Evidence based Ayurveda Practice

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Evidence based Ayurveda practice is a hot topic for clinician, student of Ayurveda medicine, planners, patient and public in large. Ayurveda is the science of life defines the trinity of life as body, mind and spiritual awareness which are associated with health and illness of human body. The aim of Ayurveda treatment is to achieve and maintain health by balance or equilibrium among three morbid factor i.e. there dosas namely vata, pitta, kapha – the functional component of body and sapta dhatu - the structural component of the body. The excretory products i.e. trimala should evacuated properly and a person should be happy for achieving health in Ayurvedic sense. All diseases are manifested due to imbalance of dosha and dhatu by food, emotion and environment. The Ayurveda practice is based on certain principle narrated by classical texts and tradition. Drug therapy, ksharasutra and Panchakarma are the famous acceptable intervention of Ayurveda. The Ayurveda physician takes decision to provide best effective treatment by 1. tradition- the knowledge inherited from teacher, father, mother, senior colleagues, 2. Conventional- by following others example- Everybody is prescribing Yograj Guggulu in Arthritis 3. Belief- The Ayurveda physician applied the formula of Dravya (drug), Guna (quality), Virya (potency) and Karma (action) and belief that doctor is right. There is ample opportunity for acquiring knowledge as there is a rapid growth in the medical knowledge in diseases, diagnosis and effective treatment. Some Ayurveda practitioners are not relying on what they were taught by their teacher or written in classical Ayurveda text. They think evidence should be the basis for their decision and action. A field such as the Ayurveda as medical profession that deals with the health and lives of individuals should ensure the utmost care in diagnosing and treating a patient. To provide incorrect treatment can be devastating. Evidence-based medical practice helps ensure that the right treatment is given to the right patient. Evidence based medicine has been defined as “the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients” and as “the integration of the best research evidence with clinical expertise and patient values”. Thus, the aim of EBM is to eliminate or reduce uncertainty in medical practice. The evidence research policy starts from Known known, known unknown, unknown unknown.

Now a day’s Ayurveda intervention are not only prescribed by Ayurveda doctor but also prescribed by modern physicians and available in all hospitals. The increased interest of the public and the medical profession in Ayurveda forms of therapy introduces an urgent need for proper assessment of efficacy. This growth in popularity suggests that Ayurveda therapies are effective in some circumstances, but without objective assessment neither the public nor the medical profession can be sure. The response of the medical and scientific community has been increasing interest in Ayurveda issues. There has been an increase in number and proportion of clinical trial of Ayurveda.

Journal of Traditional Medicine & Clinical Naturopathy covenants with Traditional and herbalist way of preventing or treating a disease. Additionally its wide as well as focused scope encompasses modern evidence based clinical research. In this wide world country specific regional specific remedies exist, some are very popular and effective and some are legend or faith based and stooped in traditional following.

Regards
Hong Shang