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Souvenir of International Day of Yoga 2016 celebrations at Sri Balaji Vidyapeeth, Pondicherry

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Souvenir of the National Seminar and CME on " Introducing Yoga in Health Professions Education" organised as part of the International Day of Yoga 2016 celebrations at Sri Balaji Vidyapeeth, Pondicherry from 19-21 June 2016.

Published in: Health & Medicine

Souvenir of International Day of Yoga 2016 celebrations at Sri Balaji Vidyapeeth, Pondicherry

  1. 1. National Seminar & CME at SBV, Pondicherry 2016 2 Chief Patron Shri MK RAJAGOPALAN Chairman, Sri Balaji Educational and Charitable Public Trust Patrons Prof. P RAJARAM Prof. KR SETHURAMAN Chancellor, Sri Balaji Vidyapeeth Vice-Chancellor, Sri Balaji Vidyapeeth Prof. YM Jayaraj Prof. N Ananthakrishnan Prof. AR Srinivasan Pro-Vice Chancellor, SBV Dean- Research and AHS, SBV Registrar SBV Advisory Panel Prof. M Ravishankar Prof. S Ravichandran Prof. V Nirmal Coumare Dean, MGMC&RI Additional Director (HS), MGMC&RI Medical Superintendent, MGMC&RI Prof. J Mohanasundaram Prof. Carounanidy Usha Prof. K Renuka Dean, SSSMC&RI Dean Dental Sciences, IGIDS Dean Nursing Sciences, KGNC Organizing Chairman Organizing Secretary Prof. Madanmohan Dr. Ananda Balayogi Bhavanani Prof. & Head, Dept of Physiology &Director, CYTER Deputy Director, CYTER, SBV Scientific Programme Coordinator Treasurer Prof. K Jaiganesh Dr. Meena Ramanathan Shri G Dayanidy Prof. of Physiology, MGMC&RI Coordinator & Yoga Therapist, CYTER Lecturer, CYTER Seminar & CME Core Team (Department of Physiology, MGMC&RI) Prof. K Henri Balraj Dr. T Jeneth Berlin Raj Dr. Suchitra Parkhad Dr. R Sobana Mr. S Vasanthan Dr. S Selvakumar Mr. P Uthiravelu SBV IDY 2016 Core Team Dr. R Manonmani, Deputy Registrar, SBV Prof. BV Adkoli, MEU, SBV Dr. Partha Nandi, VP (Students), MGMCRI Dr. Karthikeyan, IGIDS Ms MA Sangeetha, KGNC Smt. S Rama, Senior Student Welfare Officer, Dr. K Ramya, CYTER Shri. Dhanushapnadeesh, CYTER Smt. G Sarulatha, CYTER Ms R Kavitha, CYTER
  2. 2. Introducing Yoga in Health Professions Education 3 S.No INDEX Page No. 1. Messages 4 2. From the desk of Organizing Chairman 17 3. From the desk of Organizing Secretary 18 4. Invitation and scientific programme 19 5. A brief introduction to our esteemed CME faculty 26 6. Yoga for holistic wellness (salutogenesis) by Prof. K R Sethuraman 33 7. Spirituality and modern medicine: have the twain met? by Prof Ramesh Bijlani 36 8. Physician! Heal thyself! by Yogacharini Meenakshi Devi Bhavanani 38 9. Introduction of yoga in medical education by Smt Hansa Jayadeva Yogendra and Dr. Jayadeva Yogendra 41 10. Introducing yoga in health professions education by Yogacharya S. Sridharan 43 11. Rationale of introducing yoga for health professionals by Dr Ishwar V Basavaraddi 44 12. Why introduce yoga in medical curriculum? by Prof. Madanmohan 46 13. Integrating yoga and modern medical science by Dr AB Bhavanani 48 14. Yoga for nurses by Prof K Renuka 56 15. Introducing yoga in modern medical curriculum by Lt. Col. Dr. DR Vaze 59 16. Yoga for medical students by Dr Manoj Naik 62 17. Integrating yoga in physical therapy education and practice by Mohanakrishnan Jayadevan 64 18. Health benefits of yoga by Lt Col G Himashree 65 19. Yoga as a therapy in modern medical settings by Dr AB Bhavanani 70 20. Simple yoga practices for health professionals by Dr AB Bhavanani 74 21. Innovative aspects of CYTER 87
  3. 3. National Seminar & CME at SBV, Pondicherry 2016 4 MESSAGE FROM THE HONORABLE CHAIRMAN I am indeed delighted to note that the Centre for Yoga Therapy Education & Research (CYTER) of Sri Balaji Vidyapeeth is organizing various events in commemoration of the International Yoga Day 2016 as per the guidelines issued by UGC and AYUSH, Government of India. Yoga awareness and practice gain importance in one’s life which is emphasised even by our Honorable Prime Minister of India who had impressed upon the UN to announce June 21 as International Yoga Day across the globe. Sri Balaji Vidyapeeth has taken a lead role in Puducherry in Yoga Education, Yoga awareness and Yoga research and patient care which makes me feel happy and the events organized this year inside SBV as well as in outside platforms will make us a pioneer in Yoga journey. I also wish CYTER, a joyful and memorable event. Shri MK Rajagopalan Chairman - SBECT
  4. 4. Introducing Yoga in Health Professions Education 5 MESSAGE FROM THE CHANCELLOR Yoga practice has become a Universal phenomenon. Though the origin is from India and deeply connected with Hindu Philosophy, it is no more treated as a religious practice. It is a science that helps master self-discipline. Yoga helps gain confidence. The power of yoga is enormous that helps strengthen mind and builds healthy body. Yoga helps infuse will power and makes man upright that makes one to discharge one’s duties effectively. It is therefore apt to promote practice of Yoga in the community. Introducing and imparting the knowledge of Yoga is the responsibility of responsible societal members to build the society. One does not become Yogi if one starts practicing Yoga but sure to become a perfect human being. Therefore there is no need for any regulations to implement yoga instead education the community on its merits, benefits and how it promotes their family health, considering family as a unity that contributes to national prosperity. Millions are practicing Yoga world over but most Yoga training centers do not practice and teach Yoga as it was evolved but instead have become business centers. This must be stopped. Therefore, it is time that Yoga is combined with the teaching of medicine incorporating meditation to reduce the disease and disability trends. While one should help seniors to remain healthy if one has to succeed in implanting Yoga practices one should get into the premises of primary schools and catch the children when they are young when they can be molded easily. We have already lost time and let us not lose any further. We must congratulate our Management for their vision to promote what is in store for the future by opening a Centre for Yoga Therapy, Education and Research (CYTER) that serves both the general public as well as the university family. I appeal to my colleagues to take advantage chose a single area of practice of yoga to promote amongst themselves, their families, student and patients. I wish the IDY 2016 celebrations a grand success. Let the outcome make CYTER a torch-bearer for other institutions. Prof. Rajaram Pagadala Chancellor Sri Balaji Vidyapeeth
  5. 5. National Seminar & CME at SBV, Pondicherry 2016 6 MESSAGE FROM THE VICE CHANCELLOR “No words - Acts” – Mother, Aurobindo Ashram It is heart-warming to note that CYTER, Faculty of Allied Health Science, SBV, is gearing up to celebrate the International Day of Yoga 2016 in a fitting manner, in tune with the ethos of SBV with regard to mainstreaming evidence-based complementary and alternate systems of Medicine. Since 2013, SBV has demonstrated regional leadership in Health Professions Education, widely acknowledged by senior Health Professions Educators of India. Therefore, it is most appropriate that a National Seminar on "Introducing Yoga in Health Professions Education" is being organised here at SBV. Moreover, CYTER itself is an outstanding model for any Institution wishing to promote Yoga in education, public service and research. Having successfully introduced Yoga to all the medical, dental and nursing students of SBV, CYTER can offer evidence based solutions to the issue of formulating strategies for introducing Yoga in Health Professions Education. It is equally note-worthy that CYTER plans to conduct a workshop on “Silver Yoga” to take the health enriching benefits of Yoga to the doorsteps of the elderly. This is being done with the participation of various interest groups of senior citizens. With progressive rise in the population of elderly in India, ‘silver yoga’ initiative is timely. Given the track record of CYTER, I am sure the events planned for 2016 will be successful in reaching out to the key beneficiaries and stake-holders. May the ancient wisdom that is Yoga continue to bestow its goodness and benefits on the people of the World during 21st Century and beyond. Prof. KR Sethuraman Vice-Chancellor Sri Balaji Vidyapeeth
  6. 6. Introducing Yoga in Health Professions Education 7 MESSAGE FROM THE REGISTRAR International Day of Yoga 2016 (June 21st) is being celebrated in a grand manner at Sri Balaji Vidyapeeth. It is an ethos befitting endeavor of Sri Balaji Vidyapeeth (SBV), Pondicherry which is also in compliance with the guidelines issued by UGC and Ministry of AYUSH, Government of India. Center for Yoga Therapy Education and Research (CYTER) at SBV is ever vibrant and has embarked on the conduct of the International Day of Yoga 2016, in a big way, between 19-06-2016 and 21-06-2016. An impressive line-up of elegant events awaits us. The programs are aimed at creating Public Awareness, besides promulgating the conduct of Common Yoga Protocol demo, Yogasana competitions and a National Seminar on "Introducing Yoga in Health Professions Education". Undoubtedly the National Seminar to be held on June 21st, 2016 (International Day of Yoga) is bound to open newer vistas in the realms of Yoga education, awareness, therapy and research. CYTER is privileged to have eminent functionaries. Prof. Madanmohan, a stalwart in Yoga Science and medicine is the Director and is ably supported by his Deputy, Dr. Ananda Balayogi Bhavanani who is an internationally acclaimed personality. CYTER is endowed with competent professionals and academicians. It is in the fitness of things to state that the unique M. Phil Course in Yoga therapy (Choice based credit course) under the Faculty of Allied Health Sciences has been launched at SBV, with effect from the academic year 2016-17. Sri Balaji Vidyapeeth invites everybody to partake of the events in connection with the INTERNATIONAL DAY OF YOGA 2016 and may we all accredit ourselves with the yogic way of life in order to serve humanity in our own, humble manner. Prof. AR Srinivasan Registrar Sri Balaji Vidyapeeth
  7. 7. National Seminar & CME at SBV, Pondicherry 2016 8 MESSAGE FROM THE DEAN RESEARCH AND AHS I am very happy to know that the Center for Yoga Therapy, Education and Research, SBV has planned a grand celebration of the 2nd International Day of Yoga with numerous events from 19 - 21 June 2016. The events include a Workshop on “Silver Yoga” ensuring health enriching benefits of Yoga reach the elderly, a Yogasana competitions for faculty and students of SBV , mass demonstration of Common Yoga Protocol and a National Seminar and CME on “Introducing Yoga in Health Professions Education”. Right from its inception, SBV has been in the forefront in the field of innovations and newly emerging areas of medical sciences so that it becomes part of the exploring group along the advancing borders of modern science – in the words from the famous serial Star trek “to boldly go where no man has been before.” SBV is one of the first to introduce post graduate programs in Yoga Therapy and our PG Diploma in Yoga Therapy is unique as it is conducted within a medical institution. We have also started MPhil in Yoga Therapy from the current academic year and hope to have doctoral programs in near future. CYTER has been actively promoting Yoga amongst students of our university and Sri Balaji Vidyapeeth is one of the first to comply with latest guidelines from UGC and other regulatory bodies by providing yoga regular training to medical, dental and nursing students of all the constituent colleges. The CYTER team has been doing tremendous work in the field of Yoga Education, Research and Therapy in our University and this has helped place our work on the world map. The importance of Yoga as an intervention in health has now come to be universally recognized and I am sure this IDY 2016 programme would go a long way in drawing the attention to this fact and will benefit the community and the University. I wish the IDY 2016 celebrations all success. Prof. N Ananthakrishnan Dean – Research and Allied Health sciences Sri Balaji Vidyapeeth
  8. 8. Introducing Yoga in Health Professions Education 9 MESSAGE FROM THE DEAN It gives me great pleasure that International Day of Yoga Celebrations 2016 is being organized by Centre for Yoga Therapy, Education & Research (CYTER) at MGMCRI under auspices of Sri Balaji Vidyapeeth, Pondicherry from 19 to 21 June 2016. Our Honorable Prime Minister Shri Narendra Modi urged the world community to adopt an International Day of Yoga during United Nations General Assembly (UNGA) on September 27, 2014 and as a result 21 June has become the International Day of Yoga. He had said that Yoga is an invaluable gift of ancient Indian tradition. It embodies unity of mind and body; thought and action; restraint and fulfillment; harmony between man and nature and a holistic approach to health and well-being. I am happy that awareness programmes for senior citizens, Yogasana competitions and demonstrations of faculty and students, and a National Seminar and CME on “Introducing Yoga in Health Professions Education” are being held during the above IDY 2016 celebrations. I wish the function every success. Prof. M Ravishankar Dean, Faculty of Medicine MGMC&RI, SBV
  9. 9. National Seminar & CME at SBV, Pondicherry 2016 10 MESSAGE FROM THE ADDITIONAL DIRECTOR The ancient wisdom of Yoga is being gradually accepted more and more by the medical community worldwide and it is thus fitting that 21 June is being observed as the International Day of Yoga thanks to the much acclaimed proclamation by the United Nations. Our team at CYTER is doing excellent work in taking Yoga therapy to the patients of our hospital and I am happy to note that they are celebrating the International Day of Yoga this year too with multifaceted activities from 19 to 21 June 2016. The general public too needs to be enlightened about the preventive and health promoting benefits of Yoga and it is thus commendable that they have organized a Public Awareness Programme on 19 June in association with Pondicherry Senior Citizens Association and Help Age India. I congratulate the CYTER team on their efforts and wish the event all success. Prof. S Ravichandran Additional Director – Hospital services MGMC&RI
  10. 10. Introducing Yoga in Health Professions Education 11 MESSAGE FROM THE MEDICAL SUPERINTENDENT Its pleasure and pride to witness the CYTER grow in all length and breadth by exploring its strength to contribute towards patient care, academics and research. The grand celebrations planned from 19 to 21 June for the International Day of Yoga 2016 is commendable and their National Seminar and CME on “Introducing Yoga in Health Professions Education” is very timely. I wish the programme a great success and appreciate the team CYTER for their relentless efforts in conducting this event. Prof. V Nirmal Coumare Medical Superintendent, MGMC&RI
  11. 11. National Seminar & CME at SBV, Pondicherry 2016 12 AMMAJI, Yogacharini Meenakshi Devi Bhavanani Director ICYER at Ananda Ashram and Yoganjali Natyalayam, Pondicherry. www.icyer.com Message of blessings It recognized that Yoga “provides a holistic approach to health and well-being” and that wider dissemination of information about benefits of practicing Yoga would be beneficial for the health of the world population. Even to hear the word “Yoga” is a blessing. Even a partial understanding of its depth and scope is a dip in the wading pool of the ocean of consciousness. Everything must start somewhere, and perhaps for millions, this is the start of a new beginning, on awakening. Our honourable Prime Minster Shri Narendra Modi has said, “ Yoga can be a vital factor in changing the lifestyle and creating consciousness with climate change” It is only Shri Modiji, who is a fervent practitioner of Yoga himself as well as a devout Hindu, could include the idea of “changing life style and creating consciousness” which are the core values of Yoga. He seems to be “walking his talk” and “taking his walk” … all marks of a true Yogic spirit. The flag of Yoga and all it symbolizes now flies over the community of nations! May those of us who adore this ancient wisdom keep it flying high! I wish the CYTER team all the very best in their efforts to propagate this ancient art and science of India within a modern framework for the benefit of society worldwide.
  12. 12. Introducing Yoga in Health Professions Education 13 Sri Om Prakash Tiwari Secretary, Kaivalyadhama, Lonavla, Maharashtra. www.kdham.com President, Indian Yoga Association and Chairman Council for Yoga Accreditation International. Message of blessings Yoga is the transformation of the individual consciousness into universal consciousness; and when such an irreversible transformation occurs, one experiences a complete freedom from the shackles of ignorance, avidya, and rejoices in the Life Divine. The spirit of oneness, which is the basic fabric of Yoga, has its impact not only on the inner world, but also on the world out here. The world of being and becoming with its inhabitants, though appears to be diverse in nature, is strung together in a cosmic rhythm, which is termed ṛitam by the ancient Vedic seers. To be in harmony with the cosmic rhythm is the solution to all sorts of problems like unrest, violence, intolerance etcetera, which are driven by the ego-centric selfishness of human being. The promotion of Yoga is the panacea to all sorts of disintegration between persons, societies, nations, and worlds through the cultivation of fundamental unity. Even the divergent human thoughts become one pointed through the practice of yogic concentration resulting in orderliness in words, attitude, and action. This 'Order out of Chaos' is the cherished goal of humankind towards a happy and peaceful existence. In this perspective, the Honourable Prime Minister of India, Shri Narendra Modi has taken a significant stride in declaring the 21st June as the International Day of Yoga which has received overwhelming responses from every corner of the globe. I am happy to learn that the International Day of Yoga 2016 will be observed at Sri Balaji Vidyapeeth, Pondicherry, with pomp and grandeur, during 19-21 June 2016 along with Public Awareness programs, Common Yoga Protocol demonstrations, Yogasana competitions, and a National Seminar on "Introducing Yoga in Health Professions Education." The organizers of Balaji Vidyapeeth have resolved to ignite a sacred Yoga-Yajna, for the greater welfare of humanity, the holy flames of which will arrest all the evil forces retarding the positive growth of the world. I, on behalf of Kaivalyadhama, offer my hearty wishes as my oblation to this sacred Yajna impressing a substantial momentum to the world-wide expansion of Yoga culture. May this event be a grand success.
  13. 13. National Seminar & CME at SBV, Pondicherry 2016 14 Smt Hansaji Jayadeva Yogendra Director, The Yoga Institute, Santacruz, Mumbai India Message of blessings It is wonderful that the World Yoga Day is being celebrated. Since Yoga is a way of life, every day and every, moment is a yoga day! We are very happy that the second International Day of Yoga is being celebrated all over the country and the world and also at Sri Balaji Vidyapeeth in Pondicherry. Yoga with its immense wisdom is useful for all human beings. The medical professionals deal with humans at all levels and Yoga its philosophy, technology and psychology would help heal and mitigate suffering. Yoga basically is an 'education in living and introducing Yoga education in the medical professionals syllabus would be wonderful as it is holistic and comprehensive., The physician himself would benefit a great deal and the society looks up to doctors and them becoming better human beings would enrich many lives. We appreciate the efforts of CYTER to spread the message of Yoga to the health professionals’ community. We appreciate the splendid work of Ananda Ashram in Pondicherry that has been done for all these years by Yogacharini Meenakshi Deviji and Dr. Ananda Balayogi Bhavanani who have dedicated their lives in teaching Yoga, art and culture and making thousands of people’s lives beautiful. We send our message of strength and dedication to fulfil this noble aim of Yoga, leading to peace, harmony and happiness in the world.
  14. 14. Introducing Yoga in Health Professions Education 15 Yogacharya S. Sridharan Trustee, Krishnamacharya Yoga Mandiram, Chennai Member, Governing Body, MDNIY, New Delhi Message of blessings I am happy to note that the International Day of Yoga 2016 is celebrated in a grand manner between 19 – 21 June 2016 by the CYTER of Sri Balaji Vidyapeeth, Pondicherry. Yoga has become a ‘household word’ both in India and abroad, thanks to efforts of the AYUSH Department of the Government of India under the guidance of the Hon’ble Prime Minister, Shri Narendra Modi, himself a yoga practitioner. It is celebration time at all Yoga Institutions, Educational Institutions and even homes. The celebration is to remind us of the blessings of Yoga through the YogAcharyas over thousands of years. Yoga has answer for everything in life, be it to lead a happy and healthy life (bhoga) or to attain the highest goal of ‘Self-realization’ (apavarga). CYTER of Sri Balaji Vidyapeeth, Pondicherry is doing a laudable service in Yoga through advanced training for Yoga Therapy and taking yoga for the community, especially under-privileged, at large. I congratulate the team of Professionals under the able guidance of Prof Madanmohan, Dr Ananda Balayogi Bhavanani and Dr Meena Ramanathan in making this celebration a grand success.
  15. 15. National Seminar & CME at SBV, Pondicherry 2016 16 Dr Dilip Sarkar, MD, FACS, CAP President, International Association of Yoga Therapists. Associate Professor of Surgery (Retired), Eastern Virginia Medical School, Norfolk, VA. Fellow, American Association of Integrative Medicine. President, Board of Directors, AHA, Hampton Roads, Virginia. Chairman of AHA’s Mission Committee and My Life Check. Chairman of Board, Life in Yoga Institute. Member, Virginia Governor’s Asian Advisory Board. Chairman, School of Integrative Medicine, Taksha Institute, Hampton, VA. Message of blessings To my dear sisters and brothers at the gathering, Sri Balaji Vidyapeeth in Pondicherry on this International Day of Yoga 2016, I wish you all a wonderful gathering. May you share your wisdom, energy, and spirit with one another and gain knowledge and strength through this community of seekers. May you all radiate peace and health through the coming year. Namaskar,
  16. 16. Introducing Yoga in Health Professions Education 17 FROM THE DESK OF THE ORGANIZING CHAIRMAN It gives me great pleasure to welcome you to this intensive programme planned by us to celebrate the International Day of Yoga which is being celebrated not only in India but all over the world on 21 June. CYTER is organizing a public awareness programme on 19 June with workshop on “Silver Yoga” for senior citizens in association with Pondicherry Senior Citizens Welfare Association and HelpAge India and will have a special programme at the Hospice of St Cluny, Pondicherry. On Monday, 20 June we have Yogasana competitions for students of SBV at the university campus with a special demonstration event for faculty and staff members of SBV. I am pleased to welcome you especially for the National Seminar and CME on “Introducing Yoga in Health Professions Education” being conducted in collaboration with the Department of Physiology, MGMC & RI and Department of Tourism, Government of Puducherry on 21 June. I wish to express my heart-felt gratitude to our hon’ble Chairman, Shri MK Rajagoplan for his encouragement and support for organizing this programme. I am grateful to our hon’ble Chancellor, Prof. Pagadala Rajaram for his inspiring encouragement. Guidance and support of our respected Vice-Chancellor, Prof. KR Sethuraman made planning of the programme a smooth affair. Dean, Research and AHS, Professor N Ananthakrishnan has been a source of inspiration and motivation. I am grateful for the support of our Dean of Medicine Prof. M Ravishankar, Medical Superintendent, Dr Nirmal Coumare and Additional Director, Dr S Ravichandran for their support. Logistic support by the management of Sri Balaji Vidyapeeth University is gratefully acknowledged. I thank my colleagues from the Department of Physiology and CYTER for their unconditional support. I am sure that the academic programme will be enlightening and enjoyable experience for you and wish you all the best for the celebration. Prof. Madanmohan Director CYER and Prof. and Head, Department of Physiology, MGMC&RI
  17. 17. National Seminar & CME at SBV, Pondicherry 2016 18 FROM THE DESK OF THE ORGANIZING SECRETARY It is a great pride for every Indian that efforts of our honorable Prime Minster Shri Narendra Modiji bore fruit and the United Nations declared June 21 as International Day of Yoga. We at Sri Balaji Vidyapeeth University celebrated the event last year with multifaceted activities from 21 to 26 June 2015. This year too we have geared up to celebrate the 2nd International Day of Yoga and numerous events have been planned from 19 - 21 June 2016. On Sunday, 19th June we are organizing a Workshop on “Silver Yoga” aimed at taking health enriching benefits of Yoga to the doorsteps of the elderly. This is organized by CYTER in association with Pondicherry Senior Citizens Welfare Association and Help Age India and will also feature a special programme for elderly inmates of the Hospice of St Cluny in Pondicherry. On Monday, 20th June we have the Yogasana competitions for students of SBV at the university campus. We will also be conducting a demonstration event for faculty and staff members of SBV and top ten participants will receive “Best Demonstrator” awards. From 6-8 am on Tuesday, the 21st June, CYTER will collaborate with the Tourism Department, Government of Pondicherry in organizing the mass demonstration of the Common Yoga Protocol devised by the Ministry of AYUSH, Government of India. From 9am to 5.15pm we have planned the National Seminar and CME on “Introducing Yoga in Health Professions Education” with lecture demonstrations by eminent experts, panel discussion on “Strategies for Introducing Yoga in Health Professions Education” that will feature eminent internal and external faculty at MGMCRI. This seminar takes on great importance as it is imperative that medical, dental and paramedical students receive a positive introduction to Yoga and its therapeutic potential during their formative years. Latest guidelines of UGC, MCI and other councils recommend introduction of Yoga. Sri Balaji Vidyapeeth is one of the first to comply with these guidelines and through CYTER provides yoga regular training to medical, dental and nursing students of all the constituent colleges. We are especially pleased to welcome the world renowned Ammaji Yogacharini Meenakshi Devi Bhavanani of ICYER - Ananda Ashram, Pondicherry and the eminent physiologist-yogi Prof R Bijlani of Sri Aurobindo Ashram, New Delhi. Their very presence sanctifies this event by virtue of their noble lives and service for humanity. We welcome all of you to enjoy all the events and join us in paying tribute to the rich and varied cultural heritage of our country from which the art and science of Yoga has sprung for the benefit of humanity. Dr Ananda Balayogi Bhavanani Deputy Director CYTER, SBV
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  24. 24. Introducing Yoga in Health Professions Education 25 National Seminar and CME on “Introducing Yoga in Health Professions Education” Scientific Programme Date: 21 June 2016 Venue: Ground Floor Lecture Hall, College Block, MGMC & RI 8.00 AM Registration 9.00 AM Pre-test 9.15 AM Integrating Yoga & Ayurveda in clinical practice: an experiential perspective Dr. Madhavan M. BAMS, MSc (Yoga & Naturopathy). Director, Vivekananda Institute of Yoga Therapy, Karur, Tamil Nadu. 10.00 AM Inaugural function 1. Special address by Prof N Ananthakrishnan, Dean Research & AHS, SBV 2. Keynote by Ammaji, Yogacharini Meenakshi Devi Bhavanani Director, ICYER at Ananda Ashram, Pondicherry 11.00 AM High tea 11.30 PM Spirituality and modern medicine: have the twain met? Prof Ramesh Bijlani. MD, DSc. Sri Aurobindo Ashram - Delhi Branch 12.30 PM Simplified Yoga practices for health professionals Dr. Ananda Balayogi Bhavanani. MBBS, MD (Alt. Med). Deputy Director, CYTER, SBV 1.00 PM Poster Session and Lunch 2.00 PM Modifying Yoga to suit the individual patient: The Iyengar approach Mrs. Fharzana Siraj. MD (Alt. Med). Director Orange Ray Studio, Chennai 2.45 PM Panel discussion: integrating Yoga in health professions education. Moderator: Prof Adkoli BV. PhD. Health Professions Education SBV Members of the panel: 1. Prof Ravishankar M. MD, FRCP. Dean of Medicine, MGMC&RI, SBV 2. Prof Carounanidy Usha, MDS. Dean of Dental Sciences, IGIDS, SBV 3. Prof Renuka K, PhD. Dean of Nursing Sciences, KGNC, SBV 4. Prof Madanmohan. MD, DSc. Director CYTER & HOD, Physiology, MGMC&RI 5. Mr. Mohanakrishnan J. PhD. Physiotherapist, JIPMER 4.15 PM Tea 4.30 PM Post-test 4.45 PM Open forum, feedback from participants & valedictory
  25. 25. National Seminar & CME at SBV, Pondicherry 2016 26 A BRIEF INTRODUCTION TO OUR ESTEEMED CME FACULTY AMMAJI Yogacharini MEENAKSHI DEVI BHAVANANI Yogacharini Meenakshi Devi Bhavanani popularly known worldwide as Ammaji, is Director and Resident Acharya of the world famous International Centre for Yoga Education and Research (ICYER at Ananda Ashram) and Yoganjali Natyalayam at Pondicherry. She is the Dharmapatni and senior most disciple of the internationally acclaimed Yoga master, Yogamaharishi Dr. Swami Gitananda Giri Guru Maharaj and has devoted her life to his teachings and to institutions founded by him. She is a prolific author with 12 books, including two books of poetry to her credit. She is Editor of Satya Press and her defining book on “The History of Yoga from Ancient to Modern Times” released in 2011 is a path breaking effort hailed as the “Defining publication on the history of Yoga to date.” She has trained many thousands of students in Yoga and Bharatanatyam in the past five decades and is considered a pioneer in bringing the Performing Fine Arts and Yoga to the common people in Pondicherry. She has been recipient of many National and State Awards such as "Yogamani" in 1986 from the President of India Shri Zail Singh Ji and “Bhaskar Award” by Bharat Nirman as one of 50 eminent Indians honoured during the 50th year of Indian Independence for their contribution to Indian culture and spirituality. In 1999 she was given the “Puduvai Kalaimamani” Award for her work in Bharata Natyam by the Pondicherry Government. She has served on the Pondicherry University Academic Council, the Central Council for Research in Yoga & Naturopathy as well as the Morarji Desai National Institute of Yoga under Ministry of Health, Government of India. Ammaji is considered one of the major International leaders of the modern Yoga movement. Though born in the USA in 1943, she came to India in 1967 and has lived here ever since. She was awarded Indian Citizenship on November 30th, 1992, in her own words “the proudest day of my life.” Prof. RAMESH BIJLANI MBBS, MD (Physiology), DSc Yoga Dr. Ramesh Bijlani is a medical doctor, writer, teacher, scientist, and above all a person committed to using his unique blend of talents for touching the hearts and lives of his fellow beings. Educated at All India Institute of Medical Sciences (AIIMS), New Delhi, where he did his MBBS and MD, and at Massachusetts Institute of Technology (MIT), Cambridge MA, USA, where he did a master’s course (SM) in nutrition, Dr Bijlani spent nearly 30 years on the faculty of AIIMS, teaching and conducting research on nutrition in relation to cardiovascular disease and diabetes. In 1992 he
  26. 26. Introducing Yoga in Health Professions Education 27 started going into the depths of yoga, specially the integral yoga of Sri Aurobindo and the Mother. His personal and professional life converged in the year 2000 when he initiated at AIIMS a patient care facility for providing lifestyle modification courses based on yoga in tune with the latest developments in mind-body medicine. In the year 2005, he took voluntary retirement from AIIMS to find more time for dissemination of yoga. Prof. Bijlani was conferred an honorary doctorate (DSc) in yoga by Swami Vivekananda Yoga Anusandhana Samsthana, Bangalore in 2006. Besides his research publications, he has written extensively for children, medical students and lay adults – he has 16 books to his credit. He now stays and works at Sri Aurobindo Ashram – Delhi Branch, gives inspirational talks, conducts spiritual retreats, runs yoga courses, and continues to write. Prof. M RAVISHANKAR DA., MD (Anesthesiology), FRCP (Glasgow) One of the eminent anesthesiologists of India, Prof Ravishankar is currently Dean of Mahatma Gandhi Medical College & Research Institute in Pondicherry, India. He has nearly four decades of experience in faculty positions with extensive research and clinical experience serving JIPMER between 1979 and 2005 from where he retired from JIPMER as Professor and Head, Dept. of Anaesthesiology and Critical Care. He has since then continued his clinical service, educational zeal and research work at MGMCRI till date. He is also serving as Professor of Anaesthesiology and is Director, Medical simulation centre MGMCRI, as well as the ITC coordinator of AHA. He is also Chairman, Quality control and Patient safety. He completed his MBBS, as well as his Diploma and MD in Anaesthesiology from JIPMER and was awarded FRCP by RCPSG, Glasgow in 2012. He has organised many conferences and CMEs and has numerous honorary appointments and awards including being nominated to the ‘Board of Directors’ in Asia Ventilation Forum in Shanghai, China and the Bureau of Indian standards (BIS) for formulating specifications for anaesthesia equipment. He has been honoured with “Lifetime Achievement award for progress of anaesthesia in India” by the British Association of Indian Anaesthetists in 2007. He was honoured as “Best Teacher” in the Balaji Anaesthesia Postgraduate Update program held in SVIMS, Tirupati in 2012 and with “Lifetime Achievement Award” for outstanding contribution in the field of anaesthesiology at 29th Annual SZ ISA conference – PONSZAC 2013. He has delivered many prestigious orations and been invited Resource Person / Faculty in 66 conferences and workshops. He has extensive Research Experience with 56 publications in high impact indexed journals and 35 research projects. He is Life member of many premier societies including Indian Society of Anaesthesiologist, Society of Anaesthesiologists and Clinical Pharmacologists, Indian society of Emergency Medicine, Indian Society on Critical Care Medicine, International Trauma, Anaesthesia, and Critical Care Society, and served as president of Indian society of Anaesthesiologists, Pondicherry branch.
  27. 27. National Seminar & CME at SBV, Pondicherry 2016 28 Prof. MADANMOHAN MBBS, MD, MSc, DSc (Yoga) Dr. Madanmohan is Professor & Head, Department of Physiology at the Mahatma Gandhi Medical College & Research Institute and Director CYTER. He has teaching & research experience of more than 45 years and his fields of research are yoga, yoga therapy, cardiovascular & respiratory physiology. He has delivered more than 50 invited talks in conferences, academic forums and organizations and has numerous awards including Gold Medal & Scroll of Honor, Annual Internal Oration (2009-10), JIPMER Scientific Society; Prof. A Namasivayam Endowment Lecture (2013), Deptt of Physiology, University of Madras; Felicitated for outstanding contribution towards physiology and yoga, APPI, Belgaum branch; Best Personalities of India Award and Gold Medal, Friendship Forum of India; Honorary appointment to the Research Board of Advisors (1999) of the American Biographical Institute. He was Founder-Programme Director of ACYTER, JIPMER. He has 110 research papers (including original research work) in national and international journals, more than 80 abstracts and 30 magazine articles. He has guided 36 PGs (MD, MS, MSc, and PhD) students in their research work and 15 medical students in their ICMR Research Studentship. He has worked in 26 research projects as chief investigator / co- investigator. He has personally given yoga training to medical students, school children, police personnel and general public as well as yoga therapy to hospital patients. He has organized many workshops and CMEs in Yoga and edited 8 proceedings of workshops / CMEs / symposia and 3 reports of research projects in yoga. He has served as expert in selection committees of UPSC, JIPMER, University of Madras; NEIGRIHMS, Shillong; Pondicherry Government Medical College; and AIIMS. He has also been part time MCI inspector (for UG & PG) for inspection of medical colleges and Member, Inspection Committee for Medical Colleges, Pondicherry University. He was honoured by Yoga Jivana Satsangha (International) with the Karma Yoga Shironmani in 2003 in recognition of his illustrious service for the integration of yoga and modern medicine. Prof. B.V. ADKOLI M.Sc, M Ed., Ph D (Education), M MEd (Dundee) Professor, Health Professions Education, Mahatma Gandhi Medical College and Research Institute, under Sri Balaji Vidyapeeth, Puducherry. Area of interest: Medical Education Technology, and Faculty Development in health professions education. Dr Adkoli started his career in medical education as a full time faculty of the National Teacher Training Centre, (NTTC), JIPMER, Puducherry (1985-91). He worked as Educationist at the KL Wig Centre for Medical Education and Technology (CMET), at AIIMS, New Delhi (1991- 2012). He held short term assignments as Faculty of Medical Education Unit at the University of Dammam, Kingdom of Saudi Arabia, and Content Manager for the National Health Portal, a project under Health Ministry. He has served as a faculty for
  28. 28. Introducing Yoga in Health Professions Education 29 the FAIMER Regional Institute, CMC Ludhiana. Dr Adkoli has extensively contributed as a Resource Person for hundreds of workshops in medical/health profession education in India and has worked as Expert Committee member and Short Term Consultant to Government of India, MOHFW, WHO-SEARO and India Population Projects funded by the World Bank. He continues to be an accredited Educator for the Advanced Trauma Life Support (ATLS) program of American College of Surgeons; Member, National Curriculum Review Committee (NCRC) for the National Initiative for Allied Health Sciences (NIAHS) launched by the Ministry of Health & Family Welfare; Member Executive Committee of the Academy of Health Professions Education launched recently. He has written extensively and is a reviewer for national and international journals dedicated to health professions education. Prof. CAROUNANIDY USHA, MDS. An educator with more than two decades of teaching experience, Dr Usha is currently Principal of the Indira Gandhi Institute of Dental Sciences and Dean Dental Science faculty in the Sri Balaji Vidyapeeth, Pondicherry, India. She completed her BDS from Madras Dental College in Madras University and MDS from Institute of Medical Sciences, B.H.U, Varanasi. She has also done PGDHE from Sri Balaji Vidyapeeth University, Pondicherry. She underwent Training Programme for Dental implantology in Italy. She has 21 paper publications along with a book publication and 4 chapter publications and 3 CD publications. She has guided more than 100 Posters/Presentations/Table top clinics for UGs and PGs in various scientific forums. She has delivered 57 guest lectures and published 7 procedural videos. She has been Editor, Pondent, a quarterly bulletin of MGDCH, Pondicherry, Secretary, Academy of Interactive Health Sciences and staff advisor, Alumni Association of MGDCH, Pondicherry. She is Chief Editor, Journal of Scientific dentistry, of Sri Balaji Vidhyapeeth. She is editorial board member and peer reviewer for Journal of Conservative Dentistry (Publication of FODI), reviewer for Journal of Oral Sciences and editorial board member, Clinical Dentistry, the official publication of Indian Dental Association. She has served as president, Scientific and Academic forum, Indira Gandhi Institute of Dental Sciences and is Member- Secretary, Institutional ethical committee, Indira Gandhi Institute of Dental Sciences. Prof. RENUKA K, PhD An able administrator with 14 years of teaching and 8 years of research experience, Dr Renuka is currently Dean, Faculty of Nursing Science, Sri Balaji Vidyapeeth, Pondicherry. She completed her B.Sc (N) and M.Sc (N) in nursing from College of Nursing, Saveetha Dental College & Hospitals, under The Tamil Nadu Dr. MGR Medical University, Chennai and her PhD in Nursing from Vinayaka Missions University, Salem. She has won ‘Gold Medal’ in B. Sc (N) securing First in Medical surgical Nursing received from the Tamil Nadu Dr. M.G.R Medical
  29. 29. National Seminar & CME at SBV, Pondicherry 2016 30 University, Chennai in 1999. Also Merit certificate received from The Tamil Nadu State Nurses & Midwives Council, Chennai for securing state second rank in B.Sc., Nursing in 1999. She was also awarded “Commendation Certificate” for Best Service rendered in the Institution from the Dean, Mahatma Gandhi Medical College, during Independence Day Celebration in 2008. She has 15 papers published in high impact indexed National & International journals, is International peer reviewer in OMICS Bio-Medical Journals, Majmaah University, Saudi Arabia, Editor in Chief for Pondicherry Journal of Nursing and Contributing Editor for Tamil Nadu Nurses & Midwives Council – Medical Surgical Nursing Journal. She is also Head of Department-Medical Surgical Nursing, UG & PG Examiner, Research guide for PG students, Member Secretary – Institutional Human Ethical Committee, Co-guide in MAHER University, Chennai. She is External Expert as Evaluator & subject expert for Textila University, USA. Mrs. FHARZANA SIRAJ MD (AM) Founder and Therapeutic Consultant, Orange Ray Wellness Centre in Chennai, Fharzana has trained under the World renown Padmavibhushan BKS Iyengar and is a Certified BKS Iyengar Yoga Trainer since 2010 by the RIM Yoga Institute, Pune, India. She has a Doctor of Medicine (MD) in Alternative Medicine from IBAM, and Certification in Yoga Therapy. She is currently completing her MSc. Yoga Therapy from SVYASA University in Bangalore. She was the Co-Founder & Co-Consultant, Therapeutic Yoga at the Krshn Yoga Clinic, Chennai between 2013 —2015 and has specialised in treating acute and chronic pain in conditions like Spondylosis, Disk bulge& Prolapse, Plantarfascitis, Frozen Shoulder, Tennis Elbow, De Quervain's disease etc., with Yoga, thereby avoiding surgery. She offers Corporate & private Yoga workshops and has been a Speaker & Indian representative for Yoga at 8th International Traditional & Complementary Medicine Conference, Kuala Lampur and is a Regular faculty teaching Therapeutic Yoga at International Yoga Festival – Parmarth Niketan, Rishikesh. She was Chairperson, Health and Ecology at International Women’s Association (2013-2014) and Treasurer at Soroptimist International, Chennai Magna (2011-2012) and is a member of the International Association of Yoga Therapists (IAYT), USA and International Women’s Association, Chennai. J.MOHANAKRISHNAN, MPT (Ortho), (PhD) With more than 20 years of rich experience in Clinical Physiotherapeutic skills in both operative and non- operative conditions of orthopaedics, neurology, neurosurgery, cardiothoracic and vascular surgery, paediatrics, paediatric surgery and medical conditions. Mohanakrishnan is presently working in Jawaharlal institute of Post Graduate Medical Education and Research (JIPMER) as Physiotherapist. His Skills and Clinical Expertise include: manual therapy techniques,
  30. 30. Introducing Yoga in Health Professions Education 31 pain management, orthopaedic rehabilitation, sports rehabilitation, ergonomic advice and work, spinal cord injury rehabilitation and yoga therapy He completed in 1995 a first class Bachelor of Physiotherapy Degree (BPT) from Sri Ramakrishna institute of paramedical sciences, Coimbatore, affiliated to The Tamilnadu Dr. M.G.R Medical University, Chennai, Tamilnadu, India. In 2007 he did the Diploma in Yogic Education(DYE)from Pondicherry University Community College affiliated to Pondicherry University, India. In 2009 he completed his Master’s Degree in Physiotherapy (MPT) from Sri Ramakrishna institute of paramedical sciences, Coimbatore, affiliated to The Tamilnadu Dr. M.G.R Medical University, Chennai, Tamilnadu, India. He received the award for Top ranker in MPT for the year 2007-2009. He has also completed in 2012 Certification In Orthopedics and Manual Physical Therapy (COMPT) at Sri Ramachandra University College of physiotherapy in collaboration with the Institute of Therapeutic Sciences, Michigan, USA. He is currently completing his PhD on “Effects of Therapeutic applications & Yogic Practices on selected Physiological, Clinical and Psychological Variables among middle aged men with frozen shoulders” in Vivekananda Vidyalaya, Coimbatore. He has many publications and has been a featured presenter at many conferences in India and delivered invited talks on topics related to Yoga and physiotherapy. Yogachemmal Yogacharya Dr. M. MADHAVAN BAMS, PGDYT, MSc (Yoga & Naturopathy) With a Bachelor of Ayurvedic Medicine & Surgery from the Venkatramana Ayurvedic Medical College, Madras in 1988 and a PG Diploma in Yoga Therapy from the Indian Yoga Institute, SVYASA, Bangalore in 1993 Dr Madhavan is one of the eminent Yoga masters combining Yoga therapy and Ayurveda in recent times. His students have won laurels all over the world for their excellent display of skill in Yogasanas and he is Founder Director of the Vivekananda Institute of Yoga Therapy in Karur, Tamilnadu (www.karuryoga.in). He has also completed Yoga teacher Training (YOGA SIROMANI) from the International Shivanandha Yoga Vedanta Dhanvandari Ashram, Thiruvanandapuram in 1994 and Intensive Yoga Vedanta Course from the Divine Life Society, Shivananda Nagar, Rishikesh in 1995. He did the Advanced Yoga Teacher Training Course (YOGA ACHARYA) from the International Shivanandha Yoga Vedanta Dhanvandari Ashram in 1996 and obtained Teacher Certificate in Yoga from Bharathidasan University in 1996. He did the Intensive Sadhana (YOGA BHASKARA) also from International Shivanandha Yoga Vedanta in 2001 and MSc in Yoga and Naturopathy from Vinayaga Mission Research Foundation, Salem in 2006. He has been the Karur District Yoga Coach from Govt of Tamilnadu (SDAT) between 2007-13 and has given seminars and Teacher Training Programme in countries like Sri Lanka, Singapore, Taiwan, Japan, Russia, Ukraine, Turkey, Hong Kong.
  31. 31. National Seminar & CME at SBV, Pondicherry 2016 32 Yogacharya Dr ANANDA BALAYOGI BHAVANANI Yogacharya Dr. Ananda Balayogi Bhavanani is Chairman of the International Centre for Yoga Education and Research at Ananda Ashram, Pondicherry, India. He is also chairman of Yoganjali Natyalayam, the premier institute of Yoga, Carnatic Music and Bharatanatyam in Pondicherry. He is son and successor of the internationally acclaimed Yoga team of Yogamaharishi Dr. Swami Gitananda Giri Guru Maharaj and Ammaji, Yogacharini Kalaimamani Meenakshi Devi Bhavanani. He is a Gold Medallist in Medical Studies (MBBS) with postgraduate diplomas in both Family Health (PGDFH) as well as Yoga (PGDY) and the Advanced Diploma in Yoga under his illustrious parents in 1991-93. A Fellow of the Indian Academy of Yoga, he has authored 19 DVDs and 23 books on Yoga as well as published more than two hundred papers, compilations and abstracts on Yoga and Yoga research in National and International Journals. He is a Classical Indian Vocalist, Percussionist, Music Composer and Choreographer of Indian Classical Dance in addition to his duties as Deputy Director of the Centre for Yoga Therapy Education and Research (CYTER), MGMCRI, Sri Balaji Vidyapeeth University, Pondicherry. In recent years he has travelled abroad 15 times and conducted invited talks, public events, workshops and retreats and been major presenter at Yoga conferences in the UK, USA, Italy, Germany, Switzerland, Canada, Australia and New Zealand. He is Honorary International Advisor to the International Association of Yoga Therapists, Australian Association of Yoga Therapists and Gitananda Yoga Associations worldwide. He is currently member of the Scientific Advisory Committee of the Central Council for Research in Yoga and Naturopathy (CCRYN), Ministry of AYUSH, Govt of India as well as the Expert Committee of AYUSH for Celebration of International Yoga Day. He is also member of the Executive Council of the Indian Yoga Association and Board of Directors of the Council for Yoga Accreditation International.
  32. 32. Introducing Yoga in Health Professions Education 33 YOGA FOR HOLISTIC WELLNESS (SALUTOGENESIS) “Yoga Day Oration” Prof. K R Sethuraman,1 MD, PGDHE Salutogenesis Salutogenesis is a derivation from Greek and Latin (Latin: salus = health + Greek: genesis = source) and in combination means ‘source of health’. Aaron Antonovsky (1923 – 1994) is called the ‘Father of Salutogenesis’. He was a medical sociologist, who coined the term in 1968 to capture an emerging concept of “Why did some people manage to avoid illness and do well even under extreme stress?” based on a study of Nazi Holocaust survivors. Medicine is increasingly focused on the origin of illness (pathogenesis) but an equally important question to ask is "What is the origin of health & wellness?" Pathogenesis Salutogenesis • What causes diseases? • About Avoiding diseases • Disease/Illness an anomaly • Reactive – Treat the Disease • Against pain or Loss • Prepares one to live • What causes Health? • About reaching one’s full potential • All of us are inherently flawed • Proactive - Promote Health/wellness • For Gain or Growth • Discover how to live fully Table-1 Salutogenesis versus Pathogenesis Aaron Antonovsky showed that relatively unstressed people had much more resistance to illness than those who were more stressed. He proposed that the experience of well-being is based on “Sense of Coherence” (SOC), which is ‘the heart’ of Salutogenesis. SOC is “a pervasive, long-lasting and dynamic feeling of confidence that one’s internal and external environments are predictable and that there is a high probability that things will work out as well as can be expected” (Antonovsky, 1979). Several studies conducted in the past four decades have confirmed that SOC has strong positive correlations to perceived health, mental health, and quality of life. Sense of Coherence (SOC) has three components: i) Comprehension based on cognition (“My world is understandable”) ii) Manageability based on coping ability (“My world is manageable”) iii) Meaningfulness , which gives the motivation (“My world has meaning”) 1 Vice-chancellor, Sri Balaji Vidyapeeth, Puducherry. www.sbvu.ac.in
  33. 33. National Seminar & CME at SBV, Pondicherry 2016 34 Comprehension, Meaningfulness & Manageability (SOC) in chronic diseases keeps them ‘well’ despite any limitations imposed by the disease. It is akin to ‘physically disabled’ (pathological model) becoming ‘differently abled’ (wellness model based on salutogenesis). Healing Healing is “the processes of recovery, repair, renewal, and reintegration that contribute to a person’s physical, mental, social, and spiritual health and well-being.” Healing and Cure are mutually complementary, and both are essential. Cure without healing is incomplete recovery, while attempting to heal, without cure or control of the ongoing disease, is to be in “fools’ paradise.” Realizing this, the post-modern hospitals across the West are adopting healing- oriented practices and environments to create an ‘Optimal Healing Environment’ (OHE). Optimal Healing Environment consists of four domains: i) Internal domain (personal wholeness and healing intention) ii) Interpersonal domain (healing relationship and healing organization) iii) Behavioral domain (healthy lifestyle and integrative holistic care) iv) External domain (healing spaces and ecological resilience) Yoga therapy and Optimal Healing Environment Those who have studied Yoga concepts will realize how the ancient wisdom and practices align well with the postmodern concept of OHE pursued by the progressive hospitals. Yoga attends to the internal factors healing, viz., personal wholeness and healing intention, through mindfulness and meditation. Yoga-therapist attends to the interpersonal factors through therapeutic relationship that promotes wellness and by promoting holistic healing. Yoga therapy attends to the behavioral factors by promotion of “Satvik lifestyle” and by integrating well with “curative Western Medicine”. Finally, Sattvik guna and symbiosis with Nature, which are integral components of Yoga, can contribute much to the external domain of OHE. Summing up o Holistic health goes beyond mere absence of pathology (up to 40% of illnesses have no pathological basis) o Preventive and promotive wellness practices do protect against pathology
  34. 34. Introducing Yoga in Health Professions Education 35 o Lifestyle-based wellness choices can maximize positive life experiences through Salutogenesis (joy, vitality, serenity, happiness, self-actualization, and other positive qualities that make life worth living) o Yoga is an ancient set of integrated mental, physical and spiritual practices that promote Salutogenesis. Epilogue We in India, have the dubious distinction of 'chasing diseases' to be the World’s capital for several: “India: HIV capital of the world” (December 11, 1999); “India: World's TB capital“ (ToI-news Mar 19, 2008); “India: World's capital for road accidents“ (2010); “India: World's capital for Coronary heart disease and Diabetes” (PTI 17-11-2013) Can we instead chase Health and make India the “Wellness capital”? We can, if Yoga practices & Salutogenesis are adopted by us all. Jai Hind!
  35. 35. National Seminar & CME at SBV, Pondicherry 2016 36 SPIRITUALITY AND MODERN MEDICINE: HAVE THE TWAIN MET? Prof Ramesh Bijlani MD, DSc2 Spectacular advances in modern medicine during the first half of the twentieth century led to the conquest of infectious diseases, nutritional deficiencies and diabetes. Then came the humbling experience of the second half of the twentieth century, during which lifestyle disorders and their complications emerged as the major killers of mankind. These disorders were rooted in an unhealthy lifestyle, of which mental stress was a major accompaniment. The scientific approach, which is the bedrock of modern medicine, soon led to the search for healthy lifestyles and better strategies for overcoming mental stress. Both these explorations converged on the rediscovery of ancient disciplines such as yoga, because these disciplines include superb lifestyles as well as very potent perennial principles for lasting mental peace. But these disciplines are not systems of medicine; they are disciplines primarily designed for spiritual growth. Therefore, moving from the limited application of some segments of these disciplines in medicine towards the wider sphere of spirituality was a natural progression of events. What coincided with this progression were scientific developments that led to the advent of psychoneuroimmunology. Psychoneuroimmunology (PNI) provided the scientific basis for using the powers of the mind for healing the body. Since yoga is also a mind-body approach, PNI provided scientific validity to the approach. The pioneers in the use of the mind-body approach in treatment of disease, such as Dean Ornish, Bernie Siegel and Deepak Chopra had all deep and intimate contact with the spiritual basis of yoga. Therefore, they interpreted PNI and the mind-body relationship in a wider context. First, lasting mental peace, and therefore its healing effect also, may be best achieved if the mind and body are both anchored to the soul. Secondly, conscious contact with the soul helps harness the infinite Intelligence packed in the body for healing. Thirdly, from the spiritual angle, the mind is a subtle, and the body a gross manifestation of the same Supreme Consciousness. Not only the patient’s mind and body, the healer’s mind and the patient’s body are also manifestations of the same Supreme Consciousness. Therefore, the healer’s healing intentions should be able to facilitate healing in the patient’s body. This looks like a miracle, and something unacceptable to science. But advances in theoretical physics, and research in neurophysiology had already started stretching the limits of science. Sri Aurobindo Ashram – Delhi Branch, New Delhi 110 106. Email: rambij@gmail.com
  36. 36. Introducing Yoga in Health Professions Education 37 Therefore, by the 1980s, many clinicians started looking at love and prayer as therapeutic tools, and interestingly, the results were quite positive. The spiritual explanation for these phenomena may not be the only explanation possible, but at least the results of these experiments are consistent with the spiritual worldview. Larry Dossey, who has played a major role in facilitating these revolutionary developments, considers non-local medicine to be the medicine of the future. While these developments are still outside the mainstream, among the latest advances in modern scientific medicine is the addition of the spiritual dimension to its armamentarium. Thus, modern medicine and spirituality have met.
  37. 37. National Seminar & CME at SBV, Pondicherry 2016 38 PHYSICIAN! HEAL THYSELF! Yogacharini Puduvai Kalaimamani Smt Meenakshi Devi Bhavanani3 Can someone who is sick, cure the illness of another? Can someone who is miserable make others happy? Can someone who is tense teach others how to relax? Charity, on every level, begins at home! Our Guru Swami Gitananda Giri was himself a respected medical practitioner but he often gave his students this advice: “If you are in need of a doctor, make sure you consult someone who himself is happy and healthy.” He pointed out that is it is relatively common for doctors to die of their own specialty. Thus, he said, Cardiac specialists often die of heart disease, cancer specialists of cancer. Those concentrating on B.P or diabetes often perish by their own specialty. This is why he said, only half in jest that the safest field for a male doctor is to become a gynecologist! Modern life has become stressful! No one will argue this! A large percentage of doctors will agree, much disease originates in stress! Who could be more “stressed out” than doctors: with irregular working hours, inadequate sleep and unhealthy dietary regimes! Another point: A common scenario is a patient being counseled by the doctor who says: “You must relax!” The patient asks the doctor, “How to relax, sir?” But the poor doctor gets tensed up because he does not himself know how to relax! Easier said than done! So many questions still remain unanswered in modern Allopathic medicine! Modern Medicine as Swamiji pointed out is based on the study of disease and how to cure it! Knowledge about the living body is gathered from studies on dead bodies! The treatment is based very much on information gleaned from machines and laboratory tests. Dissection- taking the body apart – rather than studying the whole as a working mechanism gives only a partial view! Diagnosis is often reduced to numbers obtained through many levels of tests and expensive procedures. It often appears as though modern doctors see “as though through a glass darkly!” Like viewing an object on a radar screen! Something is there, but it is difficult to see it clearly. The time has come … to add a new dimension to the healing arts – introducing Yoga in Health Professional Education! The ancient Indian healing sciences were based on observation, interaction, life style correction and diet control as well as ample doses of rest and relaxation in nature. Such medicines as good water, sunshine, ingestion of plants and roots with healing properties are considered essential in ancient approaches to wellness! Ayurveda, for example, is called the wisdom of producing health. One to one interactions over long periods of time made the doctor conversant with individual needs as well as cultivating awareness of the social, psychological and family backgrounds of the patient. Ancient Indian healing arts recognized that the Gunas (qualities) of the patient must be taken into consideration while prescribing treatment! Sattwic, Rajasic and Tamasic natures must be treated differently. One size did not fit all! The patient’s legs should not be cut to fit the size of the bed! The old Director, ICYER at Ananda Ashram and Yoganjali Natyalayam, Pondicherry. www.icyer.com. Email: amma@icyer.com
  38. 38. Introducing Yoga in Health Professions Education 39 village lore suggested massage, heat, sunlight, food and plants as part of healing process. Yoga, Ayurveda, Siddha all grew out of this environment. Through Yoga techniques and concepts the body was trained to enhance its own healing abilities in a natural way. The body was seen as a whole with several systems working together to create homeostasis. Non-interference and watchfulness was essential in most cases. The body was allowed to “set itself right”. This is the opposite attitude to modern approach of quick fix solutions. There is the old joke attributed to Voltaire: “The art of medicine consists mainly of keeping the patient entertained while the body heals itself.” Allopathic medicine studies and treats the human body by taking it apart and seeking quick remedies. Yoga views the human body as an organism with well-balanced systems and treats the body as a whole, while enhancing its natural healing mechanisms. It is the “best of times” right now to introduce young aspiring Allopathic doctors to the basics of their own cultural heritage, so they are at least aware of possible alternatives to the modern approach. Both Allopathic and basic training in the science of Yoga including the morality and ethics will greatly enhance Allopathic health care, Asanas (basic body positions) and Pranayama (breath control) as well as the power of positive concentrated thinking can prove to be good partners in modern health care. Yoga system works from direct inner experience and sensitivity to the body processes. The Yogic practices develop awareness of the various internal as well as external body parts and their working. Allopathic medicine views the body from an externalized, text book perspective as an observer viewing the physical organism from an external distance. Yoga is a complete science in its own right, which contains its own terminology, theory, techniques and a body of knowledge accumulated through research whose principles have been tested over millennia by thousands of Rishis. This wisdom has been recorded in various scriptures. The mind - body connection is – termed Adhi- Vyadhi and has been explored in great depth. This psycho-somatic relationship is quite well accepted in modern medicine now but not so extensively explored as in the Yoga science. Inner purity of body, mind and emotions is considered as an essential part of restoration to health and wellness. Mala – toxins - promote disease and these must be removed for lasting wellness to occur. Cleansing and purifying practices have been well structured over the centuries for this purpose. The value of teaching Yoga to modern medical professionals can be discussed as useful in another manner. First of all, the practice of Yoga will have a beneficial impact on the health –mental, emotional and physical of the young medical and nursing students. Secondly the training will give the students a totally different perspective of the human entity working from the inside out and from personal direct experience. Thirdly, the philosophy of Yoga will provide a “code of practical conduct” which will inculcate a greater sense of duty (Dharma) and morality and ethics in the aspiring doctors. Fourthly, a basic practice of Yoga creates deep relaxation, release of stress, and a vision of the higher purpose of life. Fifth; Yoga is firmly built on the basic principle of Hippocrates: First, do not harm! ”Yoga starts with Ahimsa, non-
  39. 39. National Seminar & CME at SBV, Pondicherry 2016 40 harmfulness both to oneself as well as one’s patients. Sixth, Yoga follows this important tenet: Prevention is better than cure. Yoga is highly practical. Not only does it point out the goal, but it provides a methodology as how to achieve that goal; It is the science of “self-help”, giving people the knowledge to manage their own health. Of course Yoga is not a panacea for all ills. An understanding of the Law of Karma- cause and effect – will aid the physician in counseling his patients to “cure what can be cured, and endure that which cannot!” An understanding of the Yogic world view will also aid doctors/ nurses in helping not only patients but also their loved ones to make a peaceful transition from life to death when the inevitable occurs. Yoga is a “wisdom science” and contains exquisite philosophical constructs which inculcate the positive Bhavana (attitudes) so necessary to produce true healing. The Yogic attitude towards human existence is to “prolong the gap” to wait, to watch. Yoga creates the wisdom to change what may be changed, accept that which cannot be changed and the wisdom to know the difference. Yoga develops “skill in the pause” so the doctor himself can overcome any unconscious reflexive stimulus – response action based on panic in emergencies. The doctor must be patient with the patient. This is a necessary quality in any truly committed physician. A danger a specter, looms on the horizon of modern medium of which all seriously committed doctors must be aware: The ferocious monster of Iatrogenic diseases, or in plain words, diseases caused by mistakes doctors make in treatment! Doctors have become dangerous to the patient’s health. Not being Gods, they often make mistakes. A shocking piece of information was recently published widely in global media, forums one headline said “Over two lakh in US die due to medical errors,” The article reported: More than 2,50,000 deaths per year in the US occur due to medical errors, making it the third highest cause of mortality after heart disease and cancer, according to a new study. Using hospital admission rates from 2013, they found rates based on a total of 35,416,020 hospitalizations, 2,51,454 deaths stemmed from medical errors, which researchers say now translates to 9.5 percent of all deaths each year in the US. According to the Centers for Disease Control and Prevention(CDC), in 2013, 6,11,105 people died of heart disease, 5,84,881 died of cancer, and 1,49,205 died of chronic respiratory disease – the top three causes of death in the US. The newly calculated figure for medical errors, published in The BMJ, put this cause of death behind cancer but ahead of respiratory disease. Chief Investigator Martin Makary from John’s Hopkins University said : “Right now, cancer and heart disease get a ton of attention, but since medical errors do not appear on that list, the problem does not get the funding and attention it deserves.” The end product of Yoga is to achieve this noble aim:” Physician heal thyself! The inculcation of Yoga ideals into the minds of medical personal will help create doctors who themselves are happy, healthy, balanced of mind and reasonably free of stress. The “doctors” then can be true Acharyas as well, teaching their patients by their own living example to live a happy, healthy disease free life!
  40. 40. Introducing Yoga in Health Professions Education 41 INTRODUCTION OF YOGA IN MEDICAL EDUCATION Smt Hansa Jayadeva Yogendra and Dr. Jayadeva Yogendra PhD4 Dr. Jonas Salk when he visited The Yoga Institute Santacruz, Mumbai, said , “Medicine is a science of disease, Yoga is a science of Health. “ Dr. Jayadeva Yogendra, President of The Yoga Institute, has said “Yoga is not a therapy in the accepted sense of the term, nor is it mere healing through blessings, prayer and hypnosis. Yoga, as a process of education of the total personality helps in steadying the mind. An unsteady mind being a source of disease, the practice of Yoga influences the mind and helps in management of certain diseases. The therapeutic aspect of Yoga is merely a byproduct of its hygienic and preventive education of the physical, the mental, the emotional, the moral, the intellectual and the spiritual “ Controlling of the ever changing mind is not so easy, because our mind is already programmed to carry through the various antics till death. Our actions, heredity and ecology are responsible for our lifestyle, life span, our life experience and also our diseases. We develop as a consequence characteristic weaknesses or susceptibility, especially of the nervous cells and system as a whole and inherit such impure bioenergy (prana) and as a result lack in capacity of absorption, elimination, maintenance or repair and growth. Yoga took a ‘meta-scientific’ attitude towards the problem of disease and its constitutional removal. The Yogi is not satisfied just by understanding the gross body by itself in the management of disease. He is instead more concerned with subtler factors---- involved in the pathogenesis of disease. These subtle factors, according to Yoga stem from the psyche. In the management of diseases Yoga remains non-specific. It helps in generating greater Sattva (calmness) bringing about Prajna (consciousness) as opposed to Prajna- aparadha (error of intellect) With the right approach and a balanced state of mind, it is easier to set up healthier routines and right habits. This is of course the Yoga way of life which reduces tamasika (inert) and rajasika (excitable) excesses in personality makeup. Since Yoga is an education in life and living, the medical professionals will be greatly supported by the philosophy, ideology and technology of yoga. The life of sickness of confusion or low esteem in the eyes of others leads to poor quality of living. It is here that Yoga as an education provides us clarity of both through its experienced based practices. It helps in clearing our goal- not just the short term ones but the long term too. Meditative postures provide interiorisation, tranquility and insight. A steady mind reaches out to a more comprehensive understanding of oneself in relation to the world. The simple practical routines of Yoga helps in integrating the wholesome changes occurring through Yoga. For example, the diet, the hours of sleep, the type of recreation or a hobby strengthen our way of life and correspondingly enlarge our horizon. The big experiment continues. We establish finally new values, attitudes and the whole style of life. Yoga would mean more than an exercise or a posture. It is a new dimension of living – reaching a higher level of consciousness. Director and President, The Yoga Institute, Santa Cruz, Mumbai.
  41. 41. National Seminar & CME at SBV, Pondicherry 2016 42 The Yoga Institute, Santacruz, Mumbai (the world’s oldest organized Yoga Centre) has conducted many researches in the field of therapy. One of the major researches was entitled “Beneficial Effects of Yoga Lifestyle on Reversibility of Ischaemic Heart disease: Caring Heart project” which proved conclusively that not all patients suffering from Ischaemic Heart Disease require surgical intervention or angioplasty. The lifestyle modification plays an important role in the management of heart patients. Yoga contributes a great deal in maintaining a stress-free lifestyle. Dr. BM Hegde says”…In this project coronary artery disease has been approached from a holistic point where the mind, body and soul are given a fillip to overcome the bodily disability by the lifestyle changes followed in this study by The Yoga Institute. The results speak for themselves. This is a very important study despite many hurdles. I congratulate Dr Jayadeva Yogendra PhD the President and Smt Hansaji Jayadeva Yogendra the Director of The Yoga Institute for directing the Caring Heart Project. I must also appreciate the wisdom of the modern medically trained doctors associated with the study who have shown the courage to come forward to give credibility to the study…” The world recognizes the spurt of lifestyle diseases including the medical Professional Yoga provides a sane method of living. Dr Jayadeva again writes, “The current belief of change in lifestyle and change in attitudes to prevent cardiac disorders is a happy one. Yoga is no more or no less than a better way of living. Wholesome dietary habits, positive forms of physical exercise, healthy routines of the day, adequate rest and sleep and balanced state of mind generating right kind of attitudes are a guarantee against sudden and severe heart ailments.. But in veering round to Yogic lifestyle we may have to increasingly depend on non- materialistic value judgments. Materialism is indeed the original cause of all misery including disease and a loss of a balanced state of mind. Loss of balance (prajna aparadha) can happen when the spiritual values are given a go-by. So the enemy of cardiac patients is not just fatty foods or cholesterol, stress or hostility but materialism crass materialism, selfishness, egoism, negative emotions and all kind of excess. We will have to turn our steps in the direction of a spiritual life if we want to live long, healthily and happily on this earth..” Thus Yoga is for all including the medical profession.
  42. 42. Introducing Yoga in Health Professions Education 43 INTRODUCING YOGA IN HEALTH PROFESSIONS EDUCATION Yogacharya S. Sridharan5 “When I first began conducting research 23 years ago, we had to refer to yoga as ‘stress management techniques.’ The cardiologists said, ‘We can’t refer to a study that includes yoga—what are we going to tell patients, that we’re referring them to a swami?’ Since then, yoga has achieved much greater acceptance within American medicine as well as in the general population. I am very encouraged by the current state of yoga in America.”- Dr Dean Ornish. In India, the birth place of Yoga, Yoga was not considered as ‘healing system’ or ‘therapy’ till recently. It was sidelined by ‘health professionals’ as a ‘Spiritual pursuit’. Only after Research findings from abroad lauded Yoga, Indian health professionals across all sections of society have now embraced Yoga as ‘Complimentary/Supplementary’ and even as ‘Alternative’ Therapy. Yoga’s approach to ‘Illness’ is from ‘Wellness” side. The goal of Yoga is not simply to cure Illness but to take one to a state of ‘Undisturbed Peace’. Yoga provides ‘Self- empowerment’ and thus the ability to take on illnesses becomes a natural state of a person. Yoga sutras of Patanjali, the most authoritative text on Yoga brings “Illness” (Vyadhi) as one of the impediments (antaraayas) (YS I.30) in the path of Yoga. A number of tools, including “Surrender to God” have been suggested. As such practice of Yoga for tackling illness exist from time immemorial. The adaptation for modern day purposes keeping the core of the ancient teaching is the challenge. Can all illnesses be cured? Can illness be avoided? The answer to these questions is ‘No’, as even modern science has found that new illness appears before a group of illnesses is completely eradicated. But the solution Yoga offers is to give a permanent relief from “Pain/Suffering” which is the outcome of illness. Yoga offers permanent healing of certain illnesses by dealing with the cause. Yoga practice has the unique advantage of stabilizing the human system at all levels and as such helps in restoration of immunity which helps the health professionals to get best results of the treatment they give to patients. Introduction of Yoga in Health Professions Education, which is already underway, should cover Yoga in all the facets of Yoga so that the Health Professionals will get a thorough view of Yoga which is beyond Body and Mind. Trustee, Krishnamacharya Yoga Mandiram, Chennai.
  43. 43. National Seminar & CME at SBV, Pondicherry 2016 44 RATIONALE OF INTRODUCING YOGA FOR HEALTH PROFESSIONALS Dr Ishwar V Basavaraddi PhD6 Introduction: Yoga is the spiritual and cultural heritage of India. It has been practised as a way of healthy living from ancient times and we find numerous references to Yoga in our ancient literature. Up to recent times Yoga was limited only to the privileged hermitage of Saints and Sages but now in the course of its modern development, it has crossed all boundaries of age, gender, caste, creed, religion and nationality and is growing worldwide. Although the system of Yoga is primarily of spiritual orientation aiming for self-emancipation (moksha), it has also evolved to become one of the best, authentic and most efficient healthcare systems for prevention and management of diseases plaguing the present age. Today, many countries have adopted Yoga as a part of their daily life and the spiritual science of Yoga has become a household word all over the world. Present trend: The practitioners of modern medicine have realized the need for lifestyle modification for effective management of many chronic diseases. The concept of prevention of disease and promotion of positive health has gained importance in healthcare management systems. Moreover, the holistic approach of treatment has emerged and gained momentum as modern medicine has realized the interrelation between body and mind in causation and management of psychosomatic disorders. Concepts such as mind-body medicine and psycho-neuro-immunology have become popular worldwide. Yoga has the capacity to complement modern medicine especially in management of lifestyle disorders and chronic psychosomatic diseases. As a result, Yoga is fast becoming a complementary part of mainstream medical care. Scientific studies: Over the past few decades, numerous scientific studies have been carried out to determine the efficacy of Yoga in managing various ailments. It is to be noted that modern medical scientists were the first to promote scientific research in the field of Yoga. They have now also started to realize the therapeutic benefits of Yoga in a much broader sense with a holistic approach. After the first waves of Western interest in Yogic practices, there has come an understanding of the importance of Yoga in emotional and physical well-being. The 1970’s saw the development of a remarkable bond between ‘body – mind – spirit approach’ embodied in Yoga and the ‘physical approach to health’ of modern medicine. With scientific evidence becoming available, medicine is now in the process of confirming it by standards it has developed for recognition of any health system. Interaction between the two systems: It is notable that many modern medicine experts have started recommending to their patients adoption of a Yogic lifestyle for management of chronic diseases. This healthy Director, Morarji Desai National Institute of Yoga (MDNIY), 68, Ashok Road, New Delhi, India-110 001. Website: www.yogamdniy.com
  44. 44. Introducing Yoga in Health Professions Education 45 positive trend is to be promoted and facilitated at all levels of interaction between the two systems and is on a path of ascent. Yogic techniques can undoubtedly act as an adjuvant to drug therapy and can be used to reduce side effects of modern medicines. They can also help in promotion of positive health and rehabilitation along with other modern therapies such as physiotherapy. Interestingly another positive spin off resulting from this closer association between Yoga and modern medicine is that yoga is getting a firm scientific footing thanks to the active involvement of modern medicine scientists in understanding the mechanisms and efficacy of yoga. Need for course in Yoga science for health professionals: With the growing popularity of yoga, especially of yoga therapy around the world, the need has been felt to integrate yoga in the modern medical system with emphasis on filling up gaps in treatment for modern-day health challenges. With this background in mind, it has been proposed to introduce yoga to medical students / professionals in a step-by-step manner. MDNIY has made an effort to prepare a basic syllabus with the basics of yoga keeping in view educational background and necessity of the target group. Of course, this present introductory / appreciation course will not be able to cover all details of yoga or therapeutic aspects of yoga, as the subject of yoga is very vast. The basic aim however is to introduce the system of yoga to medical students / professionals in an amiable manner for their understanding, own practice and application in patient care. I wish all yogic traditions of India should unite together with our modern medical counterparts in a concentrated effort to bridge the gap between yoga and modern medicine and let our beloved India take the lead in this unique programme for the benefit of the world.
  45. 45. National Seminar & CME at SBV, Pondicherry 2016 46 WHY INTRODUCE YOGA IN MEDICAL CURRICULUM ? Prof. Madanmohan MD, DSc (Yoga), FIAY Due to sudden change in academic environment and teaching-learning methodology, medical students face lot of stress. Over-loaded curriculum and frequent formative assessment add to their stress load. It needs to be emphasized that for prevention as well as management of stress, there is no method as effective as yoga. Although shavasan and meditation are specific techniques to counter stress, virtually every yogic technique when performed with awareness and breath-body coordination can result in relaxation, inner peace and improved psychosomatic health. To manage professional stress, it is desirable to introduce yoga in the 1st year MBBS curriculum. Yogic techniques produce consistent, measurable physiological changes and have sound scientific basis. Immediate and notable responses are in autonomic, respiratory and cardiovascular systems (Bhavanani et.al. Altern Integ Med 2013, 2: 2). Long–term training effects of yoga include decreased resting metabolic rate (Wallace et.al. Am J Physiol 1971, 221: 795; Madanmohan et al. The Yoga Rev 1983, 3: 25), shifting of autonomic balance to “more normal” middle region (Toivanen et al. J Psychophysiol 1994, 8:11), improved muscle strength and endurance (Madanmohan et.al. Indian J Physiol Pharmacol 2003, 47: 387), faster reaction time and central neuronal processing ability (Madanmohan et.al. International J Yoga 2012, 5:10), improved cardiovascular endurance (Madanmohan et.al. Indian J Physiol Pharmacol 2004, 48: 461) and performance in hot-humid environment (Madanmohan et.al. Indian J Physiol Pharmacol 2008, 52:164) . Clearly, yoga has a far–reaching beneficial effect on our physical and mental performance. It is but logical to include yoga in MBBS curriculum as a branch of physiology and contemporary medicine. Yoga is a holistic and holy science. It is fashionable to talk of separating “secular” science from the religious. This western concept of conflict between science and religion started in Europe where thousands suffered persecution in inquisitions and witch–hunts. In contrast, science and spirituality were in perfect harmony in Vedic India. The sacred Vedic literature is the very foundation of Indian science, arts and culture including mathematics, astronomy, architecture, dance, music, yoga and ayurved. Charak (~100 AD) describes ayurved as a holy science because it describes what is beneficial in the present life as well as hereafter (Charak Samhita, Sutrasthanam, 1:43). Indian thought has always given equal importance to material and spiritual knowledge since science as well as spirituality enhance our quality of life. From holistic point of view, our health as well as ill health have physical, mental as well as moral-spiritual dimensions. This fact was recognized by ancient Indian rishis thousands of years ago. Ayurved and yoga take into account all the three domains of our being, i.e. the physical body, mind and the non-material soul (Charak Samhita, Sutrasthanam, 1:46). Since mind, body and soul are intricately interrelated, development of one without parallel development of other two results in imbalanced personality and psychosomatic disorders. Being holistic, yoga is the best means to Professor and Head, Department of Physiology and Director, CYTER, SBV, Puducherry. Email: drmadanmohan999@gmail.com, drmadanmohan999@rediffmail.com
  46. 46. Introducing Yoga in Health Professions Education 47 achieve all round, holistic health. Spiritual/religious belief does influence our behavior and lifestyle, which in turn influence our health, healing and wellness. Meditation is good for our physical, mental as well as spiritual health. Meditation relaxes our mind and body and is associated with desirable changes in secretion of neurotransmitters, hormones and antibodies. The result is psychosomatic relaxation, activation of body’s natural defenses, stimulation of growth and repair and a feeling of well being and joy. Yogeshwar Krishn says that during meditation, yogi enjoys one- ness with the Divine and great joy (Bhagavadgita, 6:28). Disciplined practice of meditation purifies, enriches, strengthens and transforms our body-mind-soul complex resulting in holistic health. Joint meditation where physician also participates in more effective. Those who attend meditative sessions or practice meditation at home are likely to follow healthy lifestyle and get freedom from drug abuse (Benson. N Engl J Med 1969, 281:1133), exhibit desirable social behavior and live longer and healthier life. Elderly people are more healthy and happy if they are spiritually committed and active. It is clear that meditation is an effective way to promote health and happiness and prevent disease. Despite phenomenal advances in modern medicine, millions suffer from stress- induced, chronic degenerative lifestyle disorders which are beyond the scope of modern medicine. Escalating diagnostic and curative costs render modern high tech medicare beyond the reach of our masses. Drugs are expensive and have undesirable side effects. The goal of “Health for all by 2000 AD” has remained a pipe dream. Unless we adopt holistic attitude and use complementary therapies along with modern medicare, we will not be able to deliver healthcare to our masses. Yoga is an ideal modality that can complement modern medicine. Both yoga and modern medicine have their strengths as well as limitations. Yoga effectively complements the limitations of modern medicine as it is effective in prevention as well as management of stress-generated, chronic disorders. The therapeutic effect of yoga may be due to improvement of physiologic functions, automatic modulation and management of stress. Yoga has the potential to augment existing medicare, decrease drug dosage and treatment cost and reduce pressure on our overburdened public hospitals. If yoga is popularized, there will be less need for expensive allopathic interventions and drugs. Both yoga and modern medicine have sound scientific basis and universal outlook. Being complementary to each other, they are natural allies and bound to come together. Their combination will give us holistic health science which will be an effective paradigm for preventive, promotive as well as curative needs of our masses and a boom to the society. A physician practicing yoga will be a healthy person with calm mind, hence a better physician. In conclusion, yoga has a sound physiological basis and can effectively augment our health delivery system. Goal of allopathy as well as yoga is good health and freedom from disease. Both have rational, universal and scientific outlook. Hence they are natural allies and bound to come together. We need to facilitate this desirable coming together of yoga and modern medicine. Hence, I strongly believe that yoga should be introduced in medical curriculum as a branch of physiology and contemporary medicine.
  47. 47. National Seminar & CME at SBV, Pondicherry 2016 48 INTEGRATING YOGA AND MODERN MEDICAL SCIENCE Yogacharya Dr. Ananda Balayogi Bhavanani MBBS, ADY, DPC, DSM, PGDFH, PGDY, FIAY, MD (AM) Introduction: We are today faced with numerous debilitating chronic illnesses related to aging, environment, and hedonistic lifestyle, such as cancer, diabetes, osteoporosis, and cardiovascular diseases as well as many incurable diseases such as AIDS. Modern medical advancements provide the rationale for the integration of various traditional healing techniques including yoga to promote healing, health, and longevity. It is imperative that advances in medicine include the wholistic approach of yoga to face the current challenges in health care. The antiquity of yoga must be united with the innovations of modern medicine to improve quality of life throughout the world. At first glance, modern medicine and yoga may seem to be totally incompatible and in some ways even antagonistic to each other. Practitioners of either system are often found at loggerheads with one another in typical modern one-upmanship. However it is my humble endeavour as a student of both these life giving, life changing and lifesaving sciences, to find the similarities that exist between them and build a bridge between these two great sciences of today’s world. It would of course be much easier to build a bridge between yoga and ayurveda as both share many similarities of concepts such as the trigunas, tridoshas, chakras and nadis. They also understand that a healthy balance between body, mind and soul leads to total health. Diet and behaviour are given importance in both systems and the ultimate goal of both is the attainment of moksha. Though modern medicine may not share all of these concepts with yoga, it is to be seen that there are a great many ‘meeting points’ for the construction of a healthy bridge between them. Both modern medicine and yoga understand the need for total health and even the World Health Organization has recently added a new dimension to the modern understanding of health by including spiritual health in its definition of the “state of health’. Spiritual health is an important element of yoga and now that even the WHO has come around to understanding this point of view, there is hope for a true unification of these two systems. Modern medicine has the ultimate aim and goal of producing a state of optimum physical and mental health thus leading to the optimum wellbeing of the individual. Yoga also aims at the attainment of mental and physical wellbeing though the methodology does differ. While modern medicine has a lot to offer humankind in its treatment and management of acute illness, accidents and communicable diseases, yoga has a lot to offer in terms of preventive, promotive and rehabilitative methods in addition to many management methods to tackle modern illnesses. While modern science looks outward for the cause of all ills, the yogi searches the depth of his own self. This two way search can lead us to many answers for the troubles that plague modern man. The Shiva Samhita lists the characters of a fully qualified disciple (shishya) as follows. “Endowed with great Chairman ICYER and Deputy Director, CYTER, SBV, Puducherry. www.sbvu.ac.in Email: yognat@gmail.com
  48. 48. Introducing Yoga in Health Professions Education 49 energy and enthusiasm, intelligent, heroic, learned in the scriptures, free from delusion…” Doesn’t a modern medical scientist require the same qualities? Anatomy and physiology: The study of anatomy and physiology is a great meeting point for modern medicine and yoga. Yoga therapists and practitioners can benefit from the intricate and detailed ‘break-down study’ of modern medicine where the body is broken down into many systems, then into many organs, many tissues and finally into billions of cells. On the other hand the yogic “ wholistic” view of the pancha kosha (the five sheathed existence) can help modern doctors realise that we are not just, ‘one-body’ organisms but have four more bodies that are equally if not more important. We are a manifestation of the divine and have, not only the physical body but also an energy body, a mental body, a body of wisdom and a body of eternal bliss. An understanding of the psychic anatomy and physiology of nadis, chakras and bindus when coupled with the practical understanding of the details of the physical body can inspire real knowledge of the self in all health care personnel. Maharishi Mahesh Yogi has tried to correlate 37 areas of human physiology with 37 areas of intelligence or consciousness as available in Vedic literature. Some of the examples are the correlation between Nyaya and the thalamus as well as Samkhya and the types of neuronal activity. In his excellent book, ‘The Shambala Guide to Yoga’, Dr. Georg Feuerstein says, “Long before physicists discovered that matter is energy vibrating at a certain rate, the yogis of India had treated this body-mind as a playful manifestation of the ultimate power (shakti), the dynamic aspect of Reality. They realized that to discover the true self, one has to harness attention because the energy of the body-mind follows attention. A crude example of this process is the measurable increase of blood flow to our fingers and toes that occurs when we concentrate on them. Yogis are very careful about where they place their attention, for the mind creates patterns of energy, causing habits of thought and behavior that can be detrimental to the pursuit of genuine happiness”. Professor Dr SV Rao, an eminent medical doctor and yoga scientist says, “Yoga is a science because it is verifiable. Yoga as a science of living is also an art. Yoga, therefore, may be defined as the science and art of optimum living. Yoga has the capacity to move, either side by side with medical science or independently. This is because yoga has a sound system of etiology, diagnosis and pathogenesis of disease. Thus we have a complete system by itself in yoga.” Prevention of disease: Modern medicine has come to realise the importance of prevention only in recent times but the role of preventive medicine is still very limited. The yogic lifestyle that includes the yama and niyama can help prevent a great many of the modern diseases like Hepatitis B and AIDS. Cleanliness that is taught through shoucha can help prevent and limit spread of contagious and infectious diseases. Mental peace and right attitudes of yoga such as pratipaksha bhavanam (taking the opposite view), samatvam (equanimity of mind) and vairagya (dispassionate detachment) can help prevent many psychosomatic ailments running wild in the modern world. If these yogic values as well as practices such as asana, pranayama, kriya and dhyana are inculcated in the modern human race, we can prevent virtually all diseases that abound today. Communicable diseases as well as degenerative disorders of the body can be well prevented in a true manifestation of the adage, “A stitch in time saves nine”. However the ‘will’ to do so is also of
  49. 49. National Seminar & CME at SBV, Pondicherry 2016 50 paramount importance as there is no money or fame in prevention and we don’t know what we have prevented because we have prevented it from happening! To quote the eminent neurosurgeon Padma Bhushan Dr B Ramamurthi, “The revival of the science of yoga bodes well for mankind. All technological advances in the third millennium will not lead to happiness of mankind as man has a severe aggressive tendency and is likely to destroy himself because of this aggression. The only way out of this mess is through the science of yoga, which transcends all religions and cults. It is a science of the mind and the body and needs to be practised by all human beings to ensure their own future”. Promotive health: Yoga is an excellent tool of promotive health that can enrich modern medicine. The practice of yoga leads to the efficient functioning of the body with homeostasis through improved functioning of the psycho-immuno-neuro- endocrine system. A balanced equilibrium between sympathetic and parasympathetic wings of autonomic nervous system leads to a dynamic state of health. According to Dr B Ramamurthy, Yoga re-orients functional hierarchy of the entire nervous system. He has noted that yoga not only benefits the nervous system but also cardiovascular, respiratory, digestive, endocrine and immune systems in addition to bringing about biochemical changes in yoga practitioners. He has also said that the science of yoga has been India’s greatest contribution to mankind. Management of diseases and disorders: Yoga doesn’t negate use of drugs and other methods of modern medicine. Maharishi Patanjali in his avatar as Charaka didn’t shy away from the need to use medicinal herbs as well as surgical methods when necessary to benefit the patient. Ayurveda is definitely more in tune with yogic views of healing in this regard. Modern antibiotic treatment of infectious diseases and modern emergency medical and trauma management techniques are life-savers in times of dire need. No yoga therapist in his or her right mind should try to treat an acute myocardial infarction or an unconscious accident victim by yoga alone. A symbiotic relationship between techniques of modern medicine and yoga can help the patient more than a dogmatic refusal to see the ‘other side’. Yoga has a lot to offer in psychosomatic stress related disorders such as diabetes, asthma, irritable bowel syndrome, epilepsy, hypertension, back pain as well as other functional disorders. Yoga can help reduce and in some cases eliminate drug dosage and dependence in patients suffering from diabetes mellitus, hypertension, epilepsy, anxiety, bronchial asthma, constipation, dyspepsia, insomnia, arthritis, sinusitis and dermatological disorders. To quote Dr Steven F Brena, “Yoga is probably the most effective way to deal with various psychosomatic disabilities along the same, time-honoured lines of treatment that contemporary medicine has just rediscovered and tested. Asanas are probably the best tool to disrupt any learned patterns of wrong muscular efforts. Pranayama and pratyahara are extremely efficient techniques to divert the individual's attention from the objects of the outer environment, to increase every person's energy potentials and 'interiorize' them and to achieve control of one's inner functioning. Moreover, in restoring human unity, the yoga discipline is always increasing awareness and understanding of ourselves, adjusting our emotions, expanding our intellect, and enabling us not only to function better in any given situation, but to perform as spiritual beings with universal values."

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