This document summarizes the work and contributions of Dr. Remya Krishnan, a pioneer of Science Based Evidence Based Ayurveda (SBEBA). SBEBA aims to enhance Ayurveda practice through a scientific approach focused on rational clinical decision making. It emphasizes objective standards derived from Ayurvedic science over traditional beliefs and experiences. SBEBA has made innovations in managing infections, autoimmune disorders, and more through its scientific exposition of Ayurvedic principles. Training physicians in SBEBA is improving patient outcomes and establishing Ayurveda's scientific foundations. The document outlines SBEBA's impacts and argues for its adoption to assure high quality Ayurvedic healthcare through continued clinical audits

1. DR. REMYA KRISHNAN MD PH.D (AY)
FACULTY & PIONEER OF SCIENCE BASED EVIDENCE
BASED AYURVEDA (SBEBA)
RAJIV GANDHI AYURVEDA MEDICAL COLLEGE,
GOVT. OF PUDUCHERRY, MAHE
A PARADIGMSHIFT FROMTHE PRACTICE OF BELIEF &
EXPERIENCE TO
THE SCIENCEOF AYURVEDA

2. INNOVATION IN HEALTH-CARE
• Innovation- New, better, and more effective ways to solve healthcare
problems
• We solve better when we understand better and understand better when we
“know "better”
• We know better when we keep on learning and culturing our intelligence in
Basic & Applied “Science of man”.
• Innovation in Healthcare is thus originally born from the Natural intelligence
of physicians in the Science of man

3. REAL INNOVATION IN HEALTHCARE
• Repair and restoration of tissues and organs are always better and safer than
removal and replacement of them.
• Real innovation in healthcare is patient-oriented and not profit oriented.
• Real innovation in healthcare is focused on Healing (health) and not stealing
(wealth)
• Real innovation causes eternal progress in natural intelligence of physician
and his quality of clinical performance
• Real innovation enable people to live healthy out of drugs and diseases,
improve man days and thus National economy.

4. SCIENTIFIC PRACTICE
• In the diagnosis and treatment of patients in a medical system, the physicians
have the responsibility to do the best of their abilities.
• The current mode of practice of Ayurveda as tradition, beliefs, and blind
experiences does not always support this responsibility.
• Hence Science Based Evidence Based Ayurveda (SBEBA) was developed by the
pioneers to inculcate a solid scientific substratum to the practice of Ayurvedic
Medicine
• We propose that this new medical epistemology is needed that accounts for
highly complex reasoning processes in medical practice which originally imparts
scientificity to applied Medicine of Ayurveda.

5. THE COMPLEXITY OF AYURVEDA
• Ayurveda is a highly vast and extremely complex Science of man which
advocates deductive reasoning (from general to specific) and not inductive one
in arriving at valid conclusions
• In the present day, one of the key intellectual challenges of physicians is the
ability to comprehend the real intentions of the Sanskrit scientific verses in
ancient Samhitas (evidence-based), to bring together the heterogenous science-
led algorithms and construct a coherent picture in the present-day clinical
situations.

6. WHEN SCIENCE TAKES CARE OF PATIENTS IN PLACE OF BELIEFS
• Science Based Evidence Based Ayurveda (SBEBA) is a momentum that aims to enhance the
knowledge and applicatory skills of algorithms of Ayurveda in clinical decision making.
• The chief goal of SBEBA is to improve the quality and precision of clinical decision-making in
Ayurveda by pertinent recognition and application of Science-Based Reasoning (Shaastra-sahita-
tarka)
• The key difference between SBEBA and conventional Ayurveda is that SBEBA considers the
objective rational standards of Science as a crucial substratum in decision-making while the
latter accounts for various medicine and treatment-oriented self & shared beliefs &
experiences for the same

7. JNAANA-POORVA-KARMA (JPK)
• One of the greatest achievements of SBEBA is that it has emerged objective rational
standards for accurate comprehension and practice of the Science of Ayurveda.
• Till now, there were wide gaps existing between theory and clinical practice in
Ayurveda.
• In contrast to Western Medicine where a physician is asked to read the literature
reviews of the benefits and risks of variable drugs and interventions, an Ayurveda
scientific practitioner is asked to constantly learn and practice the inbuilt Science
led Medicine (JPK) of Ayurveda.
• As JPK had never been incorporated in Ayurveda in all these centuries ever, SBEBA
marks the beginning of a new era of scientific rational thinking and practice in
Ayurveda.

8. AYURVEDA - SCIENCE OR TRADITION?
• Ayurveda is a pure and applied science that is intended to be practiced as
science itself and not as a culture, heritage or religion.
• The technical infrastructure of Ayurvedic science comprises theorems (not
theories), inbuilt logic, and algorithms to understand and solve man's
problems in his own natural unique environment.
• Ayurveda does not incorporate the “One size fits all” approach anywhere in
solving problems as it is completely a deterministic science that is led by
deductive reasoning to arrive at settled and pinpointed conclusions in
practice.

9. TRADITION VIS A VIS SCIENCE
• When Ayurveda is practiced as a set of Tradition, Grandma’s therapy, and
beliefs, there is no serious learning, recognition, and application of the Science
happening ever.
• Owing to this reason, irrational clinical practices and procedures are hence
continued in Ayurveda professional colleges, hospitals, and medical centers.
• There is no clinical auditable to be initiated in the system so far to assess the
quality of Ayurveda medical prescribing in India as no rational standards are
recognized and practised in clinical decisions.

10. INTRODUCING EVIDENCE BASED PRACTICE IN AYURVEDA
• The only solution to end such irrational beliefs and practices is to initiate
Scientific awareness, empowerment, and enlightenment of the necessity of JPK
which is originally the Evidence-Based Practice of Ayurveda.
• The very first initiative to do the same is done with the initiation of the mission
of Science Based Evidence Based Ayurveda (SBEBA) by the pioneers of the same
Dr. Remya Krishnan MD Ph.D. and Dr. Rajkumar KC MD Ph.D. (Ay) with the
emergence of highly specific and specialized inbuilt tools, techniques, and
rational standards to practice Jnana Poorva Karma (JPK)

11. IMPACT IN PUBLIC HEALTH
• Though everyone is health conscious, nobody is healthy
• Google, antiknowledge, and analytical reductionist medical knowledge are ruling
them in place of integral scientific knowledge systems of man like Ayurveda.
• SBEBA is also developed with a clear call to raise awareness as well as adequate
knowledge to foster and facilitate the nonmedicinal self-care strategies of the
public to fast reverse of their morbidity and stay healthy and self-realized in self
care.
• This will enable the public not only not to fear acute diseases like infectious
fevers but also enable them to learn and practice the SCIENTIFIC NON-
MEDICINAL FIRST AID OF SBEBA and get back to health fast.

12. WHY SBEBA IS MANDATORY FOR PHYSICIANS ?
• First and foremost, there is a crucial need to make professionals and their
proceedings in Ayurvedic healthcare sector to be made more accountable in
what they know and do.
• For that adoption of inbuilt Ayurvedic rational standards in clinical decision
making are mandatory.
• If our mathematics or Physics teacher had taught us that doing anything as per
one’s thought is right in Mathematics, would we be in a position today to do
even counting rightly?
• Ayurveda is a deterministic science (knowledge) like mathematics or physics
and not a probabilistic trial-and-error method with unknown/ less known
compounds.

13. SCIENCE IN AYURVEDA
• The basement knowledge to ponder and explore the existing problems and arrive at
valid conclusions led by a cause-effect relationship.
• The determinism in Ayurveda is straightforward led by the inbuilt theorems, laws,
principles, and unique methods of solving problems of the past, present, and future
of man.
• Hence the Indian Science of Ayurveda well deserves to be educated, appraised,
applied end evaluated in an entirely independent setting instead of getting placed
under the umbrella of Alternative Medicine.
• Ayurveda is “Science Based Evidence” (JPK) - Based Medicine and not the unknown
compound-led benefit-risk data-led probability results of Randomised Control Trials .

14. CURRENT AYURVEDIC RESEARCH IN THE WRONG DIRECTION
• The current objective of research in Ayurveda is evaluating the benefits and risks of
blindly applying “This treatment in that disease” instead of exploring what is necessary
to do and why
• The intended objective of Ayurvedic Science as documented by ancient scientists is to
explore and arrive at conclusive rational standards of diagnostic and treatment
principles of Science intended in variable clinical situations in patients to reverse their
morbidity.
• The blind mimicry of probabilistic research of Western Medicine without understanding
the very fundamental nature, attitude, and approach of the deterministic Science of
Ayurveda has led to the complete failure of exposition of inbuilt scientificity, accuracy,
and potential of Ayurvedic science.

16. SCOPE OF SBEBA IN PRESENT ERA OF AYURVEDA
• Ayurveda like Mathematics is a precision-oriented science and yields intended
effects only by the “rational application”(not probabilistic) of the same
• Rational application refers to the process of making RIGHT SCIENTIFIC DECISIONS in
diagnosis and treatment by the physician, led by the inbuilt rational standards of
the science of Ayurveda thus enabling the patient to recover fast in the intended
period by the most minimum medicine.
• SBEBA enables the physicians and students to comprehend and practice the
inbuilt Rational standards of Ayurveda which the existing curriculum and training
of BAMS and higher studies completely fail to initiate.

17. GOAL OF SCIENTIFIC MEDICINE
• In Scientific Medicine, the entire focus is on healing the patient and not New Drug
development
• In Medicine, the basement knowledge to apply is to be publicly tested for clarity
and objectivity and not unknown compound-led baseless trials.
• The objective of Scientific Medicine is never to block, mask or suppress different
enzymes, pathways, and hormones, but rather to reverse the causal mechanisms
of diseases and heal the patient.
• Science enables us to see things as they are and not as we are. Ayurvedic science
has unbiased inbuilt objective rational standards to understand what is
fundamentally wrong, why and how, and advocates scientific strategies to fast heal
the patient.

18. SBEBA - UNIQUE CONTRIBUTIONS
• SBEBA has emerged a unique and effective scientific diagnostic and therapeutic strategy
to identify and reverse all kinds of infective fevers led by host oriented approach.
• We provide free scientific training in Non-medicational First Aid of Ayurveda to
Ayurveda physicians over the country and thus enable them to save and protect lives.
• We have initiated a free service to humanity titled “HASTAALAMBA-VFFA” in 2021 which
is an exclusive online Free First Aid service to sick people all over the world who have any
kind of infective fevers without any medication and only scientific nutrition.
• We have more than 500 documented completed cases of infective fevers till now in the
project (documentation ongoing) which include severe cases too who had oxygen
deficiency and got cured in a period less than a week after a crucial non-responsive crisis
generated by Modern Medicine.

19. TRANSFORMING LIVES
• SBEBA has several crucial discoveries to revolutionize Ayurvedic healthcare
• With each of these discoveries, the possibility of saving hundreds of lives from infections,
metabolic and other disorders, and medical emergencies by providing the best fast and
unimaginably low-cost scientific strategies became realistic and thus greatly contributing
to saving man days and the national economy.
• We provide scientific training to Ayurvedic physicians and students in the knowledge and
skills of the practice of Science-Based Medicine of Ayurveda through our Scientific training
program series addressed as BHARAT MISSION BHISHAK initiated in 2015.
• Hundreds of rational physicians in the country and the impact of their ongoing
prescriptions in comparison to the impact of their own former uncertainity prescriptions in
patients is a LIVE evidence of the quality of SBEBA-oriented practice

20. SBEBA – UNIQUE CONTRIBUTIONS
• Knowledge and insight to physicians to tackle multiple diseases coexisting
in the same subject currently suppressed by multiple drugs after stopping
them and intervening by most minimum dosages of single or two
Ayurvedic classical medicines.
• Scientifically and clinically established, and published the intrinsic cause
mechanisms and management of infections and inflammatory diseases in
Ayurvedic perspective of comprehension for the first time in the history
of Ayurveda thus causing revolutionary transformation in the lives and
health of people.

21. SBEBA - CONTRIBUTIONS
• Scientific exposition of Ayurvedic pathogenesis and management of
Hypersensitivity and Autoimmunity and the outcome is saving hundreds of lives
with these conditions at an unimaginable low-cost treatment for a short and
specific period and scientific lifestyle education to patients enabling them to lead
normal healthy lives later free of medications.
• Conventional Ayurveda practitioners are aimlessly rendering multiple medications
and treatments many times along with suppressant drugs of Western medicine in
similar conditions
• The Ayurvedic Science led discoveries of fundamental pathophysiology and
management of Gynaecological disorders published in the book titled “Ayurvedic
Gynaecology& maternity care – devised and updated”, Dr. Remya Krishnan is
saving hundreds of women from Hysterectomy and need of risky hormonal drugs

22. SBEBA – CONTRIBUTIONS
• Innovative science-led management strategies in all kinds of metabolic and hormonal
disorders. Clinical Practice Guidelines to focus on Type 2 Diabetes and its complications
are published in the book “UNVEILING THE TRUTHS IN AYURVEDA” by Dr. Rajkumar,
the Co pioneer of SBEBA, and also were distributed as training pamphlets in the
National Seminar of Ministry of AYUSH in Goa, 2017.
• Computer systems cannot substitute for Physician knowledge and skills in JPK.
• Stimulating natural intelligence and practical common sense in principles and practice
of Science-Based Medicine (JPK) would hence only pave for revolutionary progress and
the emergence of Ayurveda as the Mainstream Medical System of India.

23. PAST AND PRESENT SCENARIO IN AYURVEDA
• There are no science-led prescribing standards adopted by Ayurveda physicians
and anybody can diagnose and treat a situation based on his own individual
thoughts highly prone to subjective bias as no objective rational standards applied
• Hence Ayurveda medical professionals despite of getting formal training in
medical schools stay diffident and practice Western medicine, mixopathy and
polytherapy which are the height of social injustice.
• They currently follow blind medicine/treatment-led self & shared experiences and
as a result, there is not even standardized decision-making in Ayurveda in the past
and present.

26. IMPACT OF SYSTEMATIC TRAINING IN SBEBA
• Increased accuracy and efficiency of Ayurveda physicians in the country causing fast
recovery rate in patients with acute and chronic diseases thus enhancing public trust.
• Cut off the necessity for interdepartmental transfer in Primary Healthcare as the Ayurveda
primary healthcare physician is equipped with adequate knowledge and skills to integrate
multiple pathologies and heal the patient.
• Reduce the need of manufacturing an aimless number of medicines thus saving precious
raw drug resources, and also save the pockets of middle-class and lower-class citizens.
• Innate transparency, predictability, and reproducibility of scientific strategies and their logic
would establish the innate scientificity and potential of this Indian System of Medicine thus
enhancing genuine trust and enthusiasm for Western countries in the system thus
facilitating global recognition of the system and improvement of National economy.

27. THE RENAISSANCE OF AYURVEDA
• The wide data of clinical practice of SBEBA trained physicians emerging in
different parts of India is the growing evidence of quality-rational practice of
Ayurveda.
• Quality control in Ayurvedic practice is possible only by conducting regular
clinical audits led by SBEBA rational standards which are unbiased and
objective parameters adopted from science as such.
• The emergence of SBEBA publications, training programs and practitioners
have caused increased demand for Ayurveda by the public in both their acute
and chronic conditions and also deepened their trust and confidence in this
system

28. WHY AND HOW CLINICAL AUDIT
• The clinical audit should not be confused with data collection activities and
probabilistic statistical research
• The audit must compare the conventional Ayurveda practices against inbuilt rational
standard oriented practices of SBEBA decision making in every individual patient.
• Such an audit will improve the constant learning culture and appraisal skills of
physicians in clinical problem solving
• Reduce the variability in Ayurvedic professional conduct ( standardise clinical
decisions)
• Close the gap between Basic and Applied Science of Ayurveda which are originally
mutually complimentary to each other

29. CONCLUSION
• Wish and pray that the future of the Standard Medical practice of
Ayurveda be Jnana Poorva Karma – The inbuilt & intended Evidence-
Based Practice of Ayurveda.
• Clinical audit will only highlight the discrepancies between conventional
practice and standard practice in order to identify the crucial changes
needed to improve the quality
• SBEBA constitutes a new paradigm for scientific medical practice which
provides significant contributions to assuring High-Quality Scientific
Healthcare by Ayurveda.
• A proposal is being submitted to the Ministry of AYUSH on SBEBA in 2023

30. • For more details on SBEBA,
Visit sbeba.org.in
Remya Krishnan presentations | SlideShare
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