Introduction to Science Based Evidence-Based

Ayurveda Dr.Remya Krishnan MD ( Ayu) PhD,

Faculty, Applied Pharmacology –Ayurveda

Objectives

1. Describe the use of evidence in making medical decisions

2. Demonstrate the application of evidence in clinical practice

What is“ Science based evidence-based

Ayurveda?”

Two fundamental questions…

• What is the purpose of treatment ?• How do I decide what to do?

You have to know “what you intend to do “and “how you do it” and NOT “what to do”…

What is the purpose of TREATMENT?

• Reversal of disease • Attainment of health• Prevention of

recurrence

What is Science based Evidence-Based Ayurveda ?

Science Based Evidence Based Medicine is the

conscientious, explicit, and judicious integration of Ayurvedic science based

evidence in making decisions about the care of individual patients in their own unique

circumstances.

What is “SBEBA” NOT?

• SBEBA is not EBM • “Cookbook medicine”• Risk-benefit analysis• Randomized Control

trials

SBEBA- CHIEF RESOURCES

• Charaka Samhitha • Ashtangahridaya• Ashtangasangraha• Susrutha samhitha

Classification of evidence

WRONG WAYS OF DECISION MAKING

How do I make decisions?• Dogma: Superstitious “belief “in a medicinal

formulation• Tradition: “We’ve always done it that way”• Convention: “Everyone does it this way”• Replication : Professor does this way .

How do I decide what to do?

• Depend on SBEBA resources .

• Develop appraisal skill .• Decide the pertinent

solution .

Evidence: substratum for decision

Evidence based observation Evidence based assumption

Evidence based analysisEvidence based reasoning

Evidence based confirmation

Science based evidence based Observation

Science based evidence based Assumption

Science based evidence based Analysis

Science based evidence based Reasoning

Science based evidence based Confirmation OAARC ► BEST evidence

Integrating Science based evidence & practice

What are the intended effects ?

• Cure of the disease depending on the prognostic standards – all subjective as well as objective parameters .

• Attainment of health – Clear manifestation of Arogya lakshanas

Clinical QuestionsBackground – • “What is this condition?” • How do I diagnose this condition ? ”• Based on what evidence(s) I have diagnosed this

condition ?Foreground – “What do I intend to do for this patient?” What will be my mode of action ?

What evidence(s) will guide my mode of action ?

Clinical Questions

Example:• In a 5 year old child with purulent nasal discharge, fever

and productive cough with yellow sputum , along with weakness, constipation, dribbling of saliva and lack of appetite , ---- formulate your background questions as well as fore ground questions

• Diagnostic principles• Prognostic principles • Treatment Principles

Finding Evidence-based solutions

• http://www.amazon.it/Evidence-Based-Ayurveda-Rational-Prescribing-ebook/dp/B00AR0DU00

Dr. Remya Krishnan has successfully developed a standardised technique for appraisal of Ayurvedic Science Based Evidences for the first time. The details are published in her book whose link is given here .

Application of Evidence Triad Approach

SBEBA

• Science Based Evidence Based Medicine is the

conscientious, explicit, and

judicious integration of Ayurvedic science based

evidence in making decisions about the care of individual patients in their own unique circumstances.

Patient-oriented evidencePERTINENTLY befitting to stage of disease and the

status of the patient

Practice of Medicine requires practice of science

If you are interested to know, learn and practice the utmost scientific SBEBA (Science Based Evidence Based Ayurveda)

Contact drremyaraj@gmail.com

THANKYOU !