12 Rules for Consumption of Food

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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
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What is Ayurveda
Ayurveda (AyuLife VedaScience), 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)
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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

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The Basic Tenets of AyurvedaAyurveda 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.
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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
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• Some Special Features of Ayurvedic Medicine
• Pro-nature Approach
• Holistic Approach
• Personalized Approach

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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 societys 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
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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)
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• 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

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• 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.

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• 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 8020 and 2080 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.

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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
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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

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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 lt0.01
Immediate Memory Score 4.55 ? 0.86 4.85 ? 1.00 6.16 lt0.01
BPRS Scores 32.40 ? 5.22 22.93 ? 2.86 6.12 lt0.01
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Clinical observations on effect of
Brahmi BPRS Scores in 30 cases of
Residual Psychosis treated with Jyotishmati
Compound Before treat. After 60 days
t p 33.73 1.64 23.50
1.46 9.70 lt0.01
Observation Mean SD Mean SD t p
Imm. Memory Span (n22) 5.94 1.18 6.37 1.17 t3.07 plt0.01
Mental Fatigue Rate Work output score 711.15 270.15 855.85 233.55 t5.06 plt0.01
Mental Fatigue Rate Error Score 7.85 12.65 1.85 2.49 t2.70 plt0.05
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Performance I.Q. in 25 cases of Educable Mental
Retardation after treatment with Mandukaparni
Performance Before Treatment After Treatment Mean Difference t p
Mean 56.395 60.385 3.990
SD 04.65 05.931 t 2.37 Plt0.05
Mandukaparni
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Warranting action nowWarranting Action
Now1. Policy and Financial Reform 2.
Need-based Integration 3. Promoting Medical
Pluralism4. Fast track Mainstreaming5. National
Rural Health Mission6. Urban Health Mission7.
Educational reform, need-based8. Research in
Border areas.
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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.

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• 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

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Thank You