Ayurveda or Ayurvedic
medicine is an ancient system of
health care that is native to the indian
subcontinent. Even today it is very
common in india and Sri lanka and is
used by millions of people. Ayurveda is
also gaining popularity in the west. The
word "Ayurveda" is a tatpurusha compound
of the word ayus meaning "life," "life
principle," or "long life" and the word
veda, which refers to a system of
"knowledge."
Thus " "knowledge of life," "knowledge
of a long life" or even "science of
life." According to Charaka samhita,
"life" itself is defined as the
"combination of the body, sense organs,
mind and soul, the factor responsible
for preventing decay and death, which
sustains the body over time, and guides
the processes of rebirth."According to
this perspective, Ayurveda is concerned
with measures to protect "ayus", which
includes healthy living along with
therapeutic measures that relate to
physical, mental, social and spiritual
harmony. Ayurveda is also one among the
few traditional systems of medicine to
contain a sophisticated system of
surgery (which is referred to as "salya-chikitsa.
As per Ayurveda, every treatment of
disease embodies 4 ingredients - The
physician, The medicines, The attendant
and the patients and each of these has 4
essential qualities. The physician
should be competent, well versed and be
leading a clean, pious and ascetic life.
The medicines shall be of various
varieties, be possessing of multiple
effects, be prepared duly out of the
necessary ingredients and be prescribed
to suit the patient by a competent
physician. The attendant should be loyal
to the patient, be neat and clean,
competent and well trained. The patient
should be financially able, acting as
per the physician's instructions, be
confiding and unreserved with the
physician and be confident in the
physician's ability. The drug, having
plant, animal or mineral origin is like
an instrumental aid to a physician. That
is why it has been placed nent to the
physician amongst the quadruples of
treatment.
History of Ayurveda :
Five thousand years ago in the
magnificent Himalayas, one of the
greatest sages of india, Srila Vyasadeva
wrote down the Vedas for the first time,
this included a branch which is called
Ayurveda: "The science of Life" (Ayur
means life and Veda means science).
The Vedas came from an oral tradition
that reached back into antiquity. Srila
Vyasadev entrusted the original copies
of the texts with his most erudite and
enlightened disciples, who, along with
other great sages, inaugurated a very
long sacrificial ceremony for hundreds
of years for the purification and
blessings of the entire world. Remember
people lived for one to two thousand
years back then. During that time, they
studied and discussed these ancient
texts with their own disciples, who
wrote commentaries, and expanded and
developed these original and eternal
truths without ever altering them.
Ayurveda dates back an estimated
5,000-10,000 years and is widely
considered to be the oldest form of
health care in the world. It is
understood by many scholars that
knowledge of Ayurveda spread out from
India and influenced the ancient Chinese
system of medicine, Unani medicine, and
the humoral medicine practiced by
Hippocrates in Greece. For this reason,
Ayurveda is often referred to as the
"Mother of all healing."
The knowledge of Ayurveda is believed to
be of Divine origin and was communicated
to the saints and sages of India who
received its wisdom through deep
meditation. Ayurvedic knowledge was
passed down orally through the
generations and then written down in the
Vedas, the sacred texts of India
believed to be the oldest writings in
the world.
Written in Sanskrit, the Vedas cover a
vast number of subjects from grammar to
health care. The Vedas were written
approximately 2500 BC or earlier.
Current knowledge about Ayurveda is
mostly drawn from relatively later
writings, primarily the Caraka Samhita
(approximately 1500 BC), the Ashtang
Hrdyam (approximately 500 AD), and the
Sushrut Samhita (300 - 400 AD). These
three classics describe the basic
principles and theories from which
Ayurveda has evolved. They also contain
vast clinical information on the
management of a multitude of diseases
expanded upon by later writings and
research.Ashtanga :
The practical tenets of Ayurveda are
divided into eight sections or branches.
These sections include:
Kayachikitsa Tantra: Dealing with
internal medicine treatment, it is
generally considered the most well
developed of the branches of Ayurveda.
Shalya Tantra: This branch of surgical
Ayurveda has limited application today.
Shalakya Tantra: This branch of Ayurveda
specialises in curing diseases of the
eyes, ears, nose, mouth, and throat.
Kaumarabhritya Tantra: This branch of
Ayurveda deals with paediatrics, or the
health and diseases of children. Today
it is practiced mainly by the
traditional Buddhist physicians in
Nepal.
Agada Tantra: This is concerned with the
treatment of cases of poisoning,
including poisoned food, bites from
venomous animals or insects. Today rural
vishavaidyas (poison doctors) often
practise this science.
Bajikarana Tantra: Recognised as the
science of purification of the male and
female genital organs, this branch is
concerned with practices related to
conceiving healthy offspring.
Rasayana Tantra: This section of
Ayurveda deals with the promotion of
good health and longevity. It does not
have any specific sources but is
included in texts dealing with internal
medicine.
Bhuta Vidya: Bhuta Vidya, or the science
of spiritual healing, is mainly
concerned with the treatment of mental
diseases. Its application extends to
diseases arising from causes other than
an imbalance in the Tridoshas.
Tridosha system :
The central concept of Ayurvedic
medicine is the theory that health
exists when there is a balance between
three fundamental bodily humours or
doshas called Vata, Pitta and Kapha.
Vata is the dynamic "kinetic" principle
necessary to mobilize anything from
electron to a galaxy. Air is the
representative in an abstract sense.
Pitta is the thermal, explosive force
behind the ability to transform
everything. Sun is the representative.
Kapha is the cohesion that holds
everything together with its electro
magnetic and gravitational forces.
All Ayurvedic physicians believe that
these ancient ideas, based in the
knowledge discovered by the Rishis and
Munis, exist in harmony with physical
reality. These Ayurvedic concepts allow
physicians to examine the homeostasis of
the whole system. People may be of a
predominant dosha or constitution, but
all doshas have the basic elements
within them
Sapta dhatus :
Sapta means seven and the word Dhatu
refers to various types of tissues the
human body is made of. The word Dhatu in
Sanskrit means "that which forms the
body". The root Dha means support and
the Dhatus sustain the body.
The seven dhatus mentioned are Rasa,
Rakta, Maamsa Medas, Asthi, Majja and
Shukra.
Rasa: The food we consume is digested in
the stomach and intestine and forms a
semi-fluid. This is called Rasa dhatu.
In modern science it is called chyle.
This is absorbed into the blood stream
and becomes part of the plasma the fluid
which can be seen after the cells in the
blood settle down at the bottom if blood
mixed with an anticoagulant (a substance
which prevents blood from clotting) is
kept in a tube.
Rakta: Rakta means blood. Blood is
responsible for carrying oxygen and
nutrients to all the cells of the body.
Mamsa: This refers to muscle tissue.
There are three types of muscles in the
human body. The skeletal muscles are
responsible for movements of joints and
are under voluntary control. Smooth
muscles are present in internal organs
and are not under voluntary control. For
example the intestines contain smooth
muscles which propel food forward.
Cardiac muscle is present only in the
heart and is a specialized tissue
responsible for pumping of blood.
Medas: This is the adipose tissue which
consists mainly of fat. It is
responsible for lubrication.
Ashthi: This consists of bones and
cartilages. Bones give strength to the
body.
Majja: This refers to the bone marrow.
It is a spongy substance inside the
cavity of bones.
Shukra: The shukra dhatu is represented
by the semen in the male and the ovum in
the female. It is responsible for
reproduction. But a part of this dhatu
transforms itself into ojas.
The word ojas is a Sanskrit word which
literally means immunity, energy, vigor
etc. It is somewhat an abstract entity
and its equivalent in modern medicine is
not known. It is the interface between
the spiritual and the material
dimensions of a human being.
We all know that some people are full of
energy, rarely fall sick and have a
bright look on their face. On the other
hand some people always feel tired, fall
sick frequently and look dull. It may
not be possible to identify any
difference between the two by conducting
detailed physiological and biochemical
tests.
According to ayurveda the difference is
in the level of ojas. Ojas integrates
body, mind and spirit together resulting
in a unique individual. Ojas is
responsible for bala (strength) and
vyadhikshamatva (resistance to
diseases).
Scriptures describe two types of ojas-Para
ojas and Apara ojas. Para ojas is said
to be located in the heart and its loss
leads to death. Apara ojas is
distributed throughout the body.
Mala
Mala means waste products or dirty. It
is third in the trinity of the body i.e.
doshas and dhatu. There are three main
types of malas, e.g. stool, urine and
sweat. Malas are mainly the waste
products of the body so their proper
excretion from the body is essential to
maintain the proper health of the
individual.
Faeces (purisha) provide support and
tone to the body along with maintaining
the temperature of the colon. Improper
functioning can lead to Vayu illnesses
like worry, fear, a feeling of being
ungrounded, nervousness, headaches, gas,
distention and constipation. Proper
elimination of the faeces is damaged by
the excessive use of purgatives,
colonics, worry, and fear (fear can
create both improper functioning or be a
byproduct of this dysfunction). It is
also damaged by excessive travel, the
wrong foods (such as junk food or foods
that are too light or too heavy),
oversleeping, coffee, drugs,
antibiotics, insufficient exercise and
prolonged diarrhea. In Ayurvedic
literature, it has been clearly stated
that debilitated persons suffering from
tuberculosis should not be given any
kind of purgatives, as it is the feces
that maintain the temperature of such
persons.
Urine (mutra) expels water and other
solid wastes from the body. Poor urine
elimination results in bladder pain or
infection, difficult urination, fever,
thirst, dry mouth, or dehydration. It is
affected by diuretic drugs, alcohol,
excessive sex, trauma, fright or intake
of too few liquids.
Sweat (sweda) controls the body
temperature by expelling excess water
and toxins, cools the body, moistens the
skin and hair, carries away excess fat
from the body and purifies the blood.
Excess sweating can cause skin diseases
(usually Pitta related) like eczema,
boils, fungus, burning skin,
dehydration, fatigue or convulsions
(caused by Vayu). Deficient sweating can
result in stiff hair, skin fissures, dry
skin, dandruff, wrinkles or
susceptibility to colds and flu (i.e.,
peripheral circulation). Sweating is
damaged by eating too many dry foods,
lack of salt, excessive or deficient
exercise, and excessive use of
diaphoretic herbs or excess sweating.
Tastes and effects :
Ayurveda holds that the tastes of foods
or herbs have specific physiological
effects. Those tastes that transform
after digestion (Vipaka) are more
powerful.
Sweet (Madhura) - Sweet foods nourish,
cool, moisten, oil, and increase weight
Sour (Amla) - Sour foods warm, oil, and
increase weight
Salty (Lavana) - Salty foods warm,
dissolve, stimulate, soften, oil, and
increase weight
Bitter (Katu) - Bitter foods cool, dry,
purify and decrease weight
Pungent (Tikta) - Pungent foods warm,
dry, stimulate, and decrease weight
Astringent (Kashaya) - Astringent foods
cool, dry, reduce stickiness.
Pancha Maha Bhuta :
According to Ayurvedic philosophy, every
living and non living being in this
universe is a combination of five basic
elements, called Pancha Maha Bhoothas.
The human body is also constituted of
these five eternal elements in various
compositions. Hence, it can be said that
every cell of the body is possesses all
the properties of life. The difference
between the human body and the external
world is the expression of Chaitanya or
'consciousness' or 'life spark' or
'spirit' or 'soul'. The following are
the five basic eternal elements :
Space (Akasha)
Air (Vayu)
Fire (Tejas)
Water (Jala)
Earth (Prithvi)
The Panchamahabhootha (the Five
elements) manifest themselves in the
human body as three basic principles
known as Tridosha. The word 'Dosha'
literally means 'that which maintains
and controls the body'. These are Vatha,
Pitha and Kapha. The Pancha Maha Bhootas
and Tridoshas are not visible to the
naked eye. But they should be conceived
as comprehensive terms in which all the
physical structures and physiological
functions of the body are included. The
Air and space elements combine to form
the Vatha principle. The fire element
constitutes the Pitha principle. Earth
and Water elements combine to form Kapha.
These three basic principles govern all
biological, physiological and physio-pathological
functions of the body, mind and
consciousness. They act as basic
constituents and protective barriers for
the body in its normal physiological
conditions.
Thus these Five Subtle Elements (Pancha
Mahabhutas) form the basis for all
things found in the material creation,
from a grain of sand to the complex
physiology of every human being.
Balancing these elements in just the
right way for each unique individual is
the key to maintaining health and
treating disease should it arise,
whether it be physical, mental, or
spiritual.
Triguna :
Tri means three and gunas means
qualities, thus Trigunas determines the
three qualities, which determines
people's nature, belief and perception.
The three gunas are classified as:
Satwa
Rajas
Tamas
These three gunas -Trigunas - are found
in nature as well as in mind
corresponding to the three doshas (vatha,
pitha, kapha) of the body. Just like the
three doshas of body are the essential
components of body, the three gunas -
Satwa, Rajas, Tamas - are the essential
components (or energies) of mind,
describing the mental state of the mind
of a person. Ayurveda advocates a unique
description and distinction of people on
the basis of the psychological state
(constitution) of their mind- Manasa
Prakriti. Genetically determined, these
psychological characteristics are
dependent on the relative dominance of
the three gunas.
While all individuals have these three
gunas in various proportions, the
predominant guna of the three determines
a person's mansa Prakriti (pshychological
constitution of mind), balances the mind
and the body, maintaining them in a
healthy state. Any disorder in this
balance results in various types of
mental disorders.
Satwa, characterised by lightness,
consciousness, pleasure and clarity, is
pure, free from disease and cannot be
disturbed in any way. It activates the
senses and is responsible for the
perception of knowledge.
Rajas, the most active of the gunas, has
motion and stimulation as its
characteristics. All desires, wishes,
ambitions and fickle-mindedness are a
result of the same.
Tamas is characterised by heaviness and
resistance. It produces disturbances in
the process of perception and activities
of the mind. Delusion, false knowledge,
laziness, apathy, sleep and drowsiness
are due to it.
When the three gunas are in various
proportions the predominant guna
determines the psychological
constitution of mind. Any kind of
imbalance results in various types of
mental problems. The balance of rajas
and tamas is disturbed by stress,
negative thoughts and desires. People
with a balanced satwa and rajas adopt
spiritual and holistic measures to
improve themselves.
For maintaining a healthy state of mind
and the body, balance of three doshas
and gunas are required.
Srotas or Body Channels in Ayurveda
Srotas or channels are present in all
living things. These srothas or channels
carry food, minerals, water, air and
thoughts. A block in the srotas is the
beginning of diseases. Another
definition of health is here - the
unchecked flow of physical elements,
thought and knowledge.
Only three srotas or channels are
recognized by modern medical science -
they are the anna vaha srotha (the
digestive system), rakta vaha srota
(circulatory system) and the prana vaha
srota (respiratory system).
Charaka, the ancient Ayurveda acharya
lists thirteen srothas in his book, the
Charaka Samhita. Three srotas for food,
air and water, seven srotas associated
with sapta dhatus, and three srotas for
excretion. Presently there are sixteen
srotas identified.
The first three srotas are:
Prana vaha srota carries breath
Anna vaha srota carries solid and liquid
food
Udaka vaha srotas carry water in the
body
The seven srotas associated with sapta
dhatus are:
Rasa vaha srota carries plasma and
lymphatic liquid
Rakta vaha srota carries blood -
circulatory system
Mamsa vaha srota carries nutrients to
muscles and wastes from muscle tissue
Meda (medha) vaha srota supplies fat to
adipose tissues
Asthi vaha srota supplies nutrients to
bones
Majja vaha srota supplies nutrients to
bone marrow nervous system and the
brain.
Sukra (shukla) vaha srota supplies
nutrients to sexual organs and carry
reproductive cells and liquids.
The three srotas associated with malas
are:
Purisha vaha srota carries feces
Mutra vaha srota carries urine
Sveda vaha srota carries sweat
The three additional srotas that are not
described in Charaka Samhita are Artava
vaha srotas (the menstrual channel)
stanya vaha srotas (the channel that
carries breast milk) and mano vaha
srotas (the channel that carries all
mental activities).
Two women-only srotas are:
Artava vaha srotas carry menstrual
fluids
Stanya vaha srotas carry breast milk
One srota associated with mind is:
Mano vaha srotas carrying thoughts, and
wisdom
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