
• Breathing difficulties
• Headache
• Chest pain
• Muscle pain and weakness
• Neurocognitive difficulties
• Skin Rashes
• Gastrointestinal symptoms
• Metabolic disruption (poor control of diabetes)
• Depression and other mental conditions

THE RISHI PROTOCOL FOR POST COVID MANAGEMENT

Need for proper management of post COVID-19 symptoms can be not only in prolonged illness, but also in young adults and children without underlying chronic medical conditions. An effective protocol is a need for managing post covid threat.

• Dipana Pachana (carminative and digestive herbs and diets)
• Dhatu Poshana (enrichment of the tissue elements)
• Vishaghna chikitsa (to combat the residual effects of the virus)
• Shamana chikitsa ( to restore the bodily functions)
• Panchakarma (detox modalities to remove the bodily toxins)
• Satvavajaya chikitsa ( ayurvedic psychotherapy)
• Sadvritta and Achara Rasayana ( behavioural therapy)
• Rasayana chikitsa ( total body rejuvenation)
• C 30 immunity booster

The treatment protocol varies according to the body constitution, strength and disease severity of each individual which will be intimated by our doctors.

RESPIRATORY CONDITIONS

• Dipana Pachana – Carminative and digestive herbs and diets aid in the digestion of ama (undigested) and make the agni (digestive fire) function well. They mobilize the toxins from shakha to kostha and thus help in easy expelling of doshas from the body.
• Abhyanga and Swedana (oil massage + steam bath) – Helps rejuvenation of body and expulsion of toxic wastes through skin.
• Vamana (emesis) – Medicated emesis therapy helps remove Kapha toxins accumulated in the body. It helps to restore normal health. Sense organs, mind and intelligence becomes clear and the person gains nourishment and immunity.
• Virechana (purgation) – Medicated purgation therapy completely cleanses the body of the pitta dosha, and removes toxins from the gastrointestinal tract, liver and gallbladder.
• Steam Inhalation – The key benefit of inhaling in moist, warm steam is that it may help alleviate irritation and swollen blood vessels in the nasal passages. The vapour may also support thinning of the mucus in your sinuses, which permits them to clear out easily. It also relaxes throat muscles, lessens soreness and inflammation and dilates blood vessels improving blood circulation. This allows breathing to return to normal and help you to breathe well. It is preferably advised to inhale steam via mouth and exhale via the nostrils.

NEUROLOGICAL CONDITIONS

• Dipana Pachana – Carminative and digestive herbs and diets aid in the digestion of ama (undigested) and make the agni (digestive fire) function well. They mobilize the toxins from shakha to kostha and thus help in easy expelling of doshas from the body.
• Udvartana (powder massage) – Whole body massage with medicated powder that aids in expulsion of toxins through skin.
• Basti – Herbal decoctions or herbal oils are administered through the rectal route that helps in balancing vata dosha and thereby nourishes the body. It expels toxins from the body channels.
• Shirodhara, Ksheeradhara or Kashayadhara – It stimulates the vital points on the head and improves circulation. You will feel relaxed and elated.

MUSCULOSKELETAL CONDITIONS

• Dipana Pachana – Carminative and digestive herbs and diets aid in the digestion of ama (undigested) and make the agni (digestive fire) function well. They mobilize the toxins from shakha to kostha and thus help in easy expelling of doshas from the body.
• Patra pinda sweda (ela kizhi) or Shastika shali pinda sweda (njavara kizhi) -Strengthens the body muscles and thereby helps in regaining the lost strength.
• Basti – Herbal decoctions or herbal oils are administered through the rectal route that helps in balancing vata dosha and thereby nourishes the body. It expels toxins from the body channels.
• Shirodhara, Ksheeradhara or Kashayadhara – It stimulates the vital points on the head and improves circulation. You will feel relaxed and elated.

PSYCHOLOGICAL CONDITIONS

• Abhyanga or pizhichil – external oleation through massage enables easy elimination of fat-soluble toxins and removes blockages created by metabolic waste.
• Shirodhara, Ksheeradhara or Kashayadhara – It stimulates the vital points on the head and improves circulation. You will feel relaxed and elated.
• Sneha Nasya – An excess of bodily humors accumulated in the sinus, throat, nose or head areas is eliminated by means of the nearest possible opening, the nose. Nasya with Anu taila or Ksheerabala taila are indicated in mild insomnia, irritability and conditions like depression.

RASAYANA CHIKITSA

Rasayana like Chyawanprasha, are given in respiratory tract illnesses like kasa (cough), shwasa (difficulty in breathing, bronchial asthma). It improves the retention power, intelligence, provides arogya (disease free state), longevity, and improves uro‑roga (diseases of chest region), hridroga (diseases of heart) etc. Pippali Rasayana is said to be best for kasa, gala‑roga (diseases of the throat), vishama‑jwara (fever with irregular nature, action, and time of onset). Naimittika rasayana like  shilajatu correct the hyperglycaemic episodes and produce their effect by enhancing the agni and ojas status in the patients, thereby improving metabolic and immune status.

POST COVID MENTAL HEALTH CARE

The proficient Doctor’s panel at RISHI advises a standard approach of mental health care incorporating our holistic treatment protocols and tranquilizing hospital ambience that can render the patient with quietude and thereby helps in subduing post COVID anxiety and stress. Our integrated treatment incorporating abhyanga(head massage) with oils and medicines inherited from the RISHI legacy has been highly evinced to soothe the mind. This, in turn, boosts blood circulation to the central nervous system and helps overcome sleeplessness and other insomnia related conditions.

RISHI apprehends the fact that a healthy mind is the ultimate requisite towards a healthy body. Our unique approach towards post COVID mental health care integrates modalities viz. Hypnotherapy, Cognitive therapy, Psychotherapy, Behavioural  therapy, Spiritual therapy etc.

The COVID-19 pandemic has created a global health crisis posing an unprecedented public health emergency. The number of deaths and people being infected are increasing daily throughout the globe. This situation is much more severe due to the possible devastating social and economic state of affairs evoked by the unanticipated pandemic. Effective management to address this infection is still evolving and attempts are being made to integrate traditional interventions along with standard care.

Here at RISHI AYURVEDA HOSPITAL AND RESEARCH CENTRE, we comprehend the factuality that Ayurveda can certainly play a pivotal role to augment the preventive measures against this pandemic. The current understanding of COVID-19 indicates that a good immune status is vital to prevention and to safeguard from disease progression.

IMMUNITY IN AYURVEDA

In Ayurveda, immunity is referred to as vyadhikshamatva. Ayurveda has a comprehensive approach of immunity encompassing two-fold management, respectively of health and disease. Vyadhikshamatva is the resistance of the body to fight a disease by either of the following two ways:

• Vyadhi -Bala- Virodhitvam – The resisting power of the body to restrain or withstand the strength or severity or progression of a disease.  Vyadhi- Utpada- Pratibandhakatvam – The resisting power of the body to prevent the manifestation of a disease. Significantly, various modifiable factors have been enlisted in Ayurveda that influence the host defense responses.
• (Bala/Vyadhikshamatva). These factors include a healthy diet (Pathyaahara), condition of biological humors (dosha) and the state of physical and mental health (Sareera).

Keeping this in view, RISHI AYURVEDA put forth an integrative prevention protocol that incorporates a 5 phased etiquette highly acclaimed to boost the immune system of each body constitution, thereby maintaining optimum health and preventing COVID-19.

THE FIVE PHASED ‘RISHI ETIQUETTE’ IN PREVENTION OF COVID-19

1. Basic precautionary measures.
2. Immune boosting diet and lifestyle regime.
3. Yoga and Pranayamas.
4. Internal Medications.
5. Mending mental health.

BASIC PRECAUTIONARY MEASURES

• Maintain at least a 1-metre distance between yourself and others to reduce your risk of infection.
• Make wearing a mask a normal part of being around other people.
  • Make sure the mask covers your nose, mouth and chin.
  • Always choose a mask with a nose wire. Nose wires prevent air from leaking out of the top of the mask.
  • Do not combine two disposable masks.
  • Wear a disposable mask underneath a cloth mask. Cloth mask should push the edges of the disposable mask against your face.

• Regularly and thoroughly clean your hands with an alcohol based handrub or wash them with water and soap.
• Avoid touching your eyes, nose and mouth.
• Cover your mouth and nose with your bent elbow or tissue when you cough or sneeze.
• Clean and disinfect surfaces frequently especially those which are regularly touched like door handles, phone screens etc.
• Know the full range of symptoms of COVID-19. The most common symptoms of COVID-19 are fever, dry cough, and tiredness. Other symptoms that are less common and may affect some patients include loss of taste or smell, aches and pains, headache, sore throat, nasal congestion, red eyes, diarrhoea, or a skin rash.

IMMUNE BOOSTING DIET AND LIFESTYLE REGIME

• Adequate sleep of 6 to 8 hours.
• Moderate physical exercises.
• Avoid smoking and alcohol consumption.
• Gargle with warm water added with a pinch of turmeric and salt. Water boiled with Triphala (dried fruits of Emblica officinalis, Terminalia chebula,Terminalia bellerica) or Yashtimadhu (Glycyrrhiza glabra) also can be used for gargling.
• Nasal instillation /application of medicated oil (Anu taila or Shadbindu Taila) once or twice in a day especially before going out and coming back home.
• Steam inhalation with Ajwain (Trachyspermum ammi) or Pudina (Mentha spicata) or Eucalyptus oil once a day.
• Intake of fresh, warm and balanced diet.
• Use warm water or water boiled with herbs like ginger (Zingiber officinale) or coriander (Coriandrum sativum) or basil (Ocimum sanctum / Ocimum basilicum), or cumin (Cuminum cyminum) seeds etc., for drinking.
• Drink Golden Milk (Half teaspoon Haldi (Curcuma longa) powder in 150 ml hot milk) once at night. Avoid in case of indigestion.
• Intake of Chyavanaprasha (10gm with warm water or milk) once a day.
• Concentrate on a low carb diet rich in immunity boosting vitamins and minerals.

YOGA AND PRANAYAMAS

Practice of Yoga has proven to improve respiratory and cardiac efficiency. Pranayamas particularly aim at improving pulmonary function and lung capacity. They also aid in muco-ciliary clearance and thereby substantially enhance the general immunity of the body.

• Suryanamaskara
• Standing asanas – Pada hastasana, Trikonasana, Tadasana, Ardha chakrasana (duration 1 minute)
• Sitting asanas – Ushtrasana, Sasankasana (duration 1 minute)
• Prone lying asanas – Makarasana, Bhujangasana (duration 1 minute)
• Supine lying asanas – Sethubandhasana, Pavana mukthasana (duration 1 minute)
• Resting asanas – Shavasana (duration 2 minutes)
• Kriyas – Vata neti 2 rounds (30 secs each with 30 secs relax), Kapalabhati( 2 rounds, 30 strokes each)
• Pranayamas – Nadi shodhana, Surya bhedhana pranayama, Ujjayee pranayama, Bhramari pranayama( 5 rounds each)
• Dhyana(meditation) for 5 minutes daily.

INTERNAL MEDICATIONS

At RISHI, we follow a holistic approach towards disease management and maintaining health. Our interventions in prevention of COVID-19 includes the incorporation of our patent medications that are highly acclaimed to boost immunity and thereby provide prophylactic care in COVID-19 patients. 

MENDING MENTAL HEALTH

Anxiety, worry and distress are common responses at times when we are faced with   uncertainty or the unknown. So it is normal and obvious that people are facing fear in the context of COVID-19 pandemic. Added to the fear of contracting the virus in a pandemic such as COVID-19 are the significant changes to our daily lives  as our movements are restricted in support of efforts to contain and slow down the virus.

Taking this into consideration, the proficient Doctor’s panel at RISHI advises a standard approach of mental health care incorporating our holistic treatment protocols and tranquilizing hospital ambience that can render the patient with quietude and thereby helps in subduing the pandemic related anxiety and stress.

RISHI apprehends the fact that a healthy mind is the ultimate requisite towards a healthy body. Our unique approach towards mending mental health integrates modalities viz.

• Hypnotherapy
• Cognitive therapy
• Behavioural therapy
• Music therapy
• Nature therapy
• Rain therapy
• Spiritual therapy
• Sleep therapy
• Sound therapy
• Colour therapy
• Meditation therapy