Int J Ayu Pharm Chem REVIEW ARTICLE www.ijapc.com e-ISSN 2350-0204 Ayurveda in Public Health w.s.r. Non Communicable Diseases and Life Style Disorder Alok Shukla1*, Vinay Tiwari2, Kamal Kishor3, Midhun Mohan4, Satender Tanwar5, Kiran M Goud6 1, 6 SKAMCH & RC, Bangalore. 2, 3 Dept., of PG Studies in Kayachikitsa at SKAMCH & RC, Bangalore, Karnataka, India 4 Dept., of PG Studies in Panchakarma at SKAMCH & RC, Bangalore, Karnataka, India 5 Dept., of PG Studies in Shalya Tantra at SKAMCH & RC, Bangalore, Karnataka, India Abstract As per WHO - Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity1. Public health is "The science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals2. The main aim of Ayurvedic science is to maintain the health of healthy individuals and cure the diseased one3. As Ayurveda is recognized as foremost life science and describes ways to prevent and manage lifestyle disorders, the world is being attracted towards its potential. Ayurveda provides better solution in the forms of proper dietary management, lifestyle advises, Panchakarma like detoxification and bio-purification procedures, medicaments, and rejuvenation therapies. The holistic approach of Ayurveda, treating the patient as a whole, meaning intervention targeted toward complete physical, psychological, and spiritual well-being makes this science a wonderful option in lifestyle disorders. This conceptual study carried out to highlight the importance of the Ayurvedic principles and implementing in the day to day life to keep away from the various NCD & LSD. Keywords Ayurveda, LSD, NCD, Panchakarma, Public health, WHO Greentree Group Received 27/3/15 Accepted 23/4/15 Published 10/5/15 Shukla et al. Int J Ayu Pharm Chem 2015 Vol. 2 Issue 3 [e ISSN 2350-0204] 2015 Greentree Group © IJAPC www.ijapc.com 67 Int J Ayu Pharm Chem examples of common public INTRODUCTION health measures. Public health incorporates the interdisciplinary approaches Modern science through improved sanitation, of epidemiology, biostatistics and health services. vaccination, and Environmental health. antibiotics, and medical attention has Community health. eliminated the threat of death from Behavioral health. most infectious diseases. This means Health economics. that death from lifestyle diseases like Public policy. Insurance heart disease and cancer are now the primary causes of death. Everybody medicine naturally has to die of something, but and occupational health. The focus of public lifestyle diseases take people before health their time. Too many people are intervention is to improve health and dying relatively young from Heart quality of life through Disease The prevention and treatment Other physical and mental and other In India the situation is quite alarming. The disease profile is health conditions, Through surveillance of cases changing rapidly. The World health Organization (WHO) has identified and health indicators, Through the promotion of India as one of the nations that is going to have most of the lifestyle healthy behaviors. of hand washing and breastfeeding, Delivery of vaccinations, and Distribution of condoms to control the spread of sexually transmitted Cancer lifestyle diseases in modern times. of disease and Promotion and diseases are disorders in the near future. Nowadays, not only are lifestyle disorders becoming more common, but they are also affecting younger population. Hence, the population at risk shifts from 40+ to maybe 30+ or even younger. ________________________________________________________________________________________________________ Shukla et al. 2015 Greentree Group © IJAPC Int J Ayu Pharm Chem 2015 Vol. 2 Issue 3 www.ijapc.com 69 [e ISSN 2350-0204] Int J Ayu Pharm Chem Already considered the diabetes Lifestyle diseases like hypertension, capital of the world, India now diabetes mellitus, dyslipidemia and appears headed towards gaining overweight/obesity are the major risk another dubious distinction — of factors for the development of CVD. becoming lifestyle-related With rapid economic development disease capital as well. A study and increasing westernization of conducted jointly by the All India lifestyle in the past few decades Institute of Medical Sciences and prevalence of these diseases has Max Hospital shows the incidence of reached alarming proportions among hypertension, Indians in the recent years. the obesity and heart disease is increasing at an alarming In recent years, India has managed rate, especially in the young, urban to control communicable diseases population4. like malaria, cholera and polio. According to doctors say, However, the nation now has to a sedentary lifestyle combined with an deal increase in the consumption of fatty developed world obesity-fuelled food and alcohol is to blame cases of diseases obesity, diabetes, hypertension etc. cardiovascular ailments. Coupled 1. Fats & Cholesterol with a sedentary urban lifestyle, 2. Prevention of heart disease increased alcohol consumption and 3. Major Life Style oriented Diseases smoking, the urban youth are 4. National Programme for Prevention particularly and Control of Cancer, Diabetes, aforementioned lifestyle diseases. Cardiovascular Diseases and Stroke (NPCDCS). Cardiovascular with a like new breed diabetes prone to of and the A non-communicable disease, or NCD6, is a medical condition or diseases (CVD) disease which by definition is non- continue to be the major cause of infectious mortality representing about 30 per among cent chronic diseases of long duration and of all deaths worldwide. and people. non-transmissible NCDs may be slow progression, or they may result ________________________________________________________________________________________________________ Shukla et al. 2015 Greentree Group © IJAPC Int J Ayu Pharm Chem 2015 Vol. 2 Issue 3 www.ijapc.com 70 [e ISSN 2350-0204] Int J Ayu Pharm Chem in more rapid death such as some obesity, in turn leading to increased types of sudden stroke. They include risk of many NCDs. autoimmune diseases, heart disease, stroke, most cancers, asthma, because majority of these diseases are preventable illnesses, osteoporosis, Alzheimer's disease, the most common causes for non- cataracts, communicable and more. While diseases (NCD) sometimes (incorrectly) referred to include as alcohol abuse, poor diets (high synonymous with "chronic tobacco use (smoking), consumption of sugar, salt, saturated The World Health Organization fats, and trans fatty acids) and (WHO) reports NCDs to be by far physical inactivity. Currently, NCD the leading cause of death in the kills 36 million people a year, a world, representing over 60% of all number that by some estimates is deaths. Out of the 36 million people expected to rise by 17–24% within who died from NCDs in 2005, half the next decade. were under age 70 and half were Diet and lifestyle are major factors women. Of the 57 million global thought to influence susceptibility to deaths in 2008, 36 million were due many diseases. Drug abuse, tobacco 7 the diabetes, chronic kidney disease, diseases". Referred to as a ―lifestyle‖ disease, to NCDs . smoking, and alcohol drinking, as Risk factors such as a person's well as a lack of exercise may also background; and increase the risk of developing environment are known to increase certain diseases, especially later in the life. lifestyle likelihood of communicable include exposure behaviour age, to certain diseases. gender, air such They genetics, pollution, as non- and smoking, The incidence of lifestyle diseases like hypertension, diabetes mellitus, dyslipidemia, and overweight/obesity associated with unhealthy diet and physical inactivity which can lead to hypertension and ________________________________________________________________________________________________________ Shukla et al. 2015 Greentree Group © IJAPC Int J Ayu Pharm Chem 2015 Vol. 2 Issue 3 www.ijapc.com 71 [e ISSN 2350-0204] Int J Ayu Pharm Chem cardiovascular diseases is high on seasons and different ailments. The the rise. one great scholar of middle century Cardio vascular disorders continue to explained be the major cause of mortality following the do‘s and don‘ts of food representing about 30% of all deaths article as follows- worldwide. With rapid economic development As Ayurveda is recognized as westernization of lifestyle in the past ways to prevent and manage lifestyle few decades, prevalence of these disorders, diseases attracted reached alarming the world towards is its being potential. proportions among Indians in the Ayurveda provides better solution in recent years. the forms of proper lifestyle dietary advises, ROLE OF AYURVEDA FOR Panchakarma like detoxification and THE bio-purification PREVENTION OF medicaments, THE NCD Main aim of Ayurvedic science is to maintain the health of healthy These can be prevented well by and don‘ts: The Ayurvedic classics explained the unique concept of the do and don‘ts as per different The holistic approach of Ayurveda, meaning intervention toward complete targeted physical, being makes this science a wonderful The main principles explained in Concept of pathya and apathya8- do rejuvenation psychological, and spiritual well- following the principle of Ayurveda. follows: and treating the patient as a whole, one. Ayurveda to counteract these are as procedures, therapies. individuals and cure the diseased of foremost life science and describes management, importance increasing has and the option in lifestyle disorders. Basically, a particular lifestyle of person is a cumulative product of his/her physical capacity coordinated with psychological functioning, displayed in the form of habits, ________________________________________________________________________________________________________ Shukla et al. 2015 Greentree Group © IJAPC Int J Ayu Pharm Chem 2015 Vol. 2 Issue 3 www.ijapc.com 72 [e ISSN 2350-0204] Int J Ayu Pharm Chem behavior, dietary and living pattern the based on his own training sought Therefore, the habit of suppression from childhood, and mimicries he of urge in improper lifestyle can be gained considered as one of the root causes from companions his immediate including parents, Thus, it disease. Removal of these accumulated waste psychological and innate control as described in Ayurveda by Charaka over as well as in Naturopathy by and sensory activities. Hippocrates, Henry Lindlarh, and When this initiation, control, and co- Mahatma Gandhi. ordination are disturbed, it leads to In the management of lifestyle the derangement of lifestyle and diseases, Ayurveda offers various results in any lifestyle disorder. regimens Ayurveda narrated this phenomenon 9 as (seasonal regimen), Panchakarma ‗Prajnaparadha‘ (intellectual (daily including regimen), Dinacharya Ritucharya blasphemy) which is one of the three (five basic causes of any disease. There purification therapies), and Rasayana are ample improper actions as an (rejuvenation) impact of Prajnaparadha which are Sadvritta root causes of various diseases, e.g., Aachara Rasayana (code of conduct) habit of suppression of any natural are utmost important to maintain a urge is a result of Prajnaparadha healthy and happy psychological and enlisted as a cause of nearly 50% perspective. of the diseases. a products is the first line of treatment physical a of pure the involves cause of lifestyle diseases. siblings, peers, etc. basic detoxification and therapies. (ideal routines) bio- The and The inclusive utilization of all these Reversal of any neurotransmission or treatment modalities has a great improper removal of the waste effect products formed during metabolism Moreover, the application of organ- leading to accumulation of toxins is specific on lifestyle Rasayana10 disorders. herbs also ________________________________________________________________________________________________________ Shukla et al. 2015 Greentree Group © IJAPC Int J Ayu Pharm Chem 2015 Vol. 2 Issue 3 www.ijapc.com 73 [e ISSN 2350-0204] Int J Ayu Pharm Chem provides enough scope not only for articles, the first 4 are review articles prevention of disease, but also for exploring the promotion of health and cure of Ayurveda in modern language. This disease too. is followed by 9 clinical research disorders are Cardio-vascular discussed under Hridroga in Ayurveda. Hridaya has of articles and 1 case study. The drug research section includes 3 articles Any standardization and 4 on disturbance will lead to a disturbed pharmacological researches. The patho-physiology of heart. Hence, it issue is concluded with 2 short has been told to protect the heart communications. We hope this issue from kind of every psychological kind On the on pharmaceutical of stressor will provide ample information to Visheshena Manaso the learned society. Dukkhahetavah). Emphasizing the need to spread conventional awareness to tackle these deadly western medicine deals with the diseases, Dr Kumeran at Obesity cardio-vascular disorder with single Foundation India said, ‗Parents side of somatic disorder. Hence, should be aware and should be Ayurveda has an upper edge in responsible to guide their children treating the disease with emphasis on to eat the right kind of food and its Ayurvedic engage them in physical activities. physician concentrates on achieving Also more emphasis should be laid the on root contrary, cause. objective of The Ayurveda for management of disease for a healthy engaging kids in outdoor activities.‘ promotion of health, prevention and messages been referred to be the site of psyche. (Pariharya hidden Following Din- charya by making and happy life in the ailing society. suitable change in the Aahara and The present issue of AYU comprises Vihaara. variety of research articles in Ayurveda. Out of the total of 23 Following Rutu-charya including 11 Rutu Anusaar Shodhana . ________________________________________________________________________________________________________ Shukla et al. 2015 Greentree Group © IJAPC Int J Ayu Pharm Chem 2015 Vol. 2 Issue 3 www.ijapc.com 74 [e ISSN 2350-0204] Int J Ayu Pharm Chem Non suppression of natural urges12. shodhana procedure is such a great Rasayana concept the result of which is beyond including Aachara Rasayana. the Following Sadvritta13. physician. Vaajikarana14. Life style disorder are the main undergoes group of disorders which occur in procedure followed by the removal the individual due to non following or of daily activities as explained in the pertaining to major and minor blood Ayurvedic classics. vessels as well major channel of the As the science of LIFE which body. By undergoing shodhana the explains the individual how to whole of the GIT tract will be maintain the health and lead a cleared without causing the much socially useful life, have positive harm to the normal friendly intestinal long life. bacteria which is expected to happen The concept of Aachara-rasayana is if beautifully explained in Ayurveda medicines are not used with caution. imagination of ordinary Shodhana procedure the person who reapeated clearing the of shodhana all blockages contemporary science merely enough to uproot the LSD. Thus, by above said references it can be CVD – cardiovascular disease are concluded considered to be the major burden on approach not only for the single individual nations worldwide. The mortality for the entire community. Hence by and morbidity is unpredictable. Due to the unhealthy diet and unwholesome life style premature ageing changes such as Artherosclerosis in the major coronary arteries leads unexpected to death. sudden The and that Ayurveda has holistic following the rule of conduct and regimen explained in Ayurveda one can keeps away the disease free body, mind and soul. Ayurveda is an evidenced based and time tested nectar of knowledge for the well being of the entire community and society. regimen explained in the Ayurveda – such as ________________________________________________________________________________________________________ Shukla et al. 2015 Greentree Group © IJAPC Int J Ayu Pharm Chem 2015 Vol. 2 Issue 3 www.ijapc.com 75 [e ISSN 2350-0204] Int J Ayu Pharm Chem 8. Charaka Samhita, Sootra Sthana 25th REFERENCES 1. Preamble to the Constitution of the World Health Organization as adopted by the International Health chapter, Chaukhamba Varanasi. 9. 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Wikipedia prakashan, Chaukhamba prakashan, - http://en.wikipedia.org/wiki/Noncommunicable_disease. 7. Wikipedia - http://en.wikipedia.org/wiki/Noncommunicable_disease. ________________________________________________________________________________________________________ Shukla et al. 2015 Greentree Group © IJAPC Int J Ayu Pharm Chem 2015 Vol. 2 Issue 3 www.ijapc.com 76 [e ISSN 2350-0204]
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