Ayurveda in Public Health w.s.r. Non Communicable Diseases and

Transcription

Ayurveda in Public Health w.s.r. Non Communicable Diseases and
Int J Ayu Pharm Chem
REVIEW ARTICLE
www.ijapc.com
e-ISSN 2350-0204
Ayurveda in Public Health w.s.r. Non Communicable Diseases and
Life Style Disorder
Alok Shukla1*, Vinay Tiwari2, Kamal Kishor3, Midhun Mohan4, Satender Tanwar5, Kiran M
Goud6
1, 6
SKAMCH & RC, Bangalore.
2, 3
Dept., of PG Studies in Kayachikitsa at SKAMCH & RC, Bangalore, Karnataka, India
4
Dept., of PG Studies in Panchakarma at SKAMCH & RC, Bangalore, Karnataka, India
5
Dept., of PG Studies in Shalya Tantra at SKAMCH & RC, Bangalore, Karnataka, India
Abstract
As per WHO - Health is a state of complete physical, mental and social well-being and not
merely the absence of disease or infirmity1. Public health is "The science and art of preventing
disease, prolonging life and promoting health through the organized efforts and informed choices
of society, organizations, public and private, communities and individuals2.
The main aim of Ayurvedic science is to maintain the health of healthy individuals and cure the
diseased one3.
As Ayurveda is recognized as foremost life science and describes ways to prevent and manage
lifestyle disorders, the world is being attracted towards its potential. Ayurveda provides better
solution in the forms of proper dietary management, lifestyle advises, Panchakarma like
detoxification and bio-purification procedures, medicaments, and rejuvenation therapies.
The holistic approach of Ayurveda, treating the patient as a whole, meaning intervention targeted
toward complete physical, psychological, and spiritual well-being makes this science a
wonderful option in lifestyle disorders.
This conceptual study carried out to highlight the importance of the Ayurvedic principles and
implementing in the day to day life to keep away from the various NCD & LSD.
Keywords Ayurveda, LSD, NCD, Panchakarma, Public health, WHO
Greentree Group Received 27/3/15 Accepted 23/4/15 Published 10/5/15
Shukla et al.
Int J Ayu Pharm Chem 2015 Vol. 2 Issue 3
[e ISSN 2350-0204]
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Int J Ayu Pharm Chem
examples of common public
INTRODUCTION
health measures.
Public health incorporates the interdisciplinary

approaches
Modern science through improved
sanitation,
of epidemiology, biostatistics and health services.
vaccination,
and

Environmental health.
antibiotics, and medical attention has

Community health.
eliminated the threat of death from

Behavioral health.
most infectious diseases. This means

Health economics.
that death from lifestyle diseases like

Public policy.

Insurance
heart disease and cancer are now the
primary causes of death. Everybody
medicine
naturally has to die of something, but
and occupational health.

The
focus
of
public
lifestyle diseases take people before
health
their time. Too many people are
intervention is to improve health and
dying relatively young from Heart
quality of life through
Disease
The prevention and treatment
Other physical and mental
and
other

In India the situation is quite
alarming. The disease profile is
health conditions,
Through surveillance of cases
changing rapidly. The World health
Organization (WHO) has identified
and health indicators,
Through the promotion of
India as one of the nations that is
going to have most of the lifestyle
healthy behaviors.
of hand
washing and breastfeeding,
Delivery of vaccinations, and
Distribution of condoms to
control the spread of sexually
transmitted
Cancer
lifestyle diseases in modern times.
of disease and
Promotion
and
diseases are
disorders
in
the
near
future.
Nowadays, not only are lifestyle
disorders becoming more common,
but they are also affecting younger
population. Hence, the population at
risk shifts from 40+ to maybe 30+ or
even younger.
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
Already considered the diabetes
Lifestyle diseases like hypertension,
capital of the world, India now
diabetes mellitus, dyslipidemia and
appears headed towards gaining
overweight/obesity are the major risk
another dubious distinction — of
factors for the development of CVD.
becoming
lifestyle-related
With rapid economic development
disease capital as well. A study
and increasing westernization of
conducted jointly by the All India
lifestyle in the past few decades
Institute of Medical Sciences and
prevalence of these diseases has
Max Hospital shows the incidence of
reached alarming proportions among
hypertension,
Indians in the recent years.
the
obesity
and
heart
disease is increasing at an alarming


In recent years, India has managed
rate, especially in the young, urban
to control communicable diseases
population4.
like malaria, cholera and polio.
According
to
doctors
say,
However, the nation now has to
a
sedentary lifestyle combined with an
deal
increase in the consumption of fatty
developed world obesity-fuelled
food and alcohol is to blame cases of
diseases
obesity, diabetes, hypertension etc.
cardiovascular ailments. Coupled
1.
Fats & Cholesterol
with a sedentary urban lifestyle,
2.
Prevention of heart disease
increased alcohol consumption and
3.
Major Life Style oriented Diseases
smoking, the urban youth are
4.
National Programme for Prevention
particularly
and Control of Cancer, Diabetes,
aforementioned lifestyle diseases.
Cardiovascular Diseases and Stroke
(NPCDCS).

Cardiovascular

with
a
like
new
breed
diabetes
prone
to
of
and
the
A non-communicable disease, or
NCD6, is a medical condition or
diseases
(CVD)
disease which by definition is non-
continue to be the major cause of
infectious
mortality representing about 30 per
among
cent
chronic diseases of long duration and
of
all
deaths
worldwide.
and
people.
non-transmissible
NCDs
may
be
slow progression, or they may result
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2015 Greentree Group © IJAPC
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in more rapid death such as some
obesity, in turn leading to increased
types of sudden stroke. They include
risk of many NCDs.
autoimmune diseases, heart disease,
stroke,
most
cancers,

asthma,
because
majority
of
these
diseases are preventable illnesses,
osteoporosis, Alzheimer's disease,
the most common causes for non-
cataracts,
communicable
and
more.
While
diseases
(NCD)
sometimes (incorrectly) referred to
include
as
alcohol abuse, poor diets (high
synonymous
with
"chronic
tobacco
use
(smoking),
consumption of sugar, salt, saturated
The World
Health
Organization
fats, and trans fatty acids) and
(WHO) reports NCDs to be by far
physical inactivity. Currently, NCD
the leading cause of death in the
kills 36 million people a year, a
world, representing over 60% of all
number that by some estimates is
deaths. Out of the 36 million people
expected to rise by 17–24% within
who died from NCDs in 2005, half
the next decade.
were under age 70 and half were

Diet and lifestyle are major factors
women. Of the 57 million global
thought to influence susceptibility to
deaths in 2008, 36 million were due
many diseases. Drug abuse, tobacco
7

the
diabetes, chronic kidney disease,
diseases".

Referred to as a ―lifestyle‖ disease,
to NCDs .
smoking, and alcohol drinking, as
Risk factors such as a person's
well as a lack of exercise may also
background;
and
increase the risk of developing
environment are known to increase
certain diseases, especially later in
the
life.
lifestyle
likelihood
of
communicable
include
exposure
behaviour
age,
to
certain
diseases.
gender,
air
such
They
genetics,
pollution,
as
non-
and
smoking,

The incidence of lifestyle diseases
like hypertension, diabetes mellitus,
dyslipidemia,
and
overweight/obesity associated with
unhealthy diet and physical inactivity
which can lead to hypertension and
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Shukla et al.
2015 Greentree Group © IJAPC
Int J Ayu Pharm Chem 2015 Vol. 2 Issue 3
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
cardiovascular diseases is high on
seasons and different ailments. The
the rise.
one great scholar of middle century
Cardio vascular disorders continue to
explained
be the major cause of mortality
following the do‘s and don‘ts of food
representing about 30% of all deaths
article as follows-
worldwide. With rapid economic
development
As
Ayurveda
is
recognized
as
westernization of lifestyle in the past
ways to prevent and manage lifestyle
few decades, prevalence of these
disorders,
diseases
attracted
reached
alarming
the
world
towards
is
its
being
potential.
proportions among Indians in the
Ayurveda provides better solution in
recent years.
the
forms
of
proper
lifestyle
dietary
advises,
ROLE OF AYURVEDA FOR
Panchakarma like detoxification and
THE
bio-purification
PREVENTION
OF
medicaments,
THE NCD
Main aim of Ayurvedic science is to
maintain
the
health
of
healthy

These can be prevented well by
and don‘ts: The Ayurvedic classics
explained the unique concept of the
do and don‘ts as per different
The holistic approach of Ayurveda,
meaning
intervention
toward
complete
targeted
physical,
being makes this science a wonderful
The main principles explained in
Concept of pathya and apathya8- do
rejuvenation
psychological, and spiritual well-
following the principle of Ayurveda.
follows:
and
treating the patient as a whole,
one.
Ayurveda to counteract these are as
procedures,
therapies.
individuals and cure the diseased

of
foremost life science and describes
management,

importance
increasing
has
and

the
option in lifestyle disorders.

Basically, a particular lifestyle of
person is a cumulative product of
his/her physical capacity coordinated
with
psychological
functioning,
displayed in the form of habits,
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2015 Greentree Group © IJAPC
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behavior, dietary and living pattern
the
based on his own training sought
Therefore, the habit of suppression
from childhood, and mimicries he
of urge in improper lifestyle can be
gained
considered as one of the root causes
from
companions
his
immediate
including
parents,


Thus,
it
disease.
Removal of these accumulated waste
psychological and innate control
as described in Ayurveda by Charaka
over
as well as in Naturopathy by
and
sensory
activities.
Hippocrates, Henry Lindlarh, and
When this initiation, control, and co-
Mahatma Gandhi.
ordination are disturbed, it leads to

In the management of lifestyle
the derangement of lifestyle and
diseases, Ayurveda offers various
results in any lifestyle disorder.
regimens
Ayurveda narrated this phenomenon
9
as
(seasonal regimen), Panchakarma
‗Prajnaparadha‘
(intellectual
(daily
including
regimen),
Dinacharya
Ritucharya
blasphemy) which is one of the three
(five
basic causes of any disease. There
purification therapies), and Rasayana
are ample improper actions as an
(rejuvenation)
impact of Prajnaparadha which are
Sadvritta
root causes of various diseases, e.g.,
Aachara Rasayana (code of conduct)
habit of suppression of any natural
are utmost important to maintain a
urge is a result of Prajnaparadha
healthy and happy psychological
and enlisted as a cause of nearly 50%
perspective.
of the diseases.

a
products is the first line of treatment
physical
a
of
pure
the
involves
cause
of lifestyle diseases.

siblings, peers, etc.
basic

detoxification
and
therapies.
(ideal
routines)
bio-
The
and
The inclusive utilization of all these
Reversal of any neurotransmission or
treatment modalities has a great
improper removal of the waste
effect
products formed during metabolism
Moreover, the application of organ-
leading to accumulation of toxins is
specific
on
lifestyle
Rasayana10
disorders.
herbs
also
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provides enough scope not only for
articles, the first 4 are review articles
prevention of disease, but also for
exploring
the promotion of health and cure of
Ayurveda in modern language. This
disease
too.
is followed by 9 clinical research
disorders
are
Cardio-vascular
discussed
under
Hridroga in Ayurveda. Hridaya has

of
articles and 1 case study.

The drug research section includes 3
articles
Any
standardization
and
4
on
disturbance will lead to a disturbed
pharmacological
researches.
The
patho-physiology of heart. Hence, it
issue is concluded with 2 short
has been told to protect the heart
communications. We hope this issue
from
kind
of
every
psychological
kind
On
the
on
pharmaceutical
of
stressor
will provide ample information to
Visheshena
Manaso
the learned society.

Dukkhahetavah).
Emphasizing the need to spread
conventional
awareness to tackle these deadly
western medicine deals with the
diseases, Dr Kumeran at Obesity
cardio-vascular disorder with single
Foundation India said, ‗Parents
side of somatic disorder. Hence,
should be aware and should be
Ayurveda has an upper edge in
responsible to guide their children
treating the disease with emphasis on
to eat the right kind of food and
its
Ayurvedic
engage them in physical activities.
physician concentrates on achieving
Also more emphasis should be laid
the
on
root
contrary,
cause.
objective
of
The
Ayurveda
for
management of disease for a healthy
engaging
kids
in
outdoor
activities.‘
promotion of health, prevention and

messages
been referred to be the site of psyche.
(Pariharya

hidden

Following Din- charya by making
and happy life in the ailing society.
suitable change in the Aahara and
The present issue of AYU comprises
Vihaara.
variety
of
research
articles
in
Ayurveda. Out of the total of 23

Following
Rutu-charya
including
11
Rutu Anusaar Shodhana .
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
Non suppression of natural urges12.
shodhana procedure is such a great

Rasayana
concept the result of which is beyond
including
Aachara
Rasayana.
the

Following Sadvritta13.
physician.

Vaajikarana14.

Life style disorder are the main
undergoes
group of disorders which occur in
procedure followed by the removal
the individual due to non following
or
of daily activities as explained in the
pertaining to major and minor blood
Ayurvedic classics.
vessels as well major channel of the
As the science of LIFE which
body. By undergoing shodhana the
explains the individual how to
whole of the GIT tract will be
maintain the health and lead a
cleared without causing the much
socially useful life, have positive
harm to the normal friendly intestinal
long life.
bacteria which is expected to happen
The concept of Aachara-rasayana is
if
beautifully explained in Ayurveda
medicines are not used with caution.




imagination
of
ordinary
Shodhana procedure the person who
reapeated
clearing
the
of
shodhana
all
blockages
contemporary
science
merely enough to uproot the LSD.
Thus, by above said references it can be
CVD – cardiovascular disease are
concluded
considered to be the major burden on
approach not only for the single individual
nations worldwide. The mortality
for the entire community. Hence by
and morbidity is unpredictable. Due
to
the
unhealthy
diet
and
unwholesome life style premature
ageing changes such as Artherosclerosis in the major coronary
arteries
leads
unexpected
to
death.
sudden
The
and
that
Ayurveda
has
holistic
following the rule of conduct and regimen
explained in Ayurveda one can keeps away
the disease free body, mind and soul.
Ayurveda is an evidenced based and time
tested nectar of knowledge for the well
being of the entire community and society.
regimen
explained in the Ayurveda – such as
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8. Charaka Samhita, Sootra Sthana 25th
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http://en.wikipedia.org/wiki/Noncommunicable_disease.
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http://en.wikipedia.org/wiki/Noncommunicable_disease.
________________________________________________________________________________________________________
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2015 Greentree Group © IJAPC
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