Transcript 12 Rules for Consumption of Food

Bridging Gaps and Mainstreaming
of AYUSH for Better ‘Health for All’
Prof. R. H. Singh
Distinguished Professor
Banaras Hindu University
Formerly Vice Chancellor RAU Jodhpur
Dec. 3, 2013
What is Ayurveda
Ayurveda (Ayu=Life + Veda=Science), the ancient Science
of Life is the main-stream traditional system of Medicine
officially practiced in India for thousands of years. It is now
being updated and strengthened with scientific research and
development. Because of its unique pro-nature holistic
approach and safe and cost-effective Green Pharmacy, now
Ayurveda is being accepted enthusiastically world-over.
The Historicity of Ayurveda goes back to ancient Vedas
and its original knowledge is available today through Two
sets (Three books in each) of authentic classic texts 1. Brihattrayi (Pre-Christian Era)
2. Laghuttrayi (Medieval Period)
Astanga Ayurveda Specialties
1. Kayachikitsa
Internal Medicines
2. Salya Tantra
Surgery
3. Salakya Tantra Opthalmology and ENT
4. Kaumarbhritya Pediatrics, Obstetrics, Gynecology
5. Agad Tantra
Toxicology
6. Rasayan Tantra Immunology and Geriatrics
7. Vajikarana
Sexology & Reproduction
8. Bhuta Vidya
Psychiatry
The Basic Tenets of Ayurveda
Ayurveda works on its own holistic Biology based on
theory of Panch Mahabhuta and Tridosha as well as its
own pathology, diagnostics and therapeutics.
Ayurvedic diagnosis is focused on the body-mind
constitution i.e. Prakriti and interrogation and physical
examination of the patient for imbalances in Vikriti
including Pulse reading.
Treatment is largely promotive, preventive and
rehabilitative utilizing the bio-purificatory procedures
and bio-balancing by life-style management, dietetics
and herbo-mineral medications.
The Main Distinctions
Ayurvedic Medicine
Modern Medicine
Holistic Approach
Reductionistic
Body-Mind-Spirit Integrative
Non-Integrative
Life and Health Oriented
Disease Oriented
Patient Centric
Disease Centric
Diet & Life style Oriented
Drug, Surgery Oriented
Pronature Approach
Not necessarily
Biotherapy &Green Pharmacy
Chemotherapy
High Safety
Unsafe & Highly Toxic
Efficacy Soft & Nutraceutical
Sharp, highly selective
Cost effective
Unsustainable high cost
Quality Assurance Low
Better
Some Special Features
of Ayurvedic Medicine
 Pro-nature Approach
 Holistic Approach
 Personalized Approach
Why Ayurveda Today
“Health sector trends suggest that medical
pluralism within which AYUSH will form a critical
component, will shape the future of healthcare. This
shift from singularity to plurality is taking place
because it is becoming increasingly evident that no
single system of healthcare has the capacity to solve
all of society’s health needs. India has a comparative
advantage and can be a world leader in the era of
medical pluralism because it has strong foundations in
western biomedical sciences and an immensely rich
and mature indigenous medical heritage of its own in
Ayurveda.”
- Planning Commission of India
7
The Current Scenario and Infrastructure
Facilities
Ayurveda
Unani
Siddha
*Total
Hospitals
2394
261
280
3,192
Hospital
Beds
42087
3906
2396
60,237
Dispensaries
13887
1010
463
21,376
Pharmacies
7786
376
313
9,124
Registered
Practitioners
443634
46230
17560
7,24,823
UG Colleges
(Admissions)
300
(10220)
50
(1595)
10
(320)
500
(25,605)
PG Colleges
(Admissions)
61
(1200)
09
(85)
03
(110)
110
(2,500)
*Inclusive of Yoga, Naturopathy & Homeopathy (not displayed)
Bridging Gaps and Mainstreaming
Bilateral Integration: Education, Research & Practice
Utilizing Conventional Medicine in :
Precise Diagnostics
Acute Disease Management
Trauma and Surgery
Utilizing Ayurvedic Medicine in:
Promotive and Preventive Health Care
Chronic Life-style related Diseases
Geriatric Medicine
Mental Health & Stress Management
Hence Bilateral Integration is in great public interest
The Global Trend
 Integration of essentials of Traditional Medicine in
conventional modern medical education (optional
or compulsory) is now the global trend.
 WHO Alma Ata Declaration gave a clarion call in
1978: “Health for All is not possible without help
of Traditional Systems of Medicine and local
resources”.
 Indian Health Policy makers are now gradually
coming under influence of such developments.
THE CHINESE MODEL
Following the Cultural Revolution of 1965 in China,
great reforms were introduced for bilateral integration
of Tradional Chinese Medicine and conventional modern
Medicine on 80:20 and 20:80 pattern which is
highly successful.

Traditional Chinese Medicine is playing commendable role
in health care delivery system in China, the most populous
Nation of the world,besides capturing the major part of
world market of Natural products.
.
Glaring Lack of Interaction between
Allopathy and Ayurveda
NIH Advisor David Fisenberg, while leading the
US delegation 2010 to India aiming at
exploration of the possibilities of introducing
Ayurveda into western biomedical curriculum,
was amazed to notice the glaring lack of
formal interaction between Allopathic and
Ayurvedic Medicine in India, showing evidence
of no action on the so often talked issue of
mainstreaming of AYUSH in India.
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Evidence Based Practice
of Ayurveda
ASVAGANDHA (Withania somnifera)
Medhya, Vrisya, Rasayan, Vatahara
 Significant Antistress & Anxiolytic
 Withanaloid-A has neuro-regenerative effect
 Reported to resolve amyloid plakes in brain
 Retards rate of biological aging in elderly
 Induces wellness with reduced BPRS scores

Effect of Aswagandha on Biological and
Mental Scores of Aging in elderly subjects
Variables
Before Treatt.
Mean  S.D.
After Treatt.
Mean  S.D.
t
P
BAS Scores
14.95  4.53
19.33  4.57
3.77
<0.01
Immediate
Memory Score
4.55  0.86
4.85  1.00
6.16
<0.01
BPRS Scores
32.40  5.22
22.93  2.86
6.12
<0.01
Clinical observations on effect of Brahmi
Observation
Mean ± SD
Mean ± SD
t
Imm. Memory Span
(n=22)
5.94 ±1.18
6.37 ±1.17
t=3.07
p<0.01
Mental Fatigue Rate :
Work output score
711.15 ± 270.15
855.85 ± 233.55
t=5.06
p<0.01
Mental Fatigue Rate :
Error Score
7.85 ± 12.65
1.85 ± 2.49
t=2.70
p<0.05
BPRS Scores in 30 cases of Residual Psychosis
treated with Jyotishmati Compound
Before treat.
33.73 ± 1.64
After 60 days
23.50 ± 1.46
t
9.70
p
<0.01
p
Performance I.Q. in 25 cases of Educable Mental
Retardation after treatment with Mandukaparni
Performance
Before
Treatment
After
Treatment
Mean
Difference
t&p
56.395
60.385
3.990
± 04.65
± 05.931
t = 2.37 P<0.05
Mean
SD
Mandukaparni
Warranting Action Now
1. Policy and Financial Reform
2. Need-based Integration
3. Promoting Medical Pluralism
4. Fast track Mainstreaming
5. National Rural Health Mission
6. Urban Health Mission
7. Educational reform, need-based
8. Research in Border areas.
Conclusion
Aurveda, the ancient science of life and longevity
practiced in India for thousands of years makes an unique
holistic approach to life, health, ill health and cure in full
cognizance of body, mind and spirit in one sweep.
Its primary aim is to promote health and to prevent
disease. Ayurveda adopts a holistic method of diagnosis
giving greater emphasis on the patient and his/her health
than on the disease. Treatment is focused on promotive,
preventive and rehabilitative care.
Ayurveda has strength in chronic disease management,
Geriatric health care, stress and degenerative diseases.
While Conventional medicine has strength in acute care,
trauma and surgery. Bilateral integration will be a great
help in providing quality ‘Health for All’.
“Inspite of the fact that the ancient Hindu
Medicine practiced in India in the earliest
times was an equally developed scientific
discipline as any other contemporary
system in the world, its influence on the
western society was small. Hence, most
of the current writings in history of
medicine do not have an appropriate
mention of the contributions of ancient
Indian medicine”.
Welch, C.S. 1968