By: Dr. Patanjali Kashyap

Kristin Emodi

Infectious disease

Primarily affects the liver

Caused by the Hepatitis C

Virus

Acute or Chronic Illness

Diagnosed by: Antibody Test and RNA test◦ Antibody: ever had it

◦ RNA: currently have it and viral load

HCV enters the

body

HCV attaches to

liver cell

HCV enters liver

cell

HCV uncoats

HCV makes viral

proteins and

replicates RNA

HCV puts

together new

viruses

new viruses exit

cellREPEAT

15-20% clear the virus on their own

Positive for antibody test, negative for RNA test

75-85% develop a chronic infection

Of these, 20% get cirrhosis, liver cancer or failure

1-5% die

Smooth 3 pound internal organ about the size of a football

Processes everything we eat/drink

Biliary system

Production facility

Processing plant

Storage and filtration

HCV enters liver, and elicits an immune system response

Immune system attacks liver cells, causing inflammation and eventual scarring

Scarring = cell death

When the cells of the liver die, they are no longer able to perform the functions of the liver

Liver

Inflammation

•By fighting, immune cells damage the liver

•If unstopped, inflammation turn into scarring (fibrosis)

•Can recover from minor scarring

•Treatment: interferon, acupuncture and herbal treatment, diet changes,

lifestyle changes

Cirrhosis

•Irreversible scarring

•Compensated: liver works; decompensated: doesn’t work

•Symptoms: ascites, swelling of legs, small red blood vessels on the skin,

bleeding hemorrhoids, decreased urination, nosebleed or bleeding gums,

breast development in men, severe itching, bone loss

Liver Failure

•Portal hypertension

•Ascites

•Encephalopathy

•Need a liver transplant

Liver Cancer

•Hepatocellular carcinoma

•Primary liver cancer

•Early stage- resection or transplant

surgery

•Late stage- drug trials

Spreads through infected blood

Shared needles (most common)

Mother child (4 of 100 infants from HCV-infected mother)

Sex (1%-4% chance)

Everyday materials: toothbrush, razor

Occupational exposure (1.8% average risk)

Transfusions of blood or blood products (prior to 1992)

Fatigue

Physical and

mental weakness

Lethargy

Digestive

Problems

Nausea, vomiting,

diarrhea

Bloating, gas,

indigestion

Abdominal pain

Loss of appetite

Emotional

Problems

Depression

Anxiety

Mood swings

Flu-Like

Symptoms

Headache

Low-grade fever,

night sweats, chills

Joint and muscle

pain

Weakness

Hormonal

Problems

Intense

premenstrual or

menopausal

symptoms

Irregular periods

Loss of sex drive

Erectile dysfunction

Jaundice

Yellowing of

skin/eyes

Dark urine

Pale/clay

colored stools

Skin

Problems

Dry/itchy skin

Bruising

Reddened

palms, red

spidery spots

Swelling of

hands, feet, or

face

Thinking

Problems

Brain fog

encephalopathy

Sleep

Problems

Insomnia

Night sweats

Type of Therapy Prescription

Western Medicine Inject 9 mcg peginterferon once a week;1000 mg ribavirin per day

orally

Mantra/Yantra 20 minutes each day

Pranayama No more than 30 minutes per day

Chakras/Kundalini Attempt to balance chakra 3 once a week; find a shaktipat for kundalini

awakening

Water Therapy Drink 8-10 glasses of water per day; hip bath, 20 minutes per day

Ayurveda Advice

Japa Therapy 15 minutes per day

Music Therapy 30 minutes per day

Massage Therapy 60 minutes once a week

Stress Management Cardio 30-60 minutes per day

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** prescription for an average patient

Age: >18 years

Weight: < 75 kg

Positive HCV antibody and serum HCV RNA test results

Compensated liver disease

Hemoglobin: ≥13 g/dL (men) and ≥ 12 g/dL(women)

Neutrophil count: >1500/mm3

Serum creatinine < 1.5 mg/dL

Willingness to be treated and to adhere to treatment requirements

No contraindications for treatment

Weight-adapted ribavirin dosing in combination with fixed dose pegylated

interferon alfa-2a to avoid giving low doses of ribavirin minimized relapse

Weight (in kg) Dosage of Ribavirin

< 75 kg 1000 mg/day

75 kg – 105 kg 1200 mg/day

105 kg-125kg 1400 mg/day

UniversalSeparate of

Language

Specialized

Terminology

Easily

UnderstandableEasily Followed

Facilitate

Communication

Diagram Legend

Western MedicineStandard Treatment Treatment in

Developing Countries

Ribavirin with PegylatedInterferon (peginterferon) alfa-2b or alpha-2a

Ribavirin with interferon alfa-2b or interferon alfacon-1 (Infergen)

*Treatments last 24-48 weeks*

Interferon

•cytokine, protein produced naturally by

body that fights infections (injected)

Ribavirin

•nucleoside analogue, antiviral drug that

has no effect on its own (orally)

•200 mg capsule, dosage dependent on

many things

Peginterferon

•interferon with added polyethylene glycol

molecule so it stays active longer

•Shot only needed once a week not 3x a

week

•Better results without increased side

effects

Flu-Like

Symptoms

•Fever

•Chills

•Body Aches

•Headache

•Malaise

Gastrointestinal

Problems

•Nausea

•Vomiting

•Weight Loss

•Loss of Appetite

Emotional/Mental

Problems

•Depression

•Psychosis

•Aggressive Behavior

•Hallucinations

Skin Problems

•Pain/Redness at

Injection Site

•Itchiness

•Rash

Other

•Anemia

•Thyroid Gland

Abnormalities

•Fatigue

•Alopecia

•Difficulty Breathing

Yoga Acupressure Water Therapy

Reiki Massage Therapy Mantra/Yantra

Chakras/Kundilini Nutrition

Next

Union or binding of body and mind

Coordination and control of all forces within the body, leading to perfection in the functioning of all organs

Two Types:◦ Shavasana

High blood pressure, cardiac diseases, headache, dizziness, mental weakness, hot flushes and insomnia

◦ Vajrasan Relaxes kneecaps, knees, ankles, and feet

Imporves digestion and removes gas

Relieves sciatica pain

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14 meridians (channels) in the body that control the flow of bioenergy/bioelectricity

Each meridian controls all types of cells corresponding to the body part

The flow is at a maximum once every 24 hours◦ Liver maximum is from 1-3 am

If an organ is diseased, certain points on the meridian will be painful

Disease can be relieved by pressing on these points

Acupressure points are the symptom and the cure

Acupressure point- 1 sq cm

Can have an anesthetic effect, sedative effect, homeostatic/immunity enhancing, psychological effect

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Reiki- universal life energy Enters through the crown chakra (top of

head) Spontaneous flow of reiki is obstructed Blocked energy channels reopened by Reiki

master or meditation Liver disease caused by block of Manipura

Chakra Attunement- raise vibrations of energy levels,

better equipped for immunity Healing done by YOU, healer is the medium

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Many diseases caused by lack of water in the body (internal dehydration)

Little success in cases of◦ Disease caused by vitamin/mineral deficiencies

◦ Ailments needing surgery

◦ Severe infections of vital organs

◦ Life threatening diseases (cancer, AIDs, liver cirrhosis)

◦ Kidney failure/ congestive cardiac failure (internal water treatment forbidden)

Functions of Water◦ Quenches thirst

◦ Maintains body temperature

◦ Primary medium for body’s metabolism activities

◦ Maintains balance of electrolytes

◦ Effective transport medium for nutrients required in body

◦ Carries body’s waste products to liver and organs of excretory system (like kidney)

◦ Helps to eliminate stool from large intestine

Internal Therapy (drinking) or Hydrotherapy

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• Massage -manipulating of superficial and deeper layers of muscle and connective tissue using various techniques

• Enhance function, aid in the healing process, promote relaxation and well-being

• Reducing muscle and back pain, headaches, and soreness

• Improve your blood flow and reduce tension

• Make your immune system stronger

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Chakras◦ Wheels◦ Center of the body that collect

energy◦ Connected to major organs or

glands that govern other parts of the body

◦ Imbalanced chakras can lead to physical manifestations

Kundalini◦ Latent energy locked within the

central nervous system◦ Said to reside at the base of the

spine

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Mantra- a sound, syllable, word, or group of words that is considered capable of creating transformation

Yantra- the Sanskrit word for instrument or machine

What’s the difference between mantra and yantra? It’s the difference between mind and body. While a mantra is a word or phrase you run across the mind to focus on, a yantra is a physical symbol upon which you meditate in order to engage the mind in a withdrawal of consciousness. A yantra is a visual tool that helps you center, simply put.

Yantra examples:◦ The lotus flower typically represent chakras ◦ A bindu is the most basic form, a dot, and it represents the starting point of all creation◦ A swastika represents good luck, welfare, prosperity or spiritual victory ◦ Circle = Energy of the element water◦ Square = Energy of the element earth◦ Upward-facing Triangle = Energy of the element fire; energy◦ Downward-facing Triangle = Energy of the element water; knowledge◦ Diagonal line = Energy of the element air◦ Horizontal line = Energy of the element water◦ Vertical line = Energy of the element fire◦ Point = Energy of the element ether

Yantra for liver problems: Jupiter Yantra

Mantra for liver problems: OM KHAGAYA NAMAH or OM/HARI OM/HARI OM/HARI HARI OM

Jupiter Yantra

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Drink 8-10 glasses of water or clear liquid a day

Normal:◦ 6-11 servings of grains per day

◦ 3-5 servings of vegetables pre day

◦ 2-3 servings of dairy per day

◦ 2-4 serving or fruits per day

◦ 2-3 servings of protein per day

For Hepatitis C Patients:◦ Protein: 1-1.5 g/kg/day

Vegetable protein may be easier tolerated than animal protein

◦ Carbs: 25% or less of total energy

◦ Fiber: 38 g/day (men) and 25 g/day (women)

◦ Lipids: 1.6 g/day (men) and 1.1 g/day (women)

◦ Fluids: 35 or 30 mL/kg/day

Reasons for Nutritional Intervention:• to provide adequate energy and

protein to facilitate hepatocyte regeneration

• to promote and maintain nitrogen balance, avoiding excess production of ammonia from endogenous or exogenous protein catabolism

• to avoid complications related to the role of the liver in intermediary metabolism of carbohydrate, lipids and protein

• to provide adequate vitamins and minerals

• to avoid fluid and electrolyte imbalance

• to treat or reduce symptoms or treatment side effects

• to prevent increased morbidity or death related to nutritional factors

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•More accurate tests to detect even smaller amounts of the virusDiagnosis

•New formulations of interferon

•Telaprevir/boceprevir inhibit protease enzymes that HCV needs to

reproduce

•Now testing interferon-free dual oral regimen of simeprevir plus

daclatasvir

•Achillion's next-generation HCV protease inhibitor ACH-2684

Treatment

•Hoping to develop a vaccine

•Hard because HCV mutates and evades the body’s immune responsesVaccine

Explanation of web site ( total well-being system) in next few slides…

We created a website , which will help in managing the Hepatitis c through the use of IT.

Disclaimer: This is a generic website design which could be taken and applied to most diseases in the world to help patients manage various western medicine and alternative treatment prescriptions. However, for this website, I have focused on Hepatitis C. Other possible applications: cancer, auto-immune diseases, etc.

Username

Password

Login

New User? Register Here!Forget Your Password?

Remember me next time.

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Massage Therapy

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Type of Therapy Daily Prescription

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Mantra/Yantra

Pranayama

Chakras/Kundalini

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Japa Therapy

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Stress Management

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Clinical Diagnosis:

Medical History:

Clinical Implications:

Test Results:

Upload Blood Tests HereUpload Urine Tests HereUpload Liver Function Tests Here

Severity of Disease:

Explanation of Scale

0 1 2 3 4

Psychological Consulting:

Physiotherapy:

Required Not Required

Required Not Required

If Required, Diagnosis:

If Required, Diagnosis: **Daily Prescription

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Instructions for Mantra:1. Lay down, or sit upright, in a comfortable position and with good

posture2. Breathe diaphragmatically. Practice breathing awareness3. Once the breath has found a steady and comfortable rhythm that has a

calming effect on the body and the mind you can begin the mantra. 4. The mantra can be chanted out loud or repeatedly silently in your

mind. Breath in silently. As you breathe out, repeat the mantra. 5. Repeat this with each breath for 5-30 minutes

Instructions for Yantra:1. Gaze at it steadily. Blink as little as possible, slow your breath and

have no preconceived notions about what is to happen.2. Focus on the center of the image. After a few minutes, close your

eyes and continue meditating on the form of the yantra as seen in your minds eyes.

3. Keep your focus steady. Relax the mind as long as you can on the image.

What Is It?

• Mantra- a sound, syllable, word, or group of words that is considered capable of creating transformation

• Yantra- the visual mantra; visual tool that helps one center• Mantras for liver problems: OM KHAGAYA NAMAH or OM/ HARI

OM/ HARI OM/ HARI HARI OM• Yantra for liver problems: Jupiter Yantra

Jupiter Yantra

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• Pranayama means "breathing techniques" or "breath control". Ideally, this practice of opening up the inner life force is not merely to take healthy deep breaths. It is intended for yoga practitioners to help and prepare them in their meditation process

• In our respiration process, we breathe in or inhale oxygen into our body, going through our body systems in a form of energy to charge our different body parts. Then we exhale carbon dioxide and take away all toxic wastes from our body. Through the practice of Pranayama, the balance of oxygen and carbon dioxide is attained. Absorbing prana through breath control links our body, mind, and spirit

• These are the four stages of Pranayama: Arambha - the commencement stage wherein the person's interest in Pranayama is awakenedGhata - the stage where the three sariras merge to envelope the soul. The three sariras are gross, subtle, and causal.Parichay- the stage where the yogi experiences the knowledge of PranayamaNispatti- the stage where the yogi goes beyond his physical body, and unites with the supreme

• BenefitsPranayama teaches us the proper way to breathePranayama reduces the toxins and body wastes from within our body. It prevents one from acquiring diseases.Pranayama helps in one's digestionPranayama develops our concentration and focusPranayama offers a better self-control

Instructions :1.Ideally kapalbhati should be done in the morning in empty

stomach, if early morning is a problem then it should be performed after 3-4 hours of meal.

2.One should sit in sukhasana or padmasana and should inhale passively and exhale forcefully. This provides aeration to blood circulation. Inhalation and exhalation should be from nostril and abdominal muscles should come into act

3.The duration should exceed to half an hour.

What Is It?

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• Chakras• Wheels• Center of the body that collect energy• Connected to major organs or glands that govern other parts of the body

• Kundalini• Latent energy locked within the central nervous system• Said to reside at the base of the spine

What Is It?

Instructions for Balancing the 3rd

Chakra:1. Lay on your stomach. Put your fists or hands (one on top of another) on your Solar Plexus. Begin breathing long and deep.

2. Press down toward your navel and your breathing will internally massage your abdominal area.

3. After one minute, relax with your hands by your side.Instructions for Kundalini Awakening:

1. Safest is to locate a shaktipat who can awaken kundalini for you

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What Is It?

• Many diseases are caused by lack of water in the body (internal dehydration)

• Water energizes the cells of the liver upon entrance• Internal (drinking) v. External (hydrotherapy)• Always drink 8-10 glasses of water per day• Benefits:

• Rapid reduction of anxiety and mental stress

• Enhanced immunity increases natural resistance against common infections

• Rejuvenation of nervous system pumps new vigor into the system, so chronic fatigue goes away

• Detoxification and cleansing toxins flow out of body resulting in internal cleansing

• Improved blood circulation and blood chemistry improves circulation of the treated body part

• Resolution of inflammation anti-inflammatory effects• Relief from pain and joint stiffness pain relief from hot or cold

treatments

• Muscle-relaxation relaxes tight musclesInstructions for Water Therapy:If You Are Suffering

From:

Anemia External: daily bath with cool water, graded immersion bath

Internal: drink water energized with red color, iron/tin copper metal or magnets

Loss of Appetite External: hip bath, enema

Internal: drink water energized with yellow/orange color, tin metal or the north pole of magnet

Jaundice/Sluggish Liver/ Hepatitis

External: hip bath

Internal: drink water energized with yellow/orange color, tin/iron metal or magnets

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• Aim is not healing, but to achieve a state of balance and maintain it• Eliminates the root cause of imbalance and brings the body into a state of balance• When imbalance is removed, disease affecting the system is automatically cured• Keep the three doshas in balance by exercise, yoga, meditation, not consuming toxins (tobacco,

excess alcohol, excess tea/coffee) eating the right food at the right time in the right environment

What Is It?

Instructions:

1. Go to bed before 10 pm2. Sesame oil massage for 10 minutes daily3. Massage feet with warm oil before going to bed4. Gently massage forehead and lower abdomen with

sesame/coconut oil before sleeping5. Eat more fruits, vegetables, and nuts6. Exercise, yoga, pranayama should be done daily for 30

minutes between 6 and 7 am7. Balance between foods that are: sweet, sour, salty,

pungent, bitter, and astringent

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• Japa- repetition of any mantra or name of the lord• Results in communion with the lord• Repetition removes the dirt of the mind such as lust, anger, greed,

etc• Japa does• Purifies the heart

• Steadies the mind• Destroys birth and

death• Burns sins• Annihilates

attachment• Roots out all desires• Removes delusions• Makes one fearless• Gives supreme

peace

• Unites the devotee with the Lord

• Give health, wealth, strength and long life

• Brings God-consciousness

• Bestows eternal bliss

• Awakens the kundalini

Instructions for Japa Therapy:1. Decide to repeat either a mantra of name of the lord

2. While sitting in a meditation position, or doing other activities, repeat this mantra or name

3. Can repeat softly aloud or mentally

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• Treatment includes: creating, singing, moving to, and/or listening to music• Music therapy interventions can be designed to:

• Promote Wellness• Manage Stress• Alleviate Pain• Express Feelings• Enhance Memory• Improve Communication• Promote Physical Rehabilitation

What Is It?

Instructions:1. Listen to 30 minutes a day of a particular type of music

depending on what you are suffering from

Raga Disease it Helps

Bageshwari Insomnia

Brindabani Sarang Depression

Hindol BackacheHypertensionFeverLiver disease

Puriya Dhanashri Anemia

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• Massage is the manipulating of superficial and deeper layers of muscle and connective tissue using various techniques, to enhance function, aid in the healing process, and promote relaxation and well-being

• You can try massage therapy for reducing muscle and back pain, headaches, and soreness. Massages also can improve your blood flow (your circulation) and reduce tension. Some people think that massages might even make your immune system stronger

What Is It?

Instruction for Massage Therapy:

1. Find a trained massage therapist who will determine the best massage to relieve stress, improve circulation, etc

**consult primary health care provider to determine if the circulatory impact of massage might overcome the liver's ability to adapt

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• Stress: external factors that disrupt homeostasis• Eustress: positive stress (stress as a challenge to perform better in life and is productive)• Distress: negative stress (unable to cope and tries to escape from it)• Stress exponentially multiplies is the negative ions in the air that we breathe• Every disease has a link to negative stress• Manage stress by good lifestyle and remain healthy• Single biggest contributor to depression

Instructions for Stress Management:

1. Start the day with a smile2. Express gratitude to God and for the abundance of nature3. Drink 2-3 glasses of water in the morning to flush the

kidney and bowel4. Stretch every morning5. Get at least 30 minutes of cardio each day (swimming,

walking, jogging, etc)6. Sit on bed, with deep awareness of your body, with a sense

of gratitude for the miracle of the body; Breath in 3 times, inhaling God’s blessing, exhale your tensions

What Is It?

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•No fibrosis

Stage 0

•Enlargement of the

portal canals by

fibrosis

Stage 1•Fibrosis extends from

portal canals

•Rare bridging between

portal canals

Stage 2

•Many bridges

•Link portal canals and

central parts of liver

Stage 3•Cirrhosis

Stage 4

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Enema Graded

Immersion

Bath

Hip Bath

1. Relax and allow access to anus

2. Lubricate anus for easy administration

3. Administer inserts syringe filled with water into anus

1. Fill tub with water up to navel region

2. Remain for 20-30 minutes

1. Fill a graded tub with water

2. Enter on top step and remain for 5 minutes

3. Gradually immerse self in water, taking another step every 5 minutes

4. Remain for 20-30 minutes

Age:

Weight:Height:

Race/ Ethnicity:

Place of Current Residence:

Place of Birth:

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