management of lifestyle diseases through ayush · 2015-03-22 · management of lifestyle-related...

Workshop Series : 2 / HSW / 2014

Management of Lifestyle diseases through

Ayush

State Planning CommiSSion03rd March, 2014

11State Planning Commission

Workshop series: 2 / HSW / 2014

State Planning Commission03rd March 2014

Management of Lifestyle diseases through

Ayush

2 State Planning Commission

Tamil Nadu State Planning Commission The State Planning Commission was constituted in Tamil Nadu as an Advisory body on 25th May 1971 under the Chairmanship of the Hon’ble Chief Minister to make recommendations to the Government on various matters pertaining to the development of the State. The Chairman of the Commission is assisted by Vice Chairman, Full Time Member & Part Time Members who are experts in various fields. The Principal Secretary to Government, Planning, Development and Special Initiatives and the Principal Secretary to Government, Finance Department are the ex-officio members. The Member Secretary is responsible for administration in the Commission.

The Commission has the following technical divisions:1. Agricultural Policy and Planning2. Industries, Power and Transport3. Land Use4. Education and Employment5. Health and Social Welfare6. District Planning and Rural Development7. Plan Co-ordination.

Main activities of SPC:1. Preparation of Five Year and Annual Plans based on the policies and priorities of the Government.2. Undertake Mid Term review of the Five Year Plan, other special reviews on the Economy and

advise the Government on appropriate modification and restructuring of the schemes.3. Monitor development indicators that influence the Human Development Index, Gender

Development Index, etc., at a disaggregated level and suggest correctional measures.4. Undertakes special studies as required for formulation and implementation of plan projects

and programmes. The State Planning Commission also organizes seminars/workshops.5. Tamil Nadu State Land Use Research Board (TNSLURB) is functioning under the chairmanship

of Vice Chairman, State Planning Commission as a permanent body in the State Planning Commission. This Board is intended to promote interaction and study the vital areas of Land Use. The State Planning Commission organizes seminars/workshops and undertakes studies on Land Use.

6. Human Development Reports (HDRs) were prepared for Dindigul, Sivagangai, Tiruvannamalai, Cuddalore, Nagapattinam, the Nilgiris, Kanyakumari and Dharmapuri districts. The concept of Human Development has been disseminated to all districts through workshops organized in the concerned districts. Preparation of District Human Development Reports (DHDR) for the remaining districts is under process.

7. State Balanced Growth Fund (SBGF) is operated to bridge the regional imbalances among the districts.


CONTENTS

Page No

Workshop Team 4

Executive Summary 6

Introduction 7

Prevalence of Lifestyle diseases 7

Comparison of Communicable and Lifestyle/ NCDs 8

Management of Lifestyle diseases 9

Ayurvedha 10

Yoga and Naturopathy 13

Unani 23

Siddha 28

Homoeopathy 32

Remarks / Suggestions of the Participants 35

Recommendations of the State Planning Commission 39

List of Participants 40


WORKSHOP TEAM

State Planning Commission

Tmt. Santha Sheela Nair, I.A.S., (Retd.)Vice Chairman

Dr. V. Shantha Member (Health)

Dr. K. SridharMember (Health)

Tmt. K. JayagandhiHead of Division - Health and Social Welfare Division

Tmt. S. RajalakshmiPlanning Officer - Health and Social Welfare Division

Th. S. Boopathy MohanSystem Analyst

Tmt. K.S. JayanthiTechnical Assistant - Health and Social Welfare Division

Tmt. S. VijayalakshmiTypist - Health and Social Welfare Division


WORKSHOP TEAM

Presentations by

Dr. M. Radhika (Ayurvedha)Medical Officer (Ayurvedha) and Superintendent (i/c), Arignar Anna Government Hospital of Indian Medicine, Chennai.

Dr. N. Manavalan (Yoga)Principal, Government Yoga and Naturopathy Medical College, Chennai.

Dr. Shaik Shahul Hameed (Unani)Principal, Government Unani Medical College,Chennai

Dr. K. Kanakavalli, (Siddha) HOD, U.G. Pothu Maruthuvam Department, Government Siddha Medical College, Chennai.

Dr. P. Buvaneswari, (Homoeo) Principal i/c, Government Homoeopathy Medical College, Thirumangalam, Madurai.


Executive Summary ......................................................................................................

interest in the world towards herbal remedies, as the therapeutic efficacy of various Herbal drugs used to treat the lifestyle disorders is insurmountable. India has a rich, old heritage of medical and health knowledge and the AYUSH (Ayurvedha, Yoga & Naturopathy, Unani, Siddha and Homoeopathy) systems are time-tested methods. These systems are sometimes even used as adjuvant to prevent the side effects of modern medicines. The AYUSH systems play a major role in tackling Life style disorders, since they are not only curative but also preventive.

In this context, a workshop was organised in the SPC under the Chairmanship of the Vice Chairman, State Planning Commission. Resource persons serving the domain of AYUSH systems shared their knowledge on the various facets relating to incidence of Lifestyle diseases, the level and magnitude of the problem, reasons for occurrence and contributed vital inputs to combat these diseases.

The world has come a long way in the last 100 years, not just in terms of economic advancements and blurring geographies for trade, but also in the field of science, specifically medicine. As developments in businesses occurred, there was an implicit effect on the pace of lifestyles of the people involved. Although medicine has evolved extensively and has eradicated most of the diseases that were prevalent in the 19th century, the next generation has been plagued with a fresh set of diseases, creatively called “Lifestyle diseases”. These diseases, as the name suggests, are the result of fast-paced lifestyle that necessarily accompanies the developments over the years and have become a major threat to health in the present era.

Inspite of great progress made by modern

scientific system of medicine, the modern drugs have their limitations in use and also result in side effects. Hence, there is a growing


Lifestyle diseases better known as non-communicable diseases (NCDs) and diseases of civilisation, characterise those diseases whose occurrence is primarily based on the daily habits of people and also as a result of an inappropriate relationship of people with their environment. It is a medical condition or disease which is non-infectious and non-transmissible, but is likely to continue progressively unless intervened. According to WHO, Lifestyle diseases (LSDs) may be chronic diseases of long duration and slow progression or they may result in more rapid death. Diet and lifestyle are the major factors found to influence susceptibility to many diseases. The main factors contributing to lifestyle diseases include bad food habits, physical inactivity, wrong body posture, disturbed biological clock and also addictions such as drug abuse, tobacco smoking, alcohol drinking.

The four main types of Lifestyle diseases are Cardiovascular diseases (like heart attacks and stroke), Cancers, Chronic respiratory diseases (such as Chronic obstructed pulmonary disease and Asthma) and diabetes. The other Lifestyle diseases include Hypertension, Obesity, Osteoporosis, Alzheimer’s disease, Arthritis, Atheresclerosis, Chronic Liver disease or Cirrhosis and so on.

AYUSH system is a holistic approach to combat Lifestyle diseases boosting the whole health system in the society. AYUSH systems

of Medicines are well accepted by community particularly with rural areas because these are socially acceptable, comparatively safe and efficacious and easily available which can be prepared locally by the available resources.

Prevalence of Lifestyle Diseases

Lifestyle diseases are now the leading cause of death around the world with developing countries hit hardest, according to a new report from the World Health Organisation (WHO). Non-Communicable diseases are often associated with older age groups, but recent evidence shows that more than 9 million of all deaths attributed to NCDs and occur before the age of 60. Of these "premature" deaths, 90% occurred in low and middle-income countries like India. The WHO has estimated that by 2020, two-thirds of the global burden of diseases will be attributable to chronic non-communicable diseases, most of them strongly associated with life style.

Cardio vascular disorders (CVD) continue to be the major cause of mortality representing about 30% of all deaths worldwide. Lifestyle diseases like hypertension, diabetes mellitus, dyslipidaemia and overweight/obesity are the major risk factors for the development of CVDs. The diet [or lifestyle] of different population might partly determine their rates of cancer and the basis for this hypothesis was strengthened by results of studies showing that people who migrate from one country to another

Introduction .....................................................................................................................


generally acquire the cancer rates of the new host country, suggesting that environmental [or lifestyle factors] rather than genetic factors are the key determinants of the international variation in cancer rates.

With rapid economic development and increasing westernisation of lifestyle in the past few decades, prevalence of these diseases has reached alarming proportions among Indians in the recent years. In India (which is already crippled by an ever increasing burden of infectious diseases, poor maternal and perinatal conditions and nutritional deficiencies) 10% of adults suffer from hypertension while the country is home to 25-30 million diabetics. Three out of every 1,000 people suffer a stroke and the number of deaths due to heart attack is also in increasing trend. A report jointly prepared by the World Health Organization (WHO) and the World Economic Forum says

India will incur an accumulated loss of $236.6 billion by 2015 on account of unhealthy lifestyles and faulty diet. According to a survey conducted by the Associated Chamber of Commerce and Industry (ASSOCHAM), 68% of working women in the age group of 21-52 years were found to be afflicted with lifestyle ailments such as obesity, depression, chronic backache, diabetes and hypertension. The study ‘Preventive Healthcare and Corporate Female Workforce’ also conclude that long hours and working under strict deadlines cause up to 75% of working women to suffer from depression or general anxiety disorder, compared to women with lesser levels of psychological demand at work. The study cited scientific evidence that healthy diet and adequate moderate physical activity of atleast 30 minutes for atleast five days a week helped prevent NCDs.

Comparison of Communicable Diseases & Lifestyle/NCDs

Communicable Diseases Lifestyle/ Non-communicable diseases

Sudden onset Gradual onset

Single cause Multiple causes

Short natural history Long natural history

Short treatment schedule Prolonged treatment

Cure is achieved Care predominates

Single discipline Multidisciplinary

Short follow up Prolonged follow up

Back to normalcy Quality of life after treatment


Management of Lifestyle Diseases

A particular lifestyle of person is a cumulative product of his/her physical capacity coordinated with psychological functioning displayed in the form of habits, behaviors, dietary and living pattern based on his own training sought from childhood and also gained from his immediate companions including parents, siblings, peers etc. A healthy lifestyle which includes a proper balanced diet, physical activity and giving due respect to biological clock must be adopted to combat these diseases. In this revolutionised era we cannot stop doing the developmental work, but we can certainly reduce our ailments by incorporating these simple and effective measures to our lives.

Lifestyle medicine is defined as the application of environmental, behavioural, medical and motivational principles to the management of lifestyle-related health problems in a clinical setting. It is an established branch of medicine where we discuss lifestyle's contribution to health in addition to non-pharmacological intervention in the treatment and management of lifestyle diseases such as exercise in diabetes mellitus and weight management in obesity. “Hippocrates” considered as the “Father of lifestyle medicine” used lifestyle modifications such as diet and exercise to treat diseases such as diabetes, what is today called lifestyle medicine. He is often quoted with "Let food be your medicine, and medicine be your food" and "Walking is man's best medicine".


Ayurvedha is the “Science of Life” and Ayurvedha focuses on achieving the objective of promotion of health, prevention and management of disease for a healthy and happy life in the ailing society. Life in Ayurvedha is conceived as the union of body, senses, mind & soul and the living man is conglomeration of three humours (Vata, Pitta & Kapha), seven basic tissues (Rasa, Rakta, Mansa, Meda, Asthi, Majja & Shukra) and the waste products of the body such as faeces, urine and sweat. Thus the total body matrix comprises of the humours, the tissues and the waste products of the body. The growth and decay of this body matrix and its constituents revolve around food which gets processed into humours, tissues and wastes. Ingestion, digestion, absorption, assimilation

and metabolism of food have interplay in health and disease which are significantly affected by psychological mechanisms as well as by bio-fire (Agni).

According to Ayurveda, lifestyle diseases are diseases caused by wrong “Ahara” and “Vihara” (food and regimen). Ayurvedic intervention is targeted towards complete physical, psychological and spiritual well-being, which makes it a wonderful option in treating lifestyle disorders. Ayurveda provides solution in the forms of proper dietary management, lifestyle advises, Panchakarma like detoxification and bio-purification procedures, medicaments and rejuvenation therapies.

Ayurvedha ........................................................................................................................


The principles for Management of lifestyle diseases which are very important to maintain a healthy and happy psychological perspective include :

• Dinacharya(thedo’sanddon’tsoftheday)

• Ritucharya(seasonalregimen)

• Panchakarma (five detoxification andbio-purification therapy)

• Rasayana(rejuvenation)therapy

• TheSadvritta(idealroutines)

• AacharaRasayana(codeofconduct)

The treatment modalities to delineate lifestyle diseases can broadly be classified as:

• Poorvakarma–Preparatoryprocedure

• Pachanam(DigestionofAma)

• Snehana(TherapeuticOleation)

• Bahyasnehana(External)

• AbhyantharaSnehana(Oral)

• Swedana(Therapeuticsolutions)

Various common lifestyle disorders and the medicines & regimen followed for management of these diseases are as follows:

Management of Obesity

Ø Udvartanam (powder massage)

Ø Medicated powders

Ø Medicines : Varunadi kashayam, Navaka guggulu, Triphala churnam, Ayaskrithi

Ø Regimen : Avoid day sleep, take timely food, relax the mind & destress and follow the seasonal regimen.

Management of Diabetes

Ø Panchakarma - Kashaya Vasthi (Decoction Enema)

Ø Powder massage with Triphala churnam and Nalpalmaradi churnam

Ø Medicine : Nishamalaki churnam, Chandraprabhavati, Ayaskrithi, Nishakatakadi kashayam

Management of Hypertension and Cardio-vascular diseases

• Therapy: Shirodhara with ksheerabala thailam, Shiropichu with Bala thailam and Amla paste.

• Medicine: Sarpagandha churnam, Arjunarishtam, Brahmi vati, Ksheera bala thailam, Lasunadi vati


The best Rasayana drug is the common Gooseberry or Amla. The Therapeutic efficacy of various Herbal drugs in treating the Life style disorders are detailed below :

Ø ObesityandDyslipidemia–Guggulu,Lasuna, Vrikshmla and Kulatha

Ø PrediabeticandDiabetics–Meshasringi, Ekanayaka , Amalaki, Haridra, Jambu, Khadira, Kathaka and Shilajith

Ø Cardiacailments–Arjuna,Pushkaramula, Lasuna, Dasamoola and Vidari

Ø Sleep disorders & Stress - Aswagandha, Jatamanji, Somalatha and Sarpagandha

Ø BoneandJointdisorders–Vajravalli,Guggulu, Ashtavarga, Lasuna & Masha

Ø Uterine Disorders - Non Hormonal drugs like Asoka, Lodhra, Kumari, Jeeraka, Sathavari and Tila

Ø AutoImmuneDiseases–Guduchi,Bhunimba, Nimba, Haridra, Ashtavarga and Sathavari

Ø Disorders of GIT (which results from unsuitable dietary regimen) - Shatphala, Hingu, Jeeraka, Panchalavana, Dadima and Triphala

Ø DisordersofRespiratorytract–Vasa,Kanaka, Dasamula, Trikatu, Amruta, Ela, Thaleesa and Lavanga

Ø Neurologicaldisorders–Bala,Vacha,Jatamanji, Kapikachu, Aswagandha, Rudraksha, Somalatha, Brahmi and Sarpagandha


The concepts and practices of Yoga & Naturopathy originated in India about several thousand years ago. It is associated with a healthy and lively lifestyle with a balanced approach to life. According to Yoga and Naturopathy, Health is the normal and harmonious vibration of the elements and forces which are composing the human entity and physical, mental and moral planes of being in conformity with the constructive principle of nature which can be applied to an individual life. The basic principles of Yoga and Naturopathy System of Medicine are:

• Thebodyhealsitself.

• Themaincauseofdiseaseisenervation.

• The accumulation of morbid mattercauses the disease.

• The acute disease in itself is theremedial process.

• Germs don’t cause but are found indisease condition.

• Food is the building material butdoesn’t increase vitality.

• Fasting doesn’t cure the disease butcreate the environment to heal.

• Exercise and physical activities keepthe balance between nutrition and drainage.

• The patient’s own wish to get well,determination and faith in nature healing power play important role in healing process.

The word "Yoga" comes from the Sanskrit word YUJ, which means "to join" or "to yoke". Originated in ancient India, Yoga typically means 'union' between the mind, body and spirit. Yoga is a discipline to improve or develop one’s inherent power in a balanced manner and offers the means to attain complete self-realisation. It involves the practice of physical postures and poses, which is sometimes referred to as 'Asana' in Sanskrit. Yoga makes use of different movements, breathing exercises, relaxation technique and meditation.According to Maharishi Patanjali, referred to as the “Father of Yoga”, Yoga is the suppression of modifications of the mind. He advocated the eight folds path of Yoga, popularly known as “Ashtanga Yoga” for all-round development of human beings. These components advocate certain restraints and observances, physical discipline, breath regulations, restraining the sense organs, contemplation, meditation etc.

Naturopathy is an ancient and traditional art and science of healthy living and a drugless system of healing, based on well founded philosophy. It integrates the physical, mental and spiritual aspects of our natural constitution. It is the science of holistic approach of health, creating a balance with the nature and positive living, which can be achieved by following the laws of nature (Physical Health), Rules of good conduct (Mental/ Social Health) and developing a philosophical attitude and practicing meditation and Yoga (Spiritual Health). Naturopathy has great health

Yoga & Naturopathy .....................................................................................................


promotive, disease preventive, curative as well as restorative potentials. It uses the healing power of natural resources like foods, herbs, earth, water and air to allow the body to heal itself. The principal aim of Naturopathy is to teach people the art of healthy living by changing their daily routine and habits.

The Pancha Tantras of Naturopathy are:

• Eattwiceaday.

• Drink eight to ten glasses of waterdaily

• Fastonceaweek

• DoYogaanhourdaily

• Praytwiceaday

The treatment modalities in Yoga & Naturopathy system of Medicine are Spinal Bath, Hip Bath, Steam Bath, Enema, Fomentation, Mud Bath, Plantain Leaf Bath, Yoga therapy, Massage, Magnetotherapy, Acupuncture, Acupressure, Aromatherapy, Herbology, Color Glasses, Fasting, Diet-therapy and Chromotherapy.


The effects of the colours in Chromotherapy are as follows:

• Blue – Calming/cooling, mind relaxing effect.

• Green – Antiseptic

• Orange/Yellow – Laxative

• Red - Stimulant

In food therapy, the idea is to consume what we eat in its natural form as much as possible as it is by itself a medicine. This mainly includes fresh fruit, fresh leafy green vegetables, and sprouts; and there are different combinations of purifying, strengthening, or pacifying foods. These must be consumed in the correct proportion, and the stomach left a little empty.


According to Naturopathy, Lifestyle disorder is a disease or a group of diseases that can potentially be prevented and managed by changes in dietary habits, yoga and lifestyle modifications. Yoga is prescribed as tailor made as per the suitability of the individuals concerned and Yoga therapy is one of the best remedies for relieving internal stress. As germs can survive only when toxins survive, elimination of toxins should be given importance. The diet and lifestyle modifications required for combating lifestyle diseases are :

• Increase intake of green leafyvegetables and fresh fruits.

• Consume less salt; avoid adding orsprinkling salt to cooked and uncooked food.

• Preparations which are high in saltand need to be moderated are Pickles, chutneys, sauces and ketchups, papads, chips and salted biscuits, cheese and salted butter, bakery products and dried salted fish.

• Restrictall formsofsugarandrefinedcarbohydrates. e.g. biscuits, breads, Naan, kulchas, cakes, etc. Usage of white sugar to be substituted with Jaggery.

• Steamed and boiled food should bepreferred instead of fried food.

• Have fresh lime water instead ofcarbonated drinks and other aerated drinks.

• Avoideatingfastorjunkfoods.Insteadof fried snacks, eat a fruit.

• Inpractice,itisbesttousemixtureofoils.

• Eitherbuydifferentoilseverymonthorcook different food items in different oils.

• Oilswhichcanbemixedandmatchedare mustard oil, Soya bean oil, groundnut oil, olive oil, sesame oil, and sunflower oil.

• Ghee, Vanaspati, Margarine, butterand coconut oil are harmful, hence they should be moderated.

• Cleansingthebodythroughfasting.

• Practicing Yoga atleast 30 minutesa day, especially backward bending Asanas.

• Detoxification of both physical andmental health.

• Avoidanceoflatenightdinner.Dinnershould be taken atleast one hour before sleep for ease of digestion.

Management of Diabetes Mellitus

Mental stress is the most common situation that raises blood sugar level. Stress drives Adrenal glands and prevents orderly secretion from the pancreas. Yoga is ideally suited for both types of Diabetes. Yoga increases the practitioner’s sensitivity to body movements and cellular changes. In yoga it is possible to create a selective uptake of Sugar. A model diet for Diabetic shall include:


Early-morning : Drink 1-2 glass of water, Fenugreek seed (soaked in water) a tea spoon with warm lemon juice I glass

Breakfast : Idli or oil free dosa (ragi or wheat) 2-3 with mint coriander chutney or onion chutney

Mid morning : Juice like bitter gourd or bottle gourd or plantain pith or veg soup -1 glass or buttermilk–1glass

Lunch : Wheat phulkas (2) + channa or dhal + greens + 1 cup

of hand pound rice, boiled vegetables - 1 cup

Evening : Herbal tea (dry ginger or coriander seeds) germinated seeds (channa, green gram, horse gram) 1 cup

Early dinner : Whole wheat chapatti or samba wheat kichadi 1 cup + green chutney or mixed vegetable curry. Weekly thrice only fruits like Guava, Papaya, Apple, Jamun, Orange and Vegetable salad plus sprouts.


In general, one should drink minimum –3 litresofwaterperdayand takeplentyofplantain (pith, flower) & watery vegetables like, kovakai, bottle gourd, carrot, cucumber, beetroot, cauliflower, cabbage, sundakai etc. The supportive therapies for Diabetes in Naturopathy are Chromotherapy, Magnetotherapy, Massage and Acupuncture. The diabetics should avoid chocolates, sweets, sugar, cakes, bun, jam, jelly, soft drink, ice-cream,curd,milk,nuts,eggs&non–veg,oily&fried foods and fruits like sapota, mango, jack fruit, banana and grapes.

Management of Hypertension

Yogatherapy and Hydrotherapy are best suited to combat hypertension. Apart from the above, Massage, Chromo therapy, Magneto therapy, Acupuncture are the supportive therapies. A model diet for Hypertension patient shall include :

Early morning : Warm lime juice + a teaspoon of honey or Ash gourd juice or banana stem juice–aglass.

Breakfast : Idlies or steamed food or ragi with onion roti or bowl of seasonal fruits (banana, orange, Sweet lime, Apple, etc)

Mid- morning : Butter milk or lemon juice or sweet lime juice or dhaniya water or coconut water or barleywater (1 glass)

Lunch : Any greens+ thin dhal + boiled vegetables (1 big bowl) + a cup of rice (handpounded) or 2 dry chappati.

Evening : Herbal tea (dry ginger+ coriander seeds (kothamalli sukku) or lotus stem decoction or hibiscus (chembaruthi) decoction or vegetable soup + germinated seeds (channa, green gram, horse gram, groundnut, millets)

Early dinner : Veg. salad + a fruit (apple or papaya or seasonal fruits) - 1 cup Samba wheat -> Kichadi 1 cup + green chutney (coriander or Mint).

Management of Obesity

The goal of all dietary management in obesity should be to help the individual to reduce their energy intake to an acceptable level while consuming a diet that is adequate in all other nutrients compatible with good health, practical to follow and can be reconciled with their Lifestyle. Regular practice of yoga is important for effective weight control. Spending long hours in front of TV should be discouraged and outdoor activities like cycling, gardening etc. should be encouraged. Multi cereals with high fibre/ low glycemic index


should be consumed to fight obesity. A model diet for obese shall include :

Early morning : Warm lime juice+ a teaspoon of honey or ash gourd juice (plain)

Breakfast : 3 idlies or 2 wheat phulkas or (no coconut chutney) or ragi roti + pudhina or coriander or curry leaves chutney.

Midmorning : Buttermilk or sugarless lemon juice or orange juice

Lunch : Any greens + thin dhal +boiled vegetables +a cup of rice (hand pounded) or 2 dry chappati

Evening : Herbal tea with dry ginger + coriander) -1 cup or vegetable soup + germinated seeds (channa, green gram, horse gram, groundnut)

Early dinner : Veg salad + fruits (apple or papaya or seasonal fruits)-no banana, jack fruit, sapota, grapes, mangoes.

The supportive therapies for Obesity in Naturopathy are Steam bath, Mud bath, Plantain Leaf bath, Cold hip bath, Full body Oil Massage, Fasting etc.. The obese should avoid sugar, sweets, cakes, bun, jams, jellies, soft rings,ice–creams,egg,non–veg,curd,oilyfriedfoods, nuts, Maida, milk and chocolates.


Management of High Blood Cholesterol

A cholesterol patient should avoid sugar, sweets, cakes, bun, jams, jellies, soft rings, ice–creams, egg, non–veg, curd, oily,fried foods, nuts, maida, milk and chocolates. A model diet for Cholesterol patient shall include:

Early morning : Warm lime juice + a teaspoon of honey or ash-gourd juice (plain)

Breakfast : 3 idlies or 2 dosa (oil free) or (no coconut chutney) (wheat ragi) + pudhina or coriander or curry leaves chutney +1 guava or papaya (1 small cup)

Midmorning : Buttermilk or sugarless lemon juice or orange juice

Lunch : Any greens + thin dhal +boiled vegetables +a cup of rice (hand pounded) or 2 dry chappati

Evening : Herbal coffee (dry ginger + coriander) - 1 cup or vegetable soup + germinated seeds (channa, green gram, horse gram, groundnut)

Early dinner : Veg salad +a fruit (apple or papaya)-1 cup +samba wheat – kichadi 1 cup+green chutney (coriander or pudhina)

Management of Coronary Artery Disease

A Coronary Artery disease patient shall consume all seasonal vegetables, wheat bran, fenugreek seeds, cinnamon, onion, garlic, flax seeds, hibiscus and ground nut oil or mustard oil or olive oil to be used for cooking. A model diet for Coronary Artery disease patient shall include :

Early morning : Water with 1 teaspoon honey, 1 lemon or dhaniya water, hibiscus decoction or ash–gourdjuice

Breakfast : 3 Idli or 2 oil free dosa, coriander or curry leaves or onion or garlic chutney

Lunch : 1 cup of rice (hand pounded), dhal ½ cups, boiled vegetables like beans, carrot or cabbage or seasonal vegetables plus 1 whole wheat chapatti

Evening : Herbal tea ginger plus dhaniya decoction

Dinner : 2 whole wheat chapattis plus boiled vegetables or vegetable salad and fruits (seasonal), Horse gram (boiled) - 1 cup


Management of Anaemia

The following are said to be highly effective in iron absorption and its utilization, hence they are very good for Anemia.

• Vegetablejuices–Beetroot,Tomato

• Greens juices – Curry leaves andCoriander leaves, Spinach, Wheat grass and Green Grass (Arukampul).

• Sprouts–Greengram.

• Nuts and Seeds – Sesame seeds,Almonds.

• Fruits–Dates,Raisins,Jamun,Figs,etc.

• Others – Jaggery, Honey and othercitrus fruits rich in vitamin C.

The supportive therapies for Anaemia include Hydrotherapy, Massage & Yoga therapy, Magneto therapy, Acupuncture and Chromotherapy (Green- Antibiotic effect; Blue &Orange–Analgesic&Coolingeffect).

Cancer Prevention through Naturopathy & Yoga

Antioxidants are available in a variety of forms. Plants are the plentiful and powerful source of antioxidants in part because these botanicals often have an affinity for particular organs.

Probably the most well known plant antioxidants are carotenoids, the yellow pigment found in many fruits and vegetables. In addition, antioxidants can include vitamins such as C, E, and A, and minerals like selenium, zinc, copper, and manganese. The top Anti-cancer foods are :

• Anti-cancer vegetables: Broccoli, Cabbage, Carrots, Cauliflower, Green beans, Onions (red), Peppers, Radishes, Soya, Sweet potatoes, Tomatoes, Yams, Brown rice, Sunflower seeds, Safflower seeds, Garlic, Pumpkins, Spinach.

• Anti-cancer fruits: Apricots, Grapes, Lemons, Mangoes, Oranges, Papayas, Peaches, Strawberries, Apple, Peaches.

• Anti-cancer Oils: Olive oil, Flax seed oil, Soybean oil, Sesame oil, Ground-nut oil, Safflower oil, Sunflower oil.

Ten Step Anti-Cancer Programme

1. Reduce stress.

2. Stay lean.

3. Increase exercise.

4. Limit dietary fat to 20% of total calories, with less than 10 percent of total calories as saturated fats. Eliminate hydrogenated fats.


5. Increase fibre between 25 and 35 grams a day.

6. Eat lots of fresh fruits and vegetables.

7. Eat foods high in the antioxidants beta carotene, vitamin C and vitamin E.

8. Eat foods high in calcium

9. Increase the intake of selenium and soya products.

10. Take at least one glass juice of coriander leaves/ curry leaves/ wheat grass/ Arukampul (Green grass)

Pregnancy Yoga

Yoga can be practiced during the Preparatory phase of Pregnancy, during Pregnancy (ante-natal practice), during Delivery (intra-natal practices) and after Delivery (post - natal practices). There are numerous benefits in Pregnancy Yoga.

Yoga Health Education for School Children

• To educate and improve student’sbasic health.

• To develop mental aspects of IQ(Intelligence quotient), EQ (Emotional quotient), moral and ethical values.

• Toimprovestudent’ssocialwellbeing.

• Tocopeup/managetheadolescents/teenage physiological changes.

• Toawakestudent’sselfconfidenceandinner strength.

• To prevent anemia, prepare healthymother, healthy child, healthy family and healthy nation by reducing the maternal mortality and neonatal mortality.

• To prevent and manage the non-communicable diseases by following healthy life style.


Unani ........................................................................................................

The Unani system of medicine originated in Greece and Hippocrates is known as the father of this system of medicine. He is said to have freed Medicine from the realm of superstition and magic and gave it the status of Science by declaring that the causes of diseases are not due to supernatural causes or spirits but environmental factors like Air, Food, Water, Seasonal changes and Earthly bodies. The theoretical framework of Unani Medicine is based on the teachings of Hippocrates and other Greek scholars. The Unani System of Medicine has a long and impressive record in India. It was introduced in India by the Arabs and Persians sometime around the eleventh century. Today, India is one of the leading countries, so far as the practice of Unani medicine is concerned. It has the largest number of Unani educational, research and health care institutions.

The Humoral theory, which is the fundamental of Unani Medicine, supposes the presence of four humors viz. Dam (blood), Balgham (phlegm- white fluids of the body), Safra (yellow bile) and Sauda (black matter). The therapeutics of this system include Ilaj bit tadbeer (Regimenal therapy), Ilaj bil ghiza (Dietotherapy), Ilaj bid dawa (Pharmacotherapy) and Jarahat (Surgery). The six essential factors for maintenance of health as prescribed under this system are Air, Food and drinks, Bodily movement & repose, Psychic movement & repose, Sleep & wakefulness and Excretion & retention.

He mentioned about some of the contributory factors for lifestyle disorders such as sedentary lifestyle, little or no exercise, longer hours spent in front of computers or TV screens, over supply of fast food with less or no nutritional values etc.

He made a detailed presentation about the causes, preventive measures, regimen, health promoting tips and curative herbs for each of the common lifestyle disorders. He explained about the three main components of Unani line of treatment to chronic lifestyle illnesses (i) Activities leading to the reduction in the increase of the abnormal or excess humour and reversing the accumulation of toxins, associated with the illness (ii) Encouragement of the concoction and elimination of the abnormal humour (iii) Strengthening of the organs system affected by the disorder by application of an appropriate lifestyle management programme and the use of Ilaj bit tadbeer (Regimenal therapies), cupping, leeching, Turkish bath, physical exercises, massage etc.

Lifestyle medicine which was earlier restricted to the adult or ageing population is becoming increasingly more important with the increase of obesity, metabolic syndrome and type-2 diabetes mellitus in children and young adults. The Contributory factors like sedentary lifestyle, little or no exercise, longer hours spent in front of computers or


TV screens, over supply of fast food with little nutritional values are the main reasons for this 21st century phenomenon. Relatively simple lifestyle changes that include eating more whole foods and less processed foods and staying physically active on a daily basis, losing weight and learning to manage stress better can help patients to avoid medications for hypertension, chronic inflammatory conditions and to reduce rise of strokes and heart attacks.

For the prevention of lifestyle disorders, Unani aims at managing the Asbabe Sitte Zarooriya (six essential health governing factors) to minimize the accumulation of toxins, especially when they arise from a poor, inadequate diet, high stress, less physical and mental activity, inadequate sleep and excessive work load.

Food

Eating a diet rich in micronutrients with enough healthy proteins provide our cells with the building blocks to make plenty of neurotransmitters including dopamine, serotonin, and nor-epinephrine, which helps us to keep our body balanced and healthy.


Exercise

• Physical activity is another keycomponent of health lifestyle.

• Moving our bodies regularly has allkinds of benefits from lowering the rise of D.M and Heart disease to improving the mood and enhancing libido.

• Exercise has been shown to be aseffective as anti-depressants for mild depression and anxiety, with even long lasting effects.

• Adailyformofmovementorexerciseis a healthy habit that supports bone and muscle health, lower stress levels, improves cellular oxygenation and improves over all circulation.

Sleep

• Disrupted sleeping pattern preventnatural healing and balancing of many systems in the body. During a healthy sleep cycle, our body releases hormones to accelerate healing, e.g. melatonin and growth hormone. Inflammation in the body is reduced, detoxification takes place and damaged tissue is repaired while new cells are being formed. Recent studies have shown that insufficient sleep increases the risk of several common cancers, including breast cancer.

Stress

• Chronic stress stimulates the release ofcortisol (stress hormone) in the body. Over a longer period of time, cortisol suppresses the immune system with the possible development of immune related problems. Chronic stress also slows down metabolism and increases fat storage in the body with the typical belly fat that is hard to shed.

• In lifestyle medicine, patients areeducated, supported and empowered to incorporate stress management techniques that stimulates the relaxation response in the body. This can include deep breathing, visualization, mind fullness and meditation. Lifestyle changes are an integral part of an integrative approach to health and well being and should always be part of the prescription for good health.

Hypertension/ Stroke

Hypertension is a condition in which the veins of body become hard due to the pressure and amplitude of the blood flows in it. The causes may be hereditary factors, Obesity, Alcoholism, Smoking and Certain diseases like diabetes mellitus, gout or kidney disease. It can be prevented by following the guidelines of Asbab-e-Sittta Zarooriya (six essential


prerequisites), avoiding tobacco in any form, alcohol consumption, oily, fatty salt rich diets and stress and maintaining body weight.

Obesity

Obesity is a condition in which excess body fat accumulates to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/or increased

health problems. The causes are Overeating, Sedentary lifestyle, slow metabolism, cold temperament etc.

Obesity can be prevented by following diet restriction (light and low calorie diet to be used), normal physical and psychic rest, keep a balance in body and psychic movement & repose, hot bath, practice of frequent fasting, venesection, avoid oily & fatty diets.


Osteo Arthritis

Osteoarthritis is a degenerative disease of big joints like knee, ankle etc. The causes may be imbalance of temperament of organ, humid climate, indigestion, predominance of heat/ moist / blood / phlegm, psychic influences, obesity, nutrition deficiency, injury, heredity, excessive intake of hot and moist food such as meat and dairy products. It may be prevented by maintaining body weight, regular exercise, adequate sleep, avoiding oily/ fatty diets, intake of high fibre diet to regulate daily bowel movement etc.

Osteoporosis

Osteoporosis is a condition in which bones become porous and weak due to lack of intake of calcium. It may be prevented by maintaining body weight, regular exercise, making use of sea foods, intake of calcium rich diets, milk & dairy products and regular sun bath.

Psoriasis

Daa-us-Sadaf is a skin disease characte-rized by the presence of sharply demarcated, dull red scaly plaques particularly on extensor prominences and in the scalp caused by imbalance of Sauda (black bile), which is excreted towards the skin and forms crest. The causes may be impaired black bile, impaired yellow bile, malnutrition and impaired matter. It may be prevented by adhering to hygiene, avoiding foods causing excessive heat of blood, intake of bitter and blood purifying diets.

Diabetes Mellitus

Ziabetus (diabetes) is a condition characterised by abnormal increase of appetite and collapse of sexual function and weakness in body. The causes include deranged temperament, functions of certain organs, excessive use of alcohol, stress, worries, negative emotion and fear. It may be prevented by adopting healthy lifestyle, regular aerobic exercise, following diabetic diet chart for specific calories, maintain proper weight, quit smoking and consumption of alcohol, avoid stress & strain and sedentary lifestyle.

Insomnia

Sahar (insomnia) can be defined as difficulty in sound sleep. The causes are mental Stress, impairment of bile, inadequate diet, indigestion, impairment of hot temperament and excessive study. This can be prevented by avoiding anything that causes dryness of brain, avoiding stress/sedentary lifestyle/ coffee & tea at nights, maintain regular bowels and going to sleep at a fixed time daily.

General Debility

Zof-e-Aam (General Debility) refers to the lack of strength and energy in people. This refers to Naqahat (weakness) and inability to perform day to day function smoothly. The main causes include inadequate diet, indigestion and impairment of hot temperament of stomach. It can be avoided by taking dry fruits, eating balanced, variety and highly nutritious diet, regular moderate exercise etc.


Siddha Medicine ('rpj;j kUj;Jtk;" or 'jkpo; kUj;Jtk;" in Tamil) is one of the oldest systems of medicine in India. Contemporary Tamil literature holds that the system of Siddha medicine originated in Southern India in the state of Tamil Nadu and is reported to have surfaced more than 10,000 years ago. Siddha literature is in Tamil and it is practised largely in Tamil speaking part of India and abroad. Siddha system has a rich cultural heritage and health traditions.

The term Siddha means achievements and Siddhars mean saintly persons who achieved results in medicine. “Siddhargal" or “Siddhars” were the premier scientists of ancient days. They were spiritual adepts who possessed the Ashta siddhis or the eight supernatural powers. The origin of Siddha system of medicine is attributed to the great Sage Agathiyar or Agasthya, considered as guru of all Siddhars. He is believed to be the founding father of Siddha Medicine and the Siddha system is believed to have been handed over to him by Lord Muruga.

The Siddha System is largely therapeutic in nature. According to this system the human body is the replica of the universe and so are the food and drugs irrespective of their origin. The system has developed a rich and unique treasure of drug knowledge in which use of metals and minerals is very much advocated. Siddha medicine is claimed to revitalise and

rejuvenate dysfunctional organs that cause the disease and to maintain the ratio of Dosha, Kayakarpam (special combination of medicine and life style) and Muppu (the universal Salt) which are the specialities of Siddha system of medicine. Panchabootham (Earth, Water, Fire, Air & Space), Mukkuttram (Vatha, Pitha, kabha) and Arusuvaigal (Sweet, Bitter, Sour, Astringent, Salt & Pungent) are the basic principles of Siddha philosophy.

gŠr ój« - mWRitfŸ -

cæ®jhJ¡fŸ

gŠr ój«, mWRitfŸ,

cæ®jhJ¡fŸ ÏitfS¡F cŸs bjhl®ng

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Siddha ......................................................................................................


Life-style diseases can be prevented through Siddha system of medicine by adopting :

• ProperDiet• AshtangaYogam• Following“Therayar Pini Anuga Vidhi Ozhukkam”• Kayakarpam

Proper Diet : In the prevention aspect, diet plays a major role. The concept of Food is medicine; Medicine is food (cznt kUªJ;

kUªnj czÎ) is stressed in Siddha.

Âçnjhl rk¥bghU£fŸ

czthÂ ntWghLfis rk‹ brŒa “ Âçnjhl rk¥bghU£fis“ Á¤j kU¤Jt«

ga‹gL¤J»wJ. mit, Vy«, kŠrŸ, Óuf«, fha«, R¡F, btªja«, ó©L , äsF v‹gd.

t. v© Âçnjhl rk¥bghU£fŸ brŒiffŸ

1. Vy« Stimulant, Carminative, Stomachic

2. kŠrŸ Stimulant, Carminative, Hepato Tonic

3. Óuf« (Ó® +mf«) Stimulant, Carminative, Astringent, Anti-hypertensive

4. fha«Antispasmodic, Expectorant, Laxative, Stimulant, Diuretic.

5. R¡F Stimulant, Carminative, Stomachic

6. btªjha« Laxative, Astringent, Anti-diabetic, Diuretic

7. ó©LAnti cholesterol, carminative, stomachic, Diuretic, Anthelmintic, Alternative, Tonic.

8. äsFCarminative, Anti-periodic, Antidote, Stimulant, Anti-vatha


Ashtanga Yogam

Ïak« ãaknk v©âyh Mjd«

eaKW Ãuhzhak« Ãu¤Âahfhu¡

ÏaKW jhuid Âahd« rkhÂ

maKW m£lh§f nahfkhtJ khnk

- ÂUkªÂu«

Therayar Pini Anuga Vidhi Ozhukkam

ešthœé‰F«, nehŒfS¡F«,

mtut®fSila CœéidfS«, tÁ¡F«

Ïl§fë‹ Ú® ts§fS«, fhy§fS«

fhuzbk‹W Tw¥goD«, mtutUila

xG¡fnk mitfS¡F K¡»a fhuzkhF«.

What Our Saint ‘Theraiyar’ Says…?

Ú®RU¡» nkh® bgU¡» beŒÍU¡»

c©gt®j« ngUiu¡»‰ nghnk Ãâ...

k© guÎ »H§Ffëš fUizæ‹¿

òÁnth«...

thiHæs« ÃŠbrhêa fåaUªjš

brŒnth«...

thu« jd¡»UKiw beŒ KG¡if jénuh«...

- nju‹ ÃâaQfh éÂ.

Kayakarpam

fha f‰g«

fhynk æŠÁÍ©z¡ fh£odh® N¤Âu¤Âš

khiyaÂ nyfL¡fhŒ k¤ÂahdŠ R¡fU¤j

Nynk njfklh R¡»y¤ij¡ f£oéL«

Phynk YdJéªJ e‰nw§fhŒ nghyhnk

v Á¤j kU¤Jt¤Âš K¡»a g§F

t»¥gJ fha f‰g kUªJfŸ (Anti

- oxidant Therapy)

v fhaf‰g« = fha« + f‰g«

v (c.jh) bešè, fL¡fhŒ, ÏŠÁ,

bgh‹dh§f‹å, f‰whiH


Meditation

Meditation is a conscious mental process that induces a set of integrated physiological changes termed as the “relaxation response”.

• Acleanserofourmentalgarbage.

• Our day today necessity to get relieffrom stress.

• Itgivesrelieffrommentalconstipation.

• Most helpful in psychologicalproblems.

Medications in Siddha for some Lifestyle diseasesDiabetes : Madhumegachooranam,

Seendhilchooranam, Naavalkottaichooranam, Thiribalachooranam, Seendhilchukkukudineer, Avaaraikudineer etc….

Cardiovascular Diseases : Marudhampattai chooranam, Asai chooranam, Sarpagandha chooranam, Kuruthi Azhal chooranam, Kesari Ilagam, Neermullikudineer etc…..

Cancer : Rasagandhi Mezhugu, Idivallathi Mezhugu, Nandhi Mezhugu, Mahavalaithy Ilagam, Narasimma Ilagam, Chithiramoola Kuligai, Senkottai Nei etc…..

Respiratory Diseases : Thalisathy chooranam, Thirikadugu chooranam, Pavala Parpam, Sivanar Amirtham, Adathoda kudineer, Thoothuvalai Nei, Swasa kudori mathirai etc.

SNAP


The word ‘Homoeopathy’ is derived from two Greek words, “Homois” meaning “similar” and “pathos” meaning “suffering”. Homoeopathy is a method of treatment for curing the patient by medicines that possess the power of producing similar symptoms in a healthy human being simulating the natural disease, which it can cure in the diseased person. It is based on the natural law of healing- "Similia Similibus Curantur” which means "let likes be treated by likes”.

Homoeopathy was given a scientific basis by Dr. Samuel Hahnemann (1755-1843), a German Physician in the early 19th century. It treats the patients not only through holistic approach but also considers individualistic characteristics of the person. It was introduced in India when some German missionaries and physicians started distributing homoeopathic medicines amongst local inhabitants. The origin of Homoeopathy in Tamil Nadu was at Pudukkottai district.

Homoeopathy aims at enhancing the innate resistance power of the individuals by stimulating this inherent power by suitable nature friendly medicines. Homoeopathy medicines act on immune system of the human body, thereby stimulating production of antibodies through Immune response genes by producing artificial antigen like protein substance. These drugs basically perform the role of immunomodulators. According to the WHO, homoeopathy is the second

largest system of medicine in the world and is experiencing and annual growth of around 20–25%.

Homoeopathy was more popular in treating infectious epidemic diseases that raged throughout America and Europe during the 1800s. Homoeopathy is very useful in treatment of psychosomatic disorders, autoimmune diseases, geriatric and pediatric disorders, ailments during pregnancy, obstinate skin diseases, life style disorders and allergies, etc. It also has a positive role in improving the quality of life in incurable chronic diseases like Cancer, HIV/AIDS, terminally ill patients and incapacitating diseases like Rheumatoid Arthritis etc.

Role of Homoeopathy in management of lifestyle disorders

The multi-factorial causations for lifestyle disorders include changes in lifestyle, abundance of food, lack of physical activity, smoking, stress, ageing etc.

Homoeopathy .........................................................................................


Cardio vascular diseases

The drugs which act on the smooth muscles to dilate the blood vessels to increase the blood flow to heart Muscles are Cactus. Grandiflorus, Amyl Nitrosum and Strophanthus. The effects of stress can be removed by homoeopathic Medicines like Ignatia, Nat-mur, staphisagria, Nux-vomica, colocynthis, opium, hyoscyamus, stramonium, pulsatilla and by counselling.

Type II Diabetes Mellitus

Type II Diabetes is no longer an adult disease. Until recently, it almost occurred only in people above 45 years of age. In early detected cases it can be completely cured with constitutional miasmatic treatment. Insulin resistance can be prevented by insulin resistant drug Insulinum. Medicines are also available to decrease Diabetic induced Atherosclerosis. Oral Hypoglycemic herbal products available in homoeopathy which do not have any side effect or after effect are Cephalandra indica and Syzygium Jambolanum, Gymnema sylvestra, Jonosia Asoka, Grindilia. The scope

of homeopathy in skin complications due to diabetes mellitus is also very good.

Obesity

Obesity is defined as an abnormal growth of the adipose tissue due to an enlargement of fat cell size (hypertrophic obesity) or an increase in fat cell numbers (hyperplasic obesity) or combination of both. Genetic factors and Environmental factors are the major causes for Obesity. The major aetiological factors for obesity are PCOD, Hypothyroidism, Hormonal imbalance in females and other life style factors.


Many homoeopathy drugs are also available for childhood obesity. The proven method of treatment for obesity is Homeopathic remedies + low calorie diet + Exercise = very much effective and long term results.

HypertensionHypertension is defined as increased

systolic and diastolic blood pressure. A research study of Pharmacological evaluation of homoeopathic medicines was undertaken with Central Drug Research Institute (CDRI) and the results proved that the drug - LYCOPODIUM 30C reduces the value of diastolic, systolic and arterial blood pressure and regulates the heart beat.

Category Systolic Diastolic

Normal Below <130 Below 85

High Normal 130- 139 85-90

HypertensionStage–1(mild)

140-159 90-99

HypertensionStage–2(moderate)

160-179 100-109

HypertensionStage–3(severe)

>180 Above >110 Above

Relationship between Obesity and Diabates

• Mildobesity-Two-foldriskofDiabetes• Moderate obesity – Five-fold risk of

Diabetes• Severe obesity – Ten-fold risk of

Diabetes

In general, for Management of life style

diseases, along with homoeopathic treatment the following life style changes should be adopted.

1. A time table for daily activities with sufficient time for exercise and entertainment should be prepared.

2. Brisk walking daily for 15 minutes or 10,000 steps or 2-3 kilometers.

3. Avoiding fried food stuffs and junk food.

4. Following medical advice if you have some health problem in addition to life style disorders.

5. Periodic medical check up.


The Vice-Chairman, SPC asked the Commissioner of Indian Medicine and Homoeopathy, as to what they expect from State Planning Commission to strengthen Indian Medicine department. She informed that, funds under State Balanced Growth Fund could be utilized and the various wings functioning under Indian Medicine department may send proposals for health interventions like Anaemia, Lifestyle diseases etc. to SPC through the concerned District Collector or the Departmental head. She suggested the Commissioner of Indian Medicine to submit proposals on Anaemia Control Programme for the districts of Ariyalur and Perambalur.

She also informed about Tamil Nadu Innovation Initiatives (TANII), another resource for implementing novel schemes which is available in SPC and suggested IM&H to submit proposal on IEC programmes for alternative medicines under this fund. Further, she stated that the SPC will fund Government Departments/Universities/Institutions for the conduct of research Studies and will assist in conducting Workshops under various sectors on the current issues that needs greater intervention.

The V-C observed that, various lifestyle disorders have been imported from the West and she expressed her concern on the increase in lifestyle disorders even in rural areas and enquired about the kinds of regimen to address

them through AYUSH. She suggested that awareness on addressing Non-communicable diseases through AYUSH may also be brought out in the form of advertisements as being done by Tamil Nadu Health System Project. Simple messages/ solutions on nutritious diets and good practices under Indian Medicines may be displayed in small capsules, easily understood even by laymen. She mentioned that, SPC is engaged in the promotion of Millet consumption and also suggested that AYUSH could propagate Millet consumption as one of the parameters to lead a better life. Also she emphasized on popularizing the recipes of millets and herbals through Schools, Noon meal centres and Indian Medicine hospitals.

She concluded that the Roof garden scheme of Horticulture Department may be linked with AYUSH for promoting medicinal plants and people may be encouraged to grow valuable tree species like Curry leaf, Pomegranate etc. even in large pots.

The Commissioner of Indian System of Medicine stated that, Indian Medicine is all about cultural ethnicity, which is more preventive in nature. She mentioned that, the basic principles of Ayurvedha, Yoga & Naturopathy, Unani, Siddha and Homoeopathy are all the same. In Indian systems of Medicine, prescriptions are made on ethnic behaviour like meat soup in Unani, Kanji in Ayurvedha, Kashayam in Siddha etc. Further, she stated

Remarks / Suggestions of the Participants ...........................................


that, the Indian systems of Medicine are ancient systems and we do not have a modern scientific research and documentation. However, she mentioned that the Hon’ble Chief Minister has sanctioned Rs. 20.00 crore for Pharamacological study of Indian Medicines. Further, she cited the example of Nilavembu Kudineer, which is a proven anti-viral herbal drug, certified by the Government and is being prescribed by all the practitioners.

She stated that our body is the best medicine to recover and that sleep is our good recovery machine. Western medicines are not standardized for our Indian ethnicity. We should follow the dietary system of our ancestors like consumption of millets, cereals, vegetables etc., since our gene would have adaptability on these by nature. We are rediscovering the facts about traditional diet only after realising the hardships in the management of life style disorders. She observed that the practice of kitchen garden has decreased and suggested for promotion of kitchen/roof garden.

She also mentioned that the causes for lifestyle disorders are due to lack of physical activities, viz. Cycling, Walking etc. Further, she emphasized on herbal foods, regular practice of consuming all the 6 tastes, especially the bitter taste to be a part of our daily diet to lead a healthy life. She informed that the Department has taken up a trial study on “Control of Diabetes through Yoga” which

would be completed within a month’s time. The intermediary results of the study show that 60% improvement is realised in the diabetic patients through practice of Yoga.

She highlighted the fact that, nowadays, Breast and Cervical Cancers are more commonly reported and its occurrence is mainly due to increased prevalence of stress among women. Also, impatience among people irrespective of age has become an increasing trend which has its greater impact on health. Hence, she suggested that there is a need for the conduct of research studies viz., “RoleofBehaviouralchanges–Acauseforlifestyle disorders ” and “Stress - A cause for Cancer in Women” .

In regard to the V-C’s advises on promoting millet consumption through AYUSH, the Commissioner of Indian system of Medicine and Homoeopathy assured to take up a programme to promote millets along with vegetable diet in a mission mode. Agreeing to the suggestion of V-C for organising workshops/ Seminars in association with SPC, she replied that NRHM funds are awaited by the Department and if it is not made possible, she would come up to State Planning Commission. As regards submitting of proposals on Anaemia Control Programme for the districts of Ariyalur and Perambalur, she stated that she would take up the programme in 5 blocks under SBGF.


Dr. M. Radhika, Medical Officer (Ayurvedha) stated that a person who follows a proper diet and indulges in sound activities; who acts after proper thinking; who is not obsessed with anything; who is generous, balanced in thinking, truthful, patient and follows the sayings of great men, does not become ill.

When the V-C, SPC asked whether a treatment with a combination of Ayurvedha and Allopathy can be taken up, she replied that it is possible. Also when the V-C enquired about the preventive care other than good food habits, she informed that, Amla consumption, waking up early, taking oil bath regularly, taking purgatives once in 6 months will avoid accumulation of unwanted toxins, thereby prevent diseases. Further, one of the participants asked whether Leech Therapy is still put in use, for which she replied in the affirmative and stated that, for using in the therapy, a particular species of Leech is selected and grown in suitable environmental conditions.

Dr. N. Manavalan, Principal, Yoga and Naturopathy College stressed that more focus is needed on health care by reducing drugs and increasing lifestyle changes than disease care. Yoga is prescribed as tailor made as per the suitability of the individuals concerned and Yoga therapy is one of the best remedies for relieving internal stress.

He stressed the need for health education (AYUSH systems) for school children. He informed that the Government has sanctioned Yoga and Naturopathy Lifestyle Clinics in all District Head quarter Govt. Hospitals and Medical College Hospitals and that a 5½ YearUGCourse–BachelorofNaturopathyandYoga (BNYS) including one year of compulsory internship program is being offered by Dr. M.G.R. Medical University. He also informed that, 8800 Village Health Nurses have been trained for advocating AYUSH for maternal and child health and many IEC activities are also undertaken. He concluded that one of the first duties of the physician is to educate the masses about health care and not to take much drugs. Dr. Shaik Shahul Hameed, Principal, Government Unani Medical College stated that Lifestyle changes are an integral part of an integrative approach to health and well being and one should always be part of the prescription for good health.

He highlighted the causative and curative factors of increasing lifestyle disorders like Psoriasis, Insomnia and General Debility and suggested that, for treatment of Psoriasis, usage of Leech (which will suck out toxins) is better than surgery or general application of Ointment.


He remarked that, nowadays there is lack of proper interaction between the doctor and patients, which leads to prolonged treatments. He concluded that, for better addressal of lifestyle disorders, patients need to be properly counselled.

Dr. K. Kanakavalli, H.O.D., Government Siddha Medical College stated that, LifeStyle diseases accounted for 60% of deaths and injuries & violence 10%. She highlighted the inter-link between the Lifestyle diseases which are mainly caused by Tobacco

use, Alcohol, Physical inactivity and unhealthy diets. She emphasised the practice of chewing betel leaves (increase saliva), arecanuts (laxative) and (calcium) after meals for ease of digestion She stressed the importance of Meditation and concluded that, the diet of a person should be based according to the climatic conditions and their digestive capacity. Dr. P. Buvaneswari, Principal i/c, Government Homoeopathy Medical Medical College and Hospital highlighted that stress and negative emotions release stress hormones, which is one of the main causes of lifestyle disorders. She explained in detail about the various medicines of Homoeopathy and its effects and results in treating the disorders. She quoted the words of Gandhiji, “Just as my non-violence never fails, so also homoeopathy never fails and public can rightly tell you about its efficacy. It is the latest and refined method of treating the patient economically and non-violently. Government must encourage and patronise it in our poor country”.

She concluded her presentation with a request to the Government to support the valuable system of Homoeopathy by establishing a Research wing in Tamil Nadu for the benefit of public.


w AYUSH wings may send proposals for health interventions like Anaemia, Lifestyle diseases etc. under State Balanced Growth Fund (SBGF), through the concerned District Collector or the Departmental head.

w Proposals may also be sent for implementing novel schemes under Tamil Nadu Innovation Inititative (TANII) funds.

w IEC programmes for alternative medicines can be taken up under Innovative schemes.

w Proposals may be submitted on Anaemia Control Programme for the health backward blocks.

w Studies/ Workshops on AYUSH may be proposed to SPC.

w Awareness on addressing Non-communicable diseases through AYUSH may be brought out in the form of advertisements as being done by Tamil Nadu Health System Project.

w AYUSH could propagate Millet consumption as one of the parameters to lead a better life.

w Recipes of millets and herbals may be popularised through Schools, Noon meal centres, Indian Medicine hospitals.

w The Roof garden scheme of Horticulture Department may be linked with AYUSH for promoting medicinal plants.

Recommendations of the State Planning Commission ........................


1 Tmt. Santha Sheela Nair, I.A.S., (Retd.)Vice-Chairman,State Planning Commission.

2 Dr. Sugato Dutt, I.F.S.Member Secretary (i/c), State Planning Commission.

3 Selvi. Apoorva, I.A.S.,Commissioner of Indian Medicine and Homoeopathy, Arumbakkam, Chennai.

4 Dr. N. Rajasekar,Deputy Director of Medical Education (PME),Kilpauk, Chennai.

5 Dr. K. Karthiga,Medical Officer (NCD), Tamil Nadu Health System Project, Chennai.

6 Dr. M. Radhika, Medical Officer (Ayurvedha) and Superintendent (i/c), Arignar Anna Government Hospital of Indian Medicine, Chennai.

7 Dr. N. Manavalan, Principal, Government Yoga and Naturopathy Medical College and Hospital, Chennai.

8 Dr. Shaik Shahul Hameed, Principal, Government Unani Medical College, Chennai.

9 Dr. K. Kanakavalli, HOD, U.G. Pothu Maruthuvam Department,Government Siddha Medical College, Chennai

10. Dr. P. Buvaneswari, Principal i/c, Government Homoeopathy Medical College & Hospital, Thirumangalam, Madurai.

List of Participants

management of lifestyle diseases through ayush · 2015-03-22 · management of lifestyle-related...

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