" Best Practices in Ayush"

Dr.V.K.M.LavanyaM.D(Ay)(BHU), MSc( Psychology)

Medical Officer AYUSH Department

Andhra PradeshMail Id: vkmlavanya@gmail.com

IdentityIdentity• ISM&H : March 1995- Department of Indian system and

Homoeopathy

• AYUSH: November 2003 - Department of AYUSH

• NRHM: National Rural Health Mission launched in 2005 to integrate AYUSH practitioners in national health programmes esp. in AYUSH practitioners in national health programmes esp. in primary health care.

• Ministry of AYUSH: 9th November 2014

• NAM: National AYUSH Mission launched in 12th Plan to promote AYUSH medical systems

• RBSK: Rashtriya Bala Swasthya Karyakram – under school health

Ayurveda

Yoga &NaturopathySowa

Rigpa

AYUSH

Unani

Siddha

Homeopathy

Best Practice in Health CareBest Practice in Health CareBest practice:Activities, disciplines and methods that are available to identify, implement and monitor the available evidence in health care are called ‘Best practice‘.

Motto:Motto:Health care, public health activities and health policy should be advised by the best available evidence.

Best Practices in AYUSHBest Practices in AYUSH• Health services

• Educational institutions & research

• Drug standardization

• Medicinal plants cultivation • Medicinal plants cultivation

NAM(National Ayush Mission) visionNAM(National Ayush Mission) vision• Improving Ayush services to provide cost effective Health care services

• Effort to make Ayush system as main healthcare delivery system

• Improving Ayush institutes to provide quality graduate, postgraduates and quality researchesand quality researches

• Availability of raw material for standard and quality AS&U medicine

ComponentsComponents of the NAMof the NAMMandatory Components:

• AYUSH Services

• AYUSH Educational Institutions

• Quality Control of ASU &H Drugs• Quality Control of ASU &H Drugs

• Medicinal Plants

Flexible Components of NAMFlexible Components of NAM• AYUSH Wellness Centres including Yoga & Naturopathy

• Tele-medicine

• Sports Medicine through AYUSH

• Innovations in AYUSH including Public Private Partnership

• Interest subsidy component for Private AYUSH educational Institutions

• Reimbursement of Testing charges

• IEC activities ( Information- Education- Communication)

• Research & Development in areas related to Medicinal Plants

• Voluntary certification scheme: Project based.

• Market Promotion, Market intelligence & buy back interventions

• Crop Insurance for Medicinal Plants

Health services in AYUSH Health services in AYUSH

ContdContd..

Revenue ShareRevenue Share

AP State GovernmentAP State Government

Educational Institutions & research councilsEducational Institutions & research councils

1. National Institute of Ayurveda

2. National Institute Homeopathy

3. National Institute of Siddha

4. National Research institute for Pancha Karma

1. CCRAS : Central Council for Research in Ayurvedic Sciences

2. CCRUM: Central Council for Research in Unani Medicine

3. CCRS: Central Council for Research in Karma

5. National institute of Unani Medicine

6. All India Institute of Ayurveda

7. National Institute of Naturopathy

8. Morarji Desai National Institute of Yoga

9. North Eastern institute of Ayurveda & Homeopathy

10. North Eastern Institute of Folk Medicine

3. CCRS: Central Council for Research in Siddha

4. CCRH: Central Council for Research in Homeopathy

5. CCRYN: Central Council for Research in Yoga & Naturopathy

Standardization Parameters For herbal Drugs:

( National Committee of Pharmacopoeia, AYUSH Ministry)

NMPB: National Medicinal Plant Board

APMAPB: Andhra Pradesh Medicinal and Aromatic Plant Board

Central sector scheme components:Central sector scheme components:

• Conservation/ cultivation

• Research & Development

• IEC & Training

• Herbal Garden

• Marketing & Trade

• International Cooperation

“SWASTHASYA SWAASTHYA RAKSHANAM“SWASTHASYA SWAASTHYA RAKSHANAM

AATHURASYA VIKAARA PRASHAMANAM”AATHURASYA VIKAARA PRASHAMANAM”

Maintain the Health of a Healthy person &

Treat(cure) the disease of a diseased person.

• Central Ayurveda Research Institute for Cardiovascular Diseases, New Delhi.

• National Ayurveda Research Institute for Panchakarma, Cheruthuruthy.

• Central Ayurveda Research Institute for Hepato biliary Disorders, Bhubaneswar.

• Central Ayurveda Research Institute for Drug Development, Kolkata.• Central Ayurveda Research Institute for Drug Development, Kolkata.

• Central Ayurveda Research Institute for Respiratory Disorders, Patiala.

• Raja Ramdeo Anandilal Podar(RRAP)Central Ayurveda Research Institute for Cancer, Mumbai.

• Regional Ayurveda Research Institute for Eye Diseases, Lucknow.

• M.S. Regional Ayurveda Research Institute for Endocrine Disorders, Jaipur.

• Regional Ayurveda Research Institute for Skin Disorders, Vijayawada.

• Regional Ayurveda Research Institute for Mother & Child Health, Nagpur.

Regional Ayurveda Research Institute for Metabolic Disorders, Bangalore.• Regional Ayurveda Research Institute for Metabolic Disorders, Bangalore.

• Regional Ayurveda Research Institute for Lifestyle Related Disorders, Thiruvananthapuram.

Contd..Contd..• Regional Ayurveda Research Institute for Infectious Disorders, Patna.

• Regional Ayurveda Research Institute for Gastro Intestinal Disorders, Guwahati.

• Regional Ayurveda Research Institute for Urinary Disorders, Jammu.

• Regional Ayurveda Research Institute for Nutritional Disorders, Mandi.• Regional Ayurveda Research Institute for Nutritional Disorders, Mandi.

• Regional Ayurveda Research Institute for Skin Disorders, Ahmedabad.

• Advanced Center for Ayurveda in Mental Health & Neurosciences, Bangalore.

Holistic Approach of AyurvedaHolistic Approach of AyurvedaAyurveda

Swasthya Atura(Healthy)

(Patient)

- Dinacharya Shodhana Samana

- RuthuCharya -Panchakarma - Ahara

- Sadvritth -Rakthamokshana - Vihara

- Oushadha

Rasayana chikitsa – kamya ( promotive), Naimitthika (curative) and

(Rejuvenation) Ajasrika (daily)

• Ahara – Healthy Diet

• Dina charya- Daily regimen

• Ritu charya – Seasonal regimen

• Ratri charya – Night Regimen• Ratri charya – Night Regimen

• Swasthavrittha – Life style

• Sadvrittha – Good conduct

• Yoga – Astanga Yoga

Ayurveda Clock

“When diet is wrong, medicine is of no use. When diet is correct, medicine is of no need.”- Ayurvedic proverb

Healthy Diet :

• Hita aahaara

• Mitha aahaara

• Satwika aahaara

Wrong dietary habits:

• Increased intake of sour, salty, hot, pungent

• Heavy and fermented food.

• Meat of fatty and domestic animals

• Alcoholic beverages

• Indigestion

• Eating before the previous meal is digested

• Malnourishment

Oral Hygiene

Personal Hygiene

Social Hygiene Social Hygiene

Mental Hygiene

Dantha dhaavanam:

• Brushing with twigs of Neem, Apamarga, Irimedha, Vata, Karanja etc

• Kashaya(Astringent), Katu(Pungent), Tiktha(Bitter)

Jihwaa Nirlekhanam:Jihwaa Nirlekhanam:

• Tongue cleaning with gold, Silver, Copper, Brass, Zinc, Tree branches.

Kavala andGandusha:

• with medicated oils and kashayas

• Anti aging:

• Abhyanga

• Murdhni taila

• Vyayaama

• Udhwarthana

• Snana

• Ratri charya

• 100 feet walk after dinner

• oil application to soles

• Pray before going to bed• Pray before going to bed

Doshavastha- Ritu- Shodhana kala:

Dosha Sanchaya(Accumulation)

Prakopa(Aggravation)

Prashamana(Pacification)

Vata Grishma Varsha(Vasthi)

Sharad

Pitta Varsha Sharad(Virechana)

Hemanth

Kapha Shishira Vasantha(Vamana)

Grishma

2 Kaals

6 seasons

I. Adaan Kaal/ Northern Solstice/ Uttaryana (14 January to 14 July)

1. Shishir Ritu ( Winter) : Mid-January to Mid-March

2. Vasantha Ritu (Spring) : Mid-March to Mid-May

3. Grishma Ritu (Summer) : Mid-May to Mid-July3. Grishma Ritu (Summer) : Mid-May to Mid-July

II. Visarga Kaal/ Southern Solstice/ Dakshinayana (14 July to 14 January)

4. Varsha Ritu (Monsoon) : Mid-July to Mid-September

5. Sharad Ritu (Autumn/ Fall) : Mid-September to Mid-November

6. Hemanth Ritu (Late Autumn/ Pre-Winter) : Mid-November to Mid-January

• Social Hygiene:

• Sadvritham (Goodconduct)

• Achara rasayanam: Satya, Bhootha daya, daana, bali,

• devatharchana,Sadvrittha etc

• Mental Hygiene :

• Satwavajaya – Counseling and consoling

• Dharaneeya vega

• Intintiki AYUSH (Door to Door)

• Badibadiki AYUSH(School Health)

• AYUSH Mahila (Woman Health)

• AYUSH Gramam (Village Adoption)

Herbal gardens (PHC & CHC)• Herbal gardens (PHC & CHC)

• PPP mode (Public Private Partnership)

• IEC ( Information- Education- Communication)

• Special days celebration (IYD, NAD etc)

• Special camps in Public gatherings

Ayush Ayush ��ా మం��ా మం (Adopted Tribal Area)(Adopted Tribal Area)

IEC: Through NSS in collegesIEC: Through NSS in collegesNSS Program

IEC: AIDS DayIEC: AIDS Day

IEC: Mandal level Officers & TeachersIEC: Mandal level Officers & Teachers

IEC: Grama Panchayath IEC: Grama Panchayath -- ��ా మ��ా మ ద����ద����

IEC: IEC: �����ల�����ల �ేవ�ా� నం�ేవ�ా� నం in in Uplifting AyurvedaUplifting Ayurveda

PPPPPP ModeMode

PPP PPP ModeMode

కృష�కృష� ప�ష��ాల�ప�ష��ాల� -- ఉ�ా��ఉ�ా�� -- �వ�ా���వ�ా��

IEC: National Ayurveda Day & International Yoga Day

IEC : Through APHRDI IEC : Through APHRDI

IEC: National seminar (History) IEC: National seminar (History) –– Sarva Siksha Sarva Siksha Abhiyan Abhiyan

IEC: Through Press IEC: Through Press

IEC : Through press IEC : Through press

Thank You