IMPORTANCE AND RELEVANCE OF SWASTAVRITTA (first seminar).pptx

The word "Swasthavritta" literally means "the regime of abiding in one's own nature".
This is an introduction to swasthavritta and its importance

1. IMPORTANCE AND RELEVANCE OF SWASTHAVRITTA Dr Krishnanunni M.S 1 ST year PG Scholar Department of PG studies in Swasthavritta JSSAMCH, Mysore 1

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3. CONTENTS SL NO. TOPIC SLIDE NUMBER 1. Introduction 5-8 2. Importance of swasthavritta 9-11 3. Relevance of swasthavritta 12-14 4. Dinacharya 15-19 5. Nisacharya 20-21 6. Nidra 22 7. Ritu shodhana 23-26 8. Sadvritta 27-31 9. Ahara 32-35 10. Regarding diseases 36 11. Aushadha 37-38 12. Preventive and social medicine 39 13. Community medicine 40 3

4. 4 SL NO. TOPIC SLIDE NUMBER 14 Discussion 41 15 Article reference 42-45 16 Conclusion 46 17 Reference 47-48

5. INTRODUCTION हिताहितं सुखं दुःखं आयुः तस्य हिताहितम् | मानं च तच्च यत्रोक्तं आयुर्वेद स उच्यते || (च.सू 1/41) Ayurveda is that which deals with good, bad, blissful and sorrowful life and with what is wholesome and unwholesome for it, longevity and about what “ayu” itself. तस्यायुषः पुण्यतमो वेदो वेदविदां मतः | वक्ष्यते यन्मनुष्याणां लोकयोरुभयोर्हितम् || (च.सू 1/43) Vedic scholars regard ayurveda as the most exalted of veda and that which is said to be good for both the worlds for human being – the present and after life 5

6. To lead a wholesome life one should have स्वस्थ / health. Which is as explained by Chakrapani on च.सू 5/13, सुष्ठु निर्विकारत्वेन अवतिष्टति इति स्वस्थः | The condition where the body is devoid of any abnormality is known as healthy. In सु.सू 15/41 it is explained as, समदोषः समाग्निश्चा समाधातु मलक्रियः | प्रसन्न आत्मेन्द्रिय मनाः स्वस्थ स्त्यभिधीयते || According to Susruta , man is said to be स्वस्थ whose दोषः , अग्नि , धातु and मल are in the state of equilibrium along with mental, sensory and spiritual pleasentness and happiness. 6

7. Ayurveda has laid down all the preventive principles which are necessary in the maintenance of health under Swasthavritta . प्रयोजनं चास्य स्वस्थस्य स्वास्थ्यरक्षणमातुरस्य विकारप्रशमनं च||(च.सू 30/26) The purpose of this science is to preserve the health of the healthy and cure the disease of the unhealthy. स्वस्थवृत्त पालन is the primary method for this. As said by Chakrapani on च.सू 1/67, सुष्ठु अवतिष्टते निरोगत्वेन इति स्वस्थः| तस्य वृत्तिः स्वस्थारूपतया अनुवर्तनं तत्र स्वस्थवृत्तौ मतं अभिमतं पूजितं इति यावत् || The condition free from the di sease is स्वस्थः / healthy. The regimes followed to keep oneself healthy is स्वस्थवृत्त . 7

8. Else where again the definition of स्वस्थवृत्त has been mentioned as, स्वस्मिन् स्थाने स्वस्मिन् कर्मणि स्वसु रूपे स्थीयते तत् वृत्तं स्वस्थवृत्तम् || The condition where all दोषः , धातु and मल are in their normal site, form, performing normal functions is स्वस्थ . वृत्त means आचार or भाव or विहार to be followed to attain health. 8

9. IMPORTANCE OF SWASTHAVRITTA Swasthavritta is the branch of ayurveda that deals with healthy living practices. It focuses on maintain a balanced and healthy lifestyle to prevent diseases and promote overall wellbeing. As Sharangadhara quotes, न जन्तु कश्चिदमरः पृथिव्यां जायते क्वचित् | अतो मृत्युरनिवार्यः स्यात् किन्तु रोगान्निवारयेत् || (शा.सं) No creature in the universe is immortal, it is possible to prevent death, but it is possible to prevent disease. So one should try for that which is preventable. 9

10. नगरी नगरस्येव रथस्येव रथीयथा | स्वशरीरस्य मेधावी कृत्येष्ववहितो भवेत् ||(च.सू 5/103) Like the lord of a city in the affairs of his city and a charioteer in the management of his chariot, so should a wise man be ever vigilant in the caring of his own body. 10

11. सर्वमन्यं परित्यज्य शरीरमनुपालयेत् | तद् भावे हि भावानां सर्वाभावः शरीरिणाम् || (च.नि 6/7) Charaka in nidhana sthana explains that, one should take care of his body neglecting all other things. If there is no physical body, there is nothing that can be made available to the individuals. 11

12. RELEVANCE OF SWASTHAVRITTA Swasthavritta focuses on preserving the health of a healthy person and curing the disease of the diseased person. All the diseases are caused due to different sorts of life style changes. Swasthavritta concentrates on maintaining a healthy life by adopting principles of daily regimen, seasonal regimen and ethical regimen to combat the diseases associated with lifestyle changes. Methods which are to be followed are explained in the upcoming slides. 12

13. मानवो येन विधिना स्वस्थस्तिष्ठति सर्वदा | तमेव कारयेद्वैद्यो यतः स्वास्थ्य सदेप्सितम् || ( भा.प्र 5/12) Man should always follow those procedures which keep him healthy always, as health is always desired. नित्यं हिताहार विहारसेवि समीक्ष्यकारी विषयेष्वसक्तः | दाता समः सत्यपरः क्षमावान् आप्तोपसेवी भवत्यरोगः || ( अ . हृ . सू 4/36) The person who always consumes wholesome food, practices wholesome habits, who discriminates good and bad of everything and act wisely, who is not interested in worldy matters, who sacrifices, who is always balanced towards all beings, forgives, speak truth and who follows words of आप्त does not develop any disease. 13

14. दिनचर्य निशाचर्य ऋतुचर्य यथोदितं | आचारन् पुरुषः स्वस्थ सदा तिष्ठति नान्यथा || ( भा.प्र 5/13) Daily regimen, night regimen and seasonal regimens should be followed. By adopting of these principle one can stay healthy without becoming a victim of diseases. 14

15. दिनचर्य Now we can gaze upon the first point that is, दिनचर्य . It explains about what all things a man should do during his day to keep him healthy. ब्राह्मे मुहूर्त उत्तिष्ठेत्स्वस्थो रक्षार्थमायुषः || (अ.सु 2/1) Healthy person should get up from bed at brahma muhurtha , to protect his life. 15

16. शरीरचिन्तां निर्वर्त्य कृतशौचविधिस्ततः  अर्कन्यग्रोधखदिरकरञ्जककुभादिजम् | प्रातर्भुक्त्वा च मृद्वग्रं कषायकटुतिक्तकम् कनीन्यग्रसमस्थौल्यं प्रगुणं द्वादशाङ्गुलम् | भक्षयेद्दन्तपवनं दन्तमांसान्यबाधयन् || (अ.सु 2/ 2-3 ) Keeping in view, the condition of his body, the individual should attend to ablutions- after eliminating urine and faeces , Then clean teeth with the twigs of following herbs – a. अर्क ( calotropis procera ) b. न्यग्रोध ( ficus benghalensis ) c.   खदिर (acacia catechu) d. करञ्ज ( pongamia pinnata) e.   ककुभ (terminalia arjuna) Which are having कषाय , कटु , तिक्त property. 16

17. The thickness of the twig should be approximately equal to the tip of one’s little finger. I t should be 12 angula length. T he tip of the twig should be chewed a little to make it as brush. The teeth should be cleaned without hurting the gums नाध्यादजीर्णवमथुश्वासकासज्वरार्दिती तृष्णास्यपाकहृन्नेत्रशिरः कर्णमयी च तत् || (अ.सु 2/ 2-3 ) ·       अजीर्ण / indigestion ·       वमथु / vomiting ·       श्वास / dyspnoea ·       कास / cough ·       ज्वर / fever ·       अर्दित / facial paralysis ·       तृष्णा / excessive thirst ·       आस्यपाक / ulceration of mouth ·       हृ / heart disease ·       नेत्रशिरः कर्णमयी / diseases of eyes, head and ears, Shouldn’t undergo Danta dhavana . 17

18. After that importance of following Upakarma’s like अञ्जन, नावान, गण्डुष, धूम, ताम्बूल are explained. A person should undergo abhyanga everyday. The importance and indication is explained by Acharya Vaghbata , अभ्यङ्गं आचरेत् नित्यं, स जरा श्रमवातहा ।  दृष्टिप्रसाद पुष्टि आयु:स्वप्नसुत्वक्त्वदार्ढ्यकृत् ॥ शिर: श्रवणपादेषु तं विशेषेण शीलयेत् । वर्ज्योऽभ्यङ्ग: कफग्रस्तकृतसंशुद्धि अजीर्णिभि: ॥ (अ.सु 2/ 8-9 ) ·      it delays ageing, ·      relieves exertion and excess of vata (aches and pains). ·      it improves vision, ·      nourishes body tissues, ·      prolongs age, ·      induces good sleep and ·      improves skin tone and complexion. 18

19.  Massage should be specially done on ·      ears, ·      head and ·      feet.  Massage should be avoided ·      when there is increase of kapha in the body, ·      who have undergone shodhana (purificatory therapies) and ·      who are suffering from indigestion. Then after that importance of व्यायाम, उद्वर्तन, स्नान etc are explained. 19

20. निशाचर्य Regimens that should be followed at night is as important as day regimens. नक्तंदिनानि मे यान्ति कथम्भूतस्य सम्प्रति दुःखभाङ्न भवत्येवं नित्यं सन्निहितस्मृतिः || (अ.सु 2/ 47 ) Vagbhata says that one who is always cautious in analyzing their Dinacharya and Ratricharya they never get afflicted with sufferings/ sorrow. प्रदोष पश्चिमौ यामो वेदाभ्यासेन तौ नयेत् | यामद्वयं शयानो हि ब्रह्मभूयाय कल्पते || (दक्षस्मृति 2/53) one who passes the early and late parts of the night (first 2 praharas ie , 6 hours) in studying vedas and sleeps in the remaining 6 hours, he attains Brahmatva . 20

21. Bhavaprakasha in his purva khanda (5/275-276) had explained the things which are to be avoided in sandhyakala . आहार – intake of food should be avoided during this time as it will not get digested fully and eventually leads to the manifestation of many diseases. मैथुन – indulgence in sexual acts during this time leads to fetal abnormalities. निद्रा – sleep during sandhyakala leads to poverty. The word ni:swatha here means poverty in all terms ie , loss of health, wealth, wisdom and intelligence. संपातं – studying during sandhya will lead to ayuhani ie , loss of life. In olden days the artificial lighting facility was not available. So reading in dim light gives strain to sense organs which lead to the damage and functioning of vital organs and eventually leads to ayurhani . गति – journey should be avoided as it will lead to fear and insecurity. Then after that Bhojanakarma , bhojanaananthara karma, maithuna etc are explained. 21

22. निद्रा अर्धरोगहारि निद्रा ये स्वप्नाति सुखं रात्रौ तेषां कायाग्निः इच्यते आहारं प्रतिगृह्णाति तथः पुष्टिकरं परम् || (स्कन्दपुराण ) Sleep is capable of destroying half of our diseases. In a person who is getting good and sound sleep at night has the capacity to digest the food properly, this will enhances the kaayagni and in turn nourishes the body properly. Physiological mechanism of sleep as per Charaka ( सु . 21/35), यदा तु मनसि क्लान्ते कर्मात्मानः क्लमान्विताः | विषयेभ्यो निवर्तन्ते तदा स्वपिति मानवः|| An individual falls asleep when his mind including the sensory and motor organs get exhausted, and they dissociate themselves from their objects.  22

23. ॠतु शोधन यस्मिन् यस्मिन्नृतौ ये ये दोषाः कुप्यन्ति देहिनाम् | तेषु तेषु प्रदातव्या रसास्ते ते विजानता || ( सु.उ 64/5) Dosha which aggravate in different seasons should be neutralized by employing appropriate substances in respective seasons by the learned physicians. 23

24. शीतोद्भवं दोषचयं वसन्ते विशोधयान् ग्रीष्मजमभ्रकाले | घनात्यये वार्षिकमाशु सम्यक् प्राप्नोति रोगानृतुजात्र जातु ||( अ.हृ.सू 4/35) The accumulation of दोष in शीत काल should be expelled during वसन्त . That arising from ग्रीष्म should be expelled during वर्ष . That arising from वर्ष should be expelled during शरद् ॠतु . वसन्त वर्ष शरद् 24 कफ accumulated in शिशिर वात accumulated in ग्रीष्म पित्त accumulated in वर्ष कफ प्रकोप वमन वात प्रकोप बस्ति विरेचन पित्त प्रकोप

25. श्रावणे कार्तिके चैत्रे मासी साधारणे क्रमात् | ग्रीष्मवर्षां हिमाचितान् वाव्यादीनाशु निर्हरेत् || ( अ . हृ . सू 13/33) Purification of वात , पित्त , कफ accumulated in ग्रीष्म , वर्ष , हेमन्त should be done in the months of श्रावण , कार्तिक and चैत्र respectively. वात पित्त कफ ग्रीष्म वर्ष हेमन्त श्रावण कार्तिक चैत्र बस्ति विरेचन वमन 25

26. ॠतावृतौ य एतेन विधिना वर्तते नरः | धोरानृतुकृतान् रोगान्नाप्नोति स कदाचन || ( सु.उ 64/55) One, who lives according to the said regimen in every season, never suffers from fatal disorders, caused by abnormal seasons. 26

27. सद्वृत्त Ayurveda prescribes certain rules for maintaining healthy mind. These are principles of right conduct that are applicable to all people at all times and places. Practicing them gives balance and harmony to the mind. जीर्णे हितं मितं चाद्यात् न वेगानीरयेत् बलात्  न वेगितो अन्यकार्य: स्यात् न अजित्वा साध्यं आमयम्  || (अ.सु 2/ 19 ) One should always eat, only after digestion of previous food, in limited quantity. One should not induce natural urges forcefully. One should immediately attend to natural urges, whenever they come, without being busy in other activities. 27

28. One should not indulge himself in, हिंसास्तेय अन्यथाकामं पैशुन्यं परुष अनृते   सम्भिन्न आलापं व्यापाद अभिध्यां दृग्विपर्ययम्  पापं कर्मेति दशधा काया वाङ् मनसै: त्यजेत् || ( अ.हृ.सू 2/22) दशविध पाप कर्म :- C ausing injury , stealing , unlawful sexual activity , abusive or harsh speech , harsh speech , speaking untruth , speech causing separation or breaking of company, quarrel, jealousy, finding fault, These ten sins pertaining to the body , speech and mind should be avoided. 28

29. पूर्वाभिभाषी, सुमुखः सुशीलः करुणामृदुः नैकः सुखी, न सर्वत्र विश्रब्धो न शङ्कितः न कञ्चिदात्मन शत्रुं नात्मानं कस्यचिद्रिपुम् प्रकाशयेन्नापमानं न च निःस्नेहतां प्रभोः || (अ.सु 2/ 26-27 ) Be the first to greet, to start conversation Have a smiling face Have good character Be courteous, be soft in speech and activity. Do not be a person who likes to be alone always. D o not believe everything around you D o not suspect everything around Do not instantly think someone as your foe or that he is a foe of someone else. Do not publicly talk about insults that you underwent, Do not publicly talk about disaffection towards your king (boss/ master / senior) 29

30. आर्द्रसन्तानता त्यागः कायवाक्चेतसां दमः | स्वार्थबुद्धिः परार्थेषु पर्याप्तमिति सद्व्रतम् || (अ.सु 2/ 46 ) a.  Compassion with all living beings, b. granting of gifts, c.  controlling the activities of the body, speech and mind; d. feeling of selfishness in the interests of others (looking after the  interest of others as his own) these are sufficient rules of good conduct. नक्तंदिनानि मे यान्ति कथम्भूतस्य सम्प्रति | दुःखभाङ्न भवत्येवं नित्यं सन्निहितस्मृतिः || (अ.सु 2/ 47 ) He, who constantly thinks of how his day and night are passing and adopts the right way, will never become a victim of sorrow. 30

31. इत्याचारः समासेन, यं प्राप्नोति समाचरन् | आयुरारोग्यमैश्वर्यं यशो लोकांश्च शाश्वतान् || (अ.सु 2/ 48 ) Thus was enumerated, in brief the rules of good conduct; he who adopts it will (surely) attain long life, health, wealth, reputation and also the eternal world. त्यागः प्रञ्जापराधानां इन्द्रियोपशमः स्मृति | देशकालात्मविञानं सद्वृत्तस्यानुवर्तनम् || ( अ . हृ . सू 4/33) One should avoid प्रञ्जापराध ( intellectual errors), take care of sense organs, by avoiding under utilisation, wrong utilisation and over utilisation of sense organs, one should have good memory, knowledge about place, time and one self and should follow rules of sadvritta to prevent diseases. 31

32. आहार षष्ठिकान् शालि मुद्गान सै न्धवामलक यवान् | अन्तरीक्षं पयः सर्पिः जाङ्गलं मधुचाभ्यसेत् || तच्च नित्यं प्रयुञ्जीत स्वस्थ्यं येनानुवर्तते | अजातानां विकाराणां अनुत्पत्तिकरं च यत् || ( च . सू 5/12) Charaka explains नित्य सेवनीय आहार द्रव्य , One should regularly consume षष्ठिक ( O ryza sativum), शालि ( varities of O ryza sativum), मुद्ग ( V igna radiata – green gram), सैन्धव (rock salt), आमलकि ( Embilica officinalis), यव (Hordeum vulgare – barley), अन्तरीक्ष जल (rain water), पयः (milk), सर्पिः (ghee), जाङ्गल मांस (fles h of arid habitat animals) and मधु (honey). 32

33. षष्ठिकशालि मधु जाङ्गल मांस यव आमलकि सैन्धव मुद्ग सर्पिः पयः अन्तरीक्ष जल 33

34. अत ऊर्ध्वं द्वादशाशनप्रविचारान् वक्ष्यामः | तत्र शीतोष्णस्निग्धरूक्षद्रवशुष्क एककालिक द्विकालिका औषधयुक्तमात्राहीनदोषप्रशमनवृत्त्यर्थाः || ( सु . उ 64/56) द्वादशाशनप्रविचारण :- Hereafter S usruta describe the twelve factors to be considered in relation to food. These are cold, hot, unctuous, dry, liquid, once a day, twice a day, mixed with drug, deficient in quantity, pacifying dosha, maintainence of body. 34

35. विसृष्टे विण्मूत्रे विशदकरणे देहे च सुलघौ विशुद्धे चोद्गारे हृदि सुविमले वाते च सरति | तथ अन्न श्रद्धायां क्लमपरिगमे कुक्षौ च शिथिले प्रदेयस्त्वाहारो भवति भिषजां कालः स तु मतः || ( सु . उ 64/86) Symptoms of proper digestion:- When feces and urine are evacuated, sensory and motor organs are clear, body is light, belching is pure, heart is pure, passing of flatus, desire for food has appeared, devoid of fatigue and abdomen has loosened, food should be taken. This is the time for taking food as recommended by the physicians. 35

36. Regarding disease रोगाः सर्वे अपि जायन्ते वेगोदीरण धारणैः || ( अ . हृ . सू 4/23) All the diseases are produced by creation of unmanifested urges or suppression of natural urges. So one should always avoid both to maintain health. तस्मात् प्रागेव रोग्येभ्यो रोगेषु तरुणेषु वा | भेषजैः प्रतिकुर्वीत य इच्छेत् सुखमात्मनः || ( च . सू 11/63) One who is desirous of his own well being, should take appropriate treatment while disease is in intial stage. 36

37. औषध अत ऊर्ध्वं दशौषधकालान् वक्ष्यामः | तत्राभक्तं प्राग्भक्तमधोभक्तं मध्येभक्तमन्तराभक्तं सामुद्गं मुहुर्मुहुर्ग्रासं ग्रासान्तरं च इति दशौषधकालाः || ( सु.उ 64/67) Susruta explains औषध सेवन काल , times of administration of drugs explained as अभक्तं – One empty stomach. प्राग्भक्त – Before meal. अधोभक्तं – After meal. मध्येभक्त – Middle of the meal. अन्तराभक्तं – Between two meals. सभक्तं – Taken with food. These are the ten times for administration of drug. सामुद्गं – Before and after meal. मुहुर्मुहु – With or without food. ग्रास – Mixed with morsel. ग्रासान्तरं – Consumed between morsels 37

38. रसायनं च तञ्जेयं यज्जराव्याधि विनाशनम् || ( शा.सं.पू 4/14) The rejuvenation therapy ( रसायन चिकित्स ) is used in the prevention and cure of diseases as well as prevention of old age. 38

39. PREVENTIVE AND SOCIAL MEDICINE In modern science maintenance of health and prevention of disease are done by preventive and social medicine, community medicine etc. It incorporates, Concept of hygiene :- Science and art of preserving and improving health. Public health :- Social medicine :- Study of a man as a social being in his total environment. Preventive medicine :- Art of science of health promotion, disease prevention, disability limitation, rehabilitation. Science and art of preventing disease, prolonging life, promoting health and efficiency through organised community effort for the sanitation of environment, control of communicable disease and personal hygiene. The emphasis is more on total health care programmes for individuals, families, groups as well as communities through integration of medical, public and social welfare services. 39

40. COMMUNITY MEDICINE Study of health and disease in population or defined community or group. It has two areas of work, 1. Community medicine 2. Hospital medicine 40

41. DISCUSSION Majority of the world is suffering from diseases which are caused due to one’s own carelessness. A healthy community can only be achieved through following proper आहार & विहार . For a man to be healthy he should follow the procedures as mentioned in दिनचर्य , निशाचर्य and ऋतुचर्य . He should food which are healthy and in proper time. He should not harm others and should only say truth. One should undergo proper ॠतु शोधन . He should deal with diseases in its तरुण अवस्त . He should undergo taking रसायन . Now we can take some factors in detail. 41

42. The modern toothpastes which all people are using contains substances which are very harmful and cytotoxic. It is proved with evidence in article published by Masoumeh Hasani Tabatabaei , in pubmed ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7569277/ ). In the article ( Cytotoxicity of the Ingredients of Commonly Used Toothpastes and Mouthwashes on Human Gingival Fibroblasts) the author explains that “ The difference in the cytotoxicity of the materials was statistically significant. Cytotoxicity was time- and concentration-dependent; by an increase in the concentration of the materials, their cytotoxicity increased over time. The cytotoxicity of sodium lauryl sulfate and cocamidopropyl betaine was >90%. The cytotoxicity of NaF varied from 25% to 70%, and the cytotoxicity of all concentrations of zinc lactate and sodium benzoate was <50% for HGFs.” So doing danthadhavana by using the methods told by our acharyas are very important and safe. 42

43. Other than doing abhyanga ( which have lot of health benefits) most of the people in current generation go for the usage of various skin creams which contain a lot of chemicals. In the article https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6477564/ ( Skin safety and health prevention: an overview of chemicals in cosmetic products) author A.Pinaco explain contents of skin creams as “ Fragrances were present in 52.3% of the examined products, mostly limonene (76.9%) and linalool (64.6%) but also citronellol (34.1%), geraniol (31.5%), coumarin (30%) and hexyl cinnamal (29.2%). Preservatives showed a rate of 60% and the most frequently identified were phenoxyethanol (48.7%), sodium benzoate (35.6%), potassium sorbate (22%), methylparaben (15.2%) and MI/MCI (9.9%). The other chemicals of concern were detected in 58% of products; included PEGs (62.3%), acrylate copolymer (34%), petrolatum (17.2%), polysorbates (14,8%), BHT (14.7%), ethylhextyl methoxycinnamate (13.6%), benzophenone-1 (3.7%), benzophenone-3 (4.9%), BHA (1.6%), cocamide DEA and toluene (1.2%).” Author explains that the companies are claiming all these chemicals are under allowed concentrations. But the adverse effects of each chemicals in ther e long term use is inevitable. 43

44. The advantages of following ritucharya is depicted in a very excellent article by Dr Neeru Nathani . The topic of the article is “ EVALUATION OF THE EFFECT OF RITUCHARYA ON SPIROMETRIC PARAMETERS IN PATIENTS OF BRONCHIAL ASTHMA ”. 44 RESULTS:- study reveals that regular observance of Ritucharya has direct influence on clinical features and lung functions in the patients of Bronchial Asthma. FVC and FEV1 values are useful to diagnose Asthma, and to follow the lung functions and disease severity. These values were increased significantly in the patient of group B who followed the strict seasonal regimen along with standard drug therapy. The cost effective non-pharmacological approach of Ritucharya should be incorporated in future health strategies to reduce the global burden of Bronchial Asthma. FVC – Forced vital capacity. FEV 1 – Forced expiratory volume in one second. Group A : Control group (Taken Standard drug therapy) Group B : Trial group (Followed particular Ritucharya along with Standard drug therapy)

45. Anjana is very useful not only for eyes but, Añjana ( अञ्जन ) refers to “collyrium”, and is used in the treatment of  poison ( viṣa ) , according to the 20th century  Prayogasamuccaya  (one of the most popular and widely practised book in toxicology in Malayalam).—The author ( Kochunni Thampuran ) has given a detailed description of types of [snake-] bite mark and the corresponding causes and prognosis. Then also includes many  nasya  (nasal administration),  añjana  (collyrium),  lepa  (external ointment/liniment),  pāna  (drink) with simple drugs mentioned for this treatment. The second chapter deals with  darvīkara  (hooded) snake poisoning. Immediate treatments, names, specific symptoms and treatment of 26 types of  darvīkara  are explained in detail. Fume therapy using certain drugs can help regain consciousness. The first dung of a calf is ground in the urine of a goat and a suppository is made which is used for  dhūmapāna  (fume inhalation). This chapter also includes many  nasya  (nasal administration),  añjana  (collyrium),  lepa  (external ointment/liniment),  pāna  (drink) with simple drugs mentioned. Chapter four explains  Rājila viṣa   (krait family) treatment.  Vegānusāra cikitsā  (stage wise treatment), symptoms and treatment of 13 types of  Rājila  snakes are mentioned. In arresting of whole body movements,  triphalā  (three myrobalans) ground in milk is recommended to be given orally. In excessive phlegm production, juice of  arka  (Calotropis gigantea) leaf mixed with  hingu  (asafoetida) is recommended to be given internally.  Nasya  and  añjana  to revive a person from unconsciousness have been described . Iswari / Urikizhangu ( Aristolochia indica) is one of the drug used for nasya and anjana . Taila used for abhyanga also. 45 INTERESTING KNOWLEDGE

46. CONCLUSION In present world everyone is running after their busy scheduled work life environment. Because of that no one is having to take care of their health.   The estimated proportion of all deaths due to Non-Communicable Diseases (NCDs) has increased from 37.09% in 1990 to 61.8% in 2016. ( Press Information Bureau, Gov of India , Ministry of Health and Family Welfare ) This can be decreased by making some changes in our life style. So Swasthavritta is very important and relevant for building a great and healthy nation. स्वस्थस्य स्वास्थ्य रक्षणं | आतुरस्य विकार प्रशमनं || (च.सु 30/26) To maintain health of healthy and to cure the disease of diseased. Like as Dutch philosopher Desiderius Erasmus said, PREVENTION IS BETTER THAN CURE. 46

47. REFERENCE Charaka samhitha by Dr Shashirekha H.K & Dr Bargale Sushant Kumar), Sutra sthana 1 st chapter ( 41,43,67), 5 th chapter (12,13, 103), 11 th chapter (63), 30 th chapter (26), Nidana sthana 6 th chapter (7). Susruta samhitha by Prof K R Srikanta Murthy, Sutra sthana 15 th chapter (41), Uttara sthana 64 th chapter (5,55,56,67,86) Ashtanga hrudaya by T Sreekumar, sutra sthana 2 nd chapter (22), 13 th chapter (33), 5 th chapter (23,33,35,36). www.hinduonline.com ( Bhavaprakasha and Sharangadhara samhitha , Daksha smriti, Skanda purana) A text book of Swasthavritta , by Dr Sudhakar Reddy and Dr Beena MD page no. 31-33. https://main.mohfw.gov.in/ . 47

48. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7569277/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6477564/ https://www.wisdomlib.org/definition/anjana https://www.academia.edu/6981224/EVALUATION_OF_THE_EFFECT_OF_RITUCHARYA_ON_SPIROMETRIC_PARAMETERS_IN_PATIENTS_OF_BRONCHIAL_ASTHMA 48

49. 49