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Preventive Healthcare, An Ayurvedic Perspective
اسلاید 1: Consulate General of India 20101www.tabaye.ir
اسلاید 2: Preventive Healthcare, An Ayurvedic PerspectiveDr. Pratibha ShahMD (Ay.)
اسلاید 3: Consulate General of India 20103The Spectrum Diet Rat RaceLifestyle Fast PaceMeditation STRESSHEALTH DISEASE
اسلاید 4: Consulate General of India 20104Diseases of the new world
اسلاید 5: Consulate General of India 20105Why do we need Prevention? Health is a fundamental human rightTo improve the quality of lifeTo bring down the cost of healthcareTo decrease DALYsTo increase QALYs
اسلاید 6: Consulate General of India 20106 WHO Constitution: the enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being... http://www.who.int/hhr/en/ Declaration of Alma-Ata: International Conference on Primary Health Care, Alma-Ata, USSR, 6-12 September, 1978 The Conference strongly reaffirms that health, which is a state of complete physical, mental and social wellbeing, and not merely the absence of disease or infirmity, is a fundamental human right and that the attainment of the highest possible level of health is a most important world-wide social goal……… http://www.searo.who.int/LinkFiles/Health_Systems_declaration_almaata.pdf
اسلاید 7: Consulate General of India 20107Goals of AyurvedBroadly speaking, Ayurved states two maingoals namely:‘Swasthasya swasthya rakshanam’‘Aturasya vikaar prashamanam ch’ (Ch.Su.30/26)
اسلاید 8: Consulate General of India 20108 Tenets of Preventive Healthcare in Ayurved
اسلاید 9: Consulate General of India 20109Factors affecting immunity at conception, and in the prenatal periodMaternal factors - Health of the female sex cell - Health of the Uterus - Regimen followed during pregnancy, including diet
اسلاید 10: Consulate General of India 201010Factors affecting immunity at conception…..cont’dMaternal factors cont’d - Mental health of the mother during pregnancy - Influencing external factors during pregnancy
اسلاید 11: Consulate General of India 201011Factors affecting immunity at conception….cont’dPaternal factors - Health of the male sex cell
اسلاید 12: Consulate General of India 201012Activities performed immediately after birth- Fontanelle are covered with a piece of cotton soaked in ghee- Baby is administered ‘saindhav lavan’ (rock salt) mixed with ghee orally, for cleansing- A lot of anti-septic procedures are performed, including fumigation
اسلاید 13: Consulate General of India 201013 ‘Sanskaras’ (rituals) performed in childhood Out of the 13 – 40 ‘sanskaras’ or rituals that are advised in the childhood period, the most mentionable, from a health point of view is the ‘karnvedhana sansakara’ or piercing of the ears. It is supposed to confer immunity against respiratory and certain other disorders.
اسلاید 14: Consulate General of India 201014Daily regimen- Waking up early- Attending to nature’s calls- Cleaning teeth and tongue with any of the prescribed herb twigs- Doing ‘gandoosh’ or ‘kaval dharan’ for multiple health benefits- Eye care with ‘anjan’, ‘tarpan’, ‘putpaak’, ‘sek’, etc.
اسلاید 15: Consulate General of India 201015 Dr. Mary Martha Stevens, Chairperson of the Dental Hygiene Department of Wichita State University, found that people who gargled with sesame oil daily had significantly lower (p<0.001) bacteria colony types in sub-gingival probe specimens (“The effects of a sesame oil mouth rinse on the number of oral bacteria colony types.”) (Presented at the 11th International Symposium on Dental Hygiene, Ottawa, Canada, June 1989)
اسلاید 16: Consulate General of India 201016Daily regimen cont’d- Nasal cavity and sinus care with ‘nasya’.- Ear care - Whole body and specific body part massage- Exercise- Others – shaving, cutting nails, etc.
اسلاید 17: Consulate General of India 201017Studies on benefits of massage Significant benefits from massaging newborns, such as enhanced weight gain and responsiveness (Field T, Scafidi F, Schanberg S 1987 Massage of pre term newborns to improve growth and development. Pediatric Nursing 13:385-387) (Rice R 1977 Neurophysiological development in premature infants following stimulation, Developmental Psychology 13:69-76)
اسلاید 18: Consulate General of India 201018Seasonal regimen There are 6 ‘ritus’ or seasons according to Ayurved, namely – ‘Hemant’, ‘Shishir’ (Winter), ‘Vasant’ (Spring), ‘Greeshm’ (Summer), ‘Varsha’ (Monsoon), ‘Sharad’ (Fall). Characteristics and the dos and don’ts of each of these seasons, including diet and regimen are described in great detail.
اسلاید 19: Consulate General of India 201019Giving heed to factors like ‘bala’, ‘kala’, ‘sattva’, etc. Every individual has a different level of ‘bala’, ‘sattva’ and other individual attributes. Also, there are factors like ‘kala’, etc. which need to be taken into consideration before undertaking any activity.
اسلاید 20: Consulate General of India 201020Knowing your body type and eating and living accordinglyBased on dosha predominance, there are 7 body typesEach body type characteristics are listed with fine details and therefore it is possible to identify every individual’s body type.If the individual follows the diet, regimen and lifestyle according to one’s body type, he or she can keep diseases at bay
اسلاید 21: Consulate General of India 201021Taking care of mental healthMental health is an important component of one’s healthMind and mental attributes have been described in great detail in Ayurvedic textsVarious means of maintaining mental health like meditation, chantings, charity, etc. have been listed
اسلاید 22: Consulate General of India 201022Recognizing prodromal symptomsThis is one of the strongest areas of Ayurved.Prodromal symptoms for virtually every disease have been elaborately described.Recognizing prodromal symptoms and starting preventive care at that stage, is a major tool to prevent a full blown disease.
اسلاید 23: Consulate General of India 201023OthersA lot of other instructional gems are found throughout the ancient Ayurvedic texts.Some pertain to diet – various types of diets, diet categories, seasonal diets, unhealthy/contradictory food combinations, rules to be followed while eating, etc. are found in elaborate detailSome pertain to Public Health issues
اسلاید 24: Consulate General of India 201024The three upstambh (pillars) of healthAahaar (Diet)Nidra (Sleep)Brahmacharya (Controlled celibacy)
اسلاید 25: Consulate General of India 201025Importance of Aahaar (diet)Of the three pillars of health, aahaar or diet is the most important, and that is why it is mentioned firstOf all the factors that are responsible for the growth and development of the human body, diet is the most important. (Ch. Sh. 6/12)
اسلاید 26: Consulate General of India 201026Hitaahaar (Beneficial or conducive diet)Hitaahaar:Is panchbhautik (made up of 5 components – Earth, Water, Fire, Air, Space), because every individual is panchbhautik Has shadras (6 tastes), or has all or most of them or has rasas according to prakruti (body type)Is liked by the one eatingIs clean and pureNot very hotHas been freshly prepared (Ch. Soo. 25/33)(Su. Soo. 46/465)
اسلاید 27: Consulate General of India 201027 Importance of hitaahaar (conducive diet) It is only hitaahaar that is solely responsible for shareer vriddhi (growth and development of the body) and maintenance of health. On the contrary, ahitaahaar (inconducive diet) is responsible for disease development.Although there are other factors in the development of the body, aahaar is the most important (Ch. Soo. 25/33)
اسلاید 28: Consulate General of India 201028Fundamentals and rules of AahaarFood should be prepared and served by well wishing people or aids.The kitchen/cooking area should be clean and not congestedFor kings, testing for poisoning should be done before food is served. (Su. Soo. 46/451-453)
اسلاید 29: Consulate General of India 201029Fundamentals and rules of Aahaar (cont’d)Rules for vessels or containers:Ghee should be served in cast iron bowlsDrinks like water to be served in silver containers, clay glasses, glasses made up of alum or glass; or boiled and cooled water can be stored and served in brass containers.Drinks like alcohol or cold drinks should be served in containers made up of clay, glass or alum. (Su. Soo. 46/454-455)
اسلاید 30: Consulate General of India 201030Fruit juices, soups and liquid food should be served in silver containers.Dry accompaniments to the food, and food processed with yogurt should be served in containers made of gold.Food and fruits to be served on clean leaves of banana, palash (Butea monosperma), etc. (Su. Soo. 46/456)Fundamentals and rules of Aahaar (cont’d)
اسلاید 31: Consulate General of India 201031Rules for serving:The one being served should be seated on even, clean ground.The serving area should be pleasant, not a thorough fare, and should be fragrance, flowers and other things that are pleasant to the senses, around him. (Su. Soo.46/457)Fundamentals and rules of Aahaar (cont’d)
اسلاید 32: Consulate General of India 201032Fruits, solids and other dry edibles like paapad (cracker), etc. should be placed on the right side of the plate.All liquids like water, fruit juice, soup, alcohol, etc. should be placed on the left side of the plate. (Su. Soo. 46/458)Fundamentals and rules of Aahaar (cont’d)
اسلاید 33: Consulate General of India 201033Sweets and jaggery preparations should be placed towards the front portion of the plate.After having placed all these accompaniments, the server should carefully and respectfully serve the main dishes in the center of the plate.Dishes should be served in order of liking, starting with the least favorite dish and ending with the most favorite. (Su. Soo. 46/459)Fundamentals and rules of Aahaar (cont’d)
اسلاید 34: Consulate General of India 201034Rules for the one eating:Should be hungryShould sit straight on a slightly elevated seatShould eat in silence focusing on the foodShould eat not too fast, nor too slow, chewing many times before swallowingShould rinse mouth when changing rasaShould drink sips of water in between meals Should floss with herb twig or silver/brass wire, after meals (Su. Soo. 46/471, 489)Fundamentals and rules of Aahaar (cont’d)
اسلاید 35: Consulate General of India 201035Rules for the one eating: Do not eat –Before or after meal timeLess or moreContaminated, uncovered, spoilt, burnt food.Left over foodFood that you do not like, or that which tastes and smells badFood that has not been cooked properlyFood that has been reheated, was cooked long time back or is very cold.Fundamentals and rules of Aahaar (cont’d)
اسلاید 36: Consulate General of India 201036Rule for optimum serving:According to one’s agni (digestive fire)Conducive to one’s doshic prakruti (body type according to dosha)That which gets digested in time (Ch. Soo. 5/1-4)Fundamentals and rules of Aahaar (cont’d)
اسلاید 37: Consulate General of India 201037Qualitative assessment:Assessing the gurutva/laghutva of the diet: - One must evaluate whether the food is guru (heavy) (milk products like curd, cream, etc., red meat, meat of animals of marshy or wetlands, sesame seeds, etc.) in terms of digestion, - Or laghu (light) – moong daal (green gram), red rice, bird meat, deer meat, etc.Assessing the rasas of the diet: - A shadras diet is highly advocated. (Ch. Soo. 5/5-6)Fundamentals and rules of Aahaar (cont’d)
اسلاید 38: Consulate General of India 201038Quantitative assessment:Fill the first 1/2 of stomach with solid diet, guru diet taken first, followed by laghu diet; but if diet is very heavy, fill only 1/3rd of the stomach with solidsFill the next quarter or third with anupaan (adjuvant).Leave the rest quarter or one third space for action of different doshas (Ch. Soo. 5/7)(Ch. Vi. 2/4)(As. Hr. Soo. 8/46)Fundamentals and rules of Aahaar (cont’d)
اسلاید 39: Consulate General of India 201039Other Rules:Eat solids firstEat the highly beneficial amalaki (gooseberries) in the beginning, middle and end of mealEat salad in the beginning of the mealMeals should be taken in a timely manner or when hungry.Meals should be taken in the right amount, neither too much nor too less. (Su. Soo. 46/468-470)Fundamentals and rules of Aahaar (cont’d)
اسلاید 40: Consulate General of India 201040One should take into account the characteristics of the season, one’s body type, time of the day and other factors, before selecting their diet. (Su. Soo. 46/468-470)Fundamentals and rules of Aahaar (cont’d)
اسلاید 41: Consulate General of India 201041After Meals Regimen:Sit straight for 5-10 minutes, waiting for food to settle downAt this time, smoke herbal cigars or hookah and/or chew beetle leaf or other mouth freshenersAfter that, take a stroll (about 100 steps)After dinner, do the above and then lie down on your left side.Surround oneself with pleasantness Fundamentals and rules of Aahaar (cont’d)
اسلاید 42: Consulate General of India 201042Avoid after meals:Sleep or sit for a long timeLaugh or talk excessivelyAvoid unpleasant sensory exposureConsume large amount of fluidsExcessive physical activity like swimming, horse riding, etc. (Su. Soo. 46/495-496)Fundamentals and rules of Aahaar (cont’d)
اسلاید 43: Consulate General of India 201043Anupaan (Adjutant)Anu means that which follows. Paan means a drink.Therefore Anupaan means a drink that follows or in the context of, a drink that follows meals or is taken along with it. Anupaan that is opposite in properties to the meal that has been taken, but is not contrary to it, is the best. (Ch. Soo. 27/320-330)(As. Hr. Soo. 8/47-51)(Su. Soo. 46/424-436)
اسلاید 44: Consulate General of India 201044Benefits of AnupaanA well selected Anupaan confers the followingbenefits:Softening of foodGood digestion and absorptionSatiationEnergyNourishment (Ch. Soo. 27/320-330)(As. Hr. Soo. 8/47-51)(Su. Soo. 46/424-436)
اسلاید 45: Consulate General of India 201045A few common AnupaanWater – This is a universal Anupaan; can be taken with any type of food.Milk – This is considered the best Anupaan, especially for the weak, tired, infants and aged, people who have fasted, traveled or done excess physical labor, or have undergone excess of any kind.Honey + Water – For the obese (Ch. Soo. 27/320-330)(As. Hr. Soo. 8/47-51)(Su. Soo. 46/424-436)
اسلاید 46: Consulate General of India 201046A few common AnupaanHerbal alcohols – for the lean, insomnia, fear, etc.Meat soups – for the emaciatedWarm water – after any oily preparationKanji (a type of vinegar) - after a particularly or buttermilk heavy meal For the diseased, the Anupaan should be opposite to properties of the dosha involved. (Ch. Soo. 27/320-330)(As. Hr. Soo. 8/47-51)(Su. Soo. 46/424-436)
اسلاید 47: Consulate General of India 201047Benefits of disciplined eatingStrength StaminaGood complexionGood healthHappiness Long lifeVitalityIt is rightly said that the jathraagni or the digestive fire, needs fuel in the form of diet, to sustain itself. (Ch. Soo. 5/8)(Ch. Soo. 27/342)
اسلاید 48: Consulate General of India 201048Diet recommended for frequent useShashtik rice(ripens in 60 days), shali riceMoong daal (Green Gram)Saindhav lavan (rock salt)Amalaki (Gooseberry)Millet flourCow milkLean meatHoneyAakaash jal (rain water collected at strategic high points) (Ch. Soo. 5/12)
اسلاید 49: Consulate General of India 201049Diet recommended for infrequent useDried fleshDried plantsLotus stemPippali (long pepper), Kshaar (alkalis), Lavan (salt) Meat of pig, cow, buffalo; fishCurdBengal gram (Ch. Soo. 5/10-11)
اسلاید 50: Consulate General of India 201050Diet to be always avoidedVairodhik aahaar (diet which is harmful due toprocessing, combination or other factors): - Heated honey - Milk with sour things - Milk with fish - Curd taken at night - Ghee and honey mixed in equal amounts (Ch. Soo. 26/80-111)
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