Holistic Approach to Health and Healing: Exploring AYUSH Fundamentals
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Dr. Vartika Saxena
HOD, AYUSH
Professor, Department of Community & Family Medicine
ALLERGIC DISEASES
Atopic Dermatitis
Allergic Asthma
Anaphylaxis
Allergic Rhinitis etc.
NEURODEGENERATIVE DISEASE
Creutzfeldt–Jakob
disease
Early symptoms include
memory problems,
behavioural changes, poor
coordination, and visual
disturbances.
Later dementia, involuntary
movements, blindness,
weakness, and coma occur.
About 90% of people die
within a year
of diagnosis.
RABIES
Osteoarthritis and muscular dystrophies
Progeria
Cancers
Cancer is the
second
leading cause of death
Globally, 1 in 6 deaths is
due to cancer.
Globally, estimated 9.6
million deaths in 2018.
Psychological And Psychiatric Problem
Prevalence- 9.5 to 102 per 1000 population
Physician’s role
“curer of disease”
than
“healer of the sick”
“Healing in its comprehensive
way has faded from medical
attention and is seldom
discussed in the medical
literature.”
Organ Specific
Treatment and
Management
Biomedical sciences, have
just focused on the
identification and treatment
of symptoms of diseases.
ALLEVIATE
SUFFERING OF MAN !!
Healing is a transformative process in it’s true sense; it is
individualized, may vary person to person; it is innate or naturally
occurring; it is multidimensional; and it involves restoration, repair
and revitalization of
mind, body, and soul
.
Haelen = Wholeness
AYUSH
Ayurveda is said to be the off shoot of Atharva Veda
Ayurveda = Ayu meaning "life”
Veda = System of knowledge
Ayurveda =
Knowledge or science of life
AYURVEDA
Ayurveda attributes 80% of all disease to imbalances of
the digestive system and, therefore, much attention is
given to its maintenance.
YOGA AND NATUROPATHY
Raj yoga complied by Patanjali
has been accepted as the
synthesis of all yogic paths. It has eight subsequent limbs (an
eight limbed tree):
Yama
(social ethics:
ahimsa-
not harming self or others;
satya-
not lying;
asteya
- not stealing;
brahmacharya
- restraint;
aparigraha
- nonattachment);
Niyama
(self ethics:
shaucha-
purity;
santosha-
contentment;
tapas
- austerity;
swadhya
- self-study;
ishvara pranidhana
-
surrender to God to reach super consciousness)
Asana
(physical postures),
Pranayama
(breath regulation),
Pratyahara
(control of the senses),
Dharana
(concentration),
Dhyan
(meditation), and
Samadhi
(trance).
UNANI SYSTEM OF MEDICINE
Origin -ancient Greece (Y’unan
), primarily adopted from the
Egyptian medicine.
Arab adopted the same and developed it to a maximum extent.
In India it was introduced by Arabs and Persians and achieved
great popularity.
Unani medicine has its unique fundamental principles which
deals with body physique i.e.
Tabiat
(human nature)
termed as
medicatrix nature (
Tabiat-Mudabbirate-Badan),
the supreme
planner of our body.
It lies in every individual as a natural power.
Seven natural components of human body are responsible for
existence as well as maintenance of health. The loss of any one of
these leads to death of individual :
Schematic presentation of Humors (Courtesy by
Seyed Mahdi Mirghazanfar,
November 22, 2017
Tehran Times)
1.
Elements
(Arkan or Anasir)
2.
Temperament
(Mizaj)
3.
Humours / Body fluid
(Akhlat)
4.
Tissue or Organs
(A’za)
5.
Pneuma / Vital Spirit
(Arwah)
6.
Faculties / Power
(Qua)
7.
Functions
(Afa’l)
SIDDHA
Developed among the Dravidian civilization and culture
SIDDHI
= “Perfection” or “Eternal Bliss”
which is the ultimate goal of life to be achieved
Five Elemental Theory
1.
Nilam
(Earth)
2.
Neer
(Water)
3.
Thee
(Fire)
4.
Vayu
(Wind/Air)
5.
Vinn
(Space/Ether)
German physician and chemist Dr. Christian Freidrich Samuel
Hahnemann.
Greek word wherein “homeo” means similar and “pathos”
means suffering.
Basic principle of “
Similia Similibus Curanter
” that means
“Like cures like”.
HOMOEOPATHY
LIV 52
for liver disorders,
Cystone
for renal calculi.
Triphla
: several researches have
showed evidence of
significant immunostimulatory effects on cytotoxic T cells
(CD3
−
CD8+) and natural killer cells (CD16+CD56+), increase
in absolute numbers.
SCIENTIFIC EVIDENCES
Vadde R, Radhakrishnan S, Reddivari L, Vanamala JK. Triphala Extract Suppresses Proliferation and
Induces Apoptosis in Human Colon Cancer Stem Cells via Suppressing c-Myc/Cyclin D1 and
Elevation of Bax/Bcl-2 Ratio.
Biomed Res Int
. 2015;2015:649263.
Meditation
helps in lowering negative stress indicators and
primary prevention of
Cardiovascular Diseases (CVD).
Yoga
has favorable effects on
diastolic blood pressure, HDL
cholesterol and triglycerides, and uncertain effects on LDL
cholesterol.
Hartley L1, Yoga for the primary prevention of cardiovascular disease. Cochrane Database Syst
Rev. 2014 May 13;(5):CD010072. doi: 10.1002/14651858.CD010072.pub2. Intervetion review.
A significant improvement in
Quality of Life (QOL)
scores was
observed for the three health related QOL domains in
Sudarshan kriya yoga (SKY)
intervention arm.
Ayurvedic intervention
may benefit patients with higher
baseline
HbA1c
values.
Mawar N et al Sudarsha kriya yoga improves the quality of life in healthy people living with PLHIV:
results from an open label Randomized clinical trial.
Elder C1, Aickin M, Bauer V, Cairns J, Vuckovic N. Randomized trial of a whole-system ayurvedic
protocol for type 2 diabetes. Altern Ther Health Med. 2006 Sep-Oct;12(5):24-30.
RECOGNITION OF ISM BY THE
GOVERNMENT OF INDIA
Government of India created the Department of Indian Systems
of Medicine and Homeopathy (ISM and H) in 1995 which was
renamed as the Department of Ayurveda, Yoga and Naturopathy,
Unani, Siddha and Homeopathy (AYUSH) in 2003.
All India Institute of Medical Sciences (AIIMS) New
Delhi’s started (2017)
‘
The Centre for Integrative Medicine and Research’
which is a state-of-the-art research Centre, where
top experts from various disciplines of modern
medicine will collaborate with Yoga and Ayurveda
specialists, both for disease treatment and for
preventive healthcare
World Health Organization
WHO has recognized importance of
Traditional – Complimentary
- Integrative Medicine (T&CM).
The WHO Traditional Medicine Strategy
2014-2023
has set the
course for TM and CM (T&CM) in the next decade.
Traditional medicine (TM):
“It is the sum total of the
knowledge, skill, and practices based on the theories,
beliefs, and experiences indigenous to different cultures,
whether explicable or not, used in the maintenance of
health as well as in the prevention, diagnosis,
improvement or treatment of physical and mental
illness”.
.
All India Institute of Medical Sciences , Rishikesh
Need of incorporation of elements
of AYUSH into MBBS course
AYUSH system of medicine is an integral part of our health
care system which have existed for hundreds of years.
Despite the existence and recognition ,there is a lack of
awareness about it among practitioners of modern
medicine.
Knowledge about other medical systems will enable doctors
to
offer more treatment
options to the patient.
The most
cost effective therapy
for a particular condition
needs to be offered to the patient which may be in another
system of medicine.
Patients use these systems of medicine often along with
Modern Medicines which may have
favorable or unfavorable
interactions
, and we need to know this.
Promote holistic wellbeing and make experts from both the
systems of medicine open to the idea of
working in tandem.
Objectives of the course
Evidence based teaching
of AYUSH disciplines will be conducted with
following objectives -
To introduce medical students about basic concepts, basis of diagnosing
diseases and treatment modalities of AYUSH disciplines.
To sensitize them about drug interaction, contraindications, adverse-effects and
precautions in use of different modalities of AYUSH treatments
.
To develop orientation of medical students towards integration of evidence
based AYUSH and other alternative systems with modern practice of Medicine.
To sensitize and motivate medical students about the need of generating
evidences in AYUSH/alternative therapies through systematic research
with internationally accepted standards.
COURSEWORK SCHEDULE
FURTHER DETAILS
Course material – Fundamentals Of AYUSH
Examination –
Learning of students will be assessed based on
objective assessment at the end of third professional. Passing the
exam for promotion to fourth semester will be
mandatory;
however this will
not carry any credit
.
ॐ
भूर्भव: स्व:
तत्सवितुर्वरेण्यं भर्गो
देवस्य धीमहि धियो यो न: प्रचोदयात्
।।
Who Is Most Glowing, Pure And Adorable. May There Be
Peace In The Three Phenomenal Worlds Inspire And Guide
Our Intellect In The Right Direction.
(Gayatri Mantra is one of the Rig Veda mantra which is very powerful mantra. It has
power that purifies, guides, guards and cures. It removes darkness and brings grace.
Everyone can chant this mantra this means we meditate upon the divine mother.)
Explore the fundamentals of AYUSH (Ayurveda, Yoga, Unani, Siddha, and Homeopathy) through a comprehensive introduction by Dr. Vartika Saxena. Delve into topics ranging from allergic diseases, neurodegenerative conditions, and cancers to psychological and psychiatric issues. Discover the importance of organ-specific treatment, holistic healing, and the role of physicians as both curers and healers in alleviating human suffering.
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Presentation Transcript
Fundamentals of AYUSH -An Introduction Dr. Vartika Saxena HOD, AYUSH Professor, Department of Community & Family Medicine
ALLERGIC DISEASES Atopic Dermatitis Allergic Asthma Anaphylaxis Allergic Rhinitis etc.
NEURODEGENERATIVE DISEASE Creutzfeldt Jakob disease Early symptoms include memory problems, behavioural changes, poor coordination, and visual disturbances. Later dementia, involuntary movements, blindness, weakness, and coma occur. About 90% of people die within a year of diagnosis.
Cancers Cancer is the second leading cause of death Globally, 1 in 6 deaths is due to cancer. Globally, estimated 9.6 million deaths in 2018.
Psychological And Psychiatric Problem Prevalence- 9.5 to 102 per 1000 population
Physicians role curer of disease than healer of the sick Healing in its comprehensive way has faded from medical attention and is seldom discussed in the medical literature.
Organ Specific Treatment and Management
Biomedical sciences, have just focused on the identification and treatment of symptoms of diseases.
ALLEVIATE SUFFERING OF MAN !!
Haelen = Wholeness Healing is a transformative process in it s true sense; it is individualized, may vary person to person; it is innate or naturally occurring; it is multidimensional; and it involves restoration, repair and revitalization of mind, body, and soul.
Ayurveda is said to be the off shoot of Atharva Veda Ayurveda = Ayu meaning "life Veda = System of knowledge Ayurveda = Knowledge or science of life
Ayurveda attributes 80% of all disease to imbalances of the digestive system and, therefore, much attention is given to its maintenance.
YOGA AND NATUROPATHY RAJ YOGA LAYA YOGA KARMA YOGA YOGA MANTRA YOGA JNYAN YOGA HATHA YOGA
Raj yoga complied by Patanjali has been accepted as the synthesis of all yogic paths. It has eight subsequent limbs (an eight limbed tree): Yama (social ethics: ahimsa- not harming self or others; satya- not lying; asteya- not stealing; brahmacharya- restraint; aparigraha- nonattachment); Niyama (self ethics: shaucha- purity; santosha- contentment; tapas- austerity; swadhya- self-study; ishvara pranidhana- surrender to God to reach super consciousness) Asana(physical postures),Pranayama (breath regulation), Pratyahara (control of the senses), Dharana(concentration), Dhyan (meditation), and Samadhi (trance).
UNANI SYSTEM OF MEDICINE Origin -ancient Greece (Y unan), primarily adopted from the Egyptian medicine. Arab adopted the same and developed it to a maximum extent. In India it was introduced by Arabs and Persians and achieved great popularity. Unani medicine has its unique fundamental principles which deals with body physique i.e. Tabiat (human nature) termed as medicatrix nature (Tabiat-Mudabbirate-Badan), the supreme planner of our body. It lies in every individual as a natural power.
Seven natural components of human body are responsible for existence as well as maintenance of health. The loss of any one of these leads to death of individual : 1. Elements (Arkan or Anasir) 2. Temperament (Mizaj) 3. Humours / Body fluid (Akhlat) 4. Tissue or Organs (A za) 5. Pneuma / Vital Spirit (Arwah) 6. Faculties / Power (Qua) 7. Functions (Afa l) Schematic presentation of Humors (Courtesy bySeyed Mahdi Mirghazanfar, November 22, 2017 Tehran Times)
SIDDHA SIDDHI= Perfection or Eternal Bliss which is the ultimate goal of life to be achieved Developed among the Dravidian civilization and culture Five Elemental Theory 1. Nilam (Earth) 2. Neer (Water) 3. Thee (Fire) 4. Vayu (Wind/Air) 5. Vinn (Space/Ether)
HOMOEOPATHY German physician and chemist Dr. Christian Freidrich Samuel Hahnemann. Greek word wherein homeo means similar and pathos means suffering. Basic principle of Similia Similibus Curanter that means Like cures like .
SCIENTIFIC EVIDENCES LIV 52 for liver disorders, Cystone for renal calculi. Triphla: several researches have showed evidence of significant immunostimulatory effects on cytotoxic T cells (CD3 CD8+) and natural killer cells (CD16+CD56+), increase in absolute numbers. Vadde R, Radhakrishnan S, Reddivari L, Vanamala JK. Triphala Extract Suppresses Proliferation and Induces Apoptosis in Human Colon Cancer Stem Cells via Suppressing c-Myc/Cyclin D1 and Elevation of Bax/Bcl-2 Ratio.Biomed Res Int. 2015;2015:649263.
Meditation helps in lowering negative stress indicators and primary prevention of Cardiovascular Diseases (CVD). Yoga has favorable effects on diastolic blood pressure, HDL cholesterol and triglycerides, and uncertain effects on LDL cholesterol. Hartley L1, Yoga for the primary prevention of cardiovascular disease. Cochrane Database Syst Rev.2014 May 13;(5):CD010072. doi: 10.1002/14651858.CD010072.pub2. Intervetion review.
A significant improvement in Quality of Life (QOL) scores was observed for the three health related QOL domains in Sudarshan kriya yoga (SKY) intervention arm. Ayurvedic intervention may benefit patients with higher baseline HbA1c values. Mawar N et al Sudarsha kriya yoga improves the quality of life in healthy people living with PLHIV: results from an open label Randomized clinical trial. Elder C1, Aickin M, Bauer V, Cairns J, Vuckovic N. Randomized trial of a whole-system ayurvedic protocol for type 2 diabetes. Altern Ther Health Med. 2006 Sep-Oct;12(5):24-30.
RECOGNITION OF ISM BY THE GOVERNMENT OF INDIA Government of India created the Department of Indian Systems of Medicine and Homeopathy (ISM and H) in 1995 which was renamed as the Department of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy (AYUSH) in 2003.
All India Institute of Medical Sciences (AIIMS) New Delhi s started (2017) The Centre for Integrative Medicine and Research which is a state-of-the-art research Centre, where top experts from various disciplines of modern medicine will collaborate with Yoga and Ayurveda specialists, both for disease treatment and for preventive healthcare
World Health Organization WHO has recognized importance of Traditional Complimentary - Integrative Medicine (T&CM). The WHO Traditional Medicine Strategy 2014-2023 has set the course for TM and CM (T&CM) in the next decade.
. Traditional medicine (TM): It is the sum total of the knowledge, skill, and practices based on the theories, beliefs, and experiences indigenous to different cultures, whether explicable or not, used in the maintenance of health as well as in the prevention, diagnosis, improvement or treatment of physical and mental illness .
Need of incorporation of elements of AYUSH into MBBS course AYUSH system of medicine is an integral part of our health care system which have existed for hundreds of years. Despite the existence and recognition ,there is a lack of awareness about it among practitioners of modern medicine.
Knowledge about other medical systems will enable doctors to offer more treatment options to the patient. The most cost effective therapy for a particular condition needs to be offered to the patient which may be in another system of medicine. Patients use these systems of medicine often along with Modern Medicines which may have favorable or unfavorable interactions, and we need to know this. Promote holistic wellbeing and make experts from both the systems of medicine open to the idea of working in tandem.
Objectives of the course Evidence based teaching of AYUSH disciplines will be conducted with following objectives - To introduce medical students about basic concepts, basis of diagnosing diseases and treatment modalities of AYUSH disciplines. To sensitize them about drug interaction, contraindications, adverse-effects and precautions in use of different modalities of AYUSH treatments. To develop orientation of medical students towards integration of evidence based AYUSH and other alternative systems with modern practice of Medicine. To sensitize and motivate medical students about the need of generating evidences in AYUSH/alternative therapies through systematic research with internationally accepted standards.
COURSEWORK SCHEDULE S.No Lectures Foundation course Remarks Duration 1 hour daily from 6-7 AM during the period of foundation course as per the Common Yoga protocol of Ministry of AYUSH, GOI. 1. Yoga session M.B.B.S students for 1st Prof 1. Introduction to course and conceptual understanding of Health and Healing 2. Basic concepts of Ayurveda 3. Basic concepts of Yoga & Naturopathy 4. Basic concepts of Homoeopathy 5. Basic concepts, diagnosis methods & treatment modalities in Unani 6. Basic concepts, diagnosis methods & treatment modalities in Siddha M.B.B.S students for 2nd Prof 1. Methods of diagnosis in Ayurveda 2. Methods of diagnosis in Yoga 3. Methods of diagnosis in Homoeopathy M.B.B.S students for 3rd Prof 1. Drug interactions and adverse effects 2. Role of Yoga and exercise for management of orthopaedic problems 3. Treatment modalities in Ayurveda 4. Treatment modalities in Yoga 5. Treatment modalities in Homoeopathy 6. Evidences of integration of Modern medicine and AYUSH Internship Optional Elective Visits to Institutes of National repute in AYUSH for short term workshop/course/training for one weak. 1 hr 1 hr 1 hr 1 hr 1 hr 1 hr Total 6 hrs 2 hrs 2 hrs 2 hrs Total 6 hrs 1 hr 1 hr 1 hr 1 hr 1 hr 1 hr Total 6 hrs
FURTHER DETAILS Course material Fundamentals Of AYUSH Examination Learning of students will be assessed based on objective assessment at the end of third professional. Passing the exam for promotion to fourth semester will be mandatory; however this will not carry any credit.
: : : Who Is Most Glowing, Pure And Adorable. May There Be Peace In The Three Phenomenal Worlds Inspire And Guide Our Intellect In The Right Direction. (Gayatri Mantra is one of the Rig Veda mantra which is very powerful mantra. It has power that purifies, guides, guards and cures. It removes darkness and brings grace. Everyone can chant this mantra this means we meditate upon the divine mother.)
