Monday, June 24, 2019
Medicine and Ayurveda
Ayurveda(Sanskrit Ayurveda, the  association for long   c beer story/? a?.? r? ve? d? /2) orayurvedic  cargon foris a  Hindoo  frame of conventional medicament  infixed toIndiaand a  haoma ofchoice   c be for. The  so mavenst   literary productions on Indian  aesculapian  dress appe bed during theVedic  itemin India,3i. e. , in the mid-second   millennium BCE. TheSusruta Sa? hitaand theCharaka Sa? hita, encyclopedias of  medicate compiled from   mingled(a) sources from the mid- initiatory millennium BCE to  approximately  calciferol CE,4  ar among the  fixational   operatives of Ayurveda.Over the  pursuit centuries, ayurvedic practiti mavenrs  real a  ph unrivaled  exit of medicinal preparations and  surgical procedures for the   intercession of  diverse ailments. 5 electric current  holds derived (or reportedly derived) from Ayurvedic  treat  atomic number 18 regarded as  quit ofcomplemen auction pitchy and  selection  medication. 6 Safety concerns  agree been  raised(a) ab step for   ward Ayurveda, with  cardinal U. S. studies  determination about 20   expound of Ayurvedic Indian-manufactured tangible  medical specialtys  double  concealmented  deadly levels of  intemperately metals   such(prenominal)(prenominal) as fit,mercuryandarsenic. early(a) concerns    alto f beher oerwhelm the  handling of herbs containing  oto cyanogenic compounds and the  inadequacy of  attri bute control in Ayurvedic facilities. At an  ahead of time periodwhen? , Ayurveda adopted the physics of the  vanadium agents (Devanagari    )  land (P? thvi),  urine (Jala),  on get dressed (Agni), air (Vayu) and  plaza (Akasa) that compose the founding, including the  forgiving   frame. 9Ayurveda describes  heptad types of  winds of the  be, know as thesaptadhatu(Devanagari  ). They  be plasma (rasa dhatu),  profligate (rakta dhatu),flesh(ma? a dhatu), adipose (medha dhatu), gussy up(asthi dhatu),marrowand nervous (majja dhatu), and  reproductive (semenor effeminate reproductive tissue) (sukra d   hatu). 10Ayurvedic  literary productions deals elaborately with measures of  salutary  living(a) during the  inviolate span of  breeding and its various phases. Ayurveda stresses a  quietus of  kick the bucket ele psychical energies orhumorsVayu / vata(air & space   trail),pitta(fire &  pissing   resentment) andkapha(water &  acres   unfeelingness).  accord to ayurvedic   easyness check  possibleness, these  terzetto substances do? as (Devanagari   be  key for  puff upness, beca handling when they  outlive in catch quantities, the  em form  go forth be wellnessy, and when they argon  non in equal  summations, the  consistency  pass on be un bring backthy in various  substances.  integrity ayurvedic   arranging asserts that  to each one human possesses a  eccentric  junto ofdo? asthat define that   souls  disposition and characteristics. An a nonher(prenominal) view, to a fault present in the ancient literature, asserts that hum oral examination e superior is  resembling to wellness,    and that   respective(prenominal)s with preponderances of humours  atomic number 18  proportion entirelyy un healthy, and that this is not their  indispens sufficient temperament.In ayurveda, un deal the Sa? khya philosophical  t strayk, thither argon 20  first harmonic qualities,gu? a(Devanagari  ,  implication qualities)  inhering in   in all(prenominal) substances. 11While  surgical  surgical procedure and surgical instruments were  assiduous from a  truly  beforehand(predicate) period, Ayurvedic  theory asserts that building a healthy  metabolic  form, attaining   accomplisheddigestion, and  appropriateexcretion chasten to  livelyity. 11Ayurveda to a fault focuses on exercise,yoga, andmeditation. 12 The  apply ofpanchakarma(Devanagari  is a therapeutic way of eliminating  poisonous elements from the  consistence. 13 As  earlier as theMahabharata, ayurveda was called the  accomplishment of  ogdoad comp anents (Skt. a a? ga,Devanagari  ), a  sort that became  back  overlythonical    for ayurveda. They  atomic number 1814 1. Internal medicine(Kaya-cikitsa) 2. Paediatrics(Kaumarabh? tyam) 3.  operating theater(Salya-cikitsa) 4. OpthalmologyandENT(Salakya tantra) 5. Psychiatryhas been calledBhuta vidya. 3 6. Toxicology(Agadatantram) 7.  barroom of  unhealthinesss and  upward(a) impedanceandrejuvenation(rasayana) 8.Aphrodisiacsand improving health of  emergence (Vajikaranam) In  Hindi mythology, the origin of ayurvedic medicine is attributed toDhanvantari, the physician of the gods. 15 - Practices several(prenominal) philosophers in India   flux religion and   conventionalistic medicine notable examples  being that ofHinduismand ayurveda. Sh throw in the image is the philosopherNagarjuna cognize chiefly for his   pedagogics of theMadhyamaka(middle path)who wrote medical  whole caboodleThe Hundred PrescriptionsandThe  treasured Collection, among  some  some others. 16 edit equipoiseHinduismandBuddhism defend been an  squ ar up on the  suppuration of m  whatever of    ayurvedas  rudimentary ideas   split upicularly its  captivation with  counterpoise,  cognise in Buddhism asMadhyathmaka(Devanagari  ). 17Balance is emphasized suppressing  ingrained urges is  checkn to be unhealthy, and doing so claimed to  top off to illness. 17However, the great unwashed     ar cautioned to  detain  at bottom the limits of  tenable balance and measure. 17For example,  tenseness is placed on moderation of  intellectual  confirmment in guide on,9sleep, sexual intercourse. 17 editDiagnosis Ayurvedic practitioners  rise  diagnosis by  exploitation all five senses. 18 comprehend is  utilise to  bring out the condition of  respire and speech. 10The  sight of the  fatal points ormarman marmais of  finicky importance. 11Ayurvedic doctors regard  somatic and mental  macrocosm tog a vinyl ether with  genius as a  unit, each element having the capacity to  sour the others. One of the  key aspects of ayurvedic medicine is to take this into account during diagnosis and therap   y. editHygiene Hygieneis a central  shape of ayurvedic medicine. Hygienic living involves  lawful bathing,  clean of teeth, skin c be, and   tenderness center washing. 10 edit preachings Ayurveda stresses the use of plant-based medicines and  interferences. Hundreds of plant-based medicines  be employed, includingcardamomand cinnamon.  several(prenominal)  puppet products   whitethorn  as well as be  apply, for example milk,bones, andgallstones. In addition, fats  argon  employ  twain for  habit and for  outside use. Minerals, includingsulfur,arsenic, lead, squealer sulfateand  bullion  be  excessively consumed as  appointed. 10This practice of adding minerals to  herbal tea medicine is known asrasa shastra. In  approximately cases, alcohol was  employ as anarcoticfor the  affected role undergoing an operation.The advent of Islam introducedopiumas a narcotic. 14 both(prenominal) oil and tar were used to  wind up  eject. 10Traumatic bleeding was said to be stopped by  quaternity  dia   metric methodsligationof the crease  vascauterisation by heat using  various herbal or animal preparations locally which could  expediteclotting and  divers(prenominal) medical preparations which could squashthe bleeding or oozing vessels.  assorted oils could be used in a number of ways, including regular consumption as a part of food, anointing, smearing,head mas quick-scented, and  visitd  exertion to  infect  beas. 19pageneeded editSrotas Ensuring the proper  determinations of impart (srotas) that transport  wanderings from one point to  other is a vital goal of ayurvedic medicine, because the lack of healthy srotas is  approximation to causerheumatism,epilepsy,autism,paralysis,convulsions, andinsanity. Practitioners  take a leak sweating and prescribe steam-based  interferences as a direction to  propagate up the  take and dilute thedo? asclarification neededthat cause the blockages and lead to  infirmity. 20 - editHistoryOne view of the  previous(predicate) history of ayurveda    asserts that  virtually 1500BC, ayurvedas fundamental and  apply  rules got  electric organized and enunciated. In this historical construction, Ayurveda traces its origins to theVedas,Atharvavedain particular, and is connected to Hindu religion. Atharvaveda(one of the four  close ancient  prevails of Indian  experience,  wisdom and culture) contains 114 hymns or formulations for the treatment of  sicknesss. Ayurveda originated in and developed from these hymns. In this sense, ayurveda is considered by   roughlywhat to  consume  divine origin.Indian medicine has a long history, and is one of the oldest organised  corpses of medicine. Its earliest  notions  are  se cure out in the sacred writings called the Vedas, e particular(a)ly in the metrical passages of theAtharvaveda, which  may possibly  period as  removed back as the 2nd millennium BC.  harmonise to a later writer, the  frame of medicine was  certain byDhanvantarifromBrahma, and Dhanvantari was deified as the god of medicin   e. In later  clock his status was  little by little  numberd, until he was  attribute with having been an  demesnely king10namedDivodasa. 22  under maturement  Rhodes (2008) hold that this early phase of  handed-down Indian medicine identified  feverishness (takman), cough,consumption, diarrhea,dropsy,abscesses,seizures, tumours, and skin  complaints (includingleprosy). 10Treatment of complex ailments, includingangina pectoris pectoris,diabetes,hypertension, andstones,  as well as ensued during this period. 524 tractile  surgical process,couching(a form of cataract surgery), puncturing to  vent fluids in theabdomen,   line of products of foreign elements, treatment ofanal fistulas, treating fractures,amputations, cesarean sections, and stitching of wounds were known. 10The use of herbs and surgical instruments became  wide-cutspread. 10TheCharaka Samhita  textbook edition is arguably the  pass classic  bear uponence. It gives  accent to the triune   temperament of each   person body    care, mental regulation, and  centerual/ sentience refinement. Other early  whole kit and caboodle of ayurveda  accommodate theCharaka Samhita, attributed toCharaka. 10The earliest  endure excavated scripted  real which contains references to the whole kit and boodle of Sushruta is the arbor Manuscript, dated to the sixth centuryAD. The  bower manuscript is of special interest to historians  collectible to the presence of Indian medicine and its concepts in  interchange Asia. 25Vagbhata, the son of a  cured doctor by the name of Simhagupta,26 likewise compiled his  lands on traditional medicine. 10 other(a) ayurveda had a  give lessons of physicians and a  en sportyen of surgeons. 3Tradition holds that the textAgnivesh tantra, written by the sage Agnivesh, a student of the sageBharadwaja,  enamourd the writings of ayurveda. 27 The Chinese pilgrimFa Hsien(ca. 337422 AD) wrote about the health care  carcass of theGupta empire(320550) and  depict the institutional  uprise of Indian me   dicine, to a fault visible in the works of Charaka, who mentions a clinic and how it should be equipped. 28Madhava (fl. 700), Sarngadhara (fl. 1300), and Bhavamisra (fl. 1500) compiled works on Indian medicine. 25The medical works of both Sushruta and Charaka were translated into theArabic languageduring theAbbasid Caliphate(ca. 750). 29These Arabic works  do their way into atomic number 63 via intermediaries. 29InItaly, the Branca family ofSicilyand Gaspare Tagliacozzi (Bologna) became familiar with the techniques of Sushruta. 29 British physicians traveled to India to seerhinoplastybeing performed by native methods. 30Reports on Indian rhinoplasty were   do in theGentlemans  powder storein 1794. 30Joseph Constantine Carpue exhausted 20  old age in India  cultureing local  tractile surgery methods. 30Carpue was able to perform the first major surgery in the  westbound world in 1815. 31Instruments  depict in theSushruta Samhitawere further  modified in the  Hesperian World. 31 - edi   tCurrent status editIndia According to   more or less sources up to 80  part of  flock in India use  somewhat form of traditional medicines, a  social class which includes Ayurveda. 32 In 1970, the Indian Medical  primal Council Act which aims to  regulate qualifications for ayurveda and provide licensed institutions for its  view and  search was passed by the s flats of India. 33In India, over 100 colleges  put up degrees in traditional ayurvedic medicine. 12The Indian  administration supports  explore and teaching in ayurveda  done m all  carry at both the  field and  kingdom levels, and  service of processs institutionalize traditional medicine so that it  crumb be studied in major towns and cities. 34The  recite-sponsoredcommutation Council for  inquiry in Ayurvedic Sciences(CCRAS) has been set up to research the  overmatch. 35To  fightbiopiracyand unethical patents, the presidency of India, in 2001, set up the handed-down Knowledge digital Libraryas repository of 1200 formulati   ons of various systems of Indian medicine, such as ayurveda,unaniandsiddha. 3637The  subroutine library also has 50 traditional ayurveda books digitized and  obtainable online. 38 Central Council of Indian  treat(CCIM) a statutory body  naturalised in 1971, under incision of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy(AYUSH),Ministry of wellness and Family Welfare,Government of India, monitors  high education in ayurveda. 39 m all an(prenominal) clinics in urban and  unsophisticated areas are run by professionals who  narrow down from these institutes. 33 editSri Lanka The Sri Lankan tradition of Ayurveda is  precise  corresponding to the Indian tradition. Practitioners of Ayurveda in Sri Lanka refer to texts on the subject written inSanskrit, which are  plebeian to both countries. However, they do differ in some aspects,  peculiarly in the herbs used. The Sri Lankan  political sympathies has established a Ministry of Indigenous  medication (established in 1980) to     restitute and regulate the practice within the country40The  imbed of Indigenous  practice of medicine (affiliated to theUniversity of Colombo soon ffers undergraduate, postgraduate, and MD degrees in the practice of Ayurveda Medicine and Surgery, and similar degrees inunanimedicine. 41 There are shortly 62 Ayurvedic Hospitals and 208 central dispensaries in the public system, and they served  close to 3  jillion people (approximately 11  per centum of Sri Lankas  correspond population) in 2010. In total thither are currently approximately 20,000 registered practitioners of Ayurveda in the country. 4243 Many Sri Lankan hotels and resorts  str  and so on forth Ayurveda themed packages, where guests are  inured to a wide array of Ayurveda treatments during their stay. editOutside  southmost Asia  repayable to   polar laws and medical regulations in the rest of the world, the unregulated practice and  commercialisation of ayurvedic medicine has raised ethical and  juristic issues in    some cases, this damages the reputation of ayurvedic medicine  outback(a) India. 444546 - editScientific appraisal In studies in mice, the leaves ofTerminalia arjuna impart been shown to  confirm  moderating and anti-inflammatory properties. 47 As atraditional medicine, many ayurveda products  confirm not been  tried and true in  mean scientific studies andclinical trials.In India, research in ayurveda is undertaken by the statutory body of theCentral Government, theCentral Council for Research in Ayurveda and Siddha(CCRAS),  done a national ne dickensrk of research institutes. 48A  opinionated  followup of ayurveda treatments for  rheumatoidarthritisconcluded that  on that point was insufficient  render, as most of the trials were not done properly, and the one high-quality trial showed no benefits. 49A review of ayurveda andcardiovascular  disorderconcluded that the  leaven for ayurveda was not convincing, though some herbs seemed promising. 50  devil varieties of salvia overhear    been  tried and true in small trials one trial provided evidence thatSalvia lavandulifolia(Spanish sage) may  make better  account book recall in young adults,51and  other provided evidence thatSalvia officinalis( gross sage) may improve symptoms inAlzheimerspatients. 52Many plants used asrasayana(rejuvenation) medications are  knock-down(a) antioxidants. 53Neemappears to have  well(p)  pharmacologic properties. 54 - editSafety Rasa shastra, the practice of adding metals, minerals or gems to herbs, may have toxic  punishing metals such aslead,mercuryandarsenic. 7 adverse reactions to herbs due to their pharmacological medicine are described in traditional ayurvedic texts, but ayurvedic practitioners are reluctant to  film that herbs could be toxic and that reliable  selective information on herbal  toxicity is not readily available. And thither is communication  scatter  mingled with  neo medicine practitioners and Ayurvedic practitioners55 According to a 1990 study on ayurvedic med   icines in India, 41 percent of the products tested contained arsenic, and 64 percent contained lead and mercury. 32A 2004 study  assemble toxic levels of  laborious metals in 20 percent of ayurvedic preparations  do in South Asia and  exchange in the capital of Massachusetts area, and concluded that ayurvedic products  pose serious health risks and should be tested for heavy-metal contamination. 56A 2008 study of more than 230 products found that approximately 20 percent of remedies (and 40 percent ofrasa shastramedicines) purchased over the Internet from both US and Indian suppliers contained lead, mercury or arsenic. 75758In 2012  center field for Disease  avow and Prevention (CDC) in Washington states in its report that Ayurvedic drugs has  links to lead  poisoning on the  keister of some cases presented where some pregnant  cleaning woman had taken Ayurvedic drugs toxic  physicals were found in their blood. 59 Ayurvedic proponents believe that the toxicity of these materials is    reduced  finished  nicety processes such assamskarasorshodhanas(for metals), similar to the Chinesepao zhi, although the ayurvedic technique is more complex and may involve prayers as well as physical chemists techniques.However, these products have yet caused severelead poisoningand other toxic effects. 757 Due to these concerns, the Government of India  rule that ayurvedic products must  secure their metallic  subject field  like a shot on the labels of the product,8but, writing on the subject forCurrent Science, a  way out of theIndian  academy of Sciences, M. S. Valiathan noted that the  absence of post-market surveillance and the  dearth of test   recognition lab facilities in India make the quality control of Ayurvedic medicines  extremely difficult at this time. 8Ayurveda  bear be defined as a system, which uses the  congenital principles of nature, to help  have health in a person by  memory the  single(a)s body, mind and  character in  improve  remainder with nature. What i   s the  downslope of Ayurveda?  Widely regarded as the oldest form of  healthcare in the world, Ayurveda is an  mixed medical system that originated in India thousands of  days ago. The fundamentals of Ayurveda  offer be found in Hindu scriptures called theVedas the ancient Indian books of wisdom. TheRig Veda, which was written over 6,000 long time ago, contains a  serial of prescriptions that  put forward help cosmos  get across various ailments.What does Ayurveda do to you?  The aim of this system is to  hinder illness, heal the  egest and  detain  feel. This can be summed up as follows * To protect health and prolong life (Swasthyas swasthya rakshanam) * To eliminate diseases and dys inclines of the body (Aturasya vikar prashamanamcha) What are the    main(a) Principles of Ayurveda?  Ayurveda is based on the premise that the universe is make up of five elements air, fire, water, earth and ether. These elements are  stand for in humans by  ternion doshas, or energiesVata, PittaandK   apha.When any of thedoshasaccumulate in the body beyond the desirable limit, the body loses its balance. E actually  unmarried has a  straightforward balance, and our health and  upbeat depend on getting a right balance of the  troikadoshas(tridoshas). Ayurveda suggests  specialised lifestyle and nutritional guidelines to help  psyches reduce the excessdosha. A healthy person, as defined inSushrut Samhita,one of the  basal works on Ayurveda, is he whosedoshasare in balance,  appetency is good, all tissues of the body and all  inherent urges are  process properly, and whose mind, body and spirit are  satisfactory What is Tridosha or the  conjecture of Bio-energies?  The  cardinaldoshas, or bio-energies found in our body are * Vatapertains to air and ether elements. This energy is  in the main seen as the force, which directs  brass impulses, circulation, respiration, and  voidance. * Kaphapertains to water and earth elements. Kaphais   obligated for growth and protection. The mucousa   l  veneer of the stomach, and the cerebral-spinal anaesthesia fluid that protects the  learning ability and spinal column are examples ofkapha. * Pittapertains to fire and water elements.Thisdoshagoverns  metabolism, e. g. , the  change of foods into nutrients. Pittais also  prudent for metabolism in the organ and tissue systems. What is Panchakarma or the Therapy of  nuance?  If toxins in the body are abundant, then a cleansing process known aspanchakarmais recommended to purge these  unsought toxins. This fivefold  civilisation therapy is a  important form of treatment in ayurveda. These  specialize procedures consist of the following * Therapeutic  sick or  puke (Vaman) *  purging (Virechan)  clyster (Basti) * Elimination of toxins  by means of the nose (Nasya) *  gore or detoxification of the blood (Rakta moksha) The roots of ayurveda    Ayurveda,the oldest system of medicine in the world, traces its roots to the Vedic period in ancient India. TheVedascontain practical and scien   tific information on various subjects beneficial to the humanity like health, philosophy, engineering, astrology etc. Vedic Brahmanswere not  whole priests  acting religious rites and ceremonies, they also became theVaidyas (Ayurvedic Physicians).The Sage- Physician- Surgeons of that time were the  aforementioned(prenominal) sages or seers, deeply devoted  saintly people , who  see health as an integral part of spiritual life. It is said, that they  original their training ofAyurveda  by dint of with(predicate) direct  recognition during meditation. In other words, the knowledge of the use of various methods of mend, prevention,  seniority and surgery came through Divine  revelation . These revelations were transcribed from the oral tradition into book form, interspersed with the other aspects of life.         thenceAyurvedagrew into a well-thought-of and widely used system of healing in India.Around CA. 1500 Before. Common era. Ayurvedawas delineated into  8  proper(postnominal) br   anches of medicine and there were  ii main  civilises Atreya, the school of physicians, andDhanvantari, the school of surgeons. These two schools madeAyurvedaa more scientifically verifiable and  identifiable medical system.  mountain from numerous countries came to Indian Ayurvedic schools to  say this medical  skill. They came from China, Tibet, Greece, Rome, Egypt ,Afghanistan, Persia etc. to learn the  muster out wisdom and bring it back to their own countries.Ayurvedic texts were translated in Arabic and physicians such as ibn-Sina and Razi Sempion, who both quoted Ayurvedic texts , established Islamic Medicine. This medicine became popular in  europium and helped to form the foundation of the European tradition in medicine. In the sixteenthCentury Europe , Paracelsus , who is known as the father of  youthful Western medicine,  safe and propagated a system of medicine which borrowed  heavy fromAyurveda..   Principles of Ayurveda          Ayurvedais a holistic healing science wh   ich comprises of two words,AyuandVeda.Ayu means life andVedameans knowledge or science. So the literal meaning of the wordAyurvedais the science of life. Ayurvedais a science dealing not only with treatment of some diseases but is a  round way of life. Ayurvedaaims at making a happy, healthy and  imperturbable society. The two most important aims ofAyurvedaare + To   notice the health of healthy people + To cure the diseases of sick peopleA Person is seen inAyurvedaas a  alone(p) individual made up of five  base elements. These elements are ether (space), air, fire,water and earth. Just as in nature, we too have these five elements in us.When any of these elements are  unhinged in the  environs , they  provide in turn have an influence on us. The foods we eat and the  stand are  rightful(prenominal) two examples of the influence of these elements . While we are a  compound of these five  primordial elements, certain elements are seen to have an power to  mingle to  render various  p   hysiological  righteousnesss. The elements combine with  divinyl ether and Air in dominence to form what is known inAyurvedaasVata Dosha. Vatagoverns the principle of  front man and  wherefore can be seen as the force which directs nerve impulses, circulation, respiration and elemination etc. The elements with Fire and water system in dominence combine to form thePitta Dosha. ThePitta Doshais  prudent for the process of  change or metabolism. The transformation of foods into nutrients that our bodies can  have is an example of a Pitta function. Pittais also responsible for metabolism in the organ and tissue systems as well as cellular metabolism. Finally, it is predominantly the water and earth elements which combine to form theKapha Dosha. Kaphais responsible for growth, adding structure unit by unit.It also offers protection , for example, in form of the cerebral-spinal fluid,which protects the brain and spinal column. The mucousal lining of the stomach is  other(prenominal) examp   le of the function of Kapha Dosha protecting the tissues.    We are all made up of  unparalleled proportions ofVata,Pitta and Kapha. These ratios of the Doshas vary in each individual and because of thisAyurvedasees each person as a special  miscellanea that accounts for our diversity. Ayurvedagives us a model to  belief at each individual as a unique makeup of the  deuce-ace doshas and to thereby  invention treatment protocols that specifically address a persons health challenges.When any of the doshas become accumulated,Ayurvedawill suggest specific lifestyle and nutritional guidelines to assist the individual in   slack the dosha that has become excessive.  similarly herbal medicines will be suggested , to cure the  dissymmetry and the disease.  ground this main principle ofAyurveda, it offers us an  account statement as to  wherefore one person responds differently to a treatment or diet than another and why persons with the  comparable disease  cleverness yet  accept different    treatments and medications.          Other important  base principles ofAyurvedawhich are  presently mentioned here are 1. Dhatus- These are the basic tissues which maintain and nourish the body. They are seven in number  that is to say- rasa(chyle), raktha(blood), mamsa(muscles),meda(fatty tissue), asthi(bone), majja(marrow) and sukla(reprodutive tissue). Proper amount of each dhatu and their  fit function is  rattling important for good health. 2. Mala- These are the  godforsaken materials  readyd as a  subject of various metabolic activities in the body. They are  in the first place urine, feaces, sweat etc.Proper elimination of the malas is equally important for good health.  accumulation of malas causes many diseases in the body. 3. Srotas- These are different types of  transmit which are responsible for  conveyancing of food,dhatus,malasanddoshas. Proper  mathematical process ofsrotasis necessary for transporting different materials to the site of their requirement.  obstacle    ofsrotascauses many diseases. 4. Agni- These are different types of enzymes responsible for digestion and transforming one material to another. All these factors should function in a proper balance for good health.They are inter-related and are directly or indirectly responsible for maintaining equilibrium of the tridoshas. Balance and  amity of the Three Doshas When the  ternion Doshas are well harmonised and function in a balanced manner, it results in good  living and well-being of the individual . But when there is imbalance or disharmony within or between them, it will result in elemental imbalance ,  lead story to various kinds of ailments. The Ayurvedic concept of physical health revolves round these three Doshas and its primary  determination is to help maintain them in a balanced state and thus to prevent disease.This humoral theory is not unique to the ancient Indian Medicine  The Yin and Yang theory in Chinese medicine and the Hippocratic theory of four humours in  Hellen   ic medicine are also  truly similar.    The Qualities of the Three Doshas The three Doshas possess qualities and their  subjoin or decrease in the system depends upon the similar or antagonistic qualities of everything ingested. Vatais  dry, cold,  dismount, mobile, clear, rough,  elusive Pittais  slightly  greasy, hot,  aggravated, light, fluid,free flowing,  stain smelling. Kaphais fulsome, cold, heavy, stable, viscid,  quiet, soft  some(prenominal)VataandPittaare light and only Kapha is heavy.BothVataandKaphaare cold and only Pitta is hot. BothPittaandKaphaare moist and oily and only Vata is dry.    Anything dry almost  ceaselessly  make upsVata, anything hot increasesPittaand anything heavy ,Kapha. Puffed  sieve is dry, cold light and rough   inordinateness in  smoke rice therefore is likely to increase Vata in the overindulger.  gai choi oil is oily , hot , intense , fluid , strong-smelling and  fluidness and increases Pitta in the consumer.  yoghurt , which , being creamy, col   d, heavy, viscid, smooth and soft , is the very image of Kapha , adds to the bodys Kapha when eaten.All  flipper elemets , as  explicit throughVata, Pitta and Kapha, are essential to life, working together to create health or produce disease. No one dosha can produce or sustain life  all three must work together , each in its own way.    PURIFICATION THERAPY    health is purity and disease is impurity So purification is the treatment.   (old Indian saying)    refining therapy is a unique  let ofAyurvedaby which the discharge cure and non  proceeds of disease is made possible.The functional components (doshas, namelyvatha, pitha & kapha) move all around the body through the  carry of circulation to do the  recipe physiological activities. The disease is the result of imbalance in the  criterion and quality of the doshas. During the disease process, the  insane doshas get lodged in the  rachitic parts of the  transmit of circulation and produce the disease symptoms. If the  carry of c   irculation are pure and healthy, even the aggravated doshas cannot  show up anywhere and produce disease Ayurvedaoffers two measures in the  management of a disease    . Pacifying therapy-in which the  gagadoshasare pacified with in the body itself. As this therapy dont cleanse the  carry of circulation, there is the  accident of reprovocation when exposed to similar causative factors. This therapy is  fit in conditions in which there is not much vitiation of the doshas. 2. Purification therapy-It is aimed at the complete expulsion of the  wandoshasand the purification of the  bring of circulation. As the channels are cleansed and  built by this process, the  gamble of recurrence is nil.   Purification therapy can be implemented not only for  lot diseases but to maintain health. No other systems of medicine can offer such an effective treatment measure. So we can proudly  book our superiority of Ayurveda to any other systems on account of its purification therapy. The purification     otherwise calledPancha karma therapyis  implemented in five ways.    1.  clyster therapy -It is best for vatha imbalance. 2. Purgation therapy -Best for pitha imbalance. 3.  vomiting therapy -For kapha imbalance. 4. Nasal drops -For all diseases above the neck. 5.Blood  permit -Best for removing blood impurities.       Stages of the treatment    low  portray-This includes the external and internal application oils followed with fomentation or sudation. By this the unbalanced doshas lodged in the  washed-out parts of the channels are   liquidise and loosened. Main or second  be-In this stage the loosened and liquified doshas are expelled out of the body by the appropriate purifactory procedure.  send out therapy-This includes the regimens to be practised after the purification. This is  in the main intended to  subjoin the digestive fire.    
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