INTRODUCTION India has a rich heritage of medical wisdom derived from the Vedas that prevailed as Ayurveda. This was further enriched by the ancient Saints (Rishi's) with Siddha system and Yoga practices. These were the principal medical practices of the country for centuries, forming part of Indian ethos and culture.
The term AYUSH is a Sanskrit term that denotes life or longevity. Ayurveda , Yoga & Naturopathy , Unani , Siddha and Homeopathy . These systems are based on definite medical philosophies and represent a way of healthy living with established concepts on prevention of diseases and promotion of health.
The word Ayurveda derived from AYU and VEDA . AYU means life VEDA means science or knowledge. Ayurveda means the science of life. It is divided into three main branches viz., Nara Ayurveda dealing with human life, Satva Ayurveda the science dealing with animal life and its diseases Vriksha Ayurveda the science dealing with plant life, its growth and diseases. Ayurveda
As per Ayurveda, all objects and living bodies are composed of five basic elements: Prithvi (earth) Jal (water) Agni (fire) Vayu (air) Akash(ether)
FUNDAMENTALS OF AYURVEDA Ayurveda is based on Indian Philosophy - the theory of macrocosm and microcosm.Just as the universe has the sun, moon and wind, in the same manner all living beings have motion, liquid and the heat or energy component. They are called Vata , Kapha and Pitta respectively.(Tri- dosha )
Vata : Vata initiates and promotes biological activity responsible for all the movements of the body. Pitta : Responsible for generation of heat and all actions relating with digestion, absorption, metabolism, pigmentation of skin, vision, intelligence and ego. Kapha or Sleshma : Responsible for moistening of ingested food, nutrition to the heart, mind and body tissues, perception of taste and lubrication of joints.
TREATMENT The Ayurvedic treatment consists of three factors: Aa h ra - food. Vihara - mental and physical behaviour. Aushadha - medicine.
Ayurvedic treatment covers the widest possible prophylactic and therapeutic approaches viz., use of a drug ( Aushadha ), diet ( aahar ) and practices ( Vihara ) prescribed jointly and contrary to the cause of the disease. .
The treatment is of two types: Swasthasya urja s kara The treatment which promotes and safeguards the existing health. For example, aphrodisiac and geriatric medicine. Ar t asya roganut The treatment for the sick. It covers prophylactic and curative medicine.
YOGA The term Yoga is derived from the Sanskrit root ‘YUJ’, meaning ‘to join’ or ‘to unite’. Yoga is about the union of a person's own consciousness and the universal consciousness. The aim of Yoga is Self-Realization. This is one of the oldest sciences of the world, which originated in India. Yoga is very useful for preserving and maintaining one's physical and mental health and also for 'spiritual evolution'.
Yama's are restraints Niyama's are observances Asanas , capable of bringing about stability of body and mind consists in adopting various psycho- physical body patterns. Pranayama consists in developing awareness of one’s breathing followed by willful regulation of respiration Pratyhara indicates dissociation of one’s consciousness (withdrawal) from the sense organs which helps one to remain connected with the external objects. YOGA COMPONENTS
Dhyana (Meditation) is contemplation (focussed attention inside the body and mind). Samadhi – Integration Dharana indicates broad based field of attention , inside the body and mind which is usually understood as concentration Dharana indicates broad based field of attention , inside the body and mind which is usually understood as concentration
Naturopathy is an art and science of healthy living and a drug less system, It has its own concept of health and disease and also principle of treatment. Naturopathy advocates aiding human system to remove the cause of disease i.e. toxins by expelling the unwanted and unused matters from human body for curing diseases. Naturopathy cures patients suffering from chronic ailments in comparatively less time than any other form of medicine. NATUROPATHY
TYPES OF NATUREOPATHY Diet Therapy Fasting Therapy Mud Therapy Hydrotherapy Masso -Therapy Acupressure Chromo Therapy Air Therapy Magnet Therapy
Diet Therapy : According to this therapy, the food must be taken in natural form. Fresh seasonal fruits, fresh green leafy vegetables and sprouts are excellent. Fasting Therapy : Fasting is primarily the act of willingly abstaining from some or all food, drink, or both, for a period of time. During fasting, the body burns up and excretes huge amounts of accumulated wastes. Mud therapy: Mud therapy is used for giving coolness to body. It dilutes and absorbs the toxic substances of body and ultimately eliminates them from body. Hydrotherapy : It is the treatment of disorders using different forms of water. additionally uses its temperature effects. .
5. Masso Therapy: Massage is the practice of soft tissu e manipulation with physical, functional 6.Acupressur e : Acupressure is an ancient healing art that uses the fingers or any blunted objects to press key points called as ‘ Acu Points’ (Energy stored points) on the surface rhythmically on the skin to stimulate the body’s natural self-curative abilities.
7. Chromo Therapy: Seven colours of Sun rays have different therapeutic effects. Water and oil exposed to sun for specified hours in coloured bottles and coloured glasses, are used as devices of Chromo Therapy for treating different disorders. 8. Air Therapy: The advantage of air therapy can be achieved by means of doing long deep breathing exercises in open air 9. Magnet Therapy : Magnet therapy is a clinical system in which human ailments are treated and cured through the application of magnets to the body of the patients.
UNANI Unani Medicine has been defined as “The science in which we learn various states of body in health and when not in health and the means by which health is likely to be lost and when lost, is likely to be restored". It was introduced in India by the Arabs and Persians sometime around the eleventh century. During 13th and 17th century A.D. Unani Medicine had its hey-day in India.
The human body is considered to be made up of the following seven components are: Arkan (Elements) Mizaj (Temperament) Akhlat ( Humors ) Aaza (Organs) Arwah (Spirits or vital breaths) Quwa (energy) Afaal (Functions)
THERAPEUTIC APPROACHES AND TREATMENT There are four forms of treatment in Unani medicine. Ilaj bil Dawa (Pharmacotherapy) Ilaj bil Ghiza ( Deitotherapy ) Ilaj Bil Tadbir ( Regimenal Therapy) Ilaj bil yad (Surgery)
Ilaj-bil - Dawa (Pharmacotherapy) : T his system is based on whole drug therapy in which drug is not taken alone but is allowed to co-exist with other natural part of plant to counteract the side effect. Ilaj-bil-Ghiza ( Dietotherapy ) : It involves recommending a specific diet, which is the simplest and most natural course of treatment by a hakim. For example, in fever, Unani medicine stresses a nutrient-rich, low-roughage diet that might include dalia (porridge) and kheer (a milk broth), as such types of diets are found to be very effective.
Ilaj-bil - Tadbeer (Regimental therapy) : It is a special technique/physical method of treatment to improve the constitution of body by removing waste materials and improving the defence mechanism of the body and protect health. Ilaj-bil-Yad (Surgery) : It is an ancient medical specialty that uses operative manual and instrumental techniques on a patient to investigate and/or treat a pathological condition such as disease or injury, to help improve bodily function or appearance or to repair unwanted ruptured area (for example, a perforated ear drum).
SIDDHA It is one of the earliest traditional medicine systems in the world which treats not only the body but also the mind The word Siddha has its origin in the Tamil word Siddhi which means "an object to be attained" or "perfection" or "heavenly bliss". This system connects both spiritual and physical and treats the person as a whole i.e. it concentrates the physical, psychological, social and spiritual well being of an individual.
DIAGNOSIS Identification of causative factors is through the examination of pulse, urine, eyes, study of voice, colour of body, tongue and the status of the digestive system. Siddhars developed Naadi method (diagnosis using pulse reading) to sense the normality or disturbances in the interior of our body and to diagnose and confirm illnesses. Pulse reading can be done in 10 sites in the body out of which the one felt over radial artery is considered the best. It is usually felt using 3 fingers (index, middle and ring fingers).
Treatment Methods in SIDDHA The medical approach of treatment in Siddha system can be classified in to 3 (three) broad types Deva Maruthuvam (Divine method) Manida Maruthuvam (Human or rational method) Asura Maruthuvam (Surgical method)
Deva Maruthuvam or Divine method: The medicines prepared from metals and minerals come under this topic. The speciality of these medicines is that a very small dose brings quick recovery even from chronic ailments. They can be preserved lifelong. No expiry date is mentioned for these medicines.
Manida Maruthuvam or Rational Method: They are herbal medicines which have short definite life span. Dose may vary accordingly. Asura Maruthuvam or Surgical Method: These are surgical procedures meant for diseases which are not cured by internal medicines alone.
HOMEOPATHY Homoeopathy is youngest of all these medicinal system, yet rapidly growing and is being practiced almost all over the world. The word ‘Homoeopathy’ is derived from two Greek words, Homois meaning similar and pathos meaning suffering. It is based on the natural law of healing- "Similia Similibus Curantur ” which means "likes are cured by likes”.
PRINCIPLES First principle of Homoeopathy - a medicine which could induce a set of symptoms in healthy human beings would be capable of curing a similar set of symptoms in human beings actually suffering from the disease. Second principle of ‘Single Medicine’- Single medicine should be administered at a time to a particular patient during the treatment. Third principle of ‘Minimum Dose’ - bare minimum dose of a drug which would induce a curative action without any adverse effect should be administered.
Homoeopathic medicines are prepared mainly from natural substances such as plant products, minerals and from animal sources. Homoeopathy has its own areas of strength in therapeutics and it is particularly useful in treatment for allergies, autoimmune disorders and viral infections.
Many surgical, gynaecological and obstetrical and paediatric conditions and ailments affecting the eyes, nose, ear, teeth, skin, sexual organs etc. are amenable to homoeopathic treatment. Behavioural disorders, neurological problems and metabolic diseases can also be successfully treated by Homoeopathy. Apart from the curative aspects, Homoeopathic medicines are also used in preventive and promotive health care.
AYUSH With an increase in lifestyle related disorders there is a world wide resurgence of interest in holistic systems of health care, particularly with respect to the prevention and management of chronic, noncommunicable and systemic diseases.
EVOLUTION A separate Department of Indian Systems of Medicine and Homoeopathy (ISM&H) was set up in 1995 to ensure the optimal development and propagation of these holistic and traditional system of heath care. The Department of ISM&H was re-named as the Department of AYUSH (an acronym for - Ayurveda, Yoga and Naturopathy, Unani, Siddha, Homoeopathy) in November 2003.
The Department of AYUSH under Ministry of Health and Family Welfare, promotes and propagates Indian systems of Medicine and Homoeopathy. Department of AYUSH was upgraded to Ministry of AYUSH in November 2014. As of March 2015, there were nearly eight lakh AYUSH practitioners, over 90 per cent of whom practiced homeopathy or ayurveda .
OBJECTIVES To upgrade the educational standards in the Indian Systems of Medicines and Homoeopathy colleges in the country. To strengthen existing research institutions and ensure a time-bound research programme on identified diseases for which these systems have an effective treatment.
To evolve Pharmacopeial standards for Indian Systems of Medicine and Homoeopathy drugs. To draw up schemes for promotion, cultivation and regeneration of medicinal plants used in these systems.
INFRASTRUCTURE Presently, there are 3601 hospitals with about 62649 beds, 25492 dispensaries, 785185 doctors, 513 educational institutions with admission capacity of about 25376 UG students and 2208 PG students and 8898 drug-manufacturing units under AYUSH systems.
M AINSTREAMING OF AYUSH UNDER NRHM As per population census 2011, about 59 AYUSH doctors per lac population were available in India. After the launch of NRHM, an activity has been taken by the branch of Health and Family Welfare and division of AYUSH for reinforcing of medical care offices at all levels by coordinating AYUSH frameworks in public medical care conveyance frameworks under NRHM.
In PHC- 1 AYUSH doctor & pharmacist (desirable). In CHC/DH- 1 AYUSH doctor & pharmacist (essential). Qualified AYUSH practitioners may be hired on contractual basis from NRHM funds. While building new PHC/CHC/DHs according to IPHS, sufficient space ought to be accommodated AYUSH specialist and dispensary inside the premises.
The additional supply of generic drugs for common ailments at all levels shall also include AYUSH formulations. ASHA Drug Kit to be expanded to include AYUSH medications with proven efficacy. Training module for ASHA and ANMs have to be updated to incorporate information of AYUSH. Establishment of AYUSH OPD Clinics in the Primary Health Centres (PHCs) Establishment of AYUSH IPDs in Community Health Centres (CHCs) Setting up of AYUSH Wings in District Hospitals
There are two regulatory bodies, namely Central Council of Indian Medicine (CCIM) and Central Council of Homoeopathy (CCH) for laying down minimum standards of education, recommending recognition of medical qualifications, registering the practitioners and laying down of ethical codes. Four research councils, for Ayurveda and Siddha (CCRAS), Unani (CCRUM), Yoga and Naturopathy (CCRYN) and Homeopathy (CCRH) are responsible for the officially sponsored research activities.
ROLE OF AYUSH IN COVID-19 Ayurveda and Yoga can certainly play a pivotal role to augment preventive measures provided in the guidelines by Ministry of Health and Family Welfare ( MoHFW ). The current understanding of COVID-19 indicates that good immune status is vital to prevention and to safeguard from disease progression.
summary In this presentation I have explained the term AYUSH All the traditional health system of ayush :- Ayurveda, Yoga, unani, siddha and homeopathy. Evolution of ayush Objective of ayush Infrastructure of ayush Mainstreaming of ayush under NRHM Role of ayush in covid 19