Ayurvedic Yoga Therapy for Spiritual Wellness€¦ · for Spiritual Wellness 16thAnnual NAMA...

Ayurvedic Yoga Therapy for Spiritual Wellness

16thAnnual NAMA Conference, Art of Living Retreat Center, Boone, NC, April 24-26, 2020

Dilip Sarkar, MD, FACS, C-IAYT, AYT-NAMA, D.Litt (yoga)Associate Professor of Surgery (Retired), Eastern Virginia Medical School

Fellow, American Association of Integrative Medicine (AAIM), American College of Surgeons (ACS)

Past President, Board of Directors, AHA, Hampton Roads, Virginia

Past President, Board of Directors, International Association of Yoga Therapists (IAYT)

Chairman of Board, Life in Yoga Institute

Member, Virginia Governor’s Asian Advisory Board (2003-2018)

Chairman, Center for Integrative Medicine and Yoga, Taksha Institute, Hampton, VA

+1-757-621-7655 dilipsarkarster@gmail.com www.dilipsarkar.com

Yoga at Pentagon, May 8, 2014

Sponsored by Pentagon ChaplainFor Spiritual Fitness Excellence

Courageous in Spirit

Continual in Care

Constant in Prayer

4/17/20AYT for Spiritual Wellness Dilip Sarkar, MD, FACS, D.Litt(yoga) 2

Ayurvedic Yoga Therapy

�Evidence based medicine (conventional medicine)

�Practice based evidence (integrative medicine)

4/17/20AYT for Spiritual Wellness Dilip Sarkar, MD, FACS, D.Litt(yoga)

Ayurvedic Yoga Therapy is Relaxation Response

Activation of Parasympathetic Tone

Yoga Therapy Spiritual Wellness

Yoga Therapy for Spiritual Wellness

IAYT’s SYTAR, Austin, TexasSunday, June 08, 2014

Dilip Sarkar, MD, FACS, CAPAssociate Professor of Surgery (Retired), Eastern Virginia Medical School, Norfolk, VA

Fellow, American Association of Integrative Medicine (AAIM)

President, Board of Directors, AHA, Hampton Roads, Virginia

Chairman of AHA’s Mission Committee and My Life Check

President, International Association of Yoga Therapists (IAYT)

Chairman of Board, Life in Yoga Institute

Member, Virginia Governor’s Asian Advisory Board

Chairman, School of Integrative Medicine, Taksha University, Hampton, VA

Ph: 757-621-7655 (cell), e-mail: dilipsarkarster@gmail.com

Website: http://www.dilipsarkar.com

� Sanskrit: “Yog” means "Union"

( body-mind-spirit)

� jivatman (individual soul) and

paramatman (supreme soul)

AYT for Spiritual Wellness Dilip Sarkar, MD, FACS, D.Litt(yoga)4/17/20 7

Body as Computer

� Body - Hardware

� Mind - Software

� Spirit - Programmer

� Spiritual and emotional state of mind affect physical health and vice versa

Philosophy (Yoga Sutra of Patanjali) and Practice (Patanjali Ashtanga Yoga)

Outcome – Self Realization

Health Benefits – Byproduct

Used as Adjuvant Therapy for Chronic Dis-eases

Yoga Therapy

Adaptation of the yoga practices based on the patient/client

clinical condition

IAYT –Yoga Therapy Definition

Yoga Therapy is the process of empowering individuals to progress towards improved health and well-being through the application of the

teaching and practice of Yoga.

Yoga Therapy � "It is more important to know what sort

of person has a dis-ease than to know what sort of dis-ease a person has." -Hippocrates (460-377 B.C.)

� Yoga Therapy is not interested about the dis-ease a person has, rather interested about the person who has the dis-ease.

Yoga Therapy is Ayurveda

Yoga Therapy is AyurvedicYoga Therapy

Ayurvedic Yoga Therapist - NAMA

NAMA – Ayurvedic Yoga Therapist

This professional has the education of an AHC (Ayurvedic Health Counselor) and the training, practice and principles of Yoga based on the Ayurvedic understanding of the nature of patient, the nature of imbalance and the nature of therapies, to promote healing and achieve a harmonious state of body and mind with respect to individual consciousness.

What is Therapy

Art of Healing

Healing

�Heal –To make whole

To become whole

To cure a dis-ease

Restoration of homeostasis

(W)Holistic Healing

� Body-Mind-Spirit union makes

WholeWhole is greater than sum of it’s parts

� Whole – Holy (spiritual) – (W)holistic –

Healing – Health – Resist dis-ease

4/17/20 18AYT for Spiritual Wellness Dilip Sarkar, MD, FACS, D.Litt(yoga)

Treatment of Dis-ease (ROGIR CHIKITSA)

Maintenance of Health (SWASTHA RAKKHA)

Rakkha - Prevention

Swasthaswa Swastha Rakhanam

Health

Health is a BALANCE of

Body-Mind-Spirit

HealthSwastha - Sanskrit

Swa - Self

Stha – Sthir, Stable

Self or Soul is Stable

Ayurvedic Yoga Therapy Yoga Chikitsa

� Other modalities for yoga therapy

� Mudras – neuro physiological connector to direct pranic energy in different part of the body

� Bandhas – locks to hold pranic energy within certain areas in the body

� Kriyas – cleansing practices, shat-karma, neti, dhauti, basti, trataka, kapalbhati, nauli

� Accupressure, marma points – stimulating body’s self curative abilities

� Panchakarma – detoxification of physical body

� Yoga Therapy is a Spiritual Practice

� It is Philosophy, beyond Science

� Transcendental Science (TRANS – SCIENCE)

� It improves Health and causes Personal Life Style Changes

� Individual and holistic liberation practice

� Therapeutic effects are the by products of Yoga

Start YOGA for

Physical Reason

Stay in YOGA for

Spiritual Reason

Yoga Therapy “TRANSFORMING”

59 years White Female

2005 with lower leg weakness,

diagnosed MS by MRI came to yoga therapy class in a wheel chair

In one month stopped taking Medication for Asthma, had for last

20years.

With yoga, less leg weakness and improvement of balance in 4 months

Medication for MS stopped License plate “Transforming”

Yoga Therapy Outcome

� 73 years old white male

� Ischemic Cardiomyopathy with EF of 10-20%

� Multiple admission with acute CHF

� Severe CAD, non-operable

� With Yoga practice for six months, EF is 40%.

� EF is based on Peripheral Resistance and Cardiac Output. With reduction of PR and increase in CO the EF gets better.

Yoga Therapy Outcome

� D.T. 65 Yrs. WM

� Diagnosed

Parkinson’s Disease

for 7 years

� Doing Yoga for

2 years as daily

practice

� It improved his balance, posture, stiffness, back pain, regularize bowel movement and overall quality of life.

� From his neurologists the disease is stable, not progressing.

� Still continuing four medications as neuroprotective.

Yoga and Meditation Popularity & Media Coverage

4/17/20

AYT for Spiritual Wellness Dilip Sarkar, MD, FACS, D.Litt(yoga) 28

Yoga and Meditation Popularity & Media Coverage

4/17/20

Medical Yoga or Ayurvedic Yoga Therapy

• A yoga practice that meets you where you are.

• A staged approach that teaches a pain free asanas, effortless pranayama and meditation to optimize body's natural healing powers.

• Builds physical and mental resilience.AYT for Spiritual Wellness Dilip Sarkar, MD, FACS, D.Litt(yoga)4/17/20 30

Transformation

Not to master the postures, but use the postures in stages for

transformation

There is no problem in the World which doesn't have solution andThere is no disease in the World which doesn't have cure Just Awaken The Doctor Within

“We must make our body work for us”.

Nothing has the Greatest Power to Heal but Self

“I AM THE CAUSE AND I AM THE CURE”

SPIRIT� English word “SPIRIT” – comes from

Latin “SPIRITUS” meaning “BREATH”

� Meaning of Spirit in different dictionaries:Soul, Life force, Will, Enthusiasm, Disposition, Attitude, Influence, Real meaning, Shared outlook, Person Supernatural entity or being,

Alcoholic drink, Distilled liquid, Holy Spirit in Christianity

� A few of the Sanskrit meanings:Prāna, Tejas, Ojas, Atman, Paramātman, Brahman, Chitta, Manas, Vritti, Bhāva, Utsāha, Praphullatā, Udvega, Udāsina, Uddesha, Sāra, Satvam, Jivanam, Prakriti, Swabhāva, Bhuta, Rākshasa, Preta, Chhāya, Rasah, Madirā, Niravayava, Nirākāra, Parama, Dharma,

Alcoholic SPIRITS

altered sense of consciousness

Shamanic Healing (spiritual wellness)altered sense of consciousness

Ayurveda and Disease

� The root cause of Dis-Ease is Pragna Aparadha (Failure in Wisdom)

� Wisdom is Self-Realization (introspection) and Spiritual Liberation (believing in supreme power and surrendering)

� Yoga provides both to cure the dis-ease

4/17/20

Wellness

� Art of self healing

� State of mind

� A way of being

� Self awareness that we carry with us

� Wellness is life

� Wellness is learning everyday

Physical Wellness

� Diet

� Exercise

� Deep Rest: Restful awareness (meditation) & Restful sleep

Mental Wellness

� Effortless Ease (Dis-ease)

� Yoga

� Relaxation response

� Let Go Phenomenon

� Stress Control – Stop – Breath – Reflect -Choose

� Support Group – Social Support (less fear)

� Flexibility & Creativity in consciousness

Mental Wellness

� Maintain a youthful mind

� Keep learning with time through different activities

� Changing perception of the body, age and weight

� Cognitive behavioral therapy/rethinking

� Journaling: Expressing the feeling and fear

Spiritual Wellness

� Impact of belief on physical body

� Support Group – Social Support

� Mind/Body Connection

� Through Love & Laugh

� Eliminating emotional toxin, frustration through communication

� Accept forgiveness to eliminate toxic relationship

Body� Body -

� Different systems (Anatomy)

� Functions of different systems (Physiology)

� Physiology (Allopathic Medicine)

AYT for Spiritual Wellness Dilip Sarkar, MD, FACS,

D.Litt(yoga)4/17/20 43

Mind� Mind –

� Perception through five senses (five senses container, mind is the content)

� Consciousness, when unconsciousness we call senseless

� Psychology (Psychiatry) AYT for Spiritual Wellness

Dilip Sarkar, MD, FACS, D.Litt(yoga)4/17/20 44

Spirit� Spirit –

� The purpose of life, Who am I? Why am I here? Where am I?

� Impact of belief on our physical body

� Belief in supreme power and surrendering

� Philosophy (Integrative Medicine) AYT for Spiritual Wellness Dilip Sarkar, MD, FACS,

D.Litt(yoga)4/17/20 45

The Biology of Belief

� Bruce H. Lipton, Ph.D. A stem cell biologist

� All the cells of our body are affected by our thoughts

� Genes and DNA do not control our biology

� DNA is controlled by signals from outside the cell, from our positive and negative thoughts

� EPIGENETICS: Changes in gene activity not caused by changes in the DNA sequence

Patanjali – Charaka - Panini

Yoga Therapy is based on the Philosophy of Ayurveda and it’s daily routine – Dinacharya

Yoga Therapy as Lifestyle Medicine

TLC (Therapeutic Lifestyle Changes)

Yoga Philosophyspiritual practice

EXPERIENCE AND EXPERIMENTSspiritual wellness – physiology of belief

Einstein & Tagorescience meets philosophy - spirituality

Bibliography

Books Yoga Therapy Related25 Books

DVD For Healthcare Providers2 DVDs

Website For Yoga Therapy

20 websites

Journal References – only clinical journals from 1957 to 2016

75 articles

Bibliography

Front cover designed by Shikha Sarkar, Watermark illustration of Albert Einstein and Rabindranath Tagore where a scientist meets a philosopher

Yoga Therapy for Health and Healing: A Daily Practice (2015)

Spiritual Wellness

OBSERVATION

INTROSPECTION

Observation and Introspection

Yoga Therapy

EXPERIANCIAL

You are the creator of your destiny

(TRANSCENDENTAL)SCIENCE

Science beyond science

EXPERIMENTAL

Personal practice

How to start Yoga Therapy: Patients with Chronic Ailments

� Adaptation of yoga practices for people with chronic ailments

� Art of Self-Realization,

Self-Transformation

Self-Healing

� Rogi (disease) – Nirogi (no disease) –Yogi/Yogini

� IN STAGES IMPOSSIBLE BECOMES POSSIBLE

How to start Yoga Therapy: Patients with Chronic Ailments

Sthiram (still, steady) Sukham (happy, comfortable) Asanam

Stages of Asana: Arambha (beginning), Sthiti (stability), Visharjana (immersion / surrender)

Awareness (no pain, comfortable discomfort)

Relaxation Response (Straight Spine – grounding poses or in a chair, Dhyana Mudra, Eyes Closed –mana sthir, Effortless Breathing - exhalation twice the inhalation, Vibration – om/aum creates same vibration of brain, Harmonic Resonance)

Effortless Pranayam – Vidhi (method), Samaya (timing),

Sankalpa (determination, Siddhi (attainment)

Sukhasana (Easy Pose)

Sidhasana (Perfect pose)

Ardha Padmasana (Half Lotus pose)

Padmasana (Lotus pose)

Relaxation ResponseThe Preventive Medicine

AYT for Spiritual Wellness Dilip Sarkar, MD, FACS, D.Litt(yoga)

Yoga Therapy is

Relaxation

Response

(Meditation)

Meditation is Medication

4/17/20 63

Paramanand Institute of Yoga Science & Research, Indore, India and Sattvic Space Yoga and Healing Studio, Portsmouth, Virginia

Yoga Therapy & Integrative Medicine

� Academic Consortium for Integrative Medicine and Health in USA

� Has developed definition of integrative medicine which reaffirms the importance of the relationship between

� Practitioner and patient

� Focuses on the whole person

� Looking beyond the body in mind to achieve optimal health and healing.

Yoga Therapy & Integrative Medicine in USA

� 15 years back 3 out of 125 medical schools in USA had department of integrative medicine

� Today in 2016 around 100 medical schools out of 140 provide courses for integrative medicine

� 65 programs providing clinical clerkship

� 25 training programs provided 1000 hours fellowship in integrative medicine, which leads to board certification in integrative medicine

� Established in 2014 by the American Board of Integrative Medicine

Positive Proof of Global Warming!

Brain – Heart Connection

� Psycho

Limbic System

� Neuro

Hypothalamus

� Endocrinology

Pituitary Gland

Adrenal Gland

Healthy

AGING WITHOUT

WELLNESS

Younger Next Year

by Chris Crowley, Henry S. Lodge

Healthy

AGING WITH

WELLNESS

Younger Next Year

by Chris Crowley, Henry S. Lodge

AYT for Spiritual Wellness Dilip Sarkar, MD, FACS, D.Litt(yoga)

Healthy

AGING WITH BALANCED

BODY-MIND-SPIRIT

Younger Next Year

by Chris Crowley, Henry S. Lodge4/17/20 71

Philosophy of medicine

Physical Body

Causal Body

(Spirit)

Subtle or Astral body

(Mind)

4/17/20

Pancha Koshas

Koshas� Annamayakosha

� Pranamayakosha

� Manomayakosha

� Vijnanamayakosha

� Anandamayakosha

4/17/20

Chakras

4/17/20

Chakras and the Five Elements

Muladhara / Root Earth

Svadhishthana / Second / Water

Manipura / Third Fire

Anahata / Heart Air

Vishuddha / Throat / Space

Chakras and the Mind / Consciousness

Ajna (third eye) Mind / Thought

Sahasrara(crown)

Consciousness / Spirit

Chakras Governing Systems

� Governs the

Nervous system

Endocrine system

Respiratory system

Circulatory system

Digestive system

Reproductive system

Musculoskeletal system

Yoga Therapy

�Conventional Medicine corrects symptoms

�Yoga Therapy corrects system imbalance at the root, making it stronger to resist dis-ease

Yoga Therapy

Mind – Body Hygiene

What will happen if you don’t brush your teeth for a month?

Yoga Therapy

Yoga Therapy is “Personalized Lifestyle Changes”

More you change better you get

Degree of lifestyle changes -

Dose response effect

Yoga Therapy

Lifestyle changes can be better than

Yoga Therapy

� Yoga Therapy with other healing modalities can increase healing

synergistically

� Yoga is

TRANSFORMATIVE

After a two-year visit to the United States, Michelangelo's David

Prakruti / Vikruti

Body – Mind - Spirit� Seat of Mind – Limbic system –

Hypothalamus – Pituitary Gland Axis

� Seat of Spirit – Pineal gland is the radar to spirit.

� Third Ventricle is Brahma’s cave, site of Ajna chakra

� Pineal gland connects to third ventricle to open third eye. Brahma mudra and Yoga mudra also opens third eye

Ayurvedic Yoga Therapy for Spiritual Wellness€¦ · for Spiritual Wellness 16thAnnual NAMA...

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