1. SBEBA – SOLUTION TO ALL
PROBLEMS IN AYURVEDA
Dr. Remya Krishnan MD PhD (Ay)

2. Questions to consider…
 How do we know whether what we are
doing for the patient is right or wrong?
 Where do our “standards of practice”
come from?
 Why do we not gain global acceptance
despite of research and publishing ?

3. Example: a patient with vicharchika
 Treatment for Agantu dosha ?
 Rakta sodhana ?
 Virechana ( treatment for kushta)?
There are endless
confusions for an
Ayurvedic
physician

4. How to decide medicine?
 Based on empirical evidence
of shared experience ?
 Based on empirical evidence
of medicine based study
reports ?
 Based on empirical evidence
from tradition ?
 Trial and error method?

5. How will I know what is correct ?
 What faculty teaches ? It could be logical, he has PhD
 He does the same for his large number of patients
 What the eminent speakers in seminar highlighted
could be correct . They are great speakers .
 Too many medicines in one context, why I can’t
randomly choose one ?
 Why not go for dosha vipareetha approach ?
 Jwara is Pitta predominant , but patient showing kapha
features??
HOW MANY OF YOU FEEL LIKE THIS IN YOUR
PRACTICE EVERY DAY ???

6. Science based reasoning guides
clinical judgment
 We have very much standardised and established
Basic & applied science to pertinently guide our
clinical judgement .
 We have to pass through three steps in clinical
decision making :
a. Roga pareeksha ( examination of disease )
b. Rogi pareeksha ( examination of patient )
c. Tatwa pareeksha ( examination of Diagnostic &
Treatment principles )
 We need to accurately appraise Roga- rogi –
Bheshaja tatwas before determining the treatment
for sure to avoid any kind of uncertainity

7. A case of Acute fever
How to examine & reach conclusion
 Status of fever – Nidana panchaka
 Status of patient – Dasavidha pareekshya (
charaka)
 Bheshaja pareeksha – Langhana / Pachana
/ langhana + Pachana
 Agantudosha guna vipareetha drug, diet and regimen
selected in accordance to pertinent treatment principle
.

8. Science Based -Evidence-based Medicine ( SBEBM)
 Conscientious, explicit and judicious use of
pertinent Science based evidence and optimise it to
individual clinical situation
 Say NO to intuition, unsystematic clinical
experience, teachers’ choice , eminent speaker’s
choice or peer reviewed journal reports
 Only SBEBM will standardise the clinical practice
and research of Ayurveda.

9. Scientificity
 Teachers are correct if and only if they
systematically followed science step by step.
 Seminar speakers are correct if and only if
they systematically explain the three staeps
in the clinical context by Science based
reasoning .
 Peer review journals are correct if and only
if the peers have adopted the Science based
techniques for review and not statistics .
 Otherwise the journals cannot be counted
as peer reviewed

10. Another example for confusion
Tamaka swasa
How should it be
managed?

11. Total chaos for Ayurvedic physicians
 Unless timely managed, it leads to
emergency .
 Unless scientifically managed, it leads to
emergency .
 Should I take risk? How will I approach
such a case ? The patient has fever also
 Should I go for treating fever or manage
Asthma first ?
 How many of you get in chaos like this ??

12. We must follow science based guidelines
 In diagnosis
 In stagewise management
 We have to adopt hetu vipareetha chikitsa .
 Science based administration .
 Accurate monitoring of status based on
science based guidelines

13. Physicians lack insight about scientific
ways
 Physicians use medicine with medicine or medicine
after medicine . Physicians using many contradictory
approaches in the same situation and don’t
understand why their treatments fail
 Indefinite diagnosis leads to indefinite
treatments and uncertain effects .
 Medicines or system is blamed , not the
way they practice

14. Why do Doctors cling to experience?
 All Ayurvedic practitioners follow self
experiences and tradition
 Some follow blindly what others follow
 Some follow specific formulations/
procedures blindly .
 No standardised ways to follow science is
implemented in today’s Ayurvedic
practice .

15. Summary points
 “Experience of wrong” induces and
transmits confusions and
uncertainity from generation to
generation
 Ayurveda which is practised today is
far deviated from “Ayurveda as it is”
 Understanding and applying
Science Based Medicine reduces
controversy and advances the field.

16. PRACTICAL SOLUTIONS
 With this view, we have developed a school
of thought called “Science Based Evidence
Bsaed Ayurveda” ( SBEBA).
 SBEBA incorporates standardised
technique for appraisal of science of
Ayurveda in clinical practice as well as
research .
 Acquiring knowledge and skills in SBEBA
thus removes contradictions , confusions
and uncertainity in medical practice and
research.

17. Official proposal for SBEBA
 With this is mind, we have made a detailed
plan and proposal for the necessity of
implementing it in curriculum of BAMS
and MD .
 We have submitted the proposal to Ministry
of Health as well as to AYUSH in Ocober
2014.
 We have not yet received any response so
far .

18. Golden era for Ayurveda
 Once the project is taken up , it will be a
turning point in the field of Ayurveda.
 It will tremendously contribute to Indian
economy by decrease in treatment costs for
all diseases , stay in the hospitals and
expensive treatments and interventions gets
reduced , number of ICU admissions will
decline and number of man days will
considerably improve .
 It will eventually lead to global acceptance
of Ayurveda as a medical system .

19. Urgent attention from Government is required
 To take up the project
 To discuss the action plans
 To implement the action plans
 To monitor the action plans
 To evaluate the effects time to time

20. THANKYOU