Ten common mistakes made by Ayurveda practitioners are discussed. The biggest mistakes include practicing "crosspathy" by mixing Western drugs and Ayurvedic medicines without basis, focusing on medicines over studying core Ayurvedic texts, and mimicking senior practitioners rather than developing independent clinical reasoning. Other mistakes are thinking of medicines before understanding the patient's full condition, overconfidence or underconfidence in treatment, treating symptoms rather than the whole patient, prescribing separate medicines for different diseases in one patient, continuing Western drugs during Ayurvedic treatment, recommending panchakarma without properly reassessing treatment, and inability to understand Ayurvedic perspectives on modern medical conditions. The document advocates for developing science-based, evidence

1. Ten common mistakes made by Ayurveda
General Practitioners & Specialists
Dr. Remya Krishnan MD PhD
The Pioneer of Science Based Evidence Based Ayurveda (SBEBA)

2. Looking inward
Everyone makes mistakes , making mistakes is not a mistake .
Not attempting to learn from mistakes is but a big mistake
Not attempting to understand mistakes and their mode of
rectification is also a big mistake
The impact of mistakes by a physician is upon human lives and hence
we should care for learning to avoid mistakes .
Mistakes are not born by chance, rather it is born by the cause of
ignorance in the vital basement of Shasthraarthas of Ayurveda .
The only solution is incessant learning- pondering – applying of
SHASTHRAARTHAS instead of medicines and therapies

3. Mistake 1
• Practice of Crosspathy
The worst mistake committed by Ayurveda GPs and specialists . Aimless
and baseless mixed rendering of Western drugs and Ayurveda
medicines do worst harm to the patient in any stage and is illegitimate
action for which Ayurveda medical colleges are responsible and legal
disciplinary action is to be done against the practitioners where ever it
is happening .

4. Mistake 2
• Start practice by loading bulks of medicines in shelves instead of
Samhithas, Nighantus and modern Pathology reference books
Samhithas and Nighantus are to be explored for choosing pertinent
shasthraARTHAS to make the right diagnostic and therapeutic decisions
in patients.
Deviation from shasthra to oushadha is the first and foremost mistake
of Ayurveda GP’s .
Physicians practice to prescribe and dispense medicines instead of
treating and reversing diseases

5. Mistake 3
• Mimic senior practitioners and faculties
Instead of trying to learn and comprehend the innate science led
rationale oriented decision making, the students learn to imitate what
faculties do . Faculties teach their experiences with medicines and
therapies and not the process of Science led decision making .
Teaching OPDs are considered to learn what faculties prescribe in a
particular case
In the whole life, a pre determined innate attitude is developed to
blindly copy the prescriptions of elders which are later transferred to
juniors and thus blunders are transferred through generations in the
label of Ayurveda

6. Mistake 4
• Thinking of medicine as soon as the patient starts talking his
problems
Inorder to solve a problem, first we need to start thinking based on the
problem itself and not the solutions. When the cause circumstances
specific to the problem of the patient is left out and solutions are
blindly sought, it becomes irrational prescribing

7. Mistake 5
• Over confidence or under confidence in General Practice
Both are equally dangerous . When the patient is not started responding in
24 hours , the diagnosis should be reanalysed with care and caution based
on inbuilt decision making standards of Ayurvedic science and necessary
amendment is to be done at the moment . Not doing so is causing harm to
the patient.
Inability to initiate clinical decisions by self happens because of defective
training in colleges , faculties teaching their experiences instead of
principles of Science Based Medicine etc

8. Mistake 6
Treating for symptoms instead of patient and his entire morbidity
Choosing medicines / therapies for pain relief by considering pain as
Vata , burning as Pitta , itching as kapha etc happen owing to existing
grave faulty education in BAMS . It will cause detrimental effects in
patients

9. Mistake 7
• Prescribe different medicines for different diseases in the same patient
“This medicine in that disease” is trained for students and internees and
hence if a patient comes with three different diseases , there will be separate
medicines for all the three making a lengthy aimless prescription which is
entirely irrational in Ayurveda.
The innate logics of integrating different disease components in the same
subject developed by Evidence Triad Approach ( ETA) methodology in
Science Based Evidence Based Ayurveda ( published in SBEBA publications)
opens a new era of revolution in Ayurveda by cutting off the undesirable
and irrational interdepartmental transfer by Ayurveda physicians

10. Mistake 8
• Continue drugs of Western Medicine during Ayurveda prescribing
This is a very common perception which is shamelessly cultured in
Ayurveda colleges that we have no right to stop western drugs . If we have
no right to stop them, then what for Ayurveda colleges are kept open
through out India ?????????????????????????????????????
Western Medicine is doing masking, blocking and altering and allowing this
to continue and trying to rectify the fault is silly and stupid. Deeply flawed
education of present times is enabling such absurd ideas to cultivate in
physician brains from young age .

11. Mistake 9
• If disease not resolving, immediately Panchakarma is intended
A disease not resolving does not mean that admission and
Panchakarma is needed. It only means that mode of decision making
with respect to diagnosis and treatment is wrong and requires
necessary amendment . Quality of decision making today is absolutely
substandard in Ayurveda . Only the quality control of medicines and
hospitals are cared for and there is no clinical audit or prescribing audit.
There is not even rational prescribing standards in conventional
Ayurveda practice. This was first initiated in Science Based Evidence
Based Ayurveda and hundreds of physicians are trained on choosing
and implementing rational prescribing standards in their clinical
practice

12. Mistake 10
• Inability to understand Ayurvedic scientific perspective of infection,
inflammation, Hypersensitivity , Hormonal dysfunction ,
Hypertension etc etc
Infective cough, Allergic cough and cough of cardiac origin are all
treated identically by Ayurveda physician today without any possible
appraisal of demarcatory cause mechanisms of each.
This kind of scientific appraisal is first done with the emergence of
Science Based Evidence Based Ayurveda (SBEBA). Now there are
quality physicians emerging of SBEBA who are acquiring proficiency in
Translational Medicine