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THE ANCIENT AYURVEDA izkphu vk;qosZn Awarded by our honourable Deputy C.M. of Gujarat

Special Issue based on Covid Care & Specialities of Ayurveda

Dr. Desai's Super Speciality Hospital Best Anorectal Hospital in Gandhinagar

Dr Nanavati Ayurveda Panchakarma & Surgery Hospital Best Ayurveda Panchakarma Desai's Super Speciality Hospital HospitalDr.in Ahmedabad Best Anorectal Hospital in Gandhinagar

Dr. P.S. Desai has completed his degree from Jamnagar Ayurved University Gujarat. He is an Anorectal Surgeon. He cures all the Anorectal Diseases by opera on or without opera on according to condi on of disease. He does painless treatment for piles, fissure, Fistula. He is the founder of Dr. Desai’s Hospital. He is working as ano rectal surgeon & Managing Director in Dr. Nanava Hospital. He has been awarded as best ano rectal surgeon award 2020 by star media new delhi.

Dr. Twinkle Nanava has completed her degree from Jamnagar Ayurved University Gujarat. She prescribes treatment based on the Prakru of pa ent.

She does Panchkarma treatment in chronic disease to cure the pa ent. She has got “Best Ayurveda Physician Award - 2020” by star media New Delhi. She had also got WEAA India Award 2020 for Excellence work in Ayurveda. She is founder of Dr. Nanava Hospital and working as Managing Director and Panchkarma Physician at D r. D e s a i ’ s S u p e r s p e c i a l i t y H o s p i t a l .

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The novel coronavirus has turned over its pattern and is not a novel one now. The strain of the virus is getting mutated day by day. The declining Indian economy doesn’t allow us to have another lockdown.

It’s been more than one year since we are familiar with the term “Covid”, which once we thought a virus of china who doesn’t even get an Indian Visa. Changing patterns and mutations don’t make a matter of fear in the ayurvedic system of medicine. As our acharyas said, “We treat dosha, dushya and balance the body and improve immunity; in that part, we don’t need a particular name to opt for a disease”.

So the name can change, be it swine flu or covid, we will combat this battle of life with the powerful weapon of Ayurveda and will win this game of survival of fittest.

We “The Ancient Ayurveda Magazine” always support our viewers for improving their immunity level in this pandemic crisis. So here we came with our special edition which emphasises on covid management and post covid care through Ayurveda. Apart from this, we are happy to announce the theme of this issue as an “Introduction to specialities of Ayurveda”. It’s been a long time, Ayurveda is getting recognised. But very few will be aware of the multidisciplinary branches of Ayurveda. Turning over the pages, you can see the articles of real gems or specialists in each branch of Ayurveda. Our reputed authors are well known in their speciality field and we request our readers to turn over the pages with keen interest to acquire the knowledge of Ayurveda.

- Rushi Dave (Editor, The Ancient Ayurveda)

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Specialities of Ayurveda TOP STORY A PROSPECTIVE ABOUT CLINICAL SPECIALITIES OF AYURVEDA ­— Dr. Gopikrishna S and Dr. Megha K. S

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SPECIALITIES OF AYURVEDA KAUMARABHRITYA - AYURVEDA BRANCH OF PAEDIATRICS­ — Dr. Dinesh K. S., Dr. Anju Sathian, Dr. Krishnendu C., Dr. Sujitha V. K. PRASOOTITANTRA & STREEROGA: A GLANCE AT A SPECIALITY BRANCH FOR FEMALE WELLBEING­— Vaidya Jeena Aravind U. BASIC PRINCIPLES OF SAMHITHA (BACKBONE OF AYURVEDA) ­ Dr. Sangram Mishra — THE RELEVANCE OF SPORTS MEDICINE IN AYURVEDA ­ Dr. Rohytt John — SHALAKYA TANTRA – NURTURING VISION THROUGH THE HANDS OF AYURVEDA ­— Dr Kannan V. S. PERSPECTIVES AND PARADIGMS OF MENTAL HEALTH IN AYURVEDA ­— Dr. Santhosh C. ROGA NIDANA - A SCIENCE ON A CAUSE­ — Dr. Viswanathan

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COVID CARE - PUBLIC HEALTH CARE SECTION COVID-19 SECOND WAVE WHAT AYURVEDA CAN OFFER ­— Dr. Krishnapriya V. K.

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AN AYURVEDIC PREVIEW IN POST COVID CARE ­ Dr. Sanjay Bhoi —

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AYURVEDIC DIETARY RULES FOR POST - COVID CARE ­— Dr. Kajal N. K.

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RENDERING NATURAL OXYGEN THROUGH YOGA ­ Dr. Ayana R. —

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A N AY U R V E D I C P R E V I E W I N P O S T C O V I D C A R E

POPULAR COLUMNS HEALTHY RECIPE : PURAN POLI ­ Dr. Shraddha Purohit — OVERVIEW OF DISEASE : CHOLESTEROL – MYTHS & FACTS IN AN AYURVEDIC PREVIEW­— Dr. Naveen Varghese BEAUTY TIPS - BEAUTY PARLOUR AT HOME ­ Dr. Aiswarya K. — EXPLORING MOTHER NATURE (GUDUCHI OR GILOY) ­— Dr. Sarin T. PARENTING CARE (uotkr f'k'kq dh ns[kHkky ^vH;ax* & vk;qosZfnd elkt) ­— Dr. Prajakta S. Ganeshwadi EXPERT TALK ­— Q & A ­ Dr. Shanti Nair, Dr. Sarin T. & Riddhi Shah —

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A Prospective: Clinical Specialities of Ayurveda

A PROSPECTIVE ABOUT CLINICAL SPECIALITIES OF AYURVEDA Ayurveda is a traditional health science that originated in India. The term Ayurveda came from the combination of the two words Ayu and Veda.

Ayu means life and Veda means knowledge/science. This system has been in continuous practice for more than 2000 years. It provides all measures to protect our life and embraces the philosophy of living life in a meaningful and healthy manner. It follows Indian philosophy and has also imbibed the principles of Yoga and Vedanta in few sections. It is considered as Upaveda(ancillary text) of Atharvaveda. As such it is considered as the fifth Veda.

Brahma

>

These 8 branches form up the specialities of Ayurveda and it beholds a great position in the treatment aspect. It’s high time to practice and get knowledge about these branches of Ayurveda. So that a person will get capable of himself to choose the right branch of speciality for his/her peculiar disease. Let us have a short view of all these 8 branches.

Ashtanga of Ayurveda Kaya Chikitsa: Analogous to General medicine.

Here the term Kaya refers to the human body.

The term Kaya is derived from the root word ‘to

History of Ayurveda: Tradition of Teachers Prajapathi > Asvini Kumaras

From Indra there comes two schools of thoughts.

That is Bharadvaja (Atreya)Sampradaya, the school of medicine and Dhanvantari(Susrutha) Sampradaya, the school of surgery. There are eight branches in Ayurveda. Charaka Samhita for the school of medicine and Susrutha Samhita for the school of surgery. They are:

>

Indra

collect’ (contextual: a collection of food). It comprehends the process of the entire metabolism.

This branch includes the treatment of all the diseases, which comes under general medicine.

Bala Chikitsa: It deals with diseases of infancy, childhood and adolescence and their treatment.

Other than Pediatrics, this branch also covers causes of breast milk vitiation, its purification and treatment of diseases caused by vitiated breast milk. Unlike the name, it also includes Obstetrics which details the care and medications that a pregnant woman needs during the trimesters. In short, this branch includes the care of a baby right from pregnancy to teenage.

- Kaya chikitsa (General medicine) - Bala chikitsa (Paediatrics) - Graha chikitsa (Psychiatry) - Urdhvanga chikitsa (Ear, nose, throat, eyes and head) - Shalya chikitsa (Surgery) - Damstra chikitsa (Toxicology) - Jara chikitsa (Geriatrics) - Vrushya chikitsa (Aphrodisiac therapy) Graha Chikitsa: A very unique branch that is 05 | Issue 6 | Mar-Apr 2021 | The Ancient Ayurveda

A Prospective: Clinical Specialities of Ayurveda often misinterpreted as Demonology. GraWith the advancement of time, many branches hachikitsa is the branch that demands a lot of have also got flourished depending on the deresearches. It can be considered as ancient psymand in the treatment aspect as well as for imchiatry which offers a pathway to various presenproving the quality of life. For example, departtations, diagnosis and management of psychiatment of swasthavrtta and yoga, this emphasizes ric diseases. on making improvement in the quality of life of a person through dietary regimens and yoga pracUrdhvangaChikitsa (Shalakya Tantra): Corretices. sponding to two departments’ namely Ophthalmology and Otorhinolaryngology (ENT).

For understanding the concept of Ayurveda, it’s very important to have detailed knowledge about Shalakyatantra discusses the causes and managethe basic principles of Ayurveda. ment of diseases occurring in the areas above the neck; confined to the nose, ears, eyes and oral Basic principles: cavity.

According to Ayurveda, every substance including the human body is composed of Pancha Shalya Chikitsa: It is one of the two prominent Mahabhuta(space - Akasha, air- Vayu, fire- Agschools that prevailed in the Ayurveda practice, ni,water-Jalam and earth - Prithvi). They are omKaya Chikitsa being the other. It can be comnipresent; they are mixed in an infinite variety of pared to the department of Surgery. It deals with relative proportions such that each form of matvarious Surgical, Para surgical and Orthopaedic ter is distinctly unique. The quality of substance procedures. This speciality mainly aims to teach depends upon the element predominant in that the techniques of removal of foreign bodies(both substance. In the case of a complex, multicellular exogenous like parts of arrow and endogenous organism as a human being, for instance, Akasha like pus, dead fetus in womb). It also includes a corresponds to spaces within the body (mouth, description of various surgical equipment’s, dinostril, abdomen etc) Vayu denotes movement agnosis and management of inflammatory swell(essentially muscular and nervous system); Agni ing and application of cauterizing. controls functioning of enzymes(digestive system and metabolism) Jala is in all body fluids(as Damshtra Chikitsa (Agada tantra): This branch plasma, saliva, digestive juices); and Prithvi deals with the diagnosis and treatment of bites manifests itself in the solid structure of the body and stings of poisonous snakes, insects, spiders (bones, teeth, flesh, hair). The Pancha Mahabhuetc. It also covers the detection of criminal adta, therefore, serve as the foundation of all diagministration of poison and its treatment. Other nosis and treatment modalities in Ayurveda. than this, we also get references regarding the code of conduct and ethics a physician has to folThe concept of Tridosha is indispensable when low in his profession. you start learning about Ayurveda.

Jara Chikitsa: Another special branch seen in Ayurveda that explains various measures for preserving youth for prolonged life. Popularly known as Rasayana Chikitsa, it mainly aims to boost one’s immunity to resist diseases.

Human body structure and functions are the results of Pancha Mahabhuta. The total human body is made up of Tridosha, Saptadhatu and Mala. The physical and mental character of an individual is determined by the specific combination of these subtle units which make up Vrushya Chikitsa (Vajikarana tantra): This Dosha. According to Ayurveda texts, a person’s branch explains remedies for improving viriliPrakruti (constitution) is determined based ty. It also deals with the causes and remedies for upon the combination of different types and levmale and female infertility. els of Dosha.

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A Prospective: Clinical Specialities of Ayurveda

What is Dosha?

Dosha refers to the energies that pervade everywhere including mind and body, each with different functions. Vata, Pitta and Kapha are the three Dosha of the body and are distributed all over. But each dominate in a specific region. Vata below the navel, pitta in the mid-region (duodenum and lower GI) and Kapha in the chest and head. Likewise Vata, Pitta and Kapha predominate during the last, middle and first periods of life, day, night and food (digestive phase) respectively. Health is indicated by Prakriti (state of the normalcy of three doshas). The disease is indicated by Vikrti (state of abnormality of the dosha). This abnormal state can manifest in two ways; either in excess or deficiency of dosha.

How can we identify these Dosha, their status in the body?

Vata is the combination of Akasha and Vayu mahabhuta. It is responsible for all types of movements or activities (respiration, pulsation, perception, initiation of natural urges etc).

Qualities: Ruksha – dryness, Laghu- light, Sitacold, Khara- rough, Sukshma- subtle and Cala – movable. In an abnormal state ( excess) Vata produces emaciation, tremors, giddiness, low energy and strength, reduced sensory perception, osteoporosis, numbness, etc) and Vata in decreased state causes excess salivation, reduced

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activity, reduced speech, nausea, confusion etc) Pitta is the combination of Agni and Jala mahabhuta. It is the source for all transformative processes (digestion, metabolism, temperature regulation, colour and complexion) Qualities: Sasneha– slightly oily, Teekshna – sharp, Usna- hot, Laghu – light, Visra–pungent smell. Sara- movable, Drava- liquid. When excess, Pitta produces excessive hunger and thirst, burning sensation, boils, erythema and vasculitis, ulcer, inflammation, yellowish discolouration (liver diseases). Pitta in decreased state causes reduced digestive activity, coldness, reduced colour and complexion.

Kapha is the combination of Prithvi and Jala mahabhuta. It gives the structural appearance, stability, lubrication, joint integrity and strength.

Qualities: Snigdha – oily, Sita- cold, Guruheavy, Mandha- dull, Slakshna- smooth, Mritsna- shiny, Sthira– stable. Excess Kapha produces anaemia, itching, discharges, oedema, weight gain, drowsiness, excessive sleep, dull digestion etc. Kapha in the decreased state produces palpitation, looseness of joints.

The clinical presentation should be understood as the manifestation of a single dosha or as a combination of dosha.

A Prospective: Clinical Specialities of Ayurveda channels that carry nutrients to all body organs also carries waste materials out of the body and are widely spread all over the body.

In a diseased state, the vitiated Doshas (either increased/decreased) causing Srotodusti directly influences this dhatu by dislodging in any of these Dhatus (sthaanasamsraya) and affects the functioning of Dhatwagni’s (diminishes/elevates) which affects the nourishment (cell production and differentiation) of respective dhatu (body tissues) leading to the manifestation of the disease.

Concept of Dhatu (Theory of tissue formation and differentiation) The basic Ayurveda theory of health is based on the state of equilibrium of Tridosha, Saptadhatu and Trimala. Saptadhatu includes Rasa (plasma), Rakta(blood), Mamsa(muscle)Medhas(fat / adipose tissue), Asthi(bone), Majja(bone marrow) and Sukra (reproductive tissues). All these dhatus are well nourished by the action of Jataragni(digestive fire) on the food consumed. Thus, the resultant ahara rasa(nutrients) are passed into each dhatu (bodily tissues). All the seven dhatu ultimately are supplied by one stream of the pool. Thus, the nourishment of all dhatu depends upon the proper functioning of Jataragni and furthermore influenced by the respective Dhatwagni(metabolic energy of each dhatu / tissues). The function of Dhatwagni is to activate the formation of self - clone of respective tissues and dependent tissues (Upadhatu). Thus the seven dhatus from rasa to Sukra develop sequentially and nourishes the consecutive dhatus. For eg: The Rasadhatwagni plays an important role in the formation of Rakta dhatu from rasa dhatu and Raktadhawatgni further nourishes Mamsa dhatu and so on.

Another major concept is Srotas. Ayurveda assumes that the purusha (individual) is made up of innumerable srotas (channels) which are responsible for performing all physiological activities. All three Doshas, seven dhatu and three mala perform their functions in the body with the help of these Srotas. Thus, Srotas are the

Elaborate explanation about the physical constitution is seen in all classical texts which divide the individuals based upon the Prakruti(constitution) which is characterized by the predominant Doshas(vataprakruti, pitta prakruti, kaphaprakruti ). It contains a description of physical characteristics including anthropometric measurements, emotional state, mental tendencies, sleep pattern etc. it also contains information about risk factors; susceptibility to some diseases also. The advice for lifestyle routines specific for each Prakruti is also mentioned. Ayurveda recognizes the unique constitutional differences of all individuals and therefore recommends different regimens for different peoples Prevention and therapeutic ways of health management depend on Tridosha. Dhatu (tissue), mala (waste products) and Agni (digestive fire) are the other important factors to consider. An equilibrium of Dosha, Dhatu, Mala and Agni together with a pleasant state of the sensory system is considered to be Svastha (healthy state). Their imbalanced state leads to Athuravastha (diseased state). The aim of Ayurveda is. “ LoLFkL;LokLF;j{k.kavkrqjL;jkssxiz”keua ||” which conveys the significance of maintaining healthy life and prevention diseases. As a part of preventive medicines, Dinacharya (daily regimen)practices for maintaining a healthy body The Ancient Ayurveda | Mar-Apr 2021 | Issue 6 | 08

A Prospective: Clinical Specialities of Ayurveda (starting from when to get up) and also for meaThe treatment principles have given importance sures for maintaining a healthy mind (measures for Pathya which comprises indication and conto handle emotions) are included. Descriptions traindications in respect of diet, activity, habits of Ritucharya (seasonal regimen) denotes the and emotional status. Nidana parivarjanam, an regimen to be followed by people during differequally important factor suggests one to avoid ent seasons to prevent diseases and to maintain known causative factor of disease in the diet and health. Since seasonal changes affect the body’s lifestyle of the patient. physiology considerably.

Satvavajaya – concerns about the mental state: Ahara krama – dietetics have given much imporrestraining of mind from unwholesome objects tance in treatment aspect as well as preventive asand cultivation of courage, memory and concenpect. It is said that deranged Agni is the causative tration. factor for all diseases. So treatment procedures and diet should be able to promote Agni. The Rasayana therapy – for promoting strength and ayurvedic dietetic description includes procevitality and also non-recurrence of a disease. dures to take food, activities after meals, qualities of selected foods and drinks, descriptions related All the treatment modalities aim to remove the to the quantity of food intake and diseases relatcausative factor responsible for disequilibria of ed to wrong food habits their treatments.

Tridosha by Panchakarma procedures, medicines, suitable diet, activity and regimen for reDiagnosis and treatment: storing the balance and strengthening the body In Ayurveda, diagnosis of the patient is always mechanisms to prevent future occurrence of disdone as a whole. The doctor examines carefully ease. the patients’ internal physiological characteristics and mental status. Treatment of the disease Ayurveda deals with each and every aspect of depends largely upon each person’s doshic state human life. Its first objective is to maintain a ie; personalized to his/her individual needs. healthy body and mind. The next objective is to manage the disease and restore health and a proThere are three main modes of treatment in ductive state of mind. Ayurveda offers advice for Ayurveda. They are: a better lifestyle, giving equal importance to our Shodhana – cleansing of metabolic wastes (puribody, mind and soul. fication treatment) Samana – pacifying excess of dosha (palliative treatment) Dr. Gopikrishna S. Brmhana – rejuvenating Asst. Professor, Dept. of Agadatantra, VPSV Panchakarma concerns itself with Shodhana.

Ayurveda College, Pancha means five and karma mean actions/ Kottakkal, Edarikkode therapy. They are: -Vamana – therapeutic vomiting -Virechana – therapeutic purgation -Vasthi– medicated enema Dr. Megha K.S. -Nasya – nasal medication II MD Scholar, Dept.

-Rakta mokshana –bloodletting. of Agadatantra, VPSV Ayurveda College, Shamana Chikitsa aims to normalize the vitiated Kottakkal, Edarikkode dosha without hampering another dosha by using suitable medicines.

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Ayurveda Branch of Paediatrics

KAUMARABHRITYA AYURVEDA BRANCH OF PAEDIATRICS Every science in the modern era is following a philosophy of reductionism as part of its instinctive development processes. This reductionist approach in science helps to condense its complicity, simplifies the process of conceptualization and enhances comprehension. This approach also pervades medical science and complements its development in the field of diagnosis, management and prevention of diseases. However, nowadays the concept of reductionism is misinterpreted and implemented improperly in modern science which has led to several negative impacts.

This reductionist nature in due time also impacted the development of Ayurveda, evident in the form of Ashtangas as well as surgical school of thought and medical school of thought. Such constructive influence was persistent till the period of 10th decade however later on gave way to a phase of visible developmental stagnation apart from, few regional advances in some specific areas of Ayurveda like progression in Kaumarabritya and Agadatantra in Kerala. Koumarabri-

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tya is one of the primary division of Ayurveda emerged as part of the reductionist approach and this branch aimed at the procreation and growth of a good progeny. From its establishment as an independent branch, Kaumarabritya focuses on the comprehensive health aspects of a child, which encompasses the preconception stage of an individual including age of marriage, procreation, sex measures for good progeny, an ideal manual for gestational care, uncomplicated birth of a baby and postnatal care extending from 45 days to 6 months and complete growth aspects of a child from birth to 16 years. Later, with the advancement of practices this reductionist impression has paved the way for further categorization of the same to Prasoothi tantra and Streeroga as well as kaumarabritya encompassing all the above mentioned domains. Hence in the present stage, Kaumarabritya is merely confined to the health management of a child from birth to 16 years of age.

According to Indian philosophy, the ultimate aim of human life is considered as the

Ayurveda Branch of Paediatrics achievement of Dharma, Artha, Kama, and Moksha. Health is said to be an inevitable component to achieve that. So the ultimate aim of Ayurveda is to achieve or maintain good health so that human beings can achieve moksha. We should keep these points in mind before understanding the concepts of kaumarabritya in ancient days.

In those days, the average life span of human being was considered to be a maximum of 120 years. While considering that, kaumara kala can be taken as till the age of 30.

There are 3 phases of structural status in the human body. The first phase is structure development or generation of body, the second phase is stagnancy of structure and the final one is a de- generative phase. So generally, the developmen- tal phase of structure in the human body is dealt with kaumarabhritya. Hence, kaumarabritya comes under the age up to 16 years Kaumarabritya not only dealing with children who have already born, but its area starts from when to conceive to get a healthy child, care for pregnant woman, care for child in the womb, care for mother during delivery, care for child immediately after delivery and few days later, and care of child according to his age.

Susruta has considered the optimal age of male procreation is 20 and that of female is 16, even though reproductive age of female can be attained at the age of 12. That shows Ayurveda has not supported the concept that procreation should happen if a girl attains reproductive maturity, rather it gives im- portance to the improvement of gamete quality in producing a healthy child. So, the kaumarabri- tya starts from the age of parents before procreation.

Ayurveda has explained its sexual codes and conducts to get a good progeny known as maidhunacharya beginning from the mental dis- position of partners, things to do for the achievement of good mental health, explanation about the place where the sexual act should conduct for a healthy progeny and then the act of procreative sex, procedures to be followed immediately after procreative sex, procedures to be done expecting the pregnancy and procedures after conceiving the child. And garbhiniparicharya also has explained according to her daily living activities, environment, thought process and food.

Prasavaparicharya according to the knowledge in those days were an act of parturition, management of labor, neonatal management, how a parturient woman and her health is related to the child, samskaras to be conducted till 45 days after delivery. The samskaras to be conducted later, diseases and its preventive methodologies and curative aspects according to child age, and the procedures for child till he attains reproductive maturity were also dealt by Ayurveda.

There are 16 samskaras explained for a healthy living of a child. They are 1) Garbhadana (Sacrament of Impregnation or Conception) 2) Pumsavana (Engendering a male issue) 3) Simantonnayana (Hair-parting) 4) Jatakarma (Birth rituals) 5) Namakarana (Naming ceremony) 6) Nishkrama (First outing or outing ceremony)

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Ayurveda Branch of Paediatrics 7) Annaprashana (feeding ceremony) 8) Chudakarma or Mundan (Shaving of head) 9) Karnavedhana (Piercing the earlobes) 10) Upanayana (Sacred thread initiation) 11) Vedarambha (Be- ginning of Vedic study) 12) Samavartana (End of studentship) 13) Vivaha (Marriage Ceremony) 14) Vanaprasta (Renouncing the householder’s life) 15) Sanyyasa(Leading the life of a monk) 16) Anteyeshti (Death cremation).

Later, this branch has started developing since 20th century. It is divided into Prasutitantra, Streeroga and Kaumarabritya. Prasutitantra deals from pre-conception care to delivery care whereas gynecological health and disease management fell under streeroga and child care dealt under Kaumarabritya.

In the current scenario, the Kaumarabhrithya (Ayurveda paediatrics) has developed a lot of specialist practitioners, PhD programs, Postgraduate diploma, certificate courses, different academic institutions etc. Nowadays many types of research and practices are in progress with the pediatric diseases in which Ayurveda has got an upper hand is a remarkable phenomenon to be considered. By understanding the scope of Ayurveda in the neurological conditions of children especially in chronic static encephalopathy, the institutions including AIIMS-Delhi have undertaken Ayurveda researches by collaboration with the faculties from esteemed Ayurveda institutes. In the 21st century, the developed countries are facing many health challenges from the diseases like autism. As a result of which many Ayurveda research projects are going on in this subject with a lot of International and central government funding is another peculiarity of Kaumarabhrithya.

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Different universities and research centers in different countries are conducting studies on child health and disease management of children has started searching for a remedy in alternate systems of medicines such as Ayurveda. For example, the first medical university in Moscow is making collaborations with Kerala Ayurveda Studies and Research Society, Kottakkal (KASRS) in relation to their research in Cerebral palsy. The results of such researches are getting International acceptance and as per the bench to benchmark principles, the common public of the total global population is getting the benefits out of it. The most classical example of that is the AGASTYA protocol (Ayurveda drugs, Gut therapy, Ayurveda Standards of living, Training of parents and Yogic Assistance) for the management of children with autism spectrum disorders developed by the department of Kaumarabhritya, Vaidyaratnam P.S.Varier Ayurveda college kottakkal.

Many types of research at the minute level are going on with the reductionist approach on ‘how Ayurveda medicines are working in pediatric diseases’. AYUSH-Extra Mural Research project is an example of that. The department of Kaumarabritya, Vaidy- aratnam P S Varier Ayurveda College, Kottak- kal is funded by AYUSH for a project entitled “A randomized controlled trial to assess the effect of a gut therapy protocol [koshtachikitsa] for man- aging dysbiosis in children with autism” under Extramural project. The objective of the study is to analyze the effect of 30 days Ayurveda gut therapy protocol in reducing gastrointestinal dysfunctions in autistic children.

It also analyzes the quality and quantity of microbial gut flora before and after Ayurveda gut therapy protocol in reducing the symptoms of

Ayurveda Branch of Paediatrics dysbiosis in autistic children by sequencing the 16 rRNA technique. By keeping all these in mind, the stakeholders are using this knowledge among the public and as a result of which the Pediatric specialized Ayurveda hospitals are emerging in Kerala. The ATIDHI Group-(Ayurveda and Therapeutic In- tegration for Developmental Habilitative Inter- vention) and The CNS Ayurveda Chikitsalaya, Pattambi are few examples of that.

Ethno practices in the traditional background got developed with the modern technologies and are getting popularized in the field of Kau- marabhritya as a result of which the mother and childcare centers in Ayurveda were started. Es- pecially in the state of Kerala, a 2months package called ‘Prsavapariraksha’ (Post Delivery manage- ment) is being widely accepted as a custom for the health of mother and child in the postpar- tum period.

A medicine called Suvarnnaprasa has been developed for the preventive healthcare aspects of children has become a massive trend in the state of Karnataka which already exists in Kerala as part of its tradition.

By considering this public interest, the Government of India has started funding many public utility projects in Kaumarabhritya. Eg. The AYUSH Public Health Initiative project. “A community outreach programme of Ayurveda for an immunity en- hancement in children suffering from recurrent upper respiratory tract infection from select- ed Gramapanchayaths of Malappuram district” is a project funded by AYUSH under its public health initiatives. The primary objective of the project is the complete cure of RURTI by achiev- ing adequate immunity with respect to their clinical parameters among the selected school children from the selected Grama Pan-

chayaths of Malappuram district. The secondary objective is to assess the improvement in awareness created on Ayurveda guidelines about immunity management among children, parents, teachers and Anganwadi workers of the selected gramapanchayaths under the Vengara block of Malappuram district, Kerala.

Ayurveda is gaining momentum among the global population with its edges of non-harming nature and its nearness to natural harmony. The World Health Organization is now stepping forward to integrate as well as preserve the values of different traditional medical systems for the benefit of humanity. Children are highly vulnerable in the society and are cornerstones of the future of the nation. Keeping the values of every traditional medical system the ideal mankind is striving to manage the health and diseases of every individual. Kaumarabhritya is one such step of Ayurveda for the benefit of health and disease of children globally from a traditional epistemology of the Indian health care system.

Dr. Dinesh K. S. (M.D (Ay.))

Prof & Head, Department of Kaumarabhritya, V. P. S. V. Ayurveda College, Kottakkal, Kerala Dr. Anju Sathian (BAMS)

Medical Officer, Ayush Public Health Initiative Project, Kerala Ayurveda Studies and Research Society, Kottakkal, Kerala

Dr. Krishnendu C.

Junior Research Fellow, AYUSH- EMR project, Department of Kaumarabhritya, V.P.S.V.Ayurveda College, Kottakkal, Kerala

Dr. Sujitha V. K. (M.D[Ay]) RMO, Department of Kaumarabhritya, V.P.S.V.Ayurveda College, Kottakkal, Kerala

The Ancient Ayurveda | Mar-Apr 2021 | Issue 6 | 14

Prasooti Tantra & Stree Roga

PRASOOTI TANTRA & STREE ROGA: A GLANCE AT A SPECIALITY BRANCH FOR FEMALE WELLBEING There are 8 branches in Ayurveda namely Kayachikitsa, Balachikitsa, Grahachikitsa, Salakyatantra, Salyatantra, Vishachikitsa, Rasayana and Vajeekarana. The section of Prasootitantra- Streeroga is included in the branch of Balachikitsa. Prasootitantra primarily deals with preconception, antenatal and postnatal care while Streeroga deals with the management of diseases concerned with female reproductive system.

Why woman needs special care?

Woman, by nature is not self-focused as far as the health is concerned. She traverses through puberty, reproductive age and then to climacteric through physiological life events of pregnancy and delivery and, with rhythmic menstruation. Well-understanding of her physiology, as well as intermittent fluctuations in her hormonal milieu, in the backdrop of a multitasking lifetime, is essential to enhance her wellness.

Pre-conceptional care: In this era, various newly emerging congenital disorders have been noted among children. Among the couples who are planning to conceive, ayurvedic preconception health programmes have been recognised well. Hence, the branch of Prasootitantra is gaining more relevance these days. Prasootitantra’s concept of care has got some unique advantages on the couple. Ayurvedic science upholds the importance of healthy uterus, optimal internal environment in the body, adequate nutrition and healthy gametes in the formation of an ideal progeny. This can be compared to healthy seedling production from a fertile field, favourable season, proper nurturing and healthy seeds. Those who have a history of abortions, The Ancient Ayurveda | Mar-Apr 2021 | Issue 6| 16

Prasooti Tantra & Stree Roga failure to conceive after few years of married life and recurrent assisted attempts and, those who have children with developmental anomalies often seek fertility care from ayurvedic clinicians prior to next conception planning. Strategies will be planned after collecting detailed history from the couple. Menstrual history of the female, marital and obstetric history, their medical and family history, the lifestyle of the couple will be assessed in detail. Though the couple is being addressed, the health needs of female are given prime importance. Interventions will target on the well-being of the body as well as mind which in turn aid to enhance fertility.

Ayurvedic approach insists on measures to adopt for normal functioning of the female reproductive entity. This branch shares the ways to beget healthy sperm as well as healthy ovum and thereby a healthy embryo.

Antenatal care: Ayurvedic antenatal health care check-ups aim at a healthy pregnancy, normal delivery and a healthy baby. Such antenatal visits give clear cut ideas on the overall health status of the lady in-

17 | Issue 6 | Mar-Apr 2021 | The Ancient Ayurveda

cluding psychosocial well-being. The pregnant lady can stick on to the ayurvedic pregnancy care not only for the management of her ailments but also for the specific antenatal routine care which has been a practice from generations. Ayurveda recommends individualised care considering the physical, mental and social well-being of pregnant lady on every visit. Monthly prescribed medications holding on to a wholesome diet and mode of living are beneficial for healthy pregnancy outcomes.

Postnatal care: Postnatal care tops the areas of ayurvedic health care practice among the rural population. Of course, there are several traditional postnatal care practices and there are variations due to regional, cultural and religious influence. Ayurvedic postnatal health care is focused on the health

of the mother and the baby. Moreover, it has got long term outcomes on the general health of the lady. The mother receives individualised dietetic advice along with appropriate medical interventions with respect to her physical and emotional health status.

Prasooti Tantra & Stree Roga Streeroga: Ayurveda considers most of the menstrual problems secondary to general health issues. The speciality care has to be planned after reshaping the metabolic aberrations. It has been noted that a major percentage of the women population often approach Ayurvedic clinicians for the management of their menstrual abnormalities. Painful menses, Heavy and prolonged menstrual bleeding, Endometriosis, Premenstrual syndrome, Menopausal symptoms, Uterine and vaginal prolapse have a negative impact on the routine of the working class as well as a homemaker. Ayurveda plays a pivotal role in improving their quality of life.

Polycystic Ovarian Syndrome is a common medical condition in women of reproductive age. It is an endocrine, metabolic and reproductive disorder. It is the most common cause of anovulatory infertility too. Ayurvedic medicines with strict adherence to a healthy lifestyle will help to fast-track better outcomes. Diminished Ovarian h

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reserve is another major concern in current fertility care. Ayurveda helps to enhance fertility in such kind of issues. Ayurveda has a promising role in the treatment of infections and inflammations associated with the female genital tract.

Ayurvedic science shed light on viewpoints of management of benign tumours like ovarian cysts & fibroids. Women used to seek non-surgical measures for these clinical conditions. In general, ayurvedic interventions are very effective and safe in addressing the disorders of the female reproductive system.

Conclusion: In short, women have unique reproductive physiology and Prasootitantra – Streeroga focuses on the health care of women throughout their reproductive life.

Vaidya Jeena Aravind U.

Associate Professor & HOD, Department of Prasootitantra & Streeroga, Ashtamgam Ayurveda Chikitsalayam & Vidyapeedham, Vavannoor, Palakkad

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The Ancient Ayurveda | Mar-Apr 2021 | Issue 6 | 18

Samhitha Overview

Basic Principles of

Samhitha (Backbone of Ayurveda)

Vd. Sangram Mishra (M.D, PH.D) Professor, Dept. of Samhita- Siddhanta, SMIAS, Gandhinagar, Gujarat, India.

Ayurveda the basic science of life teaches us a holistic approach to health and personalized medicine. It is known to be a complete medical system that comprises of physical, psychological, philosophical, ethical, and spiritual health. India is known for its traditional medicinal systems— Ayurveda, Siddha, and Unani. Medical systems are found mentioned even in the ancient Vedas and other scriptures. The Ayurvedic concept appeared and developed between 2500 and 500 BC in India. The literal meaning of Ayurveda is “science of life,” as this ancient Indian system of health care focuses on the entire living being of man and his illness. It has been pointed out that positive health means metabolically well-balanced human beings. Ayurveda is also called the “science of longevity” because it offers a complete system to live a long healthy life. It offers programs to rejuvenate the body through diet and medicine.

For the development of the said science, a separate Department of Indian Systems of Medicine

19 | Issue 6 | Mar-Apr 2021 | The Ancient Ayurveda

and Homeopathy (ISM&H) was established in 1995 to ensure the optimal development and propagation of AYUSH systems of Health care.

The Department of ISM&H was renamed as the Department of AYUSH (Ayurveda Yoga and Naturopathy, Unani, Siddha, Homeopathy) in November 2003.

In the syllabus of the Ayurveda course i.e.

B.A.M.S, the subject Samhitha Siddhanta - basic principles play a very relevant role in rebuilding the base of the entire course. In this subject, different Principles are taught which is written in Samhita texts like Charaka Samhita, Sushruta Samhita and Vagbhatta (Ashtanga Sangraha, Ashtanga Hridaya) etc. Many principles described in Ayurveda can be used for improving the lifestyle of healthy persons and also diseased persons, among them some principles are discussed here.

Samhitha Overview Ayurveda is a system of health care that describes the human body as Purusha which is an aggregation of 24 elements with the basic element Atma the spirit or soul. For the equilibrium stage of the body, Dosha (humour), seven dhatus (tissue) and Mala (metabolic end-products) should be there in a normal balanced state and this can be considered to be as healthy stage. A lot of principles are described for the treatment of the body among them some are described which shows the importance of the branch.

Panchamahabhuta TheoryThe Akasa (space), Vayu (air), Agni (fire), Jala (water) and Prithvi (earth) are the five basic eternal substances termed to be as Panchamahabhutas. These are the ultimate physical constituents from which the physical world is derived. The food that we take as well as the medicines which we intake all is made up of these five elements.

So as our human body is also made up of five elements. If in any condition, there occurs an imbalance in any of these mahabhuthas, we can visualise it through the corresponding symptoms produced by them. Accordingly, treatment can also be done by maintaining the balance of mahabhutas by administering the same food or diet containing the concerned mahabhuta. For example in obesity, basically, two mahabhutas are in an imbalanced state i.e Prithvi and Jala. So we have to administer food, medicine or lifestyle which can reduce these two mahabhutas. In this way, we can use this theory in any condition least concerning with name of the disease.

Tridosha Theory- The theory of Tridosha consists of three elements of energy i.e Vata, Pitta and Kapha. These are the biological applications of Panchamahabhuta. Depending upon the predominance of elements of Panchamahabhuta, it has been categorised into three elements. Vata is comprised of Vayu and akasha mahabhuthas and Pitta is comprised of Agni mahabhutha whereas Kapha is comprised of jala and prithvi mahabhuthas. These three are considered as doshas as they have a tendency to get vitiated and to viti-

ate each other. They are also termed as Dhatu as they uphold the body. These doshas determine the health or disease state of a person. Whenever these three get vitiated then the body gets diseased, and in the equilibrium, stage is called a healthy condition. Hence maintaining a corrected balance of these doshas along with panchamahabhutha is necessary.

Sapta dhathus- In Ayurveda, Sapta Dhathus are considered to be the basic elements of the body that stays as pillar supporters. The seven dhatus include Rasa (Plasma), Rakta (Blood), mamsa (muscles tissue), Medha (Adipose tissue) Asthi (bone tissue), Majja (marrow) and Sukra (reproductive elements). These are the seven primary tissues of the body. The major function of dhathus has been mentioned to be the supporting system of the body. The signs & symptoms of dhathu vrdhi (increase) or kshaya (decrease) plays a very relevant role in the diagnostical aspect. The equilibrium stage of dhathus is called a healthy state. In treatmental aspect, we can implement the principle of maintenance of this equilibrium in dhathus. For example, if Rakta decreases then raktavardhak dravya can be applied; particularly when we correlate it to anaemic conditions it makes a drastic change in the treatment level of major diseases.

The concept of mala (waste product)Ayurveda describes Mala as the excretory product of each element of the body in detail. As per Ayurveda, a combined supporting system of dosha – dhathu - mala makes up a healthy body.

When we take our food the digestion process starts and the food will be separated into Prasad part which helps in the nourishment of dhatus and Kitta part which helps in the production of malas (waste part). As per Ayurveda, Several types of malas are produced for example Shakrit (faeces), Sveda (Sweat), Mutra (urine). Kha mala (waste from orifices like ear, eyes etc), Kesha (long hairs), Loma (small hairs), Nakha (nails) etc. Even in the process of disease formation, the quantity and quality of malas place a relevant role The Ancient Ayurveda | Mar-Apr 2021 | Issue 6 | 20

Samhitha Overview Concept of OjasOjas is the essence of all dhatus, which is compared to the immune system of the body. In healthy person and diseased person, treatment is given for strengthening ojas which increases the life span as well as strength to fight against all the diseases like cancer AIDS etc.

Like in Prameha, the excess quantity of mala is expelled out in the form of urine which can be compared to the pathophysiology of Diabetes insipidus. So in some condition mala is to be cleaned out in the body by medicines or Panchakarma or in some conditions, mala quantity is maintained by increasing pachana kriya or digestion process or in some cases preservation of mala is required in diseases like rajayakshma or Kshya (deteriorate the condition of all dhatus).

Concept of Mana – Ayurveda believes on the concept of Manas and atma and gives special importance to mental health. Nowadays in the covid era, psychological concerns and maintaining mental and social health plays an important role.

Concept of AgniAgni is termed a digestive fire or a basic element of energy. Agni persists in all level like in Dosha, Dhatu and Mala as well as present in all organs up to each cell of the body. So a physician is always bound to assess agni level of a person to analyse the disease condition as well as for treatment aspect.

Conclusion- The branch Basic Principles is the special branch of Ayurveda which deals with basic concepts which are written in different Samhita texts like Charak Samhita, Sushruta Samhita, and Vagbhatta etc. The principles are very much interesting to the treatment aspect as well as for the research aspect. A lot of researches are going on scientifically by modern tools to establish the all-time used Principles written by ancient Rishis.

Concept of PrakritiThe Prakriti or Constitution is finalised according to the doshik predominance at the time of conjugation of sperm and ovum of parents. It is very much helpful in treatment for prescribing diet and medicines.

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Sports Medicine in Ayurveda

THE RELEVANCE OF SPORT Sports injuries are injuries that occur to athletes participating in sporting events. When injuries occur due to sudden impact, the body reacts to that condition, which leads to immobility, pain and inflammation (Acute). During the course of sports, the activity of sportsperson experiences pain on different joints like shoulder, knee, ankle, low back region according to the nature of his/her sports activity (Chronic). The common types of injuries seen in the playground are sprains, strains, fractures, overuse injuries, wounds, epiphyseal injuries, stress fractures and dislocations. Poor training method, anatomical abnormalities, poor physical and mental strength and environmental factors are the common risk factors of sports injury. Soft tissue (muscle, tendon, and ligament) injuries are more commonly seen than that of hard tissue (bone & teeth) injury in the playground. Ayurveda is based on the ancient Samhitas and no were in those Samhitas sports medicine is mentioned. But in the classical Samhitas, medicines has been described to treat persons who get wounded while

performing martial arts and also has described the formulations used for treating the wounded soldiers during the war. This can be applied for treating sports injuries according to its nature.

Sports Ayurveda Research Cell (SARC) is an initiative taken by the Kerala Government for the good and welfare of sports personals all over the world.

Relevance of the Topic – About 30% population of India are engaged in various sports. 60% of sportsmen sustain various injuries in the field. 30% of the above are permanently unfit for further sports life. A higher rate of side effects of allopathic medications and post-surgical complications also creates lots of problems for the sports-personals. Ayurveda deals with preventive, curative and rehabilitative aspects of sports injury. Ayurvedic system is safe and devoid of post-traumatic complications which is the challenge facing the current sports medicine fraternity

Page 23 | Issue 6 | Mar-Apr 2021 | The Ancient Ayurveda

Sports Medicine in Ayurveda

TS MEDICINE IN AYURVEDA ObjectiveThe main objective is to improve physical fitness, proper and timely injury management and prevention of injuries related to sports by proper rehabilitation. “ LoLFkL;LokLF;j{k.kavkrqjL;jkssxiz”keua ||” Basic Sports Injuries Injuries are more common in contact sports like Football, Kabaddi, Basketball, Volleyball, Hockey, etc. and in outdoor games like Athletics, Long Jump, High Jump, Hurdles, Swimming, etc.

Common injuries that we come across where Sports Ayurveda have shown good result are 1. Ankle Sprain 2. Knee Injuries (Ligament (ACL, MCL, LCL, PCL) Sprain and tear, Meniscus Injury, Chondromalacia patella, Osgood Schlatter disease) 3. Shoulder Injuries (Rotator Cuff Injuries,

Supraspinatus tendonitis, HillSachs lesion, Bankart lesion, AC Tear) 4. Fractures and Dislocation 5. Muscle Strain (Hamstring, Quadriceps muscles) 6. Groin Injury (Groin Pull) 7. Tendonitis (Tennis Elbow, Golfer’s Elbow, Achilles tendinitis) 8. Low back pain 9. Spine Correction 10. Repeated Strain Injuries (RSI) Injuries may be Acute (sudden onset) or Chronic (happened in due course) ManagementIn case of Acute conditions of sports-related Injuries 1. Lepa - Application of medicated paste over the affected site 2. Bandhana- Bandaging the injured site 3. Parishek- pouring of medicated decoction over the site The Ancient Ayurveda | Mar-Apr 2021 | Issue 6 | 24

Sports Medicine in Ayurveda 4. Avagah Swedan- Sitting in a tub filled with medicated water 5. Nadiswedan- Application of medicated steam 6. Valukaswedan- Applying Kizhi (Potalis) with hot sand 7. Upanah- Poultices with medicated paste 8. Raktamokshana- bloodletting

Mode of Action: Abhyana (Massage) with medicated oil brings softness to the tissues. Abhyanga can increase arterial blood flow to the muscle and skin, soothes and stimulates the nerves hence increases the power and tone of muscles, tendons and ligaments. Regular abhyanga prevents early ageing and repetitive strain injuries.

Acute management of injuries occurs mostly on-field which can be well managed through Ayurveda. Firstly we have to stop activity to prevent further injury. Application of Murivenna over the injured site found to be very effective to reduce pain and inflammation. For almost all on-field games, due to exertion, chances of increased blood pressure and breathing problems may occur. In such conditions, medicines like kanakasam, punarnasavam, dhanwantharam gulika etc play a vital role in reducing the symptoms. Ayurvedic medicines which can affect muscle relaxant sprays and lepas are helpful in subsiding the pain as well as also help in healing the affected site in case of sprains and contusion.

Local hyperthermia produced during Swedana (steam therapy), improves local blood and lymphatic circulation and thereby helps in decreasing chronic inflammation in the injury site. Heat is also a counter-irritant i.e. the thermal stimulus may affect the pain sensation. Swedana by its Snigdha(moist) and Uśna(warm) property relieves stiffness of muscles and joints. Hyperthermia increases the rate of Transdermal drug delivery thereby helps in the absorption of drugs used for swedana and helps to expel waste and toxins from the body. In chronic muscle wasting, neurological cases, Shastikshali pinda sweda is helpful for stimulating neuro-muscular functions.

• Chronic Injury Chronic Injuries are managed with panchakarma Procedures and marma therapy. For this different kinds of medicated potalis were made and applied over the affected region to subside the disease. The next step is to strengthen the affected site. For this medicated potalis with nourishing nature and different types of massages with oils in order to regain the neuromuscular activities and improve the bone strength were administered. Yoga along with physiotherapy was also used to bring the normal status.

Treatment Protocol Prakritisthaapana: To regain the physical fitness of a sportsperson and send him back to the field as early as possible by Rest, Medication and Rehabilitation.

Samana Oushadha: Internal medicines can also be administered to boost up tissue healing, alleviate pain and strengthen the injured part. Let us check how the medicines are acting on the body.

25 | Issue 6 | Mar-Apr 2021 | The Ancient Ayurveda

Basti (enema) with medicated decoction or medicated oil is the best treatment, whereas it can be used for all vitiated doshas. It nourishes all the body, relieves stiffness, contraction and adhesion. It is effective in the healing process of torn ligaments, tendons and fractured bone Basti can stimulate ENS(Enteric Nervous System) which secretes neurotransmitters like Acetylcholine, Norepinephrine, Serotonin, Dopamine etc. which control various types of gastric activity of GI tract.

Nasya (Administration of medicine through nostrils) reaches to the brain and nourishes all the sense organs. Proper functioning of the sense organs is of prime importance for an athlete. The nasal mucosa is the only location in our body that provides a direct connection between the central nervous system (CNS) and the atmosphere. Drugs administered through the nasal cavity rapidly traverse through the cribriform plate into the CNS. Thus, Nasya is an easy and effective modality in the management of sports injuries.

Sports Medicine in Ayurveda Raktamokshana (Bloodletting) helps in reducing local inflammation, pain and swelling. Jalaukavacharana(Leech therapy) is very helpful in bruises, hemarthrosis and in acute injuries. The saliva of leech contains an enzyme called hirudin which works as an anticoagulant, diuretics, and antimicrobial. It enhances wound healing and has an immune modulator effect.

Agnikarma (Thermal cautery) gives sudden relief from pain, swelling and tenderness in tendinitis. As a result of the passage of heat, relief in tension and relaxation of muscle fibres occurs, which produces space between them and helps to reduce tenderness and inflammatory edema much faster. It is found to be very effective in tennis elbow; plantar fasciitis etc. Agnikarma is beneficial to relieve the stiffness of muscles and joints and for a speedy recovery by enhancing tissue repairing in post-traumatic and in repetitive strain injuries.

Internal medication has a vital role along with external treatments. Medicines like Dhanwantaram kashayam, marma kashayam, Laksha Guggulu etc helps in tissue repair. Balarishtam, Aswagantharishtam, lohasam helps to improve strength and vitality. Medicines like Ajamamsa Rasayana, Aswagandha Rasayana, Amritaprasam etc strengthens the immune system to fight against diseases as well as improve the quality of sense organs and strength to motor neurons. Internal administration of Gandhataila, Balataila etc helps to improve bone and neuromuscular strength.

Conclusion Ayurvedic Management is safe and non-surgical with fewer adverse effects. Acute Injuries can be well managed with lepas(Application of Medicated Paste) and Bandhanas ( Immobilizing the affected part with different types of bandages).

Repeated strain injuries and chronic ailments can be well treated by Panchakarma and Marma therapy. The patient regains functional ability within a short period as regular follow-ups and changing of bandages once a week along with internal medications provides fast healing and early recovery. Prevention of injuries and Strengthening of Joints and Muscle tissues can be done by Panchakarma and Yoga as a regular practice. Sports Ayurveda not only give a strong and healthy body but a sound mind too.

Dr. Rohytt John (BAMS, MS) Medical Officer (MARMA), Sports Ayurveda Research Cell (SARC), Convener; Idukki Dist.

District Ayurveda Hospital, Thodupuzha, Idukki, Govt of Kerala

The Ancient Ayurveda | Mar-Apr 2021 | Issue 6 | 26

Shalakya Tantra

SHALAKYA TANTRA–

NURTURING VISION THROUGH THE HANDS OF AYURVEDA Ayurveda is the science of life. It is not only considered as a medical science to cure different ailments and diseases but also to teach us how to leave or lead a healthy life. So it is always considering the person’s surroundings whether it is living or nonliving to maintain a peaceful life. Panchabhootas-Prithvi, Ap, Tejas, Vayu and Akash are the basic structural elements for all in the Universe according to Ayurveda. They bound together in different proportions creating new structures, maintaining the shape and state, changing from one state to another degrading or decaying from a state. These changes are always happening in every part of life. 3 different modes of energy always controlling these processes.

Some things are generating or forming or originating, maintaining the state for milli seconds to many years then slowly degrading or changing the state to another. In micro or macro level we can see or experience these changes in every seconds of our life. These three main stages of life; formation, maintenance of state and degrading or changing to another are controlled by different modes of energy can be considered as the Thridoshas of Ayurveda. Vata, Pitta and Kapha are the Throdoshas and together they are maintaining the life cycle.

Ayurveda has eight branches call it as Ashtangas of Ayurveda. They are, Kayachikitsa (general medicine), Balachikitsa (pediatric medicine), Graha chikitsa (Psychiatry), Shalya (Surgery), Shalakya (Ophthalmology and ENT), Visha (Toxicology), Rasayana (Rejuvenation) and Vajeekarana (Aphrodisiac treatment).

Shalakyatantra is an important branch of Ashtanga Ayurveda. Mainly this division deals with the diseases occurring in the organs situated above

the neck. Shalakyatantra is much important because it is dealing with the main sense organs of the body like eyes, ears, nose and tongue.

Shalakyatantra got the name from the word “Shalaka” which means a probe or rod like instrument for doing different surgical procedures. This shows that thousands of years ago different surgical procedures were practiced by the ancient scholars. Acharya Sushruta is considered as the father of surgery. In his textbook Sushruta Samhita he described different surgical procedures like cataract surgery, rhinoplasty etc.

Acharya Charaka very well said about the importance of shalakya Tantra; life of the living beings and all the indriyas (sense organs) are situated in the head hence it is known as “Uttamanga”.

Shalakyatantra is much important because it is describing the organs and diseases of this “Uttamanga”.

Acharya Sushruta described the diseases of eye, ear, nose and head in Uttarastana of Sushruta Samhita. Mukharogas,diseases of mouth and throat are in Nidana stana and its treatments in Chikitsa stana. Acharya Vagbhata also told and explained about the above disorders in Uttaratantra of Ashtanga hridaya. In the first chapter of Uttaratantra of Sushruta Samhita, Acharya explained about anatomy of eye. In the following chapters a detailed description regarding the diseases and treatment of Netra (eye), Karna (ear) Nasa (nose) and Shiras (head); different surgical procedures like Lekhana (scraping), Chedana (excision), Bhedana (incision), Vyadhana (puncturing) and special therapies like Kriyakalpas (Tharpana, Anjana, Seka etc.) are mentioned.

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Shalakya Tantra Acharya Sushruta described about 76 different types of eye diseases; this number is 94 for Acharya Vagbhata. Diseases were very well explained with the signs and symptoms, different medical formulations, treatments were also explained.

In Sushruta Samhita itself Acharya Sushruta explained 28 Karnarogas (diseases of ear), 31 Nasa rogas (diseases of nose), 11 Shirorogas (diseases of head) and their treatments. Some special treatment procedures called as Kriyakalpas were told by Acharya for the treatment of eye disorders. Acharya Sushruta and Vagbhata explained about five different types of these Kriyakalpas and Acharya Sarangadhara had narrated 7 types these Kriyakalpas. Tharpana, Anjana, Seka are some of the Kriyakalpas. Tharpana is a special procedure in which medicated ghee is kept over the eyes for a specific period of time. It is advised to do in degenerative conditions of eye, some nervous disorders, structural deformities, refrac-

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tive errors etc. Anjana is a treatment in which medicine is applied in the inner aspect of lower eyelid. It is very effective to maintain the normal functioning of eye, vision will be cleared and eye will feel lightness after the treatment. Likewise different surgical and para surgical procedures were told by Acharyas like bloodletting with leeches or vein puncturing, chedana (excision), bhedena (incision), Lekhana (scraping) etc. So definitely we can say Ayurveda is a time-tested science practicing for thousands of years and especially Shalakyatantra the branch which deals with the disease of head and neck has prime importance.

Dr Kannan V S, Assistant Professor, Department of Shalakyatantra, Global Institute of Ayurveda, Rajkot, Gujarat

Improving Mental Health

Dr. Santhosh C. (MD (Ay))

MSc Applied Psychology Senior Resident Dept. of Integrative Medicine, NIMHANS

PERSPECTIVES AND PARADIGMS OF MENTAL HEALTH IN AYURVEDA The World Health Organization (WHO) embraces the definition of health as “physical, mental, and social well-being and not merely the absence of disease or infirmity”. The need for good Mental health or mental well being is something least considered and misunderstood among the community. Lack of awareness and the social stigma associated with mental health problems is a major barrier. Mental health is defined as a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community.

Mental Health in Ayurveda Traditional medicinal systems like Ayurveda have a holistic approach towards life, health and disease. They stand closer to the culture and lifestyle of people and primarily aim to maintain a healthy physical and mental status rather than treating the diseases. Ayurveda, the ancient traditional system of medicine gives utmost importance to the component of mental health in

defining the state of well being and disease. It emphasizes the need of eliciting and addressing the psychological component associated with all sorts of diseases. The earliest descriptions regarding various psychiatric disorders, classification and detailed treatment options are available in various Ayurveda treatises; centuries before the development of modern psychiatry. Among the major eight branches of Ayurveda (Ashtanga Ayurveda) one deals exclusively with psychology and psychiatry.

The detailed literature pertaining to manas (mind), atma (soul), indriya (sensory and motor organs) and indriya artha (object of senses), their role in the process of cognition and maintaining a healthy mental status is narrated. One feature of good mental health depends on Satva (resilience), which is meant resistance towards mental disorders in the face of life adversities. One with a low level of satva finds it difficult to cope with the life stressors and hence more vulnerable to psychological disturbances and psychiatric disorders.

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Improving Mental Health Various psychiatric disorders are explained under unmada spectrum of disorders where eight cognitive and behavioural domains like budhi (intellect) smriti (memory) sajnagyana (orientataion) etc. are affected. Mainly three modes of treatments; Yuktivyapasraya chikitsa (Pharmacological Intervention), Satvavajaya Chikitsa (Psychotherapeutic measures) and Daiva vyapasraya chikitsa (faith healing practices) are followed. Out of which the first two are more authentic and widely practised modes of treatment.

Various forms of medications including medicated ghee, powders, decoctions tablets etc and panchakarma procedures like Vamana (therapeutic emesis), Virechana (Therapeutic purgation), Basti (medicated enema), Nasya, sirodhara etc are used for intervention.

Regular intake of balanced diet and engaging in physical activities, being analytical/ proper planning, Sensory detachment, being kind and helpful, emotional equanimity, being truthful, developing forgiveness, respecting others, serving others, worship of god etc. practices are helpful in developing a positive mental health status.

Ayurveda Psychiatry – Present Status Manovigyan avum Manasroga ( Ayurveda Psychiatry) is a speciality that is gaining more popularity in recent days. In India, five institutes offer post-graduation course in this speciality following the norms of the Central Council of Indian Medicine (CCIM). Anyone completing a bachelor degree in Ayurveda (BAMS) can pursue it from any of these educational institutions. Out of these VPSV Ayurveda College Kottakkal, Kerala and SDM Ayurveda College Hassan, Karnataka is training postgraduates since two decades and providing outpatient and inpatient services, especially for psychiatric cases. The legal issues associated with psychiatric problems are numerous and often the patients are exploited by faith healing practitioners, quacks and under-qualified physicians. The Mental Health Act 2017 recognizes one with post-graduation (MD) in this speciality as a mental health professional legally eligible to consult and treat patients with psychi-

atric problems.

Government Ayurveda Research Institute for Mental diseases (GARIM) Kottakkal, is a pioneer institute in Kerala in the field of Ayurveda Psychiatry under ISM department, Govt of Kerala. It is a sixty bedded Ayurveda psychiatric hospital running since more than four decades.

The institute has a child psychiatry speciality unit and postgraduates scholars and house surgeons across India are posted here for training. A multidisciplinary team including Ayurveda psychiatrists, clinical psychologist, yoga therapist, panchakarma therapists and trained nurses are available at the institute for patient care. It is the coordination centre for various state-level projects related to psychiatry and organizes various public awareness programs and research-oriented training programs for the professionals.

Approximate patient attendance in the OPD is 10000 and 800- 1000 in the IPD in a year.

Department of Integrative Medicine, NIMHANS is one of the first of its kind department in an Institute of National Importance in India, which integrates traditional Indian knowledge from Ayurveda and Yoga with Modern Medical Science in providing clinical services, academic training and research activities with a special focus on Mental Health and Neurosciences. The department started functioning since 2019.

Conclusion Mental health should be considered equal to or more important than physical health. Proper public awareness and development of supporting systems should address the social stigma associated with psychiatric problems. Traditional medicinal systems like Ayurveda are having a separate branch which deals with psychiatric disorders and their management. It is always easy and better to maintain a healthy mental status by modifying our lifestyle and by leaving the negative emotions aside.

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Roga Nidana

Roga Nidana A Science on a Cause

Ayurveda is a science of life that guides a person to lead a healthy life to fulfil his karma. This science has given priority to both preventive as well as curative aspects.

Success in treatment is achieved with early diagnosis, selection of appropriate medicaments, dosage, appropriate diet and condition of patients.

Understanding a disease from its prime cause to typical or atypical manifestation is of utmost importance than anything in the field of medicine.

It was always a challenge for healthcare taker to diagnose a case before the treatment. The era of development of Ayurveda is still debatable but sure that it is older and well developed than a 200-year-old allopathic system of medicine. The popularity of Indian Medical treatises wares so poorly in the pre-colonial period due to many reasons which lead to the science of Ayurveda becoming ignorant to the outer world. There are innumerable books written and preserved in India on medicine but less studied deeply because all are in the Sanskrit language.

Ayurveda is a science of life that guides a person to lead a healthy life to fulfil his karma. This science has given priority to both preventive as well as curative aspects. Success in treatment is achieved with early diagnosis, selection of appropriate medicaments, dosage, appropriate diet

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and condition of patients. In general, people believe that Ayurveda doesn’t have any branches or specialization within itself and if someone shares this knowledge he will not be able to portray the full picture unless he is associated, studied or a part of this fraternity, unlike Modern Medicine where even the tongue-twisting specialization will be very familiar to the commoners.

Nidana is a branch of Ayurveda that specializes in one of the bigger aspects of its curative part.

As discussed earlier for treating any disease we should have a good knowledge of the disease, its causative factors, signs and symptoms, diagnostic tools etc. Ayurveda has explained diseases from the times of Samhitas from almost 6th B.C onwards in a very unique way which are being followed and also borrowed by other health sciences. Ayurveda adopted explaining diseases with Nidana Panchaka which explains each disease in its fullest way.

Roga Nidana Nidana Panchakam It is a part of Ayurveda where the diseases are well studied with the Ayurvedic tool to categorise into different modules. Before categorising different ailments systematically the authors explain the five important parameters to study disease. They are Nidana, Purvarupa, Rupa, Upasaya and Samprapti.

Nidanam The causative factors of each and every disease in detail are tabulated in the part of nidana sthana of every Ayurvedic texts. General causative factors and typical etiological factors are also tabulated. it includes all gross and subtle factors which ultimately leads to derangement in the human body.

It is sure that the reader will astonish by knowing the details of references tabulated there.

Purvarupa The prodromal symptoms are given for each and every disease which are precise and exact.it is a good tool to assess the manifestation of a particular disease by an Ayurvedic practitioner. If it is compared with the modern prodromal symptoms of a particular disease explained in allopathy books it’s almost the same but in a different language and can be seen as Ayurvedic explanations are still ultra-modern.

Rupam Here we get the exact symptoms of different diseases. General symptoms and individual symptoms are categorised in detail. The disease is categorised into different types which are exactly similar to modern classification. General conditions like fever, cough etc are explained as a separate entity and also explains such symptoms in other systematic disorders too. All diseases are categorised systematically eg. Respiratory, rheumatic, neurological, skin, ENT, ophthalmic, paediatric etc. The systematic classification of diseases in ayurvedic text proves the efficiency of Ayurveda, which are still relevant in the field of medicine.

Upasaya The aggravating and relieving factors are given for every disease. Sometimes these factors are used as a tool to precise the diagnosis. The influence of nature, climate, place, time, personal factors etc are considered here.

Samprapti It is the most important parameter to know the course of a disease. From the onset of disease its cause, how it manifest, what are all the stages to develop a disease are explained here. And it is advised that breaking the chain in samprapti is the treatment. Modern pathogenesis comes under this category.

This subject of the article is so was so that I am forced to restrict my view in short. Also, I humbly request the readers to go through different texts to know the intellectual wisdom of rishis.

You will be astonished to see the references of diseases like different fevers, bleeding disorders, respiratory conditions, TB, alcoholic disorders, piles and related conditions, diarrhoea, urinary disorders, diabetes and its types, abscess and his classes, anaemia and its classifications, edema and its classifications, herpes, skin diseases, even leprosy, rheumatological diseases, neurological diseases, eye diseases in detail, ENT diseases in detail and explanations of non-serious clinical conditions as kshudra roga.

As Ayurveda is a Veda, means knowledge that has to be studied by a human in his life and it is so vast so that thousands of books are still available. Also, I state that Ayurveda is not only a science of medicine but also an art of living. All authors explain the steps to keep our body healthy.

So the ultimate aim of Ayurveda is to keep the health healthy than to treat the diseases.

Dr. Vishwanth K.(M.D (Ay.)) Senior Medical Officer, Udma Government Ayurveda Dispensary, Udma, Kasargod, Kerala The Ancient Ayurveda | Mar-Apr 2021 | Issue 6 | 34

PUBLIC HEALTH CARE SECTION

COVID & POST COVID

MANAGEMENT THROUGH AYURVEDA

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Covid-19 Second Wave

COVID-19 SECOND WAVE WHAT AYURVEDA CAN OFFER

Within one year of the outbreak, COVID -19 has become a familiar name in every household. The Global pandemic has literally shaken the global society and economy. While vaccination process is ongoing, second wave of COVID -19 has hit the world in a more devastating manner. The first wave of COVID -19 presented mostly with the symptoms like sore throat, cough, loss of taste, loss of smell, fever but in the second wave many more symptoms like nausea, abdominal pain, hearing impairment, vomiting, diarrhea, predominant oral and skin rashes are noticed. Other notable symptoms increasingly seen in COVID patients include joint pain, gastrointestinal complications, conjunctivitis, weakness and loss of appetite.

The recent reports of ICMR the second wave have some Peculiar features. Higher proportion of asymptomatic individuals are observed in the second wave. Among the admitted patient’s oxygen demand is also high.

The symptoms are not elaborated to create panic, instead if the common people are aware about the symptoms it will help in better management and better reporting of the new cases.

Ayurveda has been successfully used from the time of first outbreak. Ministry of AYUSH has published a protocol for managing COVID cases. Along with that many states have their customized protocols. Ayurveda can act effectively in prevention, treatment and management of post COVID symptoms.

PREVENTION: Prevention is the most effective way to stop the high rate of infection spreading. Preventive strategies for COVID 19 can broadly be categorized as Ahara, Nidra and Vihara.

Ahara(food): Light and Wholesome food at the correct time is very essential to maintain the health and boost up the immune system. The fluid solid balance of the food should be well maintained. Local cuisines as per the season is usually beneficial in maintaining digestive health.

Ayurveda mentions about a set of food items, which if daily consumed, will result in healthy body. They include shashtika sali (a variety of rice which matures in 60 days) gooseberry, rock gooseberry, rock gram. jangala mamsa (meat of animals in dry land forests). These should be used as per availability and season.

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Covid-19 Second Wave Nidra(sleep): Adequate and timely sleep is the key for healthy body. In the time of pandemic sleep plays a crucial role in determining the immunity. Work-related stress and horrifying news related to COVID can exponentially increase the stress. Increased stress has an adverse impact on sleep quality. Sticking to a specific time for bed will help to regulate the quality of the sleep.

Pranayama and deep breathing techniques will regulate the air flow to the lungs and in turn result in better circulation to the brain. Meditating for 10-15 minutes just before going to bed will help in reducing the anxiety and provide good sleep. taking a light dinner and listening to sleep inducing ragas like Neelambari, Kalyani are also beneficial.

Vihara: Vihara means all physical and mental activities. Every action or thought we have in a day have an impact on the mind and body. Due to the pandemic, most of the people suffer from isolation or restricted social movement. Less interaction with the society or the surroundings will lead to generate more stress and the feeling of depression. On the positive side it will also give us a chance to stay away from toxic relations and learn new methods of social networking.

The social isolation gives an excellent opportunity to brush up our hobbies we lost and strengthen self-care.

Ayurvedic daily regimen like Nasya (nasal instillation of medicine), Gandusha (oil pulling), Gargling etc. can be practices safely at home. reach out to your nearest Ayurvedic practitioner. They have much to offer. Adequate exercise is also vital.

Management of COVID Ayurvedic treatment modalities are widely used in India for the management of COVID. The principles of Jwara chikitsa and swasa chikitsa are incorporated accordingly. The medicines like vilwadi tablet, Sudarshana tablet, Indukantham Kashaya, Nagardi Kashaya, Agasthyarasayanam are being found effective in treating the symptoms. Researches shows AYUSH64 is found effective in treating asymptomatic, mild and mod-

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erate COVID cases. These medicines should be used as per the advice of a registered medical practitioner.

POST-COVID TIMES Testing COVID negative for an infected person is not the end of COVID management. Ayurveda aims at regaining a person’s physical and mental health post COVID infection. A Two-fold approach is proposed Restoration of mental health The isolation and fear during the time of the Two-fold from the society, financial constrains all this causes mental trauma to the affected persons. The foremost thing is to reach out, listen and reassure. A feeling that somebody will understand their agonies itself have shown tremendous improvement in the mental health. That positive changes will act as a catalyst for improving physical health.

Restoration of Physical Health The treatment principle of vyadhi ksheenitha (persons weakened due to diseases) is applied in post COVID management. Abhyanga, sweda, dhara etc. can be used as per patient’s strength and need. Rasayana chikitsa (rejuvenation therapy) is also a choice. The suitable Rasayana is chosen as per patient’s strength.

Scope of Ayurveda and administrative support Ayurveda is one among the few medical science which gives equal importance to preservation of health for a healthy individuals and treatment of diseases in the ill. But Ayurvedic preventive methods are not yet effectively communicated to the common man. The pandemic has paved a way to reach out to community level in a significant manner. Adequate systemic support will determine the reach. For instance, Kerala, a better performer in COVID management introduced a multitude of programmes to effectively implement the Ayurveda services.

‘Swasthyam’-Non-drug-preventive intervention for the persons below 60 years

Covid-19 Second Wave ‘Sukhayushyam’-Preventive intervention for persons above 60 years ‘Amritham’-Quarrentine and isolation care with medicines ‘Bheshajam’-Treatment protocol for COVID positive patients ‘Punarjani’-Comprehensive plans for Post COVID management ‘Ayur Help Call Center’- Comprehensive Ayurvedic support Apt administrative support and effective collaboration will produce excellent results in reaching out Ayurveda services to the common people

and in the long run will build a robust system.

Thus, the scope and benefits of this life science will be reached to the needy resulting in a healthy world.

Dr. Krishnapriya V K. MD(Ayu) Managing Partner, ‘DHATU’ Wellness. Healing. Stays Anachal, Munnar

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Ayurvedic Preview: Post Covid Care

AN AYURVEDIC PREVIEW IN POST COVID CARE As we are aware of the coronavirus; it is a Pandemic. People are in a panic; schools are closed, roads are closed, cities are closed and everybody has to sit in their home in their house with the family. So this is a very critical time.

COVID – 19 disease caused by SARS-CoV-2 Coronavirus is relatively a new disease, with fresh information being known on a dynamic basis about the natural history of the disease, especially in terms of post-recovery events. In addition to that now we are facing more critical illness, and high mortality. The events are so depressing and heartbreaking.

Fever (Jwara) is well understood in Ayurveda and it occupies the first chapter in treatment (chikitsa) in two of the canonical texts of Ayurveda, namely Charaka Samhita and Ashtanga Hrdayam. It deals with diagnosis (nidanam), pathophysiology (samprapti), classification, management, medicines, diet and prognosis. Along with this right now we are observing that covid 19 also affects other systems such as the cardiovascular system, gastrointestinal tract, urinary system,

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musculoskeletal system etc. in short we need to focus on the whole body and not particular systems. Here comes the main and important role of Ayurveda.

In Ayurveda, we don’t treat symptoms or an affected system but a person as a whole. We believe in a holistic approach and treat the person as an individual considering his dosha dhatu mala, samprapti, and dosh dushya sammurchhana in the centre. According to Ayurveda the person (purush, - unlike gender) is made up of Chetana, panchamahabhuta, ekadash indriya and ashta prakruti. This is chikitsiya purush according to Ayurveda. So without running after symptoms or damaged system Ayurveda finds the main origin of diseases and target them with the best of it.

So lastly the results are miraculous with utmost attendance of health. Choosing Ayurveda will not let you suffer from any post disease complication.

Many of you people must be unaware of the word prakruti sthapana. Prakruti is our body’s health

Ayurvedic Preview: Post Covid Care condition. A healthy status of dosha-dhatu-mala. When we suffer from any disease this regular arrangement is disturbed. After getting free from disease completely one should take small steps to attend to his health properly. This is called prakruti sthapana- regaining normalcy back in terms of Ayurveda.

See the beauty of Ayurveda, it offers utmost health and not merely a symptoms free body or good medical reports with normal value.

Many people are getting out of the quarantine period after contracting the Covid-19 virus. It’s a tough time for every individual and his/her family who has been infected with the virus. Dealing with the quarantine period is difficult but equally important is Post-Covid care. It is critical not to ignore and take utmost care of your body when you are recovering.

After acute COVID-19 illness, recovered patients may continue to report a wide variety of signs and symptoms including fatigue, body ache, cough, sore throat, difficulty in breathing, Sleep abnormalities, Depression and anxiety, Diffuse myalgia, Some cognitive symptoms such as confusion, less focus, forgetfulness etc. As of now, there is limited evidence of post-COVID squeal and further research is required and is being actively pursued. A holistic approach is required for follow up care and well-being of all post- COVID recovering patients.

If proper care is not taken, then patients can develop many severe conditions such as lung damage, heart damage etc.

People with a history of health conditions such as immune disorders, diabetes, hypertension etc. are at a much higher risk for post COVID-19 health conditions such as cytokine storms.

This immune response is responsible for numerous autonomic dysfunction such as temperature abnormalities, sleep abnormalities, cognitive abnormalities and severe fatigue, which can be se-

vere for people with preconditions.

What Ayurveda have, to offer in post covid management?

According to this ancient medical science called Ayurveda, any abnormalities in the body are caused due to Agnimadhya causing accumulation of Ama(toxins) in your body. . Later on causing the imbalance of Vata, Pitta and Kapha doshas. So, the focus is to bring the Agni in normal and doshas in balance, detoxify the body to make it ready for overall healing.

Here are a few suggestions from Ayurveda that you can take and make a part of your lifestyle to protect yourself and deal with post covid problems if any. (i) At Individual Level • Continue COVID appropriate behaviour (use of mask, hand & respiratory hygiene, physical distancing).

• Drink an adequate amount of warm water or medicated water (if not contra-indicated).

• Take immunity promoting Ayurveda medicine from the nearest vaidya available according to your dosha and Agni.

• After being asymptomatic consult your vaidya and go for Virechan (panchakarma) to eliminate the biological waste materials been deposited into your body during this condition • After completing Virechan one should start taking anyone or two Ayurveda Rasayana type medicine to combat covid and regaining the utmost level of health. This is called prakruti sthapana minimum for 45 days.

• If health permits, regular household work to be done. Professional work to be resumed in a graded manner • Mild/ moderate exercise o Daily practice of Yogasana, Pranayama and Meditation, as much as health permits or as prescribed.

• Breathing exercises as prescribed by treating physician.

• Daily morning or evening walk at a comfortable place as tolerated.

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Ayurvedic Preview: Post Covid Care • A balanced nutritious diet, preferably easy to digest freshly cooked soft diet.

• Have adequate sleep and rest.

• Avoid smoking and consumption of alcohol.

• Take regular medications as advised by your vaidya for COVID and also for managing comorbidities, if any.

(ii) At the Level of Community • Recovered individuals to share their positive experiences of Ayurveda with their friends and relatives using social media, community leaders, opinion leaders, religious leaders for creating awareness, dispelling myths and stigma.

• Vaidya to be always informed about all medicines that the individual is taking (allopathic/AYUSH) so as to avoid prescription interaction.

• Self-health monitoring at home - temperature, blood pressure, blood sugar (especially, if diabetic), pulse oximetry etc. (if medically advised) • Look for early warning signs like high-grade fever, breathlessness, Sp02 < 95%, unexplained chest pain, new onset of confusion, focal weakness.

• The first follow-up visit (physical/telephonic) should be within 7 days after discharge, only to vaidya treating you.

• Take the support of community-based selfhelp groups, civil society organizations, and qualified professionals for the recovery and rehabilitation process (medical, social, occupational, livelihood).

• Seek psycho-social support from peers, community health workers, counsellor. If required seek mental health support service.

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Cherry on Cake We can clean our prana vaha srotas, our respiratory system with pranayama and it will give us a boost of energy so that we can keep away the virus. Another interesting health-supporting practice is to do some yogasana -- camel pose, cobra pose, cow pose, boat, bow, and bridge pose, locust, lotus, and lion pose. If you think that is too complicated, just do Surya Namaskar.

Ayurvedic Preview: Post Covid Care For Surya Namaskar, do a minimum of 7 rounds and a maximum of 12 rounds. We do 7 rounds because there are seven dhātus (bodily tissues).

There are 12 important poses in Surya Namaskar. So, do 12 or 7 Surya Namaskar and then do pranayama and then sit for meditation. For meditation, you can do So’Hum meditation. For this, sit quietly in the lotus pose, siddhasana pose (accomplished) or sahajasana pose (easy), and inhale with the sound “so” in your mind and exhale with the sound “hum”. This is a great opportunity. When you do this So’Hum meditation, you will flower the inner joy, the inner beauty.

Then sit quietly and feel your presence. Your easiness is awareness. And that awareness is Sat Chit Anand. Sat means truth, Chit means Awareness, And Ananda means joy.

These are not just three words. They are the same thing: sat is awareness, chit is awareness, ananda is awareness. Treat these as awareness and there is awareness. So we have to see what is going on in this outer world. Everything that is going on, will come and it will go; nothing is permanent in this world. Let it go. Even this coronavirus will come and will leave on its own accord. But we have to keep our integrity, harmony, happiness and balance between body mind and consciousness. At your home, you can do Pooja-Prarthana (ritual), you can do arti (offering of light during puja), burn a little camphor and do arti or ghee lamp. The others in your household can clap during the puja. This clapping is a kind of marma therapy. A marma of the heart, lungs, kidneys are situated in the palm and this clapping will stimulate them all and strengthen your energy. It will send a message to your internal organs. You can chant OM. You can chant Hari Om. Or, you can

say Jai Ganesh. All these are very creative, positive vibrations of higher Consciousness and they will support our family, will support our friends, will support our neighbours so that we will stand together, walk together, share the same truth.

Uthistaha (Rise Up) Jagrataha (Wake Up) Prapyavaranbodinva [Let us] Achieve the highest supreme knowledge Let us walk together, share together, stand together -- but not too -- close with a little distance, resistance because of too much close. Never shake hands, but do Namaste. Namaste is a very beautiful gesture. If you see your friend, do Namaste and this is a wonderful greeting, and there is no direct hand-to-hand contact. So this sangatchadvam (Let us go together) -- Let us speak the same truth together. Let us share this wisdom with our friends and be happy and this period will soon go away within a couple of weeks. We will see positive vibration and don’t be nervous.

Don’t be unhappy. Don’t be sad. Come out. Stand together and you will see the energy will flower into bliss, into peace.

Be kind to everyone even if he/she might not giving you the same in return.

Love yourself and love others with compassion

Vaidya Sanjay Bhoi

Parayani Nadivaidya, Expert in Ayurvedic Surgery and Para Surgical Procedure, Gujarat.

BE KIND TO EVERYONE

LOVE YOURSELF AND LOVE OTHERS WITH COMPASSION The Ancient Ayurveda | Mar-Apr 2021 | Issue 6 | 42

Dietary Rules for Post-Covid Care

AYURVEDIC DIETARY RULES FOR POST-COVID CARE Those who contracted COVID are slowly coming out of their quarantine period and are eager to go back to their normal diet and routine.

Hold on!!! Not yet!!!

The most important phase is the recovery period post COVID. This period is extremely important for future health and a preparatory phase for building up your immunity; hence one must follow and give paramount importance to self care at home. The body needs time to recover further and normalize all its functions- Digestion being the most important. The Agni or Digestion may still not be at its usual optimum level of functioning and hence one must take care not to burden the Agni and be conscious about what one eats. In order to recover fully and effectively, one has to be mindful of what one eats so as to support and nourish the Agni or digestive fire.

Here are the do’s and don’ts during the recovery phase.

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1. Eat light meals. The Agni is usually depleted during this period and takes time to get back to its normal functioning hence easy to digest and light meals are apt.

2. Freshly cooked & warm food is your best friend. Avoid refrigerated, processed, canned or tinned, out of the packet foods, and food cooked on the previous day as that can derange vata and further affect digestion.

3. Include Warm Vegetable soups, moong dal soup or chicken soup spiced with pepper powder, salt, ginger powder and a dash of ghee.

4. Vegetables like bottle gourd, ridge gourd, ladies finger, green leafy vegetables can be consumed.

5. Khichadi or rice cooked with moong dal.

6. Drink warm water throughout the day (best to sip during meals). Avoid cold or refrigerated water.

7. Eat fruits like Raisins, pomegranate, oranges etc. Fruits should be consumed 1-2 hours after meals and never along with meals.

Dietary Rules for Post-Covid Care 8. Avoid cheese, curd / Yoghurt, Paneer, Ice cream, Maida, fried food, junk food, spicy foods & Restaurant foods.

9. Eat dinner latest by 8pm. Eat your last meal at least 2 hours before bedtime.

10. Drink a small glass of warm milk with a pinch of turmeric at bedtime.

11. Herbal teas with cumin, ginger, fennel etc can be had once a day.

12. Do not over eat. Eat to your stomach’s half capacity.

13. Chew your food properly, and avoid distractions like mobile, TV, Talking etc while eating food.

14. You can drizzle a pinch of ghee on your food while eating.

15. Avoid alcohol and caffeine.

16. Once your digestion starts getting better you can take one teaspoon of Chyawanprash with warm milk or warm water on an empty stomach in the morning which will help builds up your immunity.

17. Once your digestion starts getting better you can take one teaspoon of Chyawanprash with warm milk or warm water on an empty stomach in the morning which will help builds up your immunity. Those suffering from diabetes should avoid consuming chyawanprash

for digestion, dehydration or fatigue. This is not to be consumed by those suffering from diabetes.

Here are some simple preparations that you can prepare at home-

So don’t be complacent, the actual process begins after you have come out of Covid. And continue to wear a Mask, sanitize and maintain distance.

Kharjuradi Mantha: IngredientsSeedless dry grapes 30 gms, soft dates - 20 gm, roasted puffed rice (laja)-15 gms, jaggery - 10 gm, cold water 300 ml.

Lemon SherbetIn a glass of water, add the juice of half a lemon, a pinch of cumin seed powder and a teaspoon of honey, mix well, and drink in between meal times preferably between 11 am to 5 pm. This helps in relieving fatigue. Honey can be skipped in case of those suffering from diabetes.

Mudga YushaTake half a cup of green gram and dry roast it for 2-3 minutes, spread on a plate and let it cool for some time, soak overnight or for 7-8 hrs.

After soaking, take the green gram in a cooking vessel and add 3-4 cups of water to it, boil it on medium flame till the green gram is fully cooked (soft & mashable). Once cooked, strain the soup, add salt, pepper to taste. It can be taken as a replacement for a meal. This helps in strengthening, light on the stomach and nourishing.

Warm, fresh, light home-cooked food which is well balanced will help you recover faster and get your Agni back to normal and nourish your Dhatus, which you can resume your normal diet and eat according to your appetite.

And remember- the secret to Good health, Immunity and long life lies in the Agni !!

MethodBlend all the ingredients in a mixer grinder. Add cold water and stir it well. You can drink this once a day.

For better effect, take the required quantity of water and soak the ingredients for about an hour before blending. This energy drink is excellent

Dr. Kajal NK

Chief Ayurvedic Consultant, Clinic Ayourvaidya The Ancient Ayurveda | Mar-Apr 2021 | Issue 6 | 44

Yoga: Pranayam

RENDERING NATURAL OXYGEN THROUGH YOGA

The outbreak of novel corona virus has affected our mental and physical health. In present scenario, yoga acts as a powerful tool in uplifting our wellbeing. The Covid situation teaches us to be active and positive. Here Yoga acts as a helping hand in achieving both the aims. As the fear for Covid is still luring above our head, let us learn the role yoga plays in respiratory health.

We breathe, but it is not MINDFUL.A mindful deep breathing ensures a proper respiratory health. Regular practice of yoga helps in building a strong respiratory system. Yoga postures along with pranayama increase lung volume and capacity. Yogasanas which involve abdominal, thoracic and clavicular breathing help in gaining control over breath.

Pranayama is of paramount importance. The word “Pranayama” is composed of two words, “Prana” and “Ayama”. Prana is the breath or vital energy in the body and Ayama means to control or extend breath. Hence Pranayama is the practice of breath regulation.

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Why should we include Pranayama in our daily routine?

• Pranayama increase oxygen intake up to 5 times • More oxygen-rich blood reaches the brain, heart and lungs and enables these organs to work better • Bring sympathetic and parasympathetic system to harmony • Allow bronchodilation • Reduce anxiety and stress, help in combating the Covid fear • Give more energy and make you more active Two Effective Breathing practices for improving respiratory health: 1. Surya anuloma viloma pranayama 2. Nadisuddhi pranayama Tips for beginners: For beginners, it is important to understand some basic rules regarding yoga.

• Find a place in your home which is calm, quiet and with abundant fresh air • Take a yoga mat or a blanket

Yoga: Pranayam • • • •

Wear loose garment Ensure that your stomach is empty Keep your mobile phones away Be mentally and physically ready for pranayama

Preparatory Procedure: As a preparatory procedure for your respiratory system, you may start with the 4-7-8 breathing technique. Sit in a comfortable posture in a well-ventilated room.

4-7-8 Breathing technique: • Inhale through both nostrils-By counting 4 in your fingers • Withhold/do breathe retention-By counting up to 7 • Exhale the air slowly-By counting up to 8 in your fingers Exhalation should always be twice the inhalation. You may do this for 5 times before starting the pranayama For doing pranayama, you may adopt any comfortable posture. Those who cannot sit on the ground can sit on a chair and perform the same.

Sukhasana,vajrasana and padmasana are the suitable poses for performing pranayama NASIKA MUDRA • This mudra is usually adapted for the practice of pranayama.

• Raise your right hand up. Fold index and middle finger, so that they touch palm.

• The thumb, little finger and ring finger should stay up.

• Now use Right thumb to close right nostril and use ring and little finger to close left nostril.

3. Slowly Inhale and exhale through right nostril (Surya nadi) only 4. Keep the left nostril closed throughout the practice 5. One cycle of inhalation & exhalation forms one round. You may practice 9 rounds 2. NADISUDDHI PRANAYAMA Nadi sudhi pranayama or alternate nostril breathing is a simple breathing technique. This pranayama practise purifies the energy channels and balances the flow of energy between the left and right sides of the body.

How to do it?

1. Adopt nasika mudra in hands 2. Close right nostril using thumb and Inhale slowly through Left nostril 3. Withhold the breath (Do retention) 4. Close left nostril using little and ring finger and Exhale it slowly through Right nostril 5. Close left nostril and inhale through right nostril 6. Withhold breath (do retention) 7. Close right nostril with thumb and slowly exhale through Left nostril This constitutes 1 round of nadishudhi pranayama. You may practice 9 rounds The pollution and emerging infections succumb our respiratory system to lot of risks. Pranayama with Mindful deep breathing helps in overcoming this challenge.

Hence let us include Pranayama into our daily routine and breathe better...

1. SURYA ANULOMA VILLOMA PRANAYAMA (Right nostril breathing) How to do it?

1. Adopt nasika mudra in your hand 2. Close left nostril with little and ring finger

Dr. AYANA R. (M.D (Ayu))

Assistant Professor, Department of Swasthavritta, Shree Swami Narayan Ayurveda College

The Ancient Ayurveda | Mar-Apr 2021 | Issue 6 | 46

Puran Poli

HEALTHY RECIPES

PURAN POLI Dr. Shraddha Purohit BAMS, CRAV

Puran Poli is a classic Maharashtrian dish that is also very famous in Gujarat. In its preparation, some will make a sweet filling using chana dal (split chickpeas) /coconut /toor dal ( split pigeon peas) /sugar, etc.

Here we are going to describe how to prepare the SATVIK version of Puran Poli without sugar, dal and maida.

INGREDIENTS For dough : Wheat flour - 1 cup Milk- Qs for binding the dough For stuffing: Finely chopped dates - 3/4th cup Finely chopped fig - 3/4th cup Chopped jaggery- 1/4th cup Wheat flour for rolling Melted ghee for smearing 47 | Issue 6 | Mar-Apr 2021 | The Ancient Ayurveda

PREPARATION For dough: Mix the whole wheat flour and milk in a deep bowl and knead into a soft dough using enough water.

Keep the dough covered with a lid and keep aside for 15 minutes For stuffing: • Take 3/4thCup de-seeded and finely chopped dates and fig.

• Add dates into the blender and blend until you get a smooth paste. do the same for fig paste.

• Place 2 spoons of ghee into a pan on medium flame and add date paste and roast it for 2 to 3 minutes then gradually add fig paste and jaggery. Mix it well and let the jaggery melt.

Puran Poli • Keep the flame off and let the mixture cool down.

• On the other side take some portion of the dough and flatten it between your Palms.

• Dip the dough in some wheat flour and roll it well approx 4 inches diameter.

• Place the stuffing in the centre of the circle.

• Bring together all the sides in the centre and seal tightly.

• Lightly press the sides using your fingers and roll out again into a circle of almost 5 inches diameter using wheat flour for rolling.

• Heat a non-stick/ tava/ griddle and cook the Puran Poli till it turns golden brown colour from both sides.

• This type of Puran Poli will be a little bit thick due to stuffing with date and fig.

• Brush Puran Poli with ghee.

In the same manner, we can make the remaining Puran polis.

(For pregnant women, we can use sesame instead of fig. During pregnancy, women are advised to have nutrient-dense food that has calories as well as vitamins and minerals.

Dates may promote and ease natural labour for pregnant women when consumed during the last few weeks of pregnancy) BENEFITS OF PURAN POLI IN THIS SEASON • We celebrate Holi in the season of cold in Vasant Rutu. In this season previously accumulated KAPHA start melting in the body and creates Kaphajanya diseases in the body • On this holy day of the festival, people used to eat dates and corns, both help to eradicate the accumulated Kapha from the body.

• •

•

•

Dates contain several vitamins and minerals in addition to fibre and antioxidant Fibre can benefit your digestive health by preventing constipation Dates contain several types of antioxidants like flavonoids, carotenoids, and phenolic acid mainly. That may help prevent the development of certain chronic illnesses such as heart disease, cancer, and diabetes.

Helpful for lowering inflammation and preventing plaque from forming in the brain which is important for preventing Alzheimer’s disease.

100-gram dates having, calories 277, carbs 75 grams, fibre 7 grams, protein 2grams.

BENEFITS OF FIG • According to Ayurveda, figs having the capacity to pacify VATA dosha as well as PITTA dosha.

• Figs work well in vitiated PITTA and RAKTA dosha.

• Fig is a good source of both calcium and potassium.

• These minerals can work together to improve bone density which prevents conditions like osteoporosis.

• A major benefit of figs is they are naturally fat-free cholesterol-free food.

• one medium( 2 1/4th inch) fig contains calories 37, sodium 1 milligram, carbohydrate 10 grams, fibre 1 gram, sugar 8 grams, protein 0 grams.

• NO CHOLESTEROL, NO FAT, NO PROTEINS.

BENEFITS OF DATES • According to Ayurveda, dates gives benefit to various diseases like raktapitta, diarrhoea, wound, vomiting, fever, loss of appetite and balance the VATA and KAPHA doshas.

• The date is also called a breath of the “Sahara desert” a very delicious and highly nutritive.

The Ancient Ayurveda | Mar-Apr 2021 | Issue 6 | 48

Disease Column

CHOLESTEROL – MYTHS & FACTS IN AN AYURVEDIC PREVIEW

Dr. Naveen Varghese (BAMS, MD, CGO, CSD) Specialist Medical Officer, Punarnava Project for Rehabilitation of Stroke & it’s Management, Government Ayurveda District Hospital, Kottayam, Kerala

What is cholesterol?

Cholesterol is a waxy, fat-like substance that’s found in all the cells in your body. Your body needs some cholesterol to make hormones, vitamin D, and substances that help you digest foods.

Your body makes all the cholesterol it needs.

Cholesterol is also found in foods from animal sources, such as egg yolks, meat, and cheese.

If you have too much cholesterol in your blood, it can combine with other substances in the blood to form plaque. Plaque sticks to the walls of your arteries. This buildup of plaque is known as atherosclerosis. It can lead to coronary artery disease, where your coronary arteries become narrow or even blocked.

What are HDL, LDL, and VLDL? HDL, LDL, and VLDL are lipoproteins. They are a combination of fat (lipid) and protein. The lipids need to be attached to the proteins so they can move through the blood.

Different types of lipoproteins have different purposes: HDL stands for high-density lipoprotein. It is sometimes called “good” cholesterol because it carries cholesterol from other parts of your body

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back to your liver. Your liver then removes the cholesterol from your body.

LDL stands for low-density lipoprotein. It is sometimes called “bad” cholesterol because a high LDL level leads to the build-up of plaque in your arteries.

VLDL stands for very low-density lipoprotein.

Some people also call VLDL a “bad” cholesterol because it too contributes to the build-up of plaque in your arteries. But VLDL and LDL are different; VLDL mainly carries triglycerides and LDL mainly carries cholesterol.

What causes high cholesterol?

The most common cause of high cholesterol is an unhealthy lifestyle. This can include Unhealthy eating habits such as eating lots of bad fats. Particularly, saturated fats found in some meats, dairy products, chocolate, baked goods, and deep-fried and processed foods. Another variety of trans fat can also be seen in some fried and processed foods. Intake of these types of fats can raise your LDL (bad) cholesterol. Even a lack of physical activity, mainly sitting for long hours without doing many exercises can lower your HDL (good) cholesterol.

Disease Column Ayurveda, the world’s oldest medical systems having a tradition of 5,000 years, is a holistic healing system that considers each individual as unique, and also takes into account the inherent relationship between the individual and the universe. Its holistic approach to health care is based on a unique understanding of the interrelationship of body, mind and spirit. The aim of Ayurvedic medicine is to integrate and balance these elements to prevent illness and promote wellness through diet, nutrition, herbs, spices, yoga, external therapies, meditation, and daily and seasonal routines.

The pathophysiology of Ayurvedic practice is based on three bio-energetic factors known as DOSHA. They work through the body tissues (DHATU) and make them functional. Health is a state of balance of DOSHA in the body and their healthy interaction with AIR, HEAT and WATER in the surroundings in which an individual lives. Metabolic processes known as AGNI are vital for converting substances in nature into the body’s components. All metabolic diseases are an outcome of improper AGNI, whereas, in the balanced state of DOSHA, nourishment of the body tissues and timely elimination of wastes (MALA) is due to proper AGNI.

varieties: JAATARA AGNI – located in the alimentary tract and performing major metabolic processes, DHATU AGNI – situated at tissue levels and capable of processing metabolic requirements of individual tissues, and BHOOTA AGNI – subtle metabolic processes that happen at the cellular level.

Metabolic processes maintain the normal quantity, quality and function of the DOSHA and DHATU. When in abnormal states due to various causative factors relating to the body and the mind; metabolites that are not assimilated by the body tissues will be produced. The resultant product of such metabolic action is called AAMA. AAMA is the primary cause of all metabolic disorders in Ayurveda. Once formed it is capable of obstructing the metabolic pathways and causing diseases. Cholesterol is considered as one such product that originates due to metabolic impairment in the alimentary tract and fat tissue (MEDA).

An individual’s imbalance is understood by studying the history of illness along with an extensive examination of the patient, including an assessment of the three DOSHAs. When the three DOSHAs are balanced the body experiences health, but if there is a state of imbalance it will result in disease. Therapeutics for any disease is focused on bringing the DOSHAs back to constitutional equilibrium and rebalancing the AGNI of the patient that can provide metabolites that are essential for the health of bodily tissues.

There is no precise term for hyperlipidemia in Ayurvedic classics. Literature shows that scholars have tried to use distinct nomenclature for hyperlipidemia, e.g., Rasagata Sneha Vriddhi (increase in lipids in plasma), Rasa Raktagata Sneha Vriddhi (increase in the lipids in plasma and blood), Medovriddhi (generalized lipid increase), Medoroga or Medodosha (obesity), AAMA Medo Dhatu (abnormally formed adipose tissue). A detailed study of hyperlipidemia reveals its similarity to Asthayi Medo Dhatu Vriddhi (abnormal increase in circulating lipids) with regard to the pathophysiology. This excessively increased circulating lipid is AAMA in nature, resulting in further complications.

As stated earlier, Ayurveda emphasizes the importance of metabolic processes in health promotion as well as disease management. “AGNI”, literally “fire”, is the term used in Ayurveda for defining collectively all the bodily metabolic actions. Ayurveda classifies AGNI into several

The abnormal MEDA (fats) formed due to an aberrant state of metabolism circulates in the channels of the body and gets deposited, producing various symptoms like flabbiness of the body parts such as the abdomen, breasts, etc. It clogs and blocks the flow of lymph and blood, The Ancient Ayurveda | Mar-Apr 2021 | Issue 6 | 50

Disease Column causing lethargy, difficulty in breathing, excess sleep, excessive perspiration, a foul body odour, weakness, lack of stamina and loss of libido. Ultimately the excess of fats gradually involve DOSHA and DHATU in the body and cause maladies such as hypercholesterolemia, hypertension, diabetes mellitus, heart problems, joint disorders and obesity.

It’s important to understand that the liver not only produces cholesterol, but it’s also a part of the digestive system. It’s the place where toxins are screened before they enter the bloodstream.

If the liver becomes overloaded with toxins, due to certain mental, physical and environmental factors, its functioning can become impaired.

When this happens, it disturbs the 13 types of digestive fires (Agni).

This results in three types of imbalances: 1) Increase in medho dhatu 2) Decrease of medho dhatu 3) medho dhatu mixed with ama.

When medho dhatu mixes with ama, it changes the quality of fat tissue as well as that of cholesterol, making it unhealthy rather than healthy.

This mixing of ama with fat tissue is the main cause of imbalanced cholesterol. And it is the liver (yakrit) that is responsible for qualitative digestion, i.e. the quality, or purity, of the fat tissue and hence the quality of the cholesterol that is being produced.

This fall into three categories: mental, physical and environmental. Mental causes include too much mental activity or pressures at work as well as emotional factors such as anger, worries, sorrow, and greed.

Physical causes include eating too much (above digestive capacity) or too little (below the digestive capacity), and eating faulty food (against the digestive capacity). Other physical causes include eating before the complete digestion of the previous meal, eating irregular amounts at irregular times of day, intake of food during the time of

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indigestion, suppressing natural urges, constipation, and emaciation.

Environmental causes include eating the wrong foods for the climate or season, as well as eating foods polluted with toxins.

There are three types of toxins. One, called ama in Ayurveda, is the sticky, foul-smelling waste product of improper digestion. Ama settles first in the digestive tract and, if it continues to accumulate, mixes with the rasa (nutritive fluid) and travels throughout the body, settling in weak areas. Ama is caused by dull, slow digestion or by eating foods that are too heavy and difficult to digest, such as packaged, frozen, canned, fried, fatty, or leftover foods.

The second type of toxin is called amavisha, and it is a more reactive, dangerous type of ama.

Amavisha is created when ama is present for a very long time and is not flushed from the system. If amavisha mixes with the fat tissue, and at the same time one continues to engage in an unhealthy lifestyle or diets such as lack of exercise, sleeping during the day, eating excessive amounts of fatty foods, indulging in alcoholic drinks etc thereby causing imbalance and disease in the lipid tissues.

For instance, imbalanced medho dhatu can distort the cardiovascular veins, called as raktavahi srotas in Ayurveda. If amavisha has mixed with the blood and fat tissue, it can distort and damage the srotas (channels that carry fluids of various sorts throughout the body), narrowing the veins as in atherosclerosis.

So ama can cause problems that are associated with impure lipid tissue thereby increasing the cholesterol level, even though it’s not the cholesterol itself that causes these problems.

Toxins can also enter the body from the environment, with exposure to lead and other heavy metals, or water or air pollution which can be termed to be as garvisha in Ayurveda. Intake of

Disease Column food items which are cultivated from chemical fertilizers and pesticides, and food that is prepared with chemicals, additives, and preservatives, can also add to the toxic overload of the liver and result in disturbance of lipid metabolism.

these factors can cause high cholesterol, the most dangerous combination is eating large quantities of unhealthy fat, which can happen easily if you eat fast foods or processed, packaged foods on a daily basis.

To understand this, we need to look at how the seven tissues (dhatus) in the body are formed.

All of the tissues are formed in a sequence of metabolic transformations, and the health and strength of each type of tissue are based on that of a previously formed one. When you eat food, it is converted into rasa (nutritive fluid) and from there it is transformed into rakta (blood plasma), and in a sequence converts to the mamsa (muscle), meda (fat), asthi (bone), majja (bone marrow), and finally, shukra (reproductive fluid).

Ayurvedic Diet Tips to Regulate Cholesterol Levels

If ama has accumulated in the nutritive fluid, blood plasma or muscle tissue, which are all raw material for forming fat tissue, then that ama will also be present in the fat tissue. This is one of the major reason for ama in the fat tissue: ama accumulating in the rasa, rakta or mamsa tissues.

Another major reason is eating unhealthy types of fat, which do not nourish the body but rather create ama. This includes saturated fats found in meat, butter and vegetable oils. A worse type of fat that is virtually indigestible is Trans fats, or hydrogenated vegetable oils, that are found in almost all packaged, processed and fast foods.

Another type of unhealthy fat is rancid or overheated fats.

I think it’s obvious why you shouldn’t eat fats that are spoiled. But overheating fats is just as bad. Most polyunsaturated vegetable oils (corn, sunflower, safflower, sesame) are processed with chemicals or heat, and their nutritional value is destroyed. They end up creating free radicals, contributing to oxidized fats, or cholesterol, in the body. This can happen even if you use coldpressed oils for frying or cooking foods.

A third reason is just eating too much fat overall, even if it’s the good kind of fat. While all of

Here are some important diet tips and herbal remedies to regulate cholesterol • Stick to a kapha-pacifying diet. Avoid fatty food, cheese, processed foods, high-fat milk or yogurt. Minimise the consumption of sweets and cold foods and drinks.

• Garlic is said to be the most effective in preventing high cholesterol. Mix together one clove of fresh garlic chopped finely, half teaspoon grated ginger root and half teaspoon lime juice; eat this mixture before each meal you take through the day.

• Drink a tea made of one teaspoon cinnamon and one-fourth teaspoon of the herbal mixture trikatu. Steep it for 10 minutes in a cupful of water; add one teaspoon honey and drink. Take it twice a day.

• Taking half teaspoon trikatu with one teaspoon honey, two to three times a day is good for burning ama (digestive fire) and excess kapha, further helps to regulate cholesterol.

• Another herb that has been known to effectively manage cholesterol levels in the body is chitrakadi vati.

• Drink one cup of hot water mixed with honey. This will help to ‘scrape’ off the fat from your system and reduce cholesterol levels.

You could also add one teaspoon of lime juice or 10 drops of apple cider vinegar to make the drink more effective.

• Include more millets, quinoa, oatmeal, wheat, apples, grapefruit, and almonds to reduce cholesterol.

• Make sure you engage in physical activities to regulate cholesterol.

• Don’t forget to eat a healthy diet and lead a right lifestyle to ensure healthy cholesterol levels.

The Ancient Ayurveda | Mar-Apr 2021 | Issue 6 | 52

Beauty Tips

BEAUTY PARLOUR AT HOME

Dr. Aiswarya K. (M.D (Ayu)) Ass. Prof. Dept. of Agadtantra, State Model Govt. Ayurveda College, Gandhinagar In this current pandemic situation, it will be difficult for us to step out from home for cosmetic purposes. Hence we are here with some powerful home remedies, which can be done with herbal preparations thereby reducing the cosmetic toxicity to a large extent.

Let us check two daily using cosmetics, on how to prepare those at home at a low cost without harming our health.

KAJAL From the eternal times, the beauty of kajal filled black eyes has always mesmerized poets all over the world & was portrayed as the real beauty feature of women.

The method of preparation of Kajal is still practising in many traditional homes of Kerala. Kajal can be prepared with the juice of Sahadevi (Vernonia cineria ), a commonly available plant.

At first, prepare the juice of the whole plant by grinding it in a mixer. After that dip, small cotton cloth in the juice and dry it in shade. Repeat the process for 3 – 4 times till the whole juice gets coated with the juice. After drying, fold the cloth in the shape of a wick and place a diya (lamp) and lighten the diya (lamp) with this wick.

Place an earthen pot or a clean vessel above the diya (lamp) and collect the ashes from it. Later on, scrape the ashes into a clean container and powder it well with your hands and add some powdered camphor and desi ghee. The output is

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mixed properly and stored in an airtight container. This can be preserved for a long duration.

LIPBALMS Be it winter or summer, lip balms have become an essential part of our day to day life. When we assess the toxicity of these lip balms which are available on the market in plenty, many of them are heavily toxic due to the presence of lead in it. So why should we compromise our health for our beauty?

Naturally made lip balms were used in ancient times for which we can get references even in our Puranas.

Prepare fresh beetroot juice without adding water and add bee wax in it along with desi ghee and heat the mixture for few minutes on low flame. After some time it turns into a waxy texture, transfers the content to a tight container.

This can be stored in the fridge for a long time.

Homemade red lip balm is safe and convenient to use and prevents your beautiful lips from lip cracks and dryness.

In modern world, man became smart enough to depend on chemicals for our cosmetic needs. even though we know they are toxic. But for sake of convenience and its readily availability we opt for more chemically churned cosmetics in place of homemade natural Ayurvedic cosmetics. It’s better to be late than never. A wise decision will always be YES to Ayurveda.

EXPLORING MOTHER NATURE

“GUDUCHI” OR GILOY

A DRUG OF IMMENSE POSSIBILITIES Guduchi (Tinospora cordifolia [Wild.] Miers.) is one of the most valued and common drug available in Indian system of medicine belonging to Menispermacea family. Guduchi is a Sanskrit word which means, that which protects body from diseases. It is also termed to be as ‘Amrta’, which refers to ‘the heavenly elixir’. According to Hindu mythology, it is believed that the Divine nector (Amrta) which was brought by Hanuman to bring the dead to alive during the battle of Rama and Ravana fell in the ground and from which Guduchi sprouted. According to the tale, Guduchi saved c e lestial beings from old age and kept them eternally young. It is the potential drug in Ayurveda which boasts about full of life energy with myriad of uses. It can help with prolonging life and was thus recognized by the ancient rishis of the Vedic era, long before the age of modern technology.

Habitat and Distribution: Guduchi, a climbing succulent shrub is found throughout India especially on the tropical area mainly in states like Kerala, Karnataka, Tamil Nadu, Goa, Maharashtra, Gujarat, Bihar, Uttar Pradesh, Bengal, Odisha, West Bengal, Arunachal Pradesh, Sikkim etc. Almost 40 species are found and distributed in tropical Africa, South-East Asia, Indo Malaya regions and Australia.

Action or Properties: The stem of Giloy which is the useful part of the plant is bitter, astringent, sweet, thermogenic, anti helmintic, antispasmodic, antipyretic, anti inflammatory, antiemetic, digestive, carminative, appetizer, stomachic, expectorant, aphrodisiac, rejuvenating and tonic.

Uses: Guduchi is used extensively in treatment of all types of fever like intermitted fevers or viral fevers, diabetes, burning sensation, hyperdipsia,

helminthiasis, vomiting, flatulence, acid gastritis, urinary tract disorders, anemia, jaundice, asthma, cardiac disorders, gout, leprosy, skin disorders, cough, asthma, seminal weakness, eye disorders and general debility. It has many medicinal properties such as anti-inflammatory, anti-diabetic, anti arthritic, antioxidant, anti-stress, antileprotic, anti malarial, hepatoprotective, anti allergic and immune modulatory activities. Guduchi is highly valued in Ayurveda for its detoxifying, rejuvenating, immune-supporting, and anti-ama properties. It is now being studied by researchers for cold and flu prevention, immune support, skin disorders, arthritis, liver disorders, gout and other rheumatic disorders. Moreover, Guduchi is one among the “MedyaRasayan” when consumed regularly attains longevity, memory, intelligence, freedom from illness, youthfulness, excellence of luster, complexion and voice, optimum strength of physique and sense organs, perfection in deliberation, respectability. It is considered the best drug in terms of availability, economy, ease of administration, etc. and further, at the dose levels employed clinically it is well tolerated.

Mode of Usage • Fever - Decoction of the cold infusion of Guduchi if taken internally is beneficial.

• Jaundice –Paste of Guduchi leaves with buttermilk • Thirst –Syrup made with Guduchi • Gout– Milk or ghee processed withGuduchi decoction • Skin disorders –Juice or decoction of Guduchi taken as drink.

• Diabetes –Juice of Guduchi with honey

Dr. Sarin T. (M.D(Ayu))

Assistant Professor, Department of Dravyaguna Vijnana, Shree Swaminarayan Ayurvedic Medical college, Kalol, Gandhinagar Gujarat

The Ancient Ayurveda | Mar-Apr 2021 | Issue 6 | 54

Parenting Care

uotkr f'k'kq dh ns[kHkky ^vH;ax* ¼vk;qosZfnd elkt½ 'kkL= 'kq) i)rh ds vuqlkj elkt djus ls f'k'kq dks cgqr Qk;nk gks tkrk gSA ij elkt dk eryc flQZ rsy yxkuk ,slk ugha gksrkA f'k'kq ls ,d:i gksdj mls Li'kZ ds ek/;e ls laokn djuk gh lgh ek;us esa elkt gksrk gSA fu;fer :i ls elkt djus ls 'kjhj esa jä dk lapyu] 'olu laLFkk] ipulaLFkk vPNh rjg ls dk;Z{ke gks tkrs gSA

fnu ugkrs oä rsy fudy tkrk gSA

elkt dh otg ls f'k'kw esa jksx çfrdkjd 'käh ;kuh dh bEewfuVh c<kus okyh isf'k;ksa dh la[;k c<+ tkrh gS vkSj 'kjhj ls LVªsl dk ysOgy de gks tkrk gSA

cPpksa ds fy, vkS"kf/k;ksa ls fl) vH;ax rsy vPNk gksrk gSA lqcg Luku ls igys iwjs 'kjhj dks gYds gkFk ls rsy yxk,aA rsy yxkrs oä cgqr tksj ls ;k T;knk çs'kj nsus ls cPpksa dks ijs'kkuh gks ldrh gSA cPpksa ds lkFk [ksyrs [ksyrs /khjs&/khjs vkSj cgqr I;kj ls rsy tc yxkrs gSa rc cPpksa dks Hkh rsy yxkdj ekfy'k djuk vPNk yxrk gSA

elkt djus ls f'k'kw dks vPNh uhan yxrh gS] otu c<+ tkrk gS ,oa rsy dh otg ls Ropk dk iks"k.k c<+ tkrk gSk Luk;w esa rkdr vk tkrh gSA elkt ds fy;s rsy\ lcls T;knk iwNs tkus okys loky ;gh gksrk gS fd elkt ds fy, dkSulk rsy bLreky djsa\ f'k'kq ds elkt ds fy, igys rsy dks futaZrqd djsa] blds fy;s mcy us rd rsy dks xje djs] fQj BaMk gksus ds ckn ,d cksry esa j[k ds jkst bLrseky djsaA rsy dk elkt jkr es djus ls T;knk Qk;nk feyrk gSA mls nqljs

55| Issue 6 | Mar-Apr 2021 | The Ancient Ayurveda

dksbZ Hkh u;k rsy bLreky djus ls igys mls igys gkFk ij yxk;sA nqljs fnu rd vxj dksbZ Hkh ,syftZd fLFkrh u fn[ks] rks gh ml rsy dks lqjf{kr le>dj mldk bLrseky djuk 'kq: djsa] vU;Fkk u djsaA

lkekU;rk elkt djus okys O;fä cPpksa dks [kqn ds iSjksa ds Åij ysVk dj rsy yxkrs gSa] rks cgqr vklkuh ls elkt gksrk gS] ysfdu vxj ;g eqefdu ugha gS rks mls eqyk;e diM+ksa ds Åij j[kdj rsy yxk;k rks Hkh py tk,xkA f'k'kq dks elkt dSls djsa\ lcls igys f'k'kq ds flj ds Åij xquxquk rsy yxk,aA blls rsy vPNh rjg ls vanj rd 'kks"k.k gksdj f'k'kq ds cqf) dk fodkl gksrk gSA ukfHk esa nks ;k rhu cwan rsy MkysaA ckfj'k ds fnuksa dks NksM+dj] „&… cwan dku esa Mkyuh pkfg,A vk;qosZn esa dku esa rsy Mkyus dh

Parenting Care bl çfØ;k dks ^d.kZ& iqj.k^ dgk x;k gS vkSj ;g lHkh çdkj ds dku ds fodkjksa esa cgqr gh mi;ksxh gSA flQZ gesa lc txg ij xquxquk rsy bLrseky djuk pkfg,A thl ls cPps dh lquus dh 'kfä ;kuh dh Jo.k& 'kfä ¼Jo.ksafæ;½ dk fodkl gksrk gSA mlds ckn rsy yxkus dh 'kq#vkr iSjksa ls djsa vkSj rsy yxkrs oä iSjksa ds ryos ls tka?kks dh vksj] gkFk ds ryos ls xnZu dh vksj ,slh fn'kk esa elkt djuk pkfg,A eryc] uhps ls Åij dh vksj ;k fQj ^ºzn;^ fd vksj gesa gkFk ls elkt djuk pkfg,A ihB ij Hkh uhps ls Åij dh vksj vkSj isV ij ?kM+h dh fn'kk tSlh xksy fn'kk esa gkFk QSykrs gq, ¼circular motion & clockwise½ rsy yxk,aA blls cPps dh ikpu&'kfä c<+ tkrh gSA rsy ge tSls fn'kk esa elkt djrs gSa ml fn'kk esa vanj dh vkarksa dh jpuk gksrh gS vkSj vanj rd rsy igqap dj vkarksa dh rkdr vkSj ikpu 'kfä c<+rk gSA de ls de ckfj'k esa vkSj tkM+s ds ekSle esa rsy dks xquxquk djds gh bLrseky djsaA rsy yxkus ds ckn f'k'kq dks vk/ks ?kaVs ds ckn Luku djk,aA bl çdkj fu;fer v/;;u djus ls f'k'kq

dh gfì;ka vkSj ekalisf'k;ka etcwr gksus esa enn gksxh] Ropk dksey vkSj lrst gks tk,xh] ,oa 'kjhj dh ck<+ vPNh rjg ls gks tk,xhA bl rjg ls 'kkL= lqfo/kk elkt gj fnu djus ls uhan Hkh vPNh rjg ls gks tkrh gS vkSj jksx fojks/kh çfrdkj {kerk c<+ tkrh gSA [kkl dj 'kke ds oä fQj ls ,d ckj rsy yxkus ls uhan cgqr gh vPNh vk tkrh gSA oSls ns[kk tk, rks cPpksa dks igys 2 lky gj jkst ^vH;ax^ eryc elkt djsa] mlesa Hkh de ls de igys 8 ;k 9 eghus ds fy, jkst vH;ax djuk gh pkfg,A ckn esa gks lds rks jkst ;k fQj de ls de 5 lky rd g¶rs esa ,d ;k nks ckj vH;ax t:j djsaA MkW- çktäk lfpu x.ks'kokMh laLFkkid& ^^Jh lnkeaxye vk;qosZfnd fpfdRlky;**] dksYgkiwj] egkjk"Vª

The Ancient Ayurveda | Mar-Apr 2021 | Issue 6 | 56

FREE ONLINE CONSULTATION

Adopt Ayurveda to Rejuvenate Your Mind & Body For consultation from experienced team of Expert Doctors, WhatsApp your Queries on +91-635 635 4444

Dr. Shanti Nair MD, Ayurveda

Dr. Sarin T. MD, Ayurveda

Riddhi Shah

Holistic Health Coach & Nutritionist

1. I am overweight and have many digestion issues; can u suggest a diet chart?

- Bhishma Avoid rice, refined wheat flour, and fat-rich food including milk products such as paneer, cheese, butter. The natural way of weight loss is the best way to shed out the excess fat in the body. Eat when hungry and learn to stop eating once the body indicates so along with it make a habit of drinking lukewarm water. Avoid eating snacks in between meals as most snacks are unhealthy and can lead to weight gain. When hungry, it is better to eat fruits or nuts like badam which is healthy. Follow a routine for waking up, going to sleep, having food (especially practicing an early and light dinner) and regular physical activity will help body metabolism to be optimal. Internal medication and panchakarma treatments also have a good result which will be prescribed by the doctor on direct consultation.

2. How to reduce coughing and nose congestion?

- Bhavin Vaporization with Tulasi leaves will help in reducing cough. Internally 15ml dashamoolakatutrayam kashyam+ 45 ml lukewarm water 6 am-6 pm for 7 days if the complaint persists do consult a physician.

3. How to come out from post covid side effects? Any medicines or precautions?

- Om Follow physical distancing, respiratory and hand hygiene, wear a mask. Gargle with warm water added with a pinch of turmeric and salt. you can do Steam inhalation with ajwain, pudina once

57 | Issue 6 | Mar-Apr 2021 | The Ancient Ayurveda

a day. try to have adequate sleep for 6-8 hours a day. Do moderate physical exercise and yoga.

Chayavanaprasha with milk or lukewarm water once a day. Rasayana choorna (Tinospora cordifolia, Emblica Officinalis, Tribulus Terrestris -3gm powder twice daily with honey for one month can be taken. Ashwagandha choorna 3gm powder twice daily with warm water for 15 days.

4. Any ayurvedic remedy to maintain oxygen level in the body?

- Anmol Dear friend, there is no particular remedy or medicine is there in Ayurveda to increase the oxygen level in the body. Practicing Pranayama does help to improve the vital capacity of the lungs and reduces the stress level in covid patients as well as post covid times. Internal medicines like Indukantam kashyam, kanakasavam, etc can prevent the development of a serious crisis. Apart from that, as Ayurveda says, “Prevention is better than cure”, better to avoid morbid situations by practising an ayurvedic lifestyle.

5. Doctor can you tell me any remedy for good sleep?

- Komal To get proper sleep, a calm mind and body are necessary. avoid mobile before sleep. do a slight meditation just before sleep will be good. Drinking a glass of milk before sleep is also the best option. doing full body massage with oil and doing slight physical exercises will get you to have a sound sleep. after doing all these measures, still, the complaint persists, then detailed consultation is necessary.