Achara Rasayana - Dr. Vikas Chothe


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  • Good afternoon to everybody. I am Dr.VikasChothe from Pune and I would like to speak on the topic- AcharRasayana in Cardiac Health. This paper explores whether achararasayanaand Art therapy could be beneficial in lifestyle related disorders like CHD and type 2 diabetes.
  • Coronary heart disease (CHD) is the leading cause of death in Indiaand India also leads the world today with the largest number of diabetics in any given country.
  • Stress, alcoholand smoking are important determinants of coronary heart disease and diabetes.
  • “old fashion Italian”
  • In short this picture would give a brief summary of these type A personalities. This man thinks about leisurely golf activities during office. When he is playing golf with friends he is wondering about his house hold job and when he is busy doing it he thinks about office work. Such people are found to be more prone to cardiac diseases and type 2 diabetes.
  • Life is like an ice-cream, enjoy it before it melts..
  • adoption of ethical elements mentioned in 'AcharaRasayana' and incorporating art therapy into the comprehensive cardiac rehabilitation program definitely would enhance efficacy and value.
  • Finally what Gandhiji felt about life is that..My utmost gratitude to Dr. AtulRakshe, Director of Shree NiramayaAyurveda Kendra, Pune who has always been my guide and inspiration.
  • Achara Rasayana - Dr. Vikas Chothe

    1. 1. Dr. Vikas ChotheEmpire Estate M-2, 001, Pune-19. (India)
    2. 2. • loss of national income• high treatment costs• low priority to prevention © Dr. Chothe. V.R
    3. 3. IN ALLOPATHY IN AYURVEDA  unwholesome diet  over physical exertion,  anxiety  fear  terror  ama  excessive sex  suppression of vomiting © Dr. Chothe. V.R Charak chikitshasthan xxvi/70
    4. 4.  Stress (Circulation. 2004 by Eaker ED et al; J Am Coll Cardiol. 2009 by ChidaYet al. ). tobacco and alcohol (Lancet 1991 by Rimm EB). anxiety (engum, 2007). depression (mezuk et al. 2008) hostility (rod et al., 2009). work stress (kawakami et al., 1999).
    5. 5.  habitual sleep disturbances unhealthy diets obesity high cholesterol
    6. 6.  An estimated 34.7% ofall deaths resulting fromcigarette smoking arerelated to CHD. Alcohol abuse increasesthe risk for diabetes andCHD. © Dr. Chothe. V.R
    7. 7.  Cognitive signs-poor concentration, low self-esteem Emotional signs-anxiety, agitation, and feeling lonely Depression increases the risk for type 2 diabetes by 37% Behavioral symptoms -social withdrawal, nervous habits such as nail-biting. Physical symptoms - chest pain, diarrhea, dizziness © Dr. Chothe. V.R
    8. 8.  According to Allopathy emotions are associated with limbic system and different parts of brain. But according to Ayurveda the heart rather than the brain is the seat of the mind and emotions. Different emotions have powerful influences on the heart and can cause cardiac diseases. © Dr. Chothe. V.R
    9. 9. Rajas and Tamas types prone to CHD hurry to eat, talk, walk  a sense of guilt while and do most other on vacation or activities relaxing, not able to relax or  hyperactive response enjoy the satisfaction  unsatisfactory of achievement interpersonal poor listening behavior relationships  self-centered © Dr. Chothe. V.R
    10. 10. © Dr. Chothe. V.R
    11. 11.  consume <10% of no smoking, energy from saturated consuming at least half fat. a drink of alcoholic  consume <2% of beverage per day, energy from trans fat. moderate to vigorous  eat (fatty) fish at least physical activity for once a week. ≥30 minutes per day,  eat ≥400 g of BMI<25 kg/m2. vegetables and fruitsCirculation 2006;114:82, per day.JAMA. 1998 Dec 16;280(23):2001-7,Am J Cardiol. 2010 Feb 1;105(3):362-7.  limit salt consumption to <6 g/d.
    12. 12. Labhopayo Hi Sastanam Rasadinam Rasayanam (CHARAK CHIKITSASTHANA 1/8) Rasayana is any herb, food, or activity which confers youthfulness and cures diseases. rasayana includes purification of all tissues from rasa to shukra. special health promoting conduct and behavior © Dr. Chothe. V.R
    13. 13. SADVRITTA (GOOD BEHAVIOR ) KALA ( ART THERAPY) Good mental conduct  aalekh Good Good  geetreligious socialconduct conduct  nrutya  natya Good Good  vadya moral personal conduct conduct © Dr. Chothe. V.R
    14. 14.  LobhaShokaBhayaKrodhaManaVegan Vidharayet- Charaka Sutrasthana 7/27 Anger and hostility are associated with CHD outcomes and predict the development of atrial fibrillation- J American College of Cardiology. 2009 Mar 17;53(11):936-46.and Circulation. 2004 Mar 16;109(10):1267-71. One should strive to bring happiness, cheerfulness, and positive manasbhavas to all. This attitude is termed as Hitaya, which is characteristic of our Indian culture. © Dr. Chothe. V.R
    15. 15.  satya (speaking the truth) ahimsa (non violence) brahmacharya (observance of sexual discipline) The clear link between stress due to unsatisfactory interpersonal relationships and cardiovascular disease is scientifically demonstrated. -Circulation, 24:1173-84 © Dr. Chothe. V.R
    16. 16. © Dr. Chothe. V.R
    17. 17.  Darshan-worshipping god and teachers Mantras-religious prayers Meditation religious involvement or spiritual well-being affect development of coronary artery disease and helps in stress management.-J Prev Med Public Health. 2010 Sep;43(5):445-50. © Dr. Chothe. V.R
    18. 18. Spirituality for Healthy Living
    19. 19. DINACHARYA RITUCHARYA dina – day & acharya –  Following the seasonal behavior taste adjustments, dietetics and regime is In order to keep the beneficial in keeping tridoshas and agni seasonal and lifestyle (metabolism) in a state of disorders at bay. healthy equilibrium, Ayurveda prescribes for each individual a specific daily routine © Dr. Chothe. V.R
    20. 20. Arising Natural urges Head oil Cleanliness Massage Exercise Good
    21. 21.  serving elderly people respect for the parents understanding in married life avoid alcohol and smoking © Dr. Chothe. V.R
    22. 22.  Art is the expression of feeling of the artist, who derives the joy of aesthetic experience (ananda) influencing beneficially the mind of the viewers– Abhinavagupta Ranging from ancient rock cave paintings at Bimbetaka and mandalas to new aged clinical therapy, art has been used for stress reduction in Ayurveda. © Dr. Chothe. V.R
    23. 23. Art therapy is a ‘mental health’profession that uses the creation ofart as a way to increase mental andemotional well-being. © Dr. Chothe. V.R
    24. 24.  A good painting cleanses and curbs anxiety and banishes bad dreams - Vishnudharmottara Puranana Imagery, touch, music and prayer as adjuncts to interventional cardiac care.- Lancet 366:211-217. Ragas (Music) exhibit positive effect on emotions and prolongs life. –Samveda Music effectively improves quality of life, increases health and probably prolongs life. -Circulation. 2009 Jun 30;119(25):3171-80.
    25. 25.  If every individual observes rules and regulations as described in Swasthavritta i.e. daily regimen, seasonal regimen and ethical regimen, takes proper food, sleep and enjoys controlled sexual activity, he can enjoy long and healthy life. © Dr. Chothe. V.R
    26. 26. © Dr. Chothe. V.R
    27. 27.  cost-effective strategy to reduce global burden of disease Achara Rasayana (Ayurvedic lifestyle modification) has been highly significant clinically. Hence there is need for conducting prospective cohort studies without publication bias. awareness about Achara Rasayana in physicians and health care policy makers needed. © Dr. Chothe. V.R
    28. 28. There is more to life thanincreasing its speed. -Mohandas K. Gandhi Thank You © Dr. Chothe. V.R
    29. 29. Acknowledgements• Thank you Dr. Atul Rakshe Sir, Dr. Mahesh Asalkar, Dr. Arti Firke• Thanks to Department of Swasthavritta, CARC, Akurdi (India) © Dr. Chothe. V.R