View source for Interactive session on Contemporary Ayurveda

{{CiteButton}}
{{#seo:
|title=Contemporary Ayurveda
|titlemode=append
|keywords=carakasamhitaonline, charak samhita, caraka samhita, Ayurveda, current status of ayurveda, research, management of emergency conditions, strengths of ayurveda, education system, unexplored research areas, integrative healthcare,  Indian system of medicine, alternative medicine, health, preventive medicine, rasayana, RH Singh, Deole Y.S., Basisht Gopal 
|description= Interactive session on Contemporary Ayurveda 
|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg
|image_alt=carak samhita
|type=article
}}
{{Infobox

| image =  {{#evt:
service=facebook
|id= https://www.facebook.com/csrtsdc/videos/865022047707653
|dimensions= 360
|alignment=right
}} 
|title =  Contributors
|label1 = Section/Chapter/topic
|data1 = [[Concepts and Contemporary Practices]] -[[Education and Research]] / Contemporary Ayurveda   

|label2 = Author
|data2 = Prof.Singh R.H. <sup>1</sup>

|label3 = Reviewer 
|data3 = [[Gopal Basisht|Basisht G.]]<sup>2</sup>

|label4 = Editors
|data4 = [[Yogesh Deole|Deole Y.S.]]<sup>2</sup>, [[Gopal Basisht|Basisht G.]]<sup>2</sup> 

|label5 = Affiliations
|data5 = <sup>1</sup> Distinguished Professor, Faculty of Ayurveda, I.M.S.,B.H.U., Varanasi, Uttar Pradesh, India
<sup>2</sup>[[Charak Samhita Research, Training and Development Centre]], I.T.& R.A., Jamnagar, Gujarat, India  


|label6 = Correspondence email:
|data6 = carakasamhita@gmail.com

|label7 = Publisher 
|data7 = [[Charak Samhita Research, Training and Development Centre]], I.T.R.A., Jamnagar, India

|label8 = Date of first publication:
|data8 = July 13, 2021

|label9 = DOI
|data9 = 10.47468/CSNE.2021.e01.s09.066
}}
<p style="text-align:justify;">
This article is based on interactive session with Padma Shree Prof.R.H.Singh on July 11, 2021.The video session can be accessed on the link of [https://fb.watch/8v_xvdYRdT/ facebook page].
<br/>An online interactive session was organized by [[Charak Samhita Research, Training and Skill Development Centre]] (CSRTSDC), I.T.R.A, Jamnagar. Padma Shree Prof.R.H.Singh, lifetime Distinguished Professor from Banaras Hindu University, Varanasi guided in the session on current important issues of [[Ayurveda]] and healthcare field. Dr.Gopal Basisht, senior rheumatologist and project director, Charak Samhita New Edition Project, Orlando, USA presided over the session. Prof.S.K.Sharma Khandel, Director, ArogyaLaxmi, Jaipur and Prof.G.S.Tomar, President, Vishva [[Ayurveda]] Mission, Prayagraj actively participated in the session. The session was moderated by Dr.Yogesh Deole, Project Co-ordinator, Charak Samhita New Edition Project. Prof.R.H.Singh guided on following issues. </p>

==  Unexplored areas of [[Ayurveda]] and current research ==

'''Q 1. Which are the unexplored areas of [[Ayurveda]]? Please share your expert views on current research in [[Ayurveda]].''' 

'''Answer:''' There are many things which are unexplored in [[Ayurveda]]. However, as per my experience the following are more important things to be explored. Number 1 is classical Ayurvedic pharmacology. Rasa, [[Guna]], Veerya, Vipaka, Prabhava were the methods of drug testing in ancient times. They are not used nowadays. The reason is they have not been formatted or updated in current views. Most of the research done today, is done by modern pharmacological methods. The result goes in the favour of modern medicine, not [[Ayurveda]]. [[Ayurveda]] is not becoming strong by research. This is one thing that affects to me. 

Similarly, the clinical Ayurvedic methodology, which is so nicely described in [[Ayurveda]] in the form of [[roga]] pariksha, rogi pariksha, [[prakriti]], [[vikriti]] etc. These can be developed in a practical way, so that the Ayurvedic diagnostics can be used effectively. This is not happening.  Probably the reason is that it has not been clearly updated and brought in the form of contemporary tools. And therefore, most of the practitioners of [[Ayurveda]], do modern diagnosis and [[Ayurveda]] treatment. This was a situation in 1958, when Udupa committee commented on that. Things have not changed since then. They have become worse, I would say. This needs more work and to be re-examined. 
 
Third thing that is important is the [[tridosha]] theory of [[Ayurveda]] itself.  Lot of research has been done on [[dosha]] [[prakriti]], lots of clinical methods have been developed. But what is actually [[Vata]], [[Pitta]] and [[Kapha]], we do not know. Clearly, they are to be known. I consider the [[tridosha]] as a kind of formula or a conceptual construct to explain triangular physiology.  Why there is a need to have a triangular physiology? It is because the whole globe, according to [[Ayurveda]] is (regulated by) triangular forces. The three important powers of nature are The Sun, water and the air. Similarly, the three natural powers are present in our body in the form of three [[dosha]]. The Sun in the globe is the [[Pitta]] of our body; the air in the globe is [[Vata]] of our body, and the water of the globe is [[Kapha]] of our body. It is something like that. Probably this was the purpose to copy the nature into the biology. Therefore, [[tridosha]] theory was evolved. This is according to my thinking. Otherwise, Vata, Pitta and Kapha are nothing but just a formula. This is what looks to me. 

The next part of your question is about current research.  What is the situation of current research?  I classify current research into three categories. 
 
I. Literary research 

II. Clinical research 

III. Drug research 

The literary research is very successful. All the Sanskrit classical texts are translated in Hindi, or Indian languages or in English. Very powerful commentaries are written on Brihat-trayees, like Chakrapani on [[Charak Samhita]], Dalhana on Sushruta Samhita. These commentators have made commendable contributions in expanding that knowledge and trying to make it more contemporary. So, I should say that out of all researches, that we think we are doing, literary research is succeeded. This is my view. I wish to add, in the same sequence of literary research, the work of Dr.Gopal Basisht is very important. The [[Charak Samhita New Edition]] is in the same line of ancient tradition of literary research. So, I congratulate his team for doing very important work.

== Integrative healthcare system == 

'''Q 2. Nowadays we have a discussion on unified healthcare system in India. How can we connect or bridge fundamental concepts of [[Ayurveda]] with contemporary basic sciences? Please explain with an example.'''

'''Ans:'''  This needs a rigorous integrative approach. Integrative means the modern medicine and Ayurvedic medicine have come closer, sincerely closer. Not only closer, sincerely closer. Then only it can happen. I will give an example of a small experiment done at B.H.U. years ago on [[dosha]] [[prakriti]].  We selected 100 normal healthy volunteers. Their  [[prakriti]] was decided by a panel of experts. Their blood samples were taken to assess acetylcholine, catecholamines and histamine, the three important neurohumors.  It was observed that those who had [[vata]] [[prakriti]], higher levels of acetylcholine were observed. Those, who had [[pitta]] [[prakriti]], higher levels of catecholamines were observed. And, those who had [[kapha]] [[prakriti]], they had higher histamine levels. This was a small experiment. It can be an example of how we can link ancient [[Ayurveda]] with modern knowledge.  

== Use of technological aids in diagnosis == 

'''3. Technological advances in medical field have helped us in precise diagnosis. Please share your views on the importance of pathological, biochemical, radiological investigations in contemporary Ayurvedic practice? As they add on the healthcare cost in [[Ayurveda]] practice, can we avoid them?''' 

'''Ans:'''  If you prescribe the investigations, it will definitely add to the healthcare cost. When I practiced, I never prescribed any investigation. Off course, I observed all the reports, patient brought to me.  Because, the patient was treated by many other doctors and they had a lot of reports with them. With our integrative training approach, we can use them, interpret them. This is what I view. It is better to avoid them, as it overloads the patient. The treatment of [[Ayurveda]] has to be cost effective, then only the patient will come to you. Otherwise, why they shall come to you? So, as far as possible avoid the investigations to reduce healthcare cost in [[Ayurveda]] practice.  

== Management of emergency conditions ==

'''4. Please share your expert views on management of emergency medical conditions through [[Ayurveda]]. Can [[Ayurveda]] prevent or minimize use of emergency drugs or antibiotics?'''  

'''Ans:''' I will advise not to take emergency cases in [[Ayurveda]]. Because [[Ayurveda]] is not emergency medicine. It Is for chronic disease management. The best is to avoid or prevent emergency conditions. One help we can give is rasayana therapy. Even in emergency cases, if we give rasayana, it promotes immunity and recovery as well. This is all the help we can provide. In my practice, I always prescribed amalaki rasayana with a cup of turmeric milk every day in addition to our prescription. This definitely helps. This is all that can be done. The emergency management, we shall not handle. 

== Teaching methodology == 

'''5. Sir, as you have served more than 50 years as a teacher, we will be happy to listen about what are the tools or teaching methodology techniques to teach [[Ayurveda]] to non-ayurvedic medical students? How can we make [[Ayurveda]] simpler for a newcomer? What are the hurdles and solutions?''' 

'''Ans:''' When I was teaching in B.H.U., there was a course for allopathic students (M.B.B.S.) to do M.D. in [[Ayurveda]]. If we teach them with a lot of integration, or examples of correlation , it doesn’t develop interest in learning [[Ayurveda]]. They are more interested in learning what actually [[Ayurveda]] is? I will suggest to teach them [[Ayurveda]] as it is, rather than comparing other things which is not successful. So let us teach them [[Ayurveda]] as it is, so that they can understand triangular nature of physiology through [[vata]], [[pitta]] and [[kapha]]. They shall understand what is [[panchamahabhuta]]? They understand why  [[tridosha]] theory was brought in, when [[panchamahabhuta]] theory was already there. What is the need of talking of [[tridosha]]? Many people now say that [[tridosha]] are not understood. It is easier to explain the [[panchamahabhuta]] relations. All these singular things shall be taught to them. So that they can judge themselves, that is what is new in [[Ayurveda]]. It is their judgement about what to take from [[Ayurveda]]. We have to improve their judgement, not to teach them. Because they are already doctors, they understand.  

'''Dr. [[Gopal Basisht]]:''' 

I practiced modern medicine for fifty years. And I found that our mindset is about disease management. It is just focusing on disease management “if you remove the disease, the person becomes healthy”. This may not be the newer definition, that is there, but this is the mindset of us all who go into modern medicine. On the other hand, [[Ayurveda]] looks at the whole environment and the things that can affect the person. And this is a major problem. Because of the mindset, it is very difficult to change mindset of modern medicine persons. Diseases are continuously increasing. We continue to find newer treatments for better outcome. We have not placed any significance to what are the factors which keep people healthy. While I was looking at various systems, I found, this ([[Ayurveda]]) is the only system in the world, which has described the components of health, that can be taken care of by a practicing physician. If you look at the WHO definition of health, it says that physical, mental and social wellbeing and not just absence of diseases is health. With knowledge of this definition, if I sit in the office to advise the patient, then it can’t be followed. But, if we understand the definition of health in [[Ayurveda]], describing equilibrium of [[[[dosha]]]], [[agni]], [[dhatu]] and [[mala]], Prasanna [[atma]], [[indriya]] [[mana]]. We focus on five factors which have been described and specifically start taking care of people, which helps overall and should be much more effective. And it is. This is what I saw. When I was practicing, I used to give modern medicines, but I advised patients about doing meditation, yogic exercise and diet. And what I started to find  was that those patients who followed this advice felt better and their requirement for drugs started to come down gradually and many of them were able to get off the medications. This is how I very strongly feel that the current modern medical system is very deficient and diseases will continue to increase, unless Ayurvedic principles are included there.

== Improving social acceptance ==

'''6. How can we improve the acceptance of [[Ayurveda]] in society? Please share your views on the current status of [[Ayurveda]] in the healthcare field.''' 
'''Ans.:''' I think in a very practical way, we need a quality cost effective medicine. This is lacking today. The patient don’t get sufficient amount of cost effective quality Ayuvedic drugs. There is a need of repeated refresher training of a practitioner to develop a kind of scientific temper in their work. This is seriously lacking. Similarly, the work culture has to be improved. It will be more accepted in the society. 
I should say that the overall situation of [[Ayurveda]] is not satisfactory, nothing more than that. 

'''7. What can be done to improve the situation? What can we do? What are the expectations?'''
 
'''Ans:''' Education is in very bad state which has to improve. The hospitals have to be improved. Mushroom growth  of [[Ayurveda]] colleges shall be stopped. There shall be quality [[Ayurveda]] colleges to produce quality [[Ayurveda]] graduates. We can not depend only on the Government. The Government is doing what it can do. It has nothing to do. It is we who are supposed to do.  Then and then only the things will change gradually. 

== Message to younger generation ==

'''8. What is your message to the younger generation? How they can improve their selves and be passionate towards [[Ayurveda]]? What do you suggest them to be ideal disciples?''' 

'''Ans:''' I suggest them at first that once they adopt [[Ayurveda]] as a student, they should really become student of [[Ayurveda]] and follow it. They have double mind. Because, they have not come to Ayurvedic college as their first choice. Their first choice was something else. This is the main problem. They should work up on this complex. They should study [[Ayurveda]] sincerely and wholeheartedly. This is what I would like to say. 
9. One nation one medicine policy is suggested by the government. In that policy, [[Ayurveda]] has been included as a preventive medicine only. However, [[Ayurveda]] has principles of management of disease too. What are your views on this?     
Ans: One nation one medicine policy is a wrong notion. It can never happen. India has six official healthcare systems. How can we have only healthcare system?  We shall negate the policy. 

'''Prof. S.K. Sharma Khandel:''' 

Our basic problems are visible. We are not producing Vaidya or physicians. We are producing teachers. The reason behind this as you said is poverty of our hospitals. The hospitals attached to colleges are not very sophisticated. That’s why we are unable to deliver good clinical training. 

The second thing is that our concepts are very powerful and strong. However, the language used by teachers to clarify them is not very good. The students are confused till the end of course. They ultimately develop disease centric approach. They do not follow patient centric approach. Unfortunately, we miss the strength of [[Ayurveda]] and follow the same line as modern medicine does. The cosmic connection is not well understood to the students.  Therefore, the health and hygiene, which is a strong subject of [[Ayurveda]] has been reduced to a smaller topic in education system. The drug research favours modern medicine. 

However, there is new trend in new [[Ayurveda]] scholars, that they are willing to practice concept-based [[Ayurveda]]. There are various gurukula in India, which propagate concept-based practices.
 
The one nation one health policy can be a threat to [[Ayurveda]] and it might lose its importance by becoming a small chapter in healthcare system. There is need to strengthen [[Ayurveda]] institutes and cater the global demand of quality delivery of [[Ayurveda]].  
   
'''Link to access the online session:'''   https://fb.watch/8v_xvdYRdT/                        

'''Contact:''' csrtsdc@gmail.com

<big>'''[[Special:ContactMe|Send us your suggestions and feedback on this page.]]'''</big>

<div id="BackToTop"  class="noprint" style="background-color:#DDEFDD; position:fixed;
 bottom:32px; left:2%; z-index:9999; padding:0; margin:0;"><span style="color:blue;
 font-size:8pt; font-face:verdana,sans-serif;  border:0.2em outset #ceebf7;
 padding:0.1em; font-weight:bolder; -moz-border-radius:8px; ">
[[#top| Back to the Top ]]</span></div>