Post on 31-Oct-2014
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Preventive Cardiology:Achar Rasayana in Cardiac Health
Dr. Vikas ChotheEmpire Estate M-2, 001, Chinchwad Pune-19. (India)
vchothe@gmail.com
CVD and Diabetes –a leading cause of death in India
India also leads the world today with the largest number of diabetics in any given country R. Pradeep & V. Mohan (2002) Indian J Med Res 116
Causes of heart disease
IN ALLOPATHY IN AYURVEDA
Over physical exertion,
anxiety fear terror ama excessive sex drastic & excessive
purgation suppression of
vomiting Charak chikitshasthan xxvi/70 © Dr. Chothe. V.R
Modifiable Cardiovascular risk factors
tobacco and alcohol use (bonnet et al.,
2005; rod et al., 2009).
stressful life (pouwer et al.,
2005; kokoszka et al., 2009).
anxiety (engum, 2007).
depression (mezuk et al.
2008)
hostility (rod et al., 2009).
work stress (kawakami et
al., 1999).
habitual sleep disturbances
unhealthy diets
obesity
high cholesterol
Addiction
An estimated 34.7% of all deaths resulting from cigarette smoking are related to CHD.
Alcohol abuse increases the risk for diabetes and CHD.
© Dr. Chothe. V.R
Stress
Cognitive signs-poor concentration, low self-esteem
Emotional signs-anxiety, agitation, and feeling lonely
Depression increases the risk for type 2 diabetes by 37%
Behavioral symptoms -social withdrawal, nervous habits such as nail-biting.
Physical symptoms - chest pain, diarrhea, dizziness
© Dr. Chothe. V.R
According to Allopathy emotions are associated with limbic system and different parts of brain.
But according to Ayurveda the heart rather than the brain is the seat of the mind and emotions.
Different emotions have powerful influences on the heart and can cause cardiac diseases.
© Dr. Chothe. V.R
type A personality
hurry to eat, talk, walk and do most other activities
not able to relax or enjoy the satisfaction of achievement
poor listening behavior
a sense of guilt while on vacation or relaxing,
hyperactive response
unsatisfactory interpersonal relationships
self-centered
Rajas and Tamas types prone to CHD
© Dr. Chothe. V.R
© Dr. Chothe. V.R
Lifestyle modification in conventional medicine
no smoking, consuming at least
half a drink of alcoholic beverage per day,
moderate to vigorous physical activity for ≥30 minutes per day,
BMI<25 kg/m2.
consume <10% of energy from saturated fat.
consume <2% of energy from trans fat.
eat (fatty) fish at least once a week.
eat ≥400 g of vegetables and fruits per day.
limit salt consumption to <6 g/d.
Lichtenstein A et al. Circ 2006;114:82
Rasayana for Cardiac health (rejuvenation therapy)
Labhopayo Hi Sastanam Rasadinam Rasayanam (CHARAK CHIKITSASTHANA 1/8)
rasayana means the purification of all tissues from rasa to shukra.
dietary regimen special health promoting conduct and
behavior
© Dr. Chothe. V.R
Principle of Rasayana
Heart diseases and diabetes are related to the disturbances in rasavaha strotas.
If rasa dhatu is produced in optimum quality and quantity, then naturally all the tissues in the body will be nourished properly.
It reverses the atherosclerosis process and helps in improving dhatu bala, ojas and stabilizing vitiated doshas.
© Dr. Chothe. V.R
Classification Of Rasayana
Ausadha Rasayana - Drug Rasayana.
Ahara Rasayana - Dietary Rasayana.
Achara Rasayana - Conduct of Rasayana.
© Dr. Chothe. V.R
Achara Rasayana (Ayurvedic lifestyle modification)
ADOPTION OF ETHICAL ELEMENTS LIKE :
serving elderly people
respect for the parents
fraternal loveunderstanding in
married life© Dr. Chothe. V.R
worshipping gods and teachers
preferring religious sayingsahimsa (non violence)speaking the truth- lying has
been found to boost blood pressure and stress
calm behavior-chronic anger, irritability produces elevation in blood pressure and it can be a serious risk factor for CHD
© Dr. Chothe. V.R
laughter is as good as relaxation therapy to overcome stress. Study shows that laughter decreases adrenaline and cortisol production.
sweet speech following social ethics and conducts
© Dr. Chothe. V.R
Sympathy and love towards all
© Dr. Chothe. V.R
Three pillars of life
SATTVIK AHARA (DIET) NIDRA (SLEEP)
having equal work & sleep,
© Dr. Chothe. V.R
BRAHMACHARYA (OBSERVANCE OF SEXUAL DISCIPLINE)
Following the rules relating to the three triads i.e. food, sleep and celibacy is essential. Chastity and integrity
© Dr. Chothe. V.R
Deaddiction
For those who have a myocardial infarction, the risk of fatal recurrence may be halved after cessation of smoking.
© Dr. Chothe. V.R
Four purusharthas (fundamental objectives of life)
dharma (righteousness or duty),artha (wealth),kama (desire for pleasure) and moksha(spiritual emancipation)
The first three are for the body and mind and the last one consists in the realization of the soul.
© Dr. Chothe. V.R
Spirituality for Healthy Living
Dinacharya
dina – day & acharya – behavior
In order to keep the tridoshas and agni (metabolism) in a state of healthy equilibrium, Ayurveda prescribes for each individual a specific daily routine
© Dr. Chothe. V.R
Arising
Natural urges
Head oil
Cleanliness
Massage
Exercise
Good sleepwww.cozwecare.org
Ritucharya
The doshas are influenced primarily by seasonal variations.
Knowledge of this is related to the balancing of the doshas.
Hence Ritucharya i.e. the seasonal taste adjustments, dietetics and regime is to be followed.
© Dr. Chothe. V.R
Art Therapy
Ranging from ancient rock cave paintings at Bimbetaka and mandalas to new aged clinical therapy, art has been used for stress reduction in Ayurveda.
A good painting cleanses and curbs anxiety and banishes bad dreams -Vishnudharmottara Puranana
© Dr. Chothe. V.R
The benefits of Achara rasayana over Modern Medicine:
improving quality of life triad of lifespiritual health - four purusharthasman and naturedaily regimenseasonal regimen and ethical
regimen social healthbalanced personality and behavior
(sattvik) © Dr. Chothe. V.R
Some more benefits…
formation of high quality dhatus (tissues)
increases the quantity and quality of ojas
a vital factor for health and immunity antioxidantanti-stresspeace of mindhealthy and long life
© Dr. Chothe. V.R
If every individual observes rules and regulations (described in Swasthavritta) – daily regimen, seasonal regimen and ethical regimen, takes proper food, sleep and enjoys controlled sexual activity, he can enjoy long and healthy life. © Dr. Chothe. V.R
© Dr. Chothe. V.R
Conclusion
Achara Rasayana (Ayurvedic lifestyle modification) has been highly significant clinically.
Hence there is need for its scientific accreditation in international community
© Dr. Chothe. V.R
Thank You
There is more to life than increasing its speed.
-Mohandas K. Gandhi
© Dr. Chothe. V.R