Clinical Symposium Acharya Balkrishna Maharaj 2010

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    YOGA AND AYURVEDA : PREVENTION AND MANAGEMENT OF

    HEART DISEASES

    Acharya Balkrishna

    Vice- chancellor, University of patanjali, Haridwar, India

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    Introduction

    From the commencement of human civilization various natural treatment systems were

    being used. Yoga and Ayurveda are prevalent all over the whole world as the oldest

    Natural treatment system. Yoga and Ayurveda among various healing systems, from the

    commencement were scientifically well organized. Similar to modern science Ayurveda

    and Yoga is also a well equipped unique healing science based on various fundamental

    principles like, body composition, with information relevant to diagnostic science,

    pharmacology, medicine, surgery, pediatrics, gynecological disorders etc. Science of

    yoga and Ayurveda have emphasized more on prevention before the treatment which has

    been applied by modern science in the form of preventive medicine. Systematic life style,

    thought and behavior, systematic food and then systematic non herbal treatment.

    (yogasana, pranayama , meditation, mantra and naturopathy), and herbal therapy (herbs,

    minerals etc.) are prescribed in yoga and Ayurveda. It is believed that modern medical

    science has its origin in the ayurvedic science.

    Ayusau vedah Ayurvedah menas Vedas of age, deals with Ayurveda concept of age.

    This means an adequate union of body, sense, mind and soul is age. Means only to earn

    money is not the goal of health and whole life (age). Instead achievement of mental peace

    and human emotion is also very important. The therapeutic benefits ofyoga, pranayama

    and Ayurveda are being accepted by large number of people due to the contributions

    made by many scientific researches and clinical benefits.

    The heart is an important part of the body, which has been counted in Ayurveda as

    importantTrimurma (Shir, vasti and hridaya). Spiritually the heart is regarded as the

    location (seat) of mind. Located in the thoracic cavity, the heart is also the shelter of food

    juice, blood and ojas. The term hridaya is meaningfully explained in Brihadaranyaka

    Upanishad. According to this, hridaya term is made from three elements ' hey harne' '

    dad dane' and 'in gatau'.

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    1.Withdrawal of juice made from digestive processes and re-withdrawal of impure blood

    circulating in whole body is the meaning of'hey element'.

    2. Providing pure blood to the whole body is the meaning of'dad element'.

    3. Incessant movement in the form of contraction (systole) and retraction (diastole) is the

    meaning of'in element'.

    As given in the Brihaddaranyaka Upanishad we come to know that the ancient Indian

    sages had very clear knowledge about the cardiovascular system, thousands of years ago.

    Here is the seat of consciousness and mind. Mental disorders like anxiety, fear, sadness,

    anger, jealousy etc. have a profound negative effect on the heart.

    Sadhak pitta located in the heart keeps intelligence, self confidence awake and helps in

    achieving success in the struggle of life.

    Ojas located in the heart is the basis of life. It gives long life and protects the body from

    all the invasion of disease. Death is inevitable when ojas is destroyed. Heart is the

    location ofAvalambhak kaphaand vital air and is the root ofrasvaha (juice carrying).

    Going outdoors in the morning in open surroundings and deeply inhaling the pure air

    throughpranayama is very beneficial for the heart.

    The heart has an important place in Ayurveda and spiritual scriptures. Spiritual scriptures

    consider that the human body is made from fiveKoshas(Sheaths or Layers).

    Annamaya kosha--- This sheath is nurtured by food and water. It includes ras (juice),

    rakta (blood), mamsa (flesh), meda (fat), asthi (bone), majja (bone marrow) andsukra

    (reproductive cells).

    Pranamaya kosha----The cause for all the activities in the life of an individual is

    pranamaya kosha (vital sheath).

    Manomaya kosha-- This sheath is responsible for mental activities which also controls

    the sensory and motor activities.

    Vigyanamaya kosha--- this sheath control the intellectual activities of an individual.

    Anandamaya kosha--- On achieving this state, individuals experience bliss. In this state

    individual does not feel anger, fear, hunger, thirst, etc.

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    Like this annamaya kosha represents the gross body and rest of four koshas constitutes

    the subtle body.

    The place of mind is as a moderator between the subtle and gross body.

    Six chakras are found in human body. Heart is the location of "Anahat chakra".

    Various bodily dosha (impurijties) arepresent in heart are:

    1. Vatta- vyana Vayu

    2. Pitta - sadhak pitta.

    3. Kapha- avalambhak kapha.

    Heart ailments

    According to World Health Organization there were approximately 1 crore and sixty-

    seven lakh people who died from heart disorder which was equal to 29% of total deaths.

    A report from theJ ournal of the American Medical Associationreported that Asian youth

    people (youth) have more chances of suffering from heart attack as compared to other

    countries.

    Heart and stroke foundation Canada reveals that in every minute one Canadian

    dies due to heart ailments or heart attack. In India (south Asia) 60 years ago heart

    ailments were in the ninth place as a fatal disease but now it has come to third place.

    Prevention and treatment of complicated disease like heart ailments is possible through

    Yoga, pranayama and Ayurveda, the need is to accept its usefulness by applying in the

    whole world and presenting it in scientific way.

    Heart is the foundation of blood circulation through contraction (systole) and

    relaxation (diastole). It is the organ which supplies blood in the whole body. When the

    parts of the heart is in its natural condition, the function of the body takes place smoothly,

    deformation or distortion in any part of the heart or activity leads to distortion in the

    functioning of the whole body. This deformation is called heart disease. Two types of

    diseases occur in the heart.

    1. Originative deformation

    2. Functional deformation

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    Explaination of heart ailments according to Ayurveda:

    1. Vattic (air) heart disorder

    2. Paitik (fire) heart disorder

    3. Kaphaj (cough) heart disorder

    4. Sannipatik heart disorder

    5. Krimaj heart disorder.

    Acharya Charaka has explained five types of Heart diseases in the Astodariya adhyaya

    (C, Su. 17), Trimarmya Chikitsa adhyaya (C. Chi. 26) and Rog ki Samkhya vala adhyaya

    (C. Su. 19).

    Heart disease (Angina and heart attack): Not only in India but in whole world the number

    of persons suffering from heart diseases (angina and heart attack) is increasing rapidly.

    What is most surprising and a cause of worry is that now this disease is seen in younger

    age.

    Heart patients are in every class of the society and its treatment is very

    expensive and treatment through surgery (bypass surgery) is almost impossible for most

    of the people. In this critical situation except yoga, pranayama, nutrition, exercise,

    ayurveda and lifestyle reformation, no other source of hope is visible.

    Heart works as a pump in the body. The speed of the heart is 70- 90 per minute

    and in one stroke it distributes 70-80 ml of blood in various parts of the body. Mostly

    heart is composed of muscles. The muscle of the heart is called myocardium. The

    muscles of the heart work incessantly throughout life. Therefore, the heart also requires

    blood supply for its function. Blood is supplied in heart through coronary artery and these

    are mainly three.

    When obstruction comes in the blood flow of the coronary arteries, less blood

    is supplied to the heart and the individual (patients) suffers from angina. When the flow

    of blood suddenly stops in the heart then the individual suffers heart attack. In heart

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    attack the death of the muscles of the heart takes place and efficiency of the heart

    functions decreases.

    Due to stress or tension stress hormone become more in blood. LDL and

    triglycerides increases due to stress hormone and the amount of HDL decreases.

    Atherosclerotic plague rapidly increases when LDL and HDl ratio becomes 3:1.

    When obstruction becomes more than 70% then the problem of angina arises

    and if the Atherosclerotic plague breaks off due to some cause then the blood starts

    clotting in the region and obstruction becomes 100% and at this stage heart attack occurs.

    Hyperlipidemia: Fat is not soluble in the body. To make it soluble, nature has given a

    unique carrier system to the body, which is known as lipoprotein. These lipoproteins are

    of the following types:

    1. Triglycerides

    2. Very low density lipoprotein

    3. Low density lipoprotein

    4. High density lipoprotein.

    After digestion fat is transferred from the intestine in the form of chylomicrons through

    the medium of blood to the liver. Firstly this fat is transform into VLDL, HDL, LDL in

    the liver for transferring it to other parts of the body. Since these three carry fat to the

    peripheral tissues, its deposition in arteries obstructs the blood secretion therefore

    resulting in harmful effects on the body and the person suffers from heart attack, angina

    etc. In stress the persons feels like eating more of fatty food, this can be due to stress

    effect on limbic and hypothalamus.

    Harmful effect of stress generate disorders in the limbic system and hypothalamus and

    these are reduced through Yoga and pranayama which helps to make food habit alteration

    negligible. Lipid is the scientific term for fat present in the blood. Main activities of the

    body takes place through lipid but it can be harmful for the body. High level of lipid is

    the meaning of hyperlipidemia. There are various condition in the hyperlipidemia but

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    moreover it means that the level of high cholesterol and high triglyceride. High lipid level

    gives rise to one process which is known as atherosclerosis or stiffness of blood vessels.

    Normally our blood vessels are soft and barrier free, however with the increase in age a

    substance is deposited in its walls, which is known as plaque. Plaque is formed from

    other forms of lipid which circulates in blood and as the plaque goes on thickening our

    blood vessels start thinning and hardening. Finally plaque when deposited in the large

    vessels stops the blood flow in blood vessels.

    Heart Disease:- Prevention, management and treatment

    Pranayama and Yoga treatment in heart disease: A Scientific explaination

    Yoga is sadhana (spiritual practice) by which mind becomes calm and knowledge is

    experienced. Health is the result of pranayama, which cannot be achieved by blessings

    from some person or by consuming medicine, instead it is achieved by bringing

    reformation in behavior and life style. Life is the balance of breathing and foundation of

    vital energy, breath is balanced through pranayama which invigorates vital energy, makes

    body healthy and life longer. Pranayama makes breath balanced which finally makes both

    body and mind of the individual healthy. In Brahma-muhurta (early morning) the flow of

    vital energy is more and also the amount of oxygen is more in the atmosphere beforesunrise. Oxygen is the vital air which enters in our internal body through breath and

    increases the immunity of the body. The treatment of disease depends on the diagnostic

    process and the nature of pranayamas which are practiced systematically. Disorders are

    generated in the body due to imbalance in hormones which can be balanced by the

    practice of pranayama. Various diseases are treated through this method. Human body is

    made up of five elements. This is spontaneously achieved by the body from nature but the

    individual who acts opposite to the law of nature in them the harmony of five elements is

    disturbed which cause reverse impact in the nervous system of the body and

    discrepancies start coming in them, that we call disease. Medical science had presented

    these discrepancies as very dangerous and we now consider this hormonal imbalance of

    our own body as a difficult to cure disease.

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    The effect of pranayama given by Swami Ramdevji has proved that now there is no

    incurable disease. The disease which has been generated by our internal imbalance can be

    ended by balancing it. Yoga sadhana (Practice) is the name of this bodily harmony which

    makes incurable disease curable.

    Bhastrika: Bhastrika pranayama in which air is deeply inhaled and exhaled upto our own

    capacity, pulsates the heart which make inactive body active, heart is strengthened and

    respiratory system starts functioning appropriately.

    Kapalabhati: The second pranayama kapalabhati is most effective in treating diseases,

    it is practiced with exhaling forcefully, while exhaling impurities are exhaled out. Impure

    air inside the body is expelled outside and inhaled air through the respiratory system

    oxygenates the blood which invigorates the whole body with vital energy. Abdominal fat

    and weight both are reduced when abdominal contraction and relaxation are done rapidly

    for exhaling breath outside.

    Exhalation of breath rapidly and forcefully opens blockages in the heart and

    bypass surgery can be avoided. Cleansing of the lungs makes respiratory system strong

    and regular. This helps difficult to cure diseases like asthma. Expiration of impure air and

    inhalation of oxygen inside the body purifies the blood, which removes heart disease

    spontaneously. Strengthening of internal energy brings a glow to the face due to

    elimination of disorders and impurities.

    Anulom-vilom: Anulom-vilom pranayama harmonize the respiratory system of the body

    which changes whole biochemistry of the body. Inhaling air through left nostril an

    exhaling through right nostril then inhaling air through right nostril and exhaling through

    left brings synchronization so that we get rid of impurities from the whole body and

    harmony comes in the body.

    Increase in amount of oxygen exchanged in the lungs increases the oxygenated

    and purified blood circulation. Bhastrika, Kapalabhati and anuloma-viloma are the three

    pranayamas for heart disease which can work as a panacea.

    It has been proven by research on yoga and observation on yoga treatment by

    medical science as well as on the basis of experiences of the one week yoga participants

    that the diseases are caused due to irregular lifestyle, eating habits and imbalances daily

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    activities and treatment can be done through physical activities. The cause for joy and

    sorrow, disease and health is human himself. Extra oxygen burns and removes the

    unnecessary fat and gives energy to the body. Burning of fat rapidly decreases body

    weight and the body becomes light and active. Extra/excess vital air (pure oxygen) comes

    inside the body through pranayama.

    Bhramari and Udgeeth: Divine vibrations are produced by bhrahmari and udgeeth

    pranayama. The vibration produced due to these pranayamas becomes more supreme and

    are transformed into the very high dimension of commands which enters into air passage

    and produces vibration in blood of the blood vessels and which opens the blockages of

    the heart, eliminates the waste in the lungs and activates digestion and excretory system.

    Yoga is a complete (holistic) medical science. The arrogance of mind and body

    are removed by practicing yoga. Pranayama is always practiced systematically in the

    following series:

    1. First bhastrika only for two minutes. This pranayama helps to get rid of heart disease.

    2. Secondly kapalabhati for 5-15 minutes (maximum). We should practice each round of

    kapalabhati as per our capacity and stop it and have rest by taking long and deep breath

    for 3-4 times till breath becomes normal and again start the next round. Kapalabhati can

    heal almost all the diseases present in the world. It is theSanjivani (Rejuvenating plant)

    of the world, it removes blockages of the heart.

    3. Practice of anulom-viloma for 10-15 minutes opens the blockage of the heart and high

    B.P. is eradicated at the root level.

    4. Practice of bhramari pranayama for 11 times removes mental stress, anger and ego.

    The sadhak's (spiritual aspirant) intellect becomes pure and egoless.

    5. Practice of Udgeeth pranayama for 11 times, it is an amazing pranayama for achieving

    divine blessing and grace.

    Pranayama practice reduces stress hormone through continous decrease in

    chronic stress and the level of endorphin and encephalin increases which in turn increases

    the level of HDL and in contrast decreases LDL, VLDL and triglycerides. We might be

    surprised to know that HDL removes the deposited LDL and triglycerides from the

    atherosclerotic plaque of heart and transforms them in liver and gradually the obstruction

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    in the artery of heart decreases and the individual get freedom from angina and heart

    attack.

    Yogasanas:However it is normally considered heart patients should avoid exercise but

    yogasanas cannot be counted in the category of exercise. Even though it should be noted

    that all asanas are not prescribed for heart patient. Simple asanas are prescribed for heart

    patients.

    Tadasana:This asana makes heart strong which reduces the chances from suffering heart

    disease. Apart from this it brings agility and enthusiasm, removes laziness, heaviness of

    the abdomen, stops shaking of body parts in old age and gives strength to the lung.

    Trikonasana: It awakens the consciousness of nervous system, and makes the heart very

    firm. Intestinal flatus is passed, abdominal fat is reduced and the body becomes slim.

    Padmasana: Heart and mind has a close relationship. It is a very good practice for

    stabilizing the fickle mind. This asana is beneficial for individual who does mental task,

    contemplation and also it is beneficial for all. Harmonizes all the tri doshas (Vat-pitta-

    kapha) which is beneficial for the heart.

    Bhujangasana: It is also known as the cobra asana. Snake (cobra) and bhujanga are

    synonymous term. The text, Gherand Samhita has explained it with its benefit. Practice of

    this asana stimulates the digestive fire, destroys all the ailments and its practice awaken

    the kundalini (dormant potencies).

    Pawanmuktasana: Practices of this asana removes the unwanted air from the abdomen,

    reduces abdominal fat. This asana is very beneficial for individual performing intellectual

    task, doctors, advocates, teachers, writers, businessmen, students and heart patients.

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    Yogmudrasana: It is considered that if this asana is practiced properly it can awaken the

    kundalini. Abdominal and intestinal disease is removed by this. It is very beneficial for

    spleen, liver and heart. It removes obesity and strengthens the mental power.

    Dhanurasana: It is useful for all the disease related to abdomen and makes the heart

    very firm.

    Hridayastambhanasana: As it is clear from its name that this asana is for vibration of

    heart. It also makes heart very firm. Individual whosoever practices this asana regularly

    his heart can never be obstructed.

    Khagasana: Practice of this asana destroys the ailments of heart, neck, throat, chest and

    abdomen. The abdominal gases are passed out. Respiratory disorders are removed and

    chest expands and heart becomes stronger.

    Parvatasana: Practice of this asana removes disorder of lungs, give relive in respiratory

    disease and strengthen the heart.

    Vajrasana: Removes the flickering of mind and improves blood circulation so it is

    useful for heart patients.

    Matsyasana : Practice of this asana makes whole body very firm, throat, chest and

    abdominal ailments are removed and breathing function improves which is useful for

    heart.

    J anusirsasana: Practice of this asan is beneficial for spleen, liver, cough, asthma and in

    simple fever. Its practice increase digestion, blood circulation and removes vatta and

    Kapha. It is also beneficial in sciatica.

    Uttanapadasana: Practice of this asana destroys the disorders of blood and is beneficial

    for heart.

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    Gomukhasana: Its practice brings cow like activeness in the body. Calms down the

    psyche and benefits the heart.

    Mandukasana: Its practice gives activeness in the body and strengthens the heart.

    Yogasana: Blockages in the blood flow can be removed by practicing this asana. It

    makes the brain healthy and it is also useful for the heart.

    AYURVEDIC TREATMENT OF HEART DISEASE.

    Ayurvedic balanced diet and treatment cannot only prevent the heart disease rather it can

    successively treat the heart disease, in Ayurveda scientific treatment, firstly the cause

    which produces the disease is utterly released (removed).

    Presently it has been provided in various scientific researches that various plants

    and mineral herbs explained in Ayurvedic pharmacology are useful in removing the heart

    disease from its root cause. Here explanations of some important herbal substances is

    necessary.

    Arjun (Terminalia Arjuna): It has been proved by the scientific research that it has heart

    nuturing qualities, strengthens the heart muscle which makes heart to pulsate properly

    and reinforce the heart and also reduces the number of pulsations. It helps in the vaso-

    constriction of fine blood capillaries which in turn increases blood present. By this

    process heart is stimulated and becomes stronger. It is also a blood toner. Astringent and

    calcium salt present in it works as an anti-coagulant. It alsodecreases the secretion from

    blood vessels which removes the swelling. Modern experiments has found anti-coagulant

    qualities in Arjuna.

    Nag bala (Gravia Hirsuta): It strengthens the heart and palliates the blood-pitta (bile)

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    Bala (Cida Cardifolia): It consists mainly of alkaloids which are beneficial for the heart.

    It removes the weakness of heart.

    Karveer (Nerium Indicum): Karveer acts like digitalis. It is heart strengthening. It

    purifies the blood.

    Ashwagandha (Withania Somnifera): It works as anti-coagulant (blood thinner, blood-

    purifier as well as anti-inflammatory. It can be used in hypertension, poor functioning of

    heart, blood related disorders, inflammation or swelling of the blood.

    Puskarmula (Inula racemosa): It stimulates the heart and is very effective in angina

    pain.

    Besides these various other medicinal plants like Holy basil, marmelos, garlic,

    gooseberry, lucerice, mandukaparni, jatamansi are beneficial in heart disorders and

    minerals like, Akik, Shringa, Mukta (pearl), Abhrak (mica ash) are useful for heart

    diseases.

    Various ayurvedic formulation have been explained in various scriptures those explaining

    the context on Bhaisajya Kalpna of Ayurveda, are being used by ayurvedic practitioners

    from ancient times. Numerous scientific studies have proved the efficacy of these

    formulations in various ailments of heart.

    Nagarjunabhrat: A Shatapuri Abhrak which have been soaked in juice of Arjun bark for

    7 days is good heart-tonic.

    Puskaradi Kwath: it is very beneficial in heart disorders including rheumatic heart

    disease.

    Yogendra ras: It alleviates almost all heart diseases.

    Some ayurvedic formulations frequently used in heart disorders:

    Hridayarnava rasa, Prabhakar vati, Chintamani ras, Yogendra ras, Kasisadi vati,

    Arogyavardhini vati, Vishweshwor ras, Arjuna churna, Arjuna Kshira pak, Akik pisti,

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    Sangeyasav pisti, Shringa Bhasma, mukta pisti, nagarjunabhrak ras, kakubhadi churna,

    Divya Hridyamrit vati, Hridaya ratna churna, Arjunarista etc.

    According to various types of heart disorders, ayurveda practitioner (Vaidya)

    chooses specific medicine to treat them. Dietetics and lifestyle are very important in heart

    disorders so, by consuming a right nutritious food heart ailments can be prevented.

    Treatment (for 1 month)

    1. Arjun Kwath - 300 gm (1 teaspoon full) +400 ml water boil till reduces to

    100

    gm, drink on empty stomach twice a day.

    2. Akik pisti - 5 gm

    Sangeyesav pisti - 5 gm

    Yogendra ras - 1 gm

    Mukta pisti - 5 gm

    Shringa bhasma - 10 gm, Mix together and divide equally into 60 parts and

    consume

    1 part twice a day on empty stomach with fresh water or

    honey.

    3. Divya Hridayamrit vati - 2 tablets twice a day after meal with luke warm

    water.

    Note: Arogyavardhini vati is useful in disorders of heart valves. In case of Rheumatic

    heart disorder, in aamvataj (toxin) generated heart disorder aamvataghna drugs are used

    which digests aama (toxins, increases agni (fire) or digestion and castor oil is also useful.

    Healthy diet for Heart

    Old wheat, rice, almond, sheesham, jinjili oil, kidney-bean, lentil pulse, cow milk, goat

    milk, honey, carrot, pumpkin, gourd, bitter gourd, laufa gourd, cucumber, cabbage,

    onion, garlic, radish, tomato, ginger, coriander, mint, spinach, aniseed, fenugreek, beets,

    black pepper, longa, pollen grain, turmeric, coriander seeds, asafoetida, cardamom,

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    banana, papaya, mango, coconut, lichi, orange, pineapple, water melon, muskmelon,

    dates, apple, graphs, raisin, pomegranate, parval, sandha salt, old jagri, thymol, harad are

    good for heart disease.

    Limitation for heart diseases

    Spicy food, pizzas, burgers, pastry, cold drinks, ice-cream, meat, egg, groundnut oil,

    plum pulse, kulthi dal, Bengal dal (pulse), curd, yoghurt, cauliflower, brinjal, ladys

    finger, arby, potato, chilli, mustard leaf, white sugar, red chilli, green chilli, raw mango

    powder, sauce, tamarind, sheep milk.

    Home remedies for heart disease:

    Arjun Kshira paka: 25 gm of Arjun bark should be boiled in 400 gm of milk and 4times water, when only milk remains, strain & give to the patient.

    Wheat flour 50 gm and Arjuna powder 15 gma are fried in little ghee. When getsreddish and fragrance starts to come add 250 gm of milk and 50 gm sugar and

    prepare halwa (semi-solid). When gets cold add 6-6 gms of root of Bal and stem

    of lotus power and 20 gms of honey. Give this to patient with 250 ml of milk.

    Massage the mediastinal region with vata alleviating oil. 500ml of bottle gourd Juice, 6-7 leaves of pudina (peppermint) and tulsi (holy

    basil) clears coronary artery obstruction and brings cholesterol/ lipid profile to

    optimal limit.

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    SCIENTIFIC RESEARCH ON HEART PATIENTS IN PATANJ ALI

    YOGPEETH: INTERPRETATION

    Brief report of experiment conducted on heart patients are presented here.

    Selected Criteria:

    Those patients were included in this study who have been found positive in angiography

    reports and TMT. Symptoms of dyspnoea on exertion, palpitation, insomnia, weakness,

    heaviness in chest, syncope and vertigo were found in the patients. After registration of

    patients the recent symptoms were tested before treatments.

    Demographic pattern:

    There were 79% male and 21% female , according to age group 4% of the patients were

    in 1-30 years, 43% of the patients were in 31-50 years and 53% of the patients were in

    51-80 years.

    79%

    21%

    0%

    20%

    40%

    60%

    80%

    %

    1

    % of Patients Accor ding to Sex

    Male

    Female

    % of Patients Accoriding to Different Age Groups

    1-30 yrs.

    4%

    31-50 yrs.

    43%51-80 yrs.

    53%

    1-30 yrs.

    31-50 yrs.

    51-80 yrs.

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    Criterion for experiments and treatments:

    All the selected patients were tested for symptoms in the outdoor treatment department.

    Symptoms of the patients were divided in four categories on the basis of severe,

    moderate, mild and no symptoms. Out of these symptoms angina pain, dyspnoea or

    exertion, heaviness in the chest, palpitation, insomnia, syncope, vertigo and weakness

    were found as important.

    Results after the treatment: There was an expected significant improvement after the

    treatment

    Symptoms

    Angina pain Before After

    Severe 24 % 0 %

    Moderate 43 % 33 %

    Mild 19 % 14 %

    No sym. 14 % 53 %

    Angina Pain

    24%

    43%

    19%14%

    0%

    33%

    14%

    53%

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    Severe M oderate M i l d No

    symptoms

    Pre-Yoga

    Post-Yoga

    17

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    Symptoms

    Palpitation Before After

    Severe 33% 10%

    Moderate 29% 14%

    Mild 38% 24%

    No sym. 0% 52%

    33%29%

    38%

    0%

    10%14%

    24%

    52%

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    Severe M oderate M i l d No

    symptoms

    Pre-Yoga

    Post-Yoga

    Symptoms

    Insomnia Before After

    Severe 24 % 0 %

    Moderate 14 % 19 %

    Mild 48 % 24%

    No sym. 14 % 57%

    18

    24%

    14%

    48%

    14%

    0%

    19%24%

    57%

    10%

    20%

    30%

    40%

    50%

    60%

    0%

    Severe M oderate M il d No symptoms

    Pre-Yoga

    Post-Yoga

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    Syncope Before After

    Severe 10 % 0 %

    Moderate 33 % 0 %

    Mild 43 % 43 %

    No sym. 14 % 57 %

    10%

    33%

    43%

    14%

    0% 0%

    43%

    57%

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    Severe M oderate M il d No symptoms

    Pre-Yoga

    Post-Yoga

    Symptoms

    Vertigo Before After

    Severe 39 % 0 %

    Moderate 29 % 14 %

    Mild 24 % 19 %

    No sym. 8 % 67 %

    19

    39%

    29%24%

    19%

    67%

    30%

    40%

    50%

    60%

    70%

    80%

    8%

    0%

    14%

    0%

    10%

    20%

    Sever e M oder ate M il d No symptoms

    Pre-Yoga

    Post-Yoga

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    Symptoms

    weakness Before After

    Severe 24 % 0 %

    Moderate 29 % 24 %

    Mild 38 % 29 %

    No sym. 9 % 47 %

    24%

    29%

    38%

    9%

    0%

    24%

    29%

    47%

    0%

    10%

    20%

    30%

    40%

    50%

    S e v e r e M o d e r a t e M i l d N o sy m p t o m s

    Pre-Yoga

    Post-Yoga

    20