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ตอน การดูแลภาวะสมองเสื่อมในผู้สูงอายุด้วยสมุนไพรและการแพทย์แผนไทย — Transcript

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0:01Listening to Radio Sueksa strengthens
0:03wisdom and develops life. This is the
0:10Radio Sueksa station, Ministry of
0:12Education, broadcasting from the
0:14Educational Technology Center building
0:17on Si Ayutthaya Road, via FM 92 MHz and
0:20online at www.moeradiothai.net. From
0:266:00 AM to 10:00 PM. Hello and welcome
0:32to all our listeners. Welcome back to
0:36our Tam Tawan hour. I am Nongnut
0:39Prasertwachirakul. Being with you here
0:43at Radio Sueksa station. Frequency. FM
0:4892 MHz. Today, let’s talk about
0:51health. Returning to follow up once
0:54again. Regarding interesting facts
0:59about health care. Meet our doctor on
1:05Tam Tawan, in collaboration with the
1:07Abhaibhubejhr Thai Traditional Medicine
1:09College. Today, our guest speaker will
1:13raise a very interesting topic. In
1:18today’s aging society, specifically
1:20on this matter. The issue of dementia
1:27in the elderly. And also about herbs
1:33and Thai traditional medicine. How can
1:38they help in managing dementia in the
1:39elderly? In just a moment, we will
1:44follow up on this. And right now, our
1:50guest speaker is ready. We welcome
1:53Ajarn Pinit. Chinsroi. Head of Medical
1:56Services. Medicine and Public Health.
1:59Abhaibhubejhr Thai Traditional Medicine
2:01College. Hello, Ajarn.
2:04>> Hello, and hello to all our listeners
2:06as well.
2:09>> Ajarn, today we return to talk about a
2:11very interesting topic: managing
2:13dementia in the elderly with herbs and
2:15Thai traditional medicine. Why did you
2:21choose this topic for our discussion?
2:24>> I must explain to Khun Nut and the
2:25listeners like this. About this topic.
2:32We often think that when we grow old,
2:34memory decline is normal, which is
2:36partially true. However, there is a
2:42condition we call dementia, which
2:44sometimes occurs faster and more
2:46severely than normal. This is a concern
2:52in caring for the elderly, and we often
2:54see it, especially in those aged 65 and
2:57up; we often find symptoms of dementia.
3:04Sometimes we might not call it dementia
3:06, but rather cognitive or intellectual
3:08impairment. In English, we call this
3:13mild cognitive impairment. It might not
3:16have reached the stage of Alzheimer's
3:18disease or dementia yet. It is a
3:21condition that may occur related to the
3:23degeneration of the brain. There may be
3:27various abnormalities that occur, such
3:29as with memory. Especially short-term
3:32memory, which may not be very good or
3:34you may forget things quickly. There
3:39may be issues with thinking and
3:41decision-making that aren't as sharp,
3:43or a tendency to make mistakes. There
3:48might be changes in language use or
3:50communication that sound odd or unclear
3:52compared to how they used to be. And
3:55also issues with behavior, emotions,
3:58and daily life routines. This is a
4:01condition that is likely to occur in
4:03the elderly. It happens quite
4:06frequently in older adults. 65 and
4:08older. So it is an interesting topic on
4:11how we should care for the elderly. Or
4:16how to prevent it from progressing or
4:18becoming more severe.
4:24>> Yes, in the past, I admit that when
4:26talking about dementia, people felt it
4:28was something that just happens to the
4:30elderly, so some see it as normal. But
4:43I had a chance to speak with a brain
4:45expert, and they said that personally,
4:47they fear dementia even more than
4:48cancer. Because dementia can happen
5:00without the person even knowing, or it
5:02may develop gradually. But with cancer,
5:09at least if you get checked, you can
5:11find out if it's there, what stage it
5:12is, and what treatment to follow. But
5:19from what we see, patients with
5:21dementia or Alzheimer's are a group
5:22that truly deserves a lot of sympathy.
5:28>> Yes, that's right, dementia is a
5:30condition that can develop quite
5:32gradually. And we understand that such
5:36a condition is not a normal occurrence,
5:38as Nuch and the professor have
5:39mentioned. Actually, an interesting
5:44point is that it will continue to
5:46progress until it affects daily life.
5:49>> Hmm.
5:50>> Yes. Whenever it affects daily life, it
5:53creates many problems regarding the
5:55care of the elderly. Both for the
5:58elderly themselves and the caregivers.
6:00Therefore, if we understand, let's
6:02first understand that, okay, it may be
6:05a change that comes with age. But what
6:07if we can slow it down? Or if we can
6:09prevent it from progressing or becoming
6:11severe enough to affect daily life?
6:14This, will be something that improves
6:16the quality of life for the elderly, as
6:18well as for the caregivers.
6:20>> Yes, let's start with this then,
6:22Professor. Regarding the medical
6:26perspective on patients with dementia
6:28in the elderly. From a modern medical
6:33perspective, I would like you to
6:35compare modern medicine with Thai
6:36traditional medicine. How are the
6:41perspectives on dementia in the elderly
6:43similar or different, Professor?
6:46>> Yes, as I have already mentioned.
6:51Dementia is a condition where there is
6:53a decline or deterioration in the
6:54function of the brain or the related
6:56nervous system. There will be symptoms
7:01such as short-term memory that may not
7:03be very good. Remembering and then
7:05forgetting. And next would be long-term
7:08memory, such as memories from the past.
7:11One might forget things, like "Have I
7:13been here before?" or "Where was my old
7:15house?", something like that. The
7:17ability to think, make decisions, and
7:19plan will be relatively diminished.
7:22>> Hmm, and there are also mood changes,
7:24as I mentioned, we usually find this in
7:27the elderly aged 65 and up.
7:29>> Yes.
7:29>> Yes. Now, let's see why this happens in
7:33modern medicine. Currently, they have
7:37found that there are physiological
7:39mechanisms, and many pathological
7:41mechanisms that lead to dementia. Such
7:45as the degeneration of neurons. Which
7:48is something that can happen with age.
7:50Neurons, they will undergo degeneration
7:52. Now, the limitation of these cells is
7:55unlike other cells. That is, once they
7:57die, they do not regenerate. Therefore,
8:00they will gradually deteriorate, step
8:02by step.
8:03>> So, if I may briefly digress for a
8:05moment. In childhood, during the age
8:09range of 1-5 years, this is a period
8:11when nerve cells are generated.
8:14Therefore, we encourage children to
8:16sleep to stimulate the creation of
8:18nerve cells. Stimulating hormones
8:21allows these nerve cells to develop
8:23fully. Therefore, regarding function in
8:29later life or during old age, if nerve
8:31cells are strong and plentiful, when
8:33deterioration occurs, there are still
8:35other nerve cells that can maintain the
8:37same functions. So, one must understand
8:43that the deterioration of nerve cells
8:45is normal. But we can take care of them
8:48from the very beginning.
8:50>> The second point is the abnormal
8:52function of certain proteins in the
8:54brain, like the protein called amyloid.
8:59Which causes plaques or abnormalities
9:01in the brain tissue. This leads to
9:07problems by disrupting nerve cell
9:08signaling or brain function. The next
9:13condition is reduced blood flow to the
9:15brain.
9:16>> Yes.
9:20>> This is commonly found in the elderly
9:22because as we age, or the blood vessels
9:24in the elderly become less elastic.
9:30They become stiffer and harder. Or they
9:33are more prone to blockages. This
9:37causes the brain tissue to suffer from
9:39a lack of oxygen. And parts of the
9:42brain tissue may eventually die. These
9:45people, especially those with chronic
9:47diseases, need to be careful, such as
9:49those with diabetes, hypertension, and
9:52high cholesterol.
9:53>> This is something to be very careful
9:55about. Another condition is what we
10:01call chronic inflammation or a state of
10:04high oxidative stress. These come from
10:12our behavior and the food that we eat.
10:17Some foods, when consumed, stimulate
10:19the production of free radicals, or
10:22some contain them already, such as
10:24burnt grilled foods.
10:27>> Eating these things will cause the
10:29level of free radicals in the body to
10:31rise. When free radicals in the body
10:35are high, they accumulate in the vital
10:38tissues of various organs. And do you
10:42know where they like to be? They like
10:45to be in tissues that use high amounts
10:46of oxygen.
10:49>> So, if we look at the body, there are
10:51only a few organs with tissues that use
10:54high amounts of oxygen, and the brain
10:56uses the most oxygen in the body.
11:01>> Therefore, the brain is their primary
11:03target, and these four mechanisms lead
11:05to a decline in brain function or the
11:08degeneration of the brain or nervous
11:10system.
11:12>> Yes.
11:14>> Now, if we look at the causes, as I
11:16mentioned, there are many. For example,
11:20degeneration resulting from diseases or
11:23issues related to cerebrovascular
11:25disease. This is associated with other
11:29chronic diseases like diabetes,
11:31hypertension, and high blood
11:33cholesterol. Nervous system infections,
11:38such as a history of meningitis. This
11:41may increase the chances of these
11:43problems occurring faster than normal.
11:47Or people with malnutrition or nutrient
11:50deficiencies, especially vitamin B12.
11:55These can cause significant issues with
11:57the brain and nervous system. Or
12:02abnormal function of certain endocrine
12:04systems, such as the thyroid. Or the
12:11long-term use of certain medications,
12:13such as those used for depression,
12:15which can affect the brain. In addition
12:22, certain brain injuries may also cause
12:25these problems or increase the risk of
12:27dementia compared to normal people. For
12:32example, oxygen deprivation. Seizures
12:36or having low blood sugar for a long
12:38and continuous period of time. This
12:43oxygen deprivation condition is also
12:45linked to, um, sleep apnea as well.
12:50Because when we sleep, in the elderly
12:52or in very obese people, temporary
12:54breathing pauses can occur, which
12:56causes oxygen levels in the blood to
12:59drop. Therefore, this results in the
13:02brain being deprived of oxygen and
13:04increases the occurrence of these
13:06conditions. These are the causes and
13:09mechanisms from the perspective of
13:11modern medicine.
13:12>> Yes.
13:12>> Now, if we look at it......
13:14>> from the perspective of Thai
13:15traditional medicine, then? Ah, from
13:17the Thai traditional perspective, then.
13:20From the Thai medicine point of view,
13:22it is believed that memory conditions
13:24......these types of memory......are
13:26related to the wind element. In Thai
13:30medicine, we have a specific group of
13:32wind. Which we call Sukhumavata.
13:36Sukhumavata is a subtle wind that flows
13:38through small vessels and small
13:40channels. We believe that for the brain
13:44......the wind that controls these
13:46functions is what we call Sukhumavata.
13:48>> Yes.
13:51>> So, if Sukhumavata does not function
13:53well......it may cause cognitive
13:55processes to slow down. Confusion. Or
14:01poor memory. Yes, poor memory.
14:04Forgetfulness. Yes. Next is the matter
14:08of the fire element. The fire element
14:11is associated with thought. Processing
14:13various information. Yes. If the fire
14:17element, which relates to the brain's
14:19cognitive function, decreases......it
14:21will cause thinking......analysis......
14:23and discrimination......to become
14:25slower, which then impacts
14:27decision-making. The last one is the
14:31water element. If the water element
14:34becomes aggravated......it will cause
14:36thoughts to slow down. Causing
14:40drowsiness. Or sometimes a feeling of
14:42heaviness in the head, wanting only to
14:45sleep and not wanting to engage in
14:46other activities. Therefore, the key
14:50concept in caring for dementia from the
14:52Thai traditional medicine perspective
14:54is that, first, blood and wind
14:56circulation must be good.
15:00>> Blood must be healthy enough to nourish
15:02the brain, supported by a digestive
15:04fire that is fully functional—both in
15:06terms of cognition and the digestion of
15:08nutrients for nourishment. This is a
15:11fundamental principle in Thai
15:13traditional medicine.
15:18>> Well, it's a perspective that might be
15:20quite different, but from the
15:21standpoint of Thai traditional medicine
15:23, I find it to be an interesting angle,
15:25Professor. Professor? It seems like
15:35we've lost the signal from our speaker,
15:36hasn't it?
15:37>> Oh.
15:37>> Yes, I can hear you now. I hear you.
15:39There seemed to be a bit of
15:41interference earlier.
15:42>> Oh, my apologies. We have now seen
15:45perspectives from both modern medicine
15:47and Thai traditional medicine. Now,
15:50regarding our current society,
15:52Professor, which is also an aging
15:54society. I personally have several
15:56elderly people in my own home,
15:58Professor. And we also have fans of our
16:02program who have called in to say that
16:03they have to take care of elderly
16:05family members who are starting to have
16:06problems with dementia. Some may only
16:10be in the early stages. Others say it
16:14is quite advanced, and there might even
16:16be a bedridden condition involved as
16:18well. Given this, I would like to ask
16:21for your advice on the matter. Because
16:30we would like to have some options; are
16:32there any Thai herbs or treatments from
16:33Thai traditional medicine that you
16:35think could help in caring for the
16:37elderly living with dementia?
16:45>> Okay, there are several herbs that are
16:47quite interesting. But before we get to
16:52the herbs, I would first like to
16:54discuss how we actually evaluate the
16:56state of dementia. There are various
17:01assessment tools that are currently in
17:03use. Through these, a doctor can
17:10evaluate whether, based on the
17:11assessment scores, the results fall
17:13below the threshold and determine the
17:15level of cognitive decline. Because it
17:24ranges from mild impairment to dementia
17:26, or whether it is at a moderate or
17:28severe stage of dementia. This is very
17:34necessary. First and foremost, I would
17:37recommend that you should see a doctor.
17:42To assess the stage of dementia and
17:44determine which phase it is in. So that
17:48we can plan the correct treatment. Now,
17:51if we want to observe ourselves, how
17:53can we do that? Or how can we observe
17:57the elderly at home?
18:00>> We have some simple ways to measure
18:02this. That is, 1. We look at the basics
18:05of daily routines. For example, bathing
18:08. Dressing. Uh. Um. Eating. Using the
18:14toilet. Or doing other daily life
18:18activities to see if there are any
18:20abnormalities. If these basic
18:24activities show no abnormalities, uh,
18:26it means there likely isn't a problem
18:28yet. Now, we can look deeper into more
18:34complex activities or daily routines,
18:37such as using a phone—do they
18:39remember how to dial? Or using
18:46applications they’ve used before,
18:48like the Line app—how to make a call
18:51or a video call. Managing finances,
18:56such as how they handle their spending.
19:00Do they still keep a record of their
19:01expenses as usual? How do they organize
19:04or manage their money? Taking care of
19:07oneself regarding medication. For
19:10example, elderly people usually have to
19:12take regular medication, right?
19:14>> Yes.
19:16>> Sometimes, if it is an elderly person
19:18who does not have cognitive issues, we
19:20recommend that the elderly organize
19:22their own medication. The reason for
19:26letting them organize their own meds is
19:28so they can train their memory,
19:30remembering they have to take this pill
19:32, that pill, and so on. It is a form of
19:34brain exercise. However, the caregiver
19:37still needs to double-check. Check
19:39again in case there are any mistakes.
19:43Or in terms of cooking, check if the
19:45taste has changed. Have the cooking
19:48steps changed? Or have they forgotten
19:51to turn off appliances, like forgetting
19:53to turn off the gas, and so on?
19:55>> We call this Instrumental ADL. It
19:59refers to complex activities. Now, in
20:03terms of assessment, basic daily
20:05activities are often still normal. But
20:09activities that are more complex, they
20:11often have problems. For instance,
20:15forgetting how to make a phone call or
20:17which button to press.
20:19>> Forgetting how to manage their money,
20:21or
20:22>> taking medication incorrectly, or
20:25>> when cooking, they can still do it, but
20:30>> they forget to turn off the stove or
20:32forget to add ingredients; this shows
20:34that their instrumental activities are
20:36becoming impaired, which allows us to
20:39assess that if it is dementia, it is
20:41likely in the early stage.
20:44>> Mm.
20:45>> Yes.
20:52>> We can prevent it from progressing to
20:54the moderate and severe stages, but if
20:56the basic daily activities are already
20:58impaired, such as when bathing,
21:06>> Mm.
21:07>> forgetting to use soap, or having
21:09trouble dressing or eating. For example
21:12, forgetting whether they have already
21:14eaten or not. This represents a loss of
21:18function in basic daily living
21:20activities. We would assess that the
21:24dementia is likely in the moderate or
21:26severe stage.
21:28>> Yes.
21:29>> It depends on those basic activities.
21:33In this case, it is necessary to treat
21:35it by using other medications as well.
21:37It requires treatment with additional
21:39medications. Now, speaking of herbs,
21:43there are several herbs that we use. An
21:49herb that is widely used and shows good
21:51potential is turmeric.
21:55>> Turmeric?
21:56>> Yes, the turmeric that we use, the one
21:59we are working with. Because turmeric
22:03has prominent properties, namely its
22:05anti-inflammatory effects, antioxidant
22:07properties, and its ability to protect
22:10nerve cells. Turmeric can help reduce
22:17inflammation in the brain. Studies in
22:24mice induced with Alzheimer's found
22:26that the key compound, curcumin, can
22:29inhibit inflammatory substances. This
22:36delays neuronal cell death, which helps
22:38slow down or prolong the onset of
22:40Alzheimer's in mice. It can reduce
22:47oxidative stress, which occurs when
22:49there are high levels of free radicals
22:51in the body.
22:55>> Turmeric has quite a strong effect in
22:57this regard. As a result, it
23:00significantly reduces damage to the
23:02nerve cells. It also inhibits the
23:07accumulation of amyloid plaques. This
23:12is directly related to Alzheimer's
23:14disease.
23:17>> Uh.
23:21>> An important and interesting point
23:23rarely found elsewhere is that turmeric
23:25can increase certain proteins that
23:26repair the nervous system.
23:31>> Yes, repairing the nervous system; this
23:34is a key highlight of turmeric.
23:38>> Another advantage of turmeric is that
23:40when it comes to substances acting on
23:42the brain. The brain has a protective
23:46membrane called the blood-brain barrier
23:48. This barrier selectively allows
23:53substances to enter the brain, as it is
23:55a vital organ. The advantage of
24:00turmeric is that its active compound,
24:02curcumin, can penetrate the blood-brain
24:05barrier well.
24:12>> Therefore, it can act directly on the
24:14brain, giving it an advantage over
24:16other herbs, though there are still
24:18some limitations.
24:25>> The substances from turmeric have
24:27somewhat low absorption from the
24:29digestive system. However, it has been
24:37found that consuming turmeric along
24:39with black pepper increases its
24:41absorption rate by 20 times. So, taking
24:49turmeric with black pepper will improve
24:51its absorption. This helps more of the
24:55substance enter the body. When more of
25:00the substance gets into the body, it
25:02helps improve the effects of protecting
25:04the brain. Now, if we connect this to
25:11traditional Thai medicine, we find that
25:13its anti-inflammatory property helps
25:15reduce the "fire element," meaning it
25:17reduces inflammation. As for nourishing
25:23the blood or the nervous system, that
25:25relates to the effect on the "wind
25:27element." So, you can see that it helps
25:31quite well with both the wind and fire
25:33elements. Now, the question is, what
25:38dosage is appropriate? I recommend
25:44starting with a dosage of about 500
25:46milligrams per day. 500 milligrams is
25:51roughly 1 to 2 capsules. Because some
25:56are about 350 per capsule, or around
25:58500, you might need to check the label.
26:03If you're starting out, I suggest
26:05taking about 500, then gradually
26:07increasing the dose to about 1,000 per
26:09day.
26:11>> Hmm.
26:11>> Yes, that would be...
26:14>> One capsule in the morning and one in
26:15the evening. We use a low dose because
26:22the key principle of using herbs for
26:24prevention is to use a low dose, taken
26:26consistently, over a long period.
26:34>> Research suggesting that turmeric is
26:36effective for prevention indicates it
26:38may be used from 8 weeks. 8 weeks to 24
26:44weeks. Now, a concern mentioned in the
26:49research is the absorption capability.
26:53As we learned earlier, taking it with
26:55black pepper helps increase absorption.
26:59The research suggests about 800
27:01milligrams. But if we take it with
27:05black pepper, we might be able to
27:07reduce it to about 500 milligrams.
27:11Because it increases absorption.
27:14>> Oh, I see.
27:15>> Professor, what about fresh turmeric?
27:19>> Ah, if it's in the form of food.
27:22>> Yes.
27:23>> We...We can consume it in the form of
27:25food as well. Yes. Because in the form
27:30of food...We already have foods that
27:32contain turmeric, right? in many
27:37different forms. For example, whether
27:39it's curry or whatever, soups,
27:41stir-fries, or curries, right? There
27:43are many options. Therefore, we can
27:45consume it in the form of food. It's
27:54found that if we consume about, uh, the
27:56powder, 5-10 grams, we can obtain
27:58extracts containing active ingredients
28:01of about 20-50 milligrams. This can
28:11also help in delaying brain
28:12degeneration as well.
28:15>> Yes, that's right. Now, for a small tip
28:22: Since turmeric is fat-soluble, if we
28:25eat food that contains turmeric along
28:27with fats, such as coconut milk, or if
28:29it's stir-fried or uses oil, it will
28:32help extract more of the active
28:34compounds. And if you add a little
28:41black pepper to that food, it will
28:43increase the absorption of curcumin
28:45significantly.
28:49>> Yes, exactly, so we can choose these
28:52types of food menus.
28:55>> Now, I would like to add a little more
28:57that
28:59>> it doesn't just have benefits, there
29:01are also precautions when using
29:03turmeric. For those taking medication,
29:09especially drugs related to blood
29:11thinning, such as warfarin, or aspirin,
29:13there's a chance it could enhance the
29:16drug's effect. Therefore, this requires
29:21caution. The precautions are: 1. Don't
29:24consume too much. 2. Don't consume it
29:27for too long. For instance, take it for
29:292 months and stop for 1 month,
29:31something like that. Or consume in
29:33amounts not exceeding 1,000 milligrams
29:35per day. This is a reasonably
29:38appropriate dosage. Or if you need to
29:44have surgery, or are undergoing surgery
29:47, it is recommended to stop taking
29:49turmeric for at least 2 weeks. Because
29:55it may cause blood to clot slowly, or
29:57slow down bleeding.
30:02>> Additionally, there may be some
30:04conditions, such as bile duct
30:05obstruction or gallstones, where we do
30:07not recommend using turmeric.
30:11>> Yes, that is a point to note.
30:12>> Okay, now let's move on to the second
30:14item.
30:14>> Yes.
30:16>> The second one is something you might
30:18be familiar with, which is Gotu Kola.
30:22Gotu Kola has properties that can help
30:24with enhancing memory. It also has
30:27anti-inflammatory properties as well. A
30:30key point about Gotu Kola, similar to
30:32turmeric, is this specific strength of
30:34it. That is increasing a special
30:38protein in the brain. And it also
30:42increases the flexibility of brain
30:44function. Meaning, even if our brain is
30:50damaged, it can adapt by using other
30:52neurons to perform functions similar to
30:54before. Gotu Kola can stimulate this
31:03process better than other herbs when
31:05tested in laboratory animals.
31:08>> Yes.
31:11>> It is very suitable for groups starting
31:13to experience cognitive decline or
31:15impaired brain function. It is very
31:20suitable because it helps to slow it
31:22down significantly. It helps slow it
31:24down for a long time. Now, regarding
31:30the use of Gotu Kola, as mentioned, it
31:33can be used as a medicine or as a
31:35dietary supplement. But for self-care,
31:44if eating it as a fresh vegetable, you
31:47would use about 2-6 grams per day. And
31:53consume it about 1-3 times a day, for
31:56example, by drinking Gotu Kola juice.
31:59But it must be fresh-pressed Gotu Kola
32:02juice. You can drink about 2 glasses a
32:04day. One glass in the morning and one
32:06in the evening. Or you can take Gotu
32:08Kola and make it into tea. Dry it and
32:11then brew it as tea to drink. This
32:14helps with increasing the active
32:16compounds. Because we found that the
32:20active ingredients are water-soluble.
32:23>> For Gotu Kola, it can be used in the
32:25form of herbal medicine or tea infusion
32:27, unlike turmeric. Turmeric is
32:31oil-soluble, so it's best prepared in
32:33dishes like stir-fries or curries with
32:36coconut milk for better absorption.
32:39>> Mm.
32:44>> As for the duration, it’s quite
32:46similar, about 8-12 weeks to help
32:48reduce or slow down dementia, or to
32:50improve certain brain functions like
32:52memory.
32:58>> Does that mean we should stop using it
33:00after 8-12 weeks, Professor?
33:03>> Well, research shows that results are
33:05seen within 8-12 weeks. So, when we use
33:08it, we might use it for about 8 weeks,
33:11or roughly 2 months, and then stop. As
33:14I mentioned, using anything for too
33:16long will inevitably affect the body.
33:22Therefore, we should use it for a
33:24period, along with other activities
33:26like exercise or certain physical
33:28movements, which will help improve
33:30brain function and slow down brain
33:32degeneration. Now, we previously talked
33:39about the main herbs that are used as
33:41food. Next, I would like to move on to
33:44other processes. As we said, just
33:46eating them might not be enough, so
33:48what else should we do? Therefore,
33:51there should be an integration of
33:53methods.
33:55>> If we use other traditional Thai
33:57medicine practices, would it help?
34:02Something interesting is the practice
34:04of massage. There is Thai massage that
34:10helps in relaxing the head and the nape
34:12of the neck area. Or the neck and
34:17shoulder area, which helps improve
34:19blood circulation to nourish the brain.
34:25It has been found that massaging the
34:27head, nape, or the neck and shoulder
34:29area helps blood flow more effectively
34:31to the brain. This also helps improve
34:36sleep quality. And it can quite
34:40effectively reduce the conditions that
34:42cause degeneration in dementia patients
34:44. This is very suitable for those in
34:48the early stages of the condition. or
34:51is it a condition cognitive impairment
34:53or just a deficiency, not yet reaching
34:56dementia, right? This would be very
34:58good. Now, for the massage, there are
35:02about 4-5 points, okay? You might ask,
35:06can we do it ourselves? Actually, I
35:09must say we can do it ourselves. We can
35:11do it ourselves, initially. Now, I
35:15would like to explain which points
35:16there are. The important point is in
35:20the middle of the crown.
35:22>> We call this the 'apex' point, okay? It
35:26is located along the line from the left
35:28ear to the right ear. It will be right
35:31in the center of this area, okay? We
35:34will press down gently, okay? And then,
35:38hold it there, okay? Count 1, 2, 3, 4,
35:435. Then lift up, okay?
35:46>> Can I use my thumb, teacher? You can
35:48use your thumb or your index finger.
35:50Then press down. Uh, move forward. Move
35:53forward, two fingers at a time. Two
35:55fingers. Two fingers mean placing two
35:58fingers and moving down. And arrive at
36:00the area between the eyebrows. Do it
36:03like this for one round. The second
36:07point is to use your palms to hold the
36:09sides of the head. The thumbs are at
36:12the base of the skull. It will be right
36:15at the bump under the base of the skull
36:17, okay? Gently press down here. Do both
36:19sides at the same time. This will help
36:23relax the base of the skull area.
36:26Another point is the temple area. Press
36:29down onto the temples. Press down
36:32gently, straight on, and then rotate;
36:36rotate, counting 1, 2, 3, 4, 5 like
36:39this. Uh, uh. Another one is where we
36:45place our hands like we are resting our
36:47chin. Use your palms to cup your cheeks
36:52, both sides. The fingers, the index
36:56fingers, will be at the jaw area. Then
37:00press down gently, press down gently,
37:03and count 1, 2, 3, 4, 5 as well. This
37:08massage is to stimulate blood
37:10circulation to nourish the head area.
37:13And to relax. This can help to slow
37:17down, uh, the degeneration, or have a
37:19positive effect. One benefit that may
37:23be observed is that it improves
37:25perception and concentration.
37:28>> It reduces tension and helps to improve
37:31relaxation. Secondly, we might use
37:37tools like herbal compresses on the
37:39shoulders to promote relaxation; this
37:41really helps. Another option is to
37:47consult a Thai traditional doctor about
37:49treatments like steam therapy. Steam
37:53therapy helps to stimulate blood and
37:55wind circulation. This improves the
37:59flow of blood and energy to the brain
38:00and throughout the body. This will help
38:03to
38:04>> uh, slow down these issues. Another
38:08aspect is diet. Thai cuisine emphasizes
38:14foods that stimulate the "wind" element
38:16. They should have a warming flavor,
38:20meaning slightly spicy. For example,
38:22Kaeng Liang.
38:23>> Hmm.
38:24>> These provide a mild warmth, not a
38:26strong heat like spicy curries. Or
38:30foods with a little pepper added, like
38:32rice porridge, which helps stimulate
38:34the circulation of the "wind" element.
38:39They should also be easy to digest to
38:41reduce the activity of the "fire"
38:43element. And it helps the digestive
38:45fire in the stomach. Another thing to
38:48reduce—this must be reduced—is food
38:51that is too sweet, salty, or oily.
38:54Strong flavors are not recommended.
38:56Because these things cause the "fire"
38:59element to overwork and affect the
39:01brain.
39:01>> Hmm.
39:02>> The final thing is caring for the mind.
39:04>> Yes.
39:06>> The brain and the mind go together.
39:10Therefore, in the Thai and Buddhist way
39:12, there are methods for mental care.
39:16And mindfulness, such as listening to
39:19soft music. Slow conversation is an
39:25activity between the caregiver and the
39:27one being cared for, the elderly. It
39:32involves speaking slowly and telling
39:34stories. We won't pressure them to
39:36think or speak out. Instead, we'll
39:41gently encourage the elderly to take
39:43their time thinking and sharing,
39:45perhaps by asking guiding questions to
39:47stimulate their brain. This helps in
39:52caring for their mental well-being.
39:55Activities like praying or practicing
39:57meditative chanting. Repeating a prayer
40:00, such as chanting "Phut-tho" over and
40:03over. This will help the mind relax and
40:06become more focused. And it also
40:09improves brain function. This affects
40:13their mood and quality of life, which
40:15in turn improves how the brain
40:17functions.
40:22>> This can help delay the onset of
40:24dementia in the elderly.
40:29>> Wow, that was very comprehensive. If
40:36our listeners are interested, perhaps
40:37some of you are caring for elderly
40:39relatives with dementia and would like
40:41to consult with traditional Thai
40:42medicine practitioners, can you contact
40:44Chaophraya Abhaibhubejhr Hospital?
40:50>> Yes, you can contact the Abhaibhubejhr
40:53Institute of Thai Traditional Medicine
40:55at Chaophraya Abhaibhubejhr Hospital,
40:57or reach out to the Applied Thai
40:59Traditional Medicine Clinic at the
41:01Abhaibhubejhr College of Thai
41:03Traditional Medicine; both are
41:05available.
41:06>> I see, and you can contact them through
41:09several channels now—by phone or
41:10online, right, Doctor?
41:13>> Yes, that’s correct, both online and
41:16by phone.
41:17>> Yes.
41:18>> Yes, P'Nuch, if I may, since we've
41:20mentioned the college, could I take a
41:23moment to promote a course?
41:25>> Briefly, please go ahead, Doctor, as we
41:27are reaching the end of our time.
41:29Please, go ahead.
41:30>> Okay, thank you. I would like to inform
41:33all our listeners. The Abhaibhubejhr
41:36College of Thai Traditional Medicine is
41:39currently accepting applications for
41:41public health assistants. This course
41:44is provided free of charge. Simply put,
41:48it's free to study. Especially for
41:51those living in the Eastern region.
41:53Including Chonburi, Rayong, Chanthaburi
41:56, Sa Kaeo, Nakhon Nayok, and
41:59Prachinburi. This is an area under the
42:01college's supervision. You can contact
42:05the Abhaibhubejhr College of Thai
42:07Traditional Medicine directly.
42:11>> Radio Education Station joins in
42:12promoting the good culture of Thai
42:15society.

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