Scope of Ayurveda & CAM in Life Style Diseases Dr B RAJEEV Chief PhysicianTHL Ayurveda , THAQDEES HOSPITALS Edathala, ALUVA
Ayur = life, Veda = Science It incorporates all aspects of life whether physical, psychological, spiritual or social. What is beneficial and what is harmful to life, what is happy life and what is sorrowful life; all these four questions and life span allied issues are elaborately and emphatically discussed in Ayurveda.
AYUSHKAMEEYAMProviding guidelines on ideal dailyand seasonal routines, diet,behavior and the proper use of oursenses, Ayurveda reminds us thathealth is the balanced and dynamicintegration between ourenvironment, body, mind, and spirit.
Ayurvedic diagnosis & treatment Ayurvedic diagnosis is not a diagnosis of disorder in the material level of cells and tissues but an assessment of balance in Vata, Pitta and Kapha. Ayurvedic treatment does not take something from the outside like drugs or surgery to attack the disease. Rather its purpose is to restore the proper functioning of these divisions of biological intelligence so that true healing may occur from within.
Goal of Ayurveda An important goal of Ayurveda is to identify a person’s ideal state of balance, determine where they are out of balance, and offer interventions using diet, herbs, aromatherapy, PANCHA KARMA treatments, music, yoga and meditation to re-establish balance.
Dynamic integration between environment, body, mind, and spirit This Vedic perspective of health is effective because it is rooted in the deepest quantum mechanical reality of nature’s functioning. The classical level of molecules that modern medicine deals with is very superficial compared to the quantum mechanical world from which Vedic Science functions
The Ayurvedic Procedure Dinacharya, Rathricharya and Ritucharya .
Alternative and complementarymedicine ARE THE BODY MIND OR THE WHAT MINDED BODY? A. Bodymind – refer to a state of integration that includes body, mind and spirit - the mind was believed to be located within the anatomic structure of the brain, however, memories, thoughts and behavior processes are stored throughout the body. B. Minded Body – emphasize that the qualities we associate with the mind are distributed throughout the body.
Alternative and complementarymedicine What are the Types of Bodymind Healing? A. Information transduction – the conversion or transformation of information or energy from one form to another. - The mind is seen as nature’s way of receiving, generating, and transducing information e.g. – use of relaxation techniques and imagery B. Mind Modulation – refers to the process by which the brain converts neural messages into neurohormonal messenger molecules and communicates them to all body systems that evoke states of health or illness. Through the nervous system, mind modulation is used in holistic therapies such as relaxation, imagery, meditation, and music therapy
Alternative and complementarymedicine What are the Types of Bodymind Healing? C. Neuropeptides – are “messenger molecules” that are responsible for connecting the body and emotions. - The autonomic, endocrine, and immune systems are the vehicles for neuropeptides. D. Psychoneuroimmunology – focuses on the relationships among stress, the immune system, and the health outcomes. - Many studies have shown links between emotional conditions and physiological functions. - Activity in the body affects the brain.
Alternative and complementarymedicine ARE THE FOUR MAJOR GROUPS OF WHAT HEALING MODALITIES? I. Touch Therapies – stimulates the production of healing promoting chemicals by the immune or limbic system. II. Mind-Body Therapies – Individuals focus on realigning or creating balance in mental processes to bring about healing. It focuses in bringing balance to thoughts, emotions, or the breath for its own sake. III. Aromatherapy – controlled use of essential oils to promote a possible number of outcomes including improvement of mood, edema, acne, allergies, bruising and stress IV. Transpersonal Therapies – therapies that effect healing between persons
Alternative and complementarymedicine WHAT ARE THE TYPES OF TOUCH THERAPY? 1. Massage – relaxes muscles and release lactic acid that accumulates during exercise. It improves the flow of blood and lymph, stretch joints, and relieve pain and congestion. 2. Reflexology - is based on the principle that the hands and feet are mirrors of the body and that they have reflex points that corresponds to each of the body’s glands, structures and organs. When a reflex point is massaged, it stimulates the corresponding organs on that zone.
Alternative and complementarymedicine ARE THE TYPES OF TOUCH THERAPY? WHAT 3. Acupressure – form of healing in which the therapist exerts finger pressure on specific sites. The application of finger or thumb pressure is thought to restore balance in the flow of energy, and when energy can flow freely, the body can heal itself. 4. Reiki – Practitioner places the hand on the client and energy flows from one to the other. The amount and effectiveness of the energy is said to depend on the need of the recipient.
Alternative and complementarymedicine ARE THE TYPES OF MIND BODY THERAPIES? WHAT5. Biofeedback - is a technique that teaches various forms of relaxation by providing a response from physiologic needs. It is a technique that brings bodily processes under conscious control.6. Imagery – application of the conscious use of the imagination with the intention of activating, biological, psychological, or spiritual healing.7. Yoga – the uniting of all the powers of the body, mind and spirit. It is an approach to living a balanced life.
Alternative and complementarymedicine ARE THE TYPES OF MIND BODY THERAPIES? WHAT 8. Meditation – a technique used to quiet the mind and focus it in the present, and to release fears, worries, anxieties, doubts, concerning the past and the future. 9. Prayer – is similar to meditation but is intended to be communicating with God, a saint, or some other being who answer the prayer
Alternative and complementarymedicine ARE THE TYPES OF MIND BODY THERAPIES? WHAT 10. Music Therapy – the behavioral concerned with the systematic application of music to produce relaxation and desired changes in emotions, behavior and physiology. 11. Humor and Laughter – Humor involves the ability to discover, express or appreciate the comical or absurdly incongruous, to be amused by one’s own imperfections or the whimsical aspects of life and to see the funny side of an otherwise serious situation 12. Hypnosis – an altered state of consciousness in which an individual’s concentration is focused and distraction is minimized. It can be used to control pain, alter body functions, and change lifestyle habits.
Alternative and complementarymedicine THE TYPES OF TRANSPERSONAL THERAPIES? WHAT ARE 14. Therapeutic Touch – a process by which practitioners believe they can transmit energy to a person who is ill or injured to potentiate the healing process. 15. Intercessory Prayer- refers to prayer offered in favor of another. The praying people are referred to as intercessors
Alternative and complementarymedicine Healing Modalities :4 Major Groups of Healing Modalities 1. Touch 2. Mind-body 3. Aroma 4. Transpersonal
Alternative and complementarymedicine Mind-Body Therapy includes: Progressive Relaxation Biofeedback Imagery Yoga Meditation Prayer Music Therapy Humor and Laughter Hypnosis
Alternative and complementarymedicine Yoga The word yoga, derived from the Sanskrit root yuj meaning “to bind” or to yoke,” is the uniting of all powers of the body, mind and spirit. An approach to living a balance life based on ancient teachings found in Hindu spiritual treatises ( The Upanishads) written in 800-400 BC. The great yogi Patanjali (500BC) classified the teachings of the Upanishads into 8 ways of being, referred to as Ashtanga Yoga, meaning integrated or eight-limbed yoga.
Alternative and complementarymedicine Yoga 8 Stages of Yoga 1. Yama (Universal Moral Commandments) ▪ Refers to improvement in social behavior and is achieved by 5 noble practices: nonviolence (both physical and psychologic), truthfulness, refraining from stealing, self-restraint in every sphere of life, and refraining from hoarding. 2. Niyama (Rules for daily conduct) ▪ These refer to improvement to personal behavior and are achieved by maintaining a purity of body and mind, developing a habit of commitment, practicing austerity in every sphere of life, studying relevant literature, an practicing dedication to God daily.
Alternative and complementarymedicine 3. Asanas (Physical Posture) ▪ These consists of a series of 84 main postures (e.g., cobra posture and plough posture) intended to improved body health. ▪The bending, stretching, and holding properties of the postures are designed to relax and tone he muscle and improved the function of various organs of the endocrine and nervous system. ▪People may assume 10-15 yogic postures, including stationary exercises for all parts of the body for a period of 15 minutes only.
Alternative and complementarymedicine 4. Pranayama (Breath Control) ▪ This stage includes 8 main breath control techniques. ▪ Through the practice of various exercises, an individual learn not only to control breathing but also to restrain and quiet the flow of life force energy (prana). ▪Breath control designed is designed to still the mind and achieve transcendental awareness by controlling the life force. This is done by regulating and haronizing the breath in particular pattern.
Alternative and complementarymedicine 5. Pratyahara (Controlling the sense) ▪This aspect of yoga involves restraining the activities of the sense organs with the ultimate goal of restraining the mind. ▪It is achieved by minimizing the stimulation of the sense organs and leading as simple a life as possible. 6. Dharana (Concentration of the mind on one point) ▪Leading to avoid all destructions and concentrate on an object one’s choice involves tremendous perseverance and willpower. ▪The concentration helps to calm mental excitement and to induce tranquility and serenity of the mind. 7. Dhayana (Meditation) ▪This stage refers to meditation that occurs when a person’s concentration has become one pointed, enabling the person to unify consciousness completely and experience a stats of transcendental awareness. 8. Samadhi (Supraconsciousness) ▪This stage refers to extension of conscious control over successively realms of consciousness.
Alternative and complementarymedicine Music Therapy ▪Maybe defined as “the behavioral science concerned with the systematic application of music to produce relaxation and desired changes in emotion, behavior and physiology. ▪It is consists of listening, rhythm, body movement and singing. ▪Individuals can move through various stages of consciousness : normal waking, expanded sensory, threshold, daydreaming, trance, and meditative states.
Alternative and complementarymedicine Hypnosis ▪ It is an altered state of consciousness in which an individual’s concentration is focused and distraction is minimized.
Alternative and complementary Alternative Medical Therapiesmedicine ACUPUNCTURE AND ORIENTAL MEDICINE ▪ Traditional Chinese Medicine (TCM) has been evolving for thousands of years and has a long history throughout Asia. ▪ It treatment modalities such as acupuncture, herbs, exercise, diet, and massage.
Alternative and complementarymedicine CHIROPRACTIC ▪ It involves adjustments of the spine and joints and is grounded in the assumption that maintaining the alignment of the spine and joint facilitate the flow of energy throughout the body, including the nervous, circulatory, respiratory, gastrointestinal, and limbic system.
Improve immunity through Ayurveda TO PREVENT LIFE STYLE DISEASES
Immunity-Ojas The quintessence of all the tissues (7 dhatus) of the body is known as Ojas. Ojas is our vital energy. Pervades all tissues, cells, and spaces. The ultimate distillation of each tissue combined together and it is the main determinant of our immune status and hence our resistance to disease.
Ojas-two types Ojas is said to be of two types: 1. Para Ojas- exists in a quantity of eight drops and is located within the heart; its loss leads to death. 2. Apara Ojas is distributed throughout the body.
Immunity in Ayurveda Immunity= vyadhi kshamatwa Vyadhi= disease Kshamatwa=resistance Also called ‘Bala’ in ancient texts
Bala/ strength Bala/vitality principle--firm integrity to the muscles, good voice, complexion, motor& sensory functions, and intellect to perform their natural functions.
Bala includes Vyaadhi kshamatvam –resistance to diseases Vyaadhi bala virodhitvam-reducing the strength of the already manifested disease Vyadhi utpada pratibandhakatvam= prevention of the un manifested disease
3 types of immunity/bala There are three types of immunity (vyaadhi ksamatva or bala) in Ayurveda Sahaja: Congenital or Natural Kalaja: Related to Time, Season, Age Yukti kruta: Acquired
Sahaja Bala (Congenital or Natural) Sahaja Bala- inherited- comes from the parents. The effect will be at the chromosomal level. Nothing can be done except to pacify the defects through various modalities of Ayurveda.
Kalaja Bala Kalaja Bala -related to time– Time of day, season, age, and place of birth link to immunity. Places with an abundance of water, ponds, cool and pleasant climatic conditions are kapha- dominating areas and contribute to stronger immunity. Strength is greater in the early morning, spring, and youth than in evening, summer and old age.
Yuktikruta Bala Yukti kruta Bala represents acquired immunity, in which disease can be defended against through Ayurveda. Focuses on three plans for acquiring or enhancing immunity
Three plans for acquiring immunity Satmya- suitable diet Vyayama- exercise Rasayana- rejuvanation
1.Satmya 1. Satmya -suitability. Adapting to wholesome substances ,giving up unwholesome substances, to which the physiology has been addicted since birth promotes immunity. Wholesome food to suit your constitution and good digestion proper formation of the 7 dhatus or tissuesgood essence of the seven dhatus/ojas
2. Vyayama -exercise . Daily exercise of up to 50% of one’s exertion capacity enhances digestion, removes ama/toxins, strengthens tissue metabolism promotes immunity.
Rasayana Promoting the whole physiology, producing resistance against disease both physically and mentally. Building positive state of mind, purification therapy/panchakarmas, herbs
Immunity-some more factors Uterine health of mother: A healthy uterus for a baby’s growth Nutrition after birth: Wholesome, adequate and timely nutrition in infancy improves immunity. Constitution: Kapha constitution people have stronger immunity Mind: A strong mind , positive thinking increase Ojas /immunity. Meditation for spiritual growth: Orienting the mind towards spirituality greater self-awareness and positive thinking enhancing mental strength and overall immunity.
PANCHAKARMA REJUVENATION Therapy After the body has been functioning for 4 months in the specific climatic conditions of any of the seasons it builds up the toxins and impurities that come from functioning in that particular climate. One of the main reasons people fall sick at the change of seasons is due to this accumulation of impurities from the past season and the body having the extra challenge of adjusting to a new climate.
Need of PANCHAKARMA The toxic pollution from our modern industrial society has also created another compelling reason to internally cleanse the body on a regular basis. In the world , there are between 75,000 to 100,00 synthetic chemicals that are used in various types of industry and agriculture. These toxins are found everywhere in our environment and in our physiology, and can now be found in virtually every living organism around the world. Regardless of lifestyle, profession, eating habits, or geographic location, toxins are accumulating in our bodies. By the time we reach age 40 our toxin level is substantial.
Panchakarma ("five actions") Nasya (nasal therapy), Vamana (medical emesis or vomiting), Virechana (purging) and two kinds of Vasti (therapeutic enema), Nirooha Vasti and Sneha Vasti. RAKTHA MOOKSHANAM
Ideal Daily Routine Description To Bed by 10:00 PM - The Day Starts the Evening Before! Morning Arise before 6 AM Evacuate bowels and bladder Clean teeth, scrape tongue Abhyanga - oil massage Bath or shower Sun salutations and/or asanas and Pranayama Transcendental Meditation technique Exercise Wear clean, comfortable, natural fabric clothing Light breakfast followed by morning work or study
Afternoon & Evening Afternoon Warm cooked lunch with all six tastes Rest for 10 minutes after eating followed by a brief walk Afternoon work or study Sun salutations and/or asanas and Pranayama Transcendental Meditation technique /Prayer Evening Early, light evening meal Rest for 10 minutes after eating followed by a brief walk Pleasant, relaxing activity To bed before 10 PM with natural fabric clothing and bedding
Avoid/ APATHYAWhat we want to avoid are situations where we are awake at 12:00 midnight, eating, reading or watching TV.If such behavior becomes a pattern then the body is cheated out of an important daily balancing process.Over time this can lead to the development of many serious imbalances/Life style diseases.
NIDRA Importantly, when we go to bed by 10:00 PM we have the greatest chance of awakening early and having the necessary time to do the rest of our proper daily routine. This is why the day starts the evening before and proper bedtime is the foundation for the next day’s activity.