Achar Rasayana is probably the best holistic lifestyle modification program for diabetes described in any medicinal system of the world till date..

1. Dr. Vikas Chothe Dr. Arti Firke
Guide, Dept of Swasthavritta
PG Scholar, Dept of Swasthavritta
CARC, Pune (India)
CARC, Pune (India)

2. Burden of Diabetes Global India
2010 285 million 51 million
2030 438 million 87 million
-( Snehalatha and Ramachnadaran. Diabetes Care 2009)
•loss of national income
•high treatment costs
•low priority to prevention
© Dr. Chothe. V.R

3. IN ALLOPATHY IN AYURVEDA
 oily and heavy diet
 Family History  cold ,sweet, sour food
 Genetic factors  excessive intake of
 Obesity (via BMI and WHR) yogurt
 Hypertension  sugar and jaggery
 Low/High Birth Weight  sleeping during the
(Intra-uterine Environment daytime
exposure)
 excessive sex
 jaatah(C. Chi)/sahaja(Su.
Chi) and kulaja
-Charak sutrasthana 17/78-81
© Dr. Chothe. V.R

4.  stress (Discovery Medicine 2010 by Frans Pouwer
et al.).
 tobacco and alcohol (Lancet
1991 by Rimm EB).
 anxiety ( Golden et al.
Psychoneuroendocrinology 2006).
 depression (vishada) ( Knol et
al. Diabetologia 2006)
 anger and hostility (J Intern
Med 2009 Rod et al.).

5.  habitual sleep disturbances (Cappuccio FP.
Diabetes Care 2010)
 unhealthy diets (C.Su.17)
 abdominal obesity ( S.Ni.6/25 and C.Su.17 and Arch Gen
Psychiatry 2008 ).
 high cholesterol

6.  Over 25 percent of people
newly diagnosed with diabetes
are smokers.
(Malarcher AM et al. Diabetes Care 18:694–697, 1995)
 Alcohol abuse increases the
risk for diabetes.
(C.Su.17.78-89 and Diabetes Jan 2011;60(1):74-9 Joosten MM
et al. )
© Dr. Chothe. V.R

7. Work Stress (Kumari M et al. Arch Intern Med 2004)
• excessive overtime
• over commitment to work
Unsatisfactory interpersonal
relationships (Diabetes Care 1998 by Trief PM et al )
• poor marital relationship
• family conflicts
• nuclear families
• social withdrawal
© Dr. Chothe. V.R

8. © Dr. Chothe. V.R

9.  no smoking  healthy diet according
 weight reduction ≥ to the Smart Diet
5% Score (SDS)
 leisure-time physical  eat ≥400 g of
activity (LTPA), vegetables and fruits
walking for ≥30 per day.
minutes per day  limit salt consumption
 BMI<23 kg/m2(Mohan et al. to <6 g/d.
Diabetic Medicine, 2007)
by The Finnish Diabetes Prevention Study(DPS) and The Diabetes Prevention Program
Research Group published in New England Journal of Medicine (2002)

10. Labhopayo Hi Sastanam Rasadinam Rasayanam
(C.Chi1/8)
 Rasayana is any herb, food, or activity which
confers youthfulness and cures diseases.
 rasayana includes purification of all tissues
from rasa to shukra.
 special health promoting conduct and
behavior
© Dr. Chothe. V.R

11. SADVRITTA KALA CHIKITSA
(ETHICAL REGIMEN)
( ART THERAPY)
Good
mental
conduct  aalekh
Good Good
 geet
religious
conduct
social
conduct  nrutya
 natya
 vadya
Good Good
moral personal
conduct conduct
© Dr. Chothe. V.R

12.  LobhaShokaBhayaKrodhaManaVegan Vidharayet (C. Su
7/27)
 Anger and hostility are associated with diabetes and influence
HbA1c in diabetic patients struggling with glycemic control.
(Diabetes Research and Clinical Practice.2006 by Attari A et al.)
 akrodham – calm and cheerful personality (C. Chi. 1/4)
 Dhiram- perseverant (C. Chi. 1/4)
 anrushasyaparam nityamnityam karunavedinam –
devoted to love and compassion (C. Chi. 1/4)
 Hence one should strive to bring happiness and positive
manasbhavas to all. This attitude is termed as Hitaya in our
Indian culture. © Dr. Chothe. V.R

13.  Jitatmanam-optimist and positivist (C. Chi. 1/4)
 Prashantam- calm (A.H.Su.2:46-48)
 Shastaacharamsankeernam- well behaved and simple
 Vrudhanamastikanam-keeping company of elders (C. Chi. 1/4)
 Dev go Brahman acharya vrudharchane ratam- worshipping
God, cow, brahmanas, teacher, preceptor and elders (C. Chi. 1/4)
 Nivruttam madyamaithunat- abstaining from liquor and
excessive sexual intercourse (C. Chi. 6) (James E Muller et al. The American
Journal of Cardiology 1999)

14. © Dr. Chothe. V.R

15.  Adhyatma pravanendriyam -Having senses concentrated
to spiritualism (C. Chi. 1/4)
 Japa- repeating incantations (C. Chi. 1/4)
 Dharma shastraparam- devoted to holy scriptures (C. Chi. 1/4)
 religious involvement or spiritual well-being helps in coping
with social isolation (Brown, & Manger, 1983. Journal of Religion and
Health) and depression in T2DM patients (Bickel et al.1998 American
Journal of Epidemiology)
© Dr. Chothe. V.R

16. Spirituality for Healthy Living

17. DINACHARYA RITUCHARYA
 dina – day & acharya –  Following the seasonal
behavior taste
adjustments, dietetics
 In order to keep the and regime is beneficial
tridoshas and agni in keeping seasonal and
(metabolism) in a state lifestyle disorders at
of healthy bay.
equilibrium, Ayurveda
prescribes for each
individual a specific
daily routine
© Dr. Chothe. V.R

18. snan (daily clean bath) (C.Chi.6/50)
nivrutam madya (alcohol)
shaucha (Cleanliness) (C. Chi. 1/4)
vyayama(Exercise) (A.H.Su.2, C.Ni.4/5 C.Chi
6/50) (Orozco LJ.et al. Cochrane Database Syst Rev. 2008 July)
chankraman (Daily walking)
(C.Ni 4/50)
yoga (Badr Aljasir et al. Evid Based Complement
Alternat Med. 2010 )
samajagarana swapnam (Good
sleep) (C. Chi. 1/4) (Chisa G. Int J Endocrinol.
2011,Cappuccio FP. Diabetes Care 2010)

19.  dananityam and tyaga- observing
charity and simplicity (A.H.Su.2:46-48)
 yuktidnyamahankrutam- intelligent
and unconceited (C. Chi. 1/4)
 upasitaram-self controlled (C. Chi. 1/4)
 satyavadinam- speaking the truth (C. Chi. 1/4)
 priyavadinam- sweet spoken (C. Chi. 1/4)
 marital adjustment, high family cohesion and
social support are important in improving
glycemic control and self-management
behavior (Garay-Sevilla ME. J Diabetes Complications
9:81–86, 1995)

20.  Art is the expression of feeling of the artist,
who derives the joy of aesthetic experience
(ananda) influencing beneficially the mind of
the viewers– Abhinavagupta
 Ranging from ancient rock cave paintings at
Bimbetaka and mandalas to new aged clinical
therapy, art has been used for stress
reduction in Ayurveda.
© Dr. Chothe. V.R

21. Art therapy is a ‘mental health’
profession that uses the creation of
art as a way to increase mental and
emotional well-being.
-(American Art therapy Association)
© Dr. Chothe. V.R

22.  A good painting cleanses and curbs anxiety and
banishes bad dreams -Vishnudharmottara
Puranana
 Ragas (Music) exhibit positive effect on
sleep, emotions and prolongs life. – (A.H.Su-7)
 Imagery, touch, music and dance as adjuncts to
diabetic and cardiac care. - Lancet 366:211-
217.
 Dancing (nrutya) is a good form of exercise and
helps in management of stress and obesity

23.  If every individual observes rules and
regulations as described in Swasthavritta
i.e. daily and seasonal regimen, ethical
regimen, takes proper food, sleep and
enjoys controlled sexual activity, he can
enjoy long and healthy life.
© Dr. Chothe. V.R

24. © Dr. Chothe. V.R

25.  cost-effective strategy to reduce global burden of
diabetes
 Achara Rasayana (Ayurvedic lifestyle
modification) has been highly significant clinically.
Hence there is need for conducting prospective
cohort studies without publication bias.
 awareness about Achara Rasayana in physicians
and health care policy makers needed.
© Dr. Chothe. V.R

26. There is more to life than
increasing its speed.
-Mohandas K. Gandhi
Thank You

27. Acknowledgements
• Thank you Dr. Atul Rakshe Sir, Dr.
Bobade Sir and Dr. Arti Firke who
have always been my guide and
inspiration.
• Thanks to Department of
Swasthavritta, CARC, Akurdi (India)
© Dr. Chothe. V.R