Achar Rasayana in Cardiac Health

Dr. Vikas ChotheEmpire Estate M-2, 001, Pune-19. (India)

vchothe@gmail.com

CVD –a leading cause of death in India

• loss of national income• high treatment costs• low priority to prevention

© Dr. Chothe. V.R

Causes of heart disease

IN ALLOPATHY IN AYURVEDA

unwholesome diet over physical

exertion, anxiety fear terror ama excessive sex suppression of

vomiting Charak chikitshasthan xxvi/70 © Dr. Chothe. V.R

Modifiable Cardiovascular risk factors

Stress (Circulation. 2004 by Eaker ED et al; J Am Coll Cardiol. 2009 by Chida Yet al. ).

tobacco and alcohol (Lancet 1991 by Rimm EB).

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.

Circulation 2006;114:82,JAMA. 1998 Dec 16;280(23):2001-7,Am J Cardiol. 2010 Feb 1;105(3):362-7.

Rasayana for Cardiac health (rejuvenation therapy)

Labhopayo Hi Sastanam Rasadinam Rasayanam (CHARAK CHIKITSASTHANA 1/8)

Rasayana is any herb, food, or activity which confers youthfulness and cures diseases.

rasayana includes purification of all tissues from rasa to shukra.

special health promoting conduct and behavior

© Dr. Chothe. V.R

Achara Rasayana (Ayurvedic lifestyle modification)SADVRITTA (GOOD BEHAVIOR )

KALA ( ART THERAPY)

aalekhgeetnrutyanatyavadya

Good mental conduc

t

Good social

conduct

Good person

al conduc

t

Good moral

conduct

Good religio

us conduc

t

© Dr. Chothe. V.R

Good mental conduct LobhaShokaBhayaKrodhaManaVegan

Vidharayet- Charaka Sutrasthana 7/27

Anger and hostility are associated with CHD outcomes and predict the development of atrial fibrillation- J American College of Cardiology. 2009 Mar 17;53(11):936-46.and Circulation. 2004 Mar 16;109(10):1267-71.

One should strive to bring happiness, cheerfulness, and positive manasbhavas to all. This attitude is termed as Hitaya, which is characteristic of our Indian culture.

© Dr. Chothe. V.R

Good social conduct

satya (speaking the truth)

ahimsa (non violence)

brahmacharya (observance of sexual discipline)

The clear link between stress due to unsatisfactory interpersonal relationships and cardiovascular disease is scientifically demonstrated. -Circulation, 24:1173-84

© Dr. Chothe. V.R

love thy neighbor

© Dr. Chothe. V.R

Good religious conduct

Darshan-worshipping god and teachers

Mantras-religious prayersMeditation

religious involvement or spiritual well-being affect development of coronary artery disease and helps in stress management.-J Prev Med Public Health. 2010 Sep;43(5):445-50.© Dr. Chothe. V.R

Spirituality for Healthy Living

Good personal conduct

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

RITUCHARYA

Following the seasonal taste adjustments, dietetics and regime is beneficial in keeping seasonal and lifestyle disorders at bay.

© Dr. Chothe. V.R

Arising

Natural urges

Head oil

Cleanliness

Massage

Exercise

Good sleepwww.cozwecare.org

Good moral conduct

serving elderly people

respect for the parents

understanding in married life

avoid alcohol and smoking

© Dr. Chothe. V.R

What is Art (Kala)?Art is the expression of feeling of

the artist, who derives the joy of aesthetic experience (ananda) influencing beneficially the mind of the viewers– Abhinavagupta

Ranging from ancient rock cave paintings at Bimbetaka and mandalas to new aged clinical therapy, art has been used for stress reduction in Ayurveda.

© Dr. Chothe. V.R

What is art therapy?Art therapy is a ‘mental health’profession that uses the

creation ofart as a way to increase mental

andemotional well-being.

© Dr. Chothe. V.R

A good painting cleanses and curbs anxiety and banishes bad dreams -Vishnudharmottara Puranana

Imagery, touch, music and prayer as adjuncts to interventional cardiac care.-Lancet 366:211-217.

Ragas (Music) exhibit positive effect on emotions and prolongs life. –Samveda

Music effectively improves quality of life, increases health and probably prolongs life. -Circulation. 2009 Jun 30;119(25):3171-80.

If every individual observes rules and regulations as described in Swasthavritta i.e. 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 cost-effective strategy to reduce global

burden of disease

Achara Rasayana (Ayurvedic lifestyle modification) has been highly significant clinically. Hence there is need for conducting prospective cohort studies without publication bias.

awareness about Achara Rasayana in physicians and health care policy makers needed. © Dr. Chothe. V.R

 

Thank You

There is more to life than increasing its speed. 

-Mohandas K. Gandhi

© Dr. Chothe. V.R

Acknowledgements

• Thank you Dr. Atul Rakshe Sir, Dr. Mahesh Asalkar, Dr. Arti Firke

• Thanks to Department of Swasthavritta, CARC, Akurdi (India)

© Dr. Chothe. V.R