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D R R E M Y A K R I S H N A N M D , P H D ( A Y U )
A S S O C I A T E P R O F E S S O R ,
D E P T . O F A P P L I E D P H A R M A C O L O G Y
G O V T A Y U R V E D A C O L L E G E
M A H E
EVIDENCE BASED AYURVEDA WHICH IS SCIENCE BASED
SBEBA
Science Based Evidence Based Ayurveda (SBEBA) is the conscientious ,explicit , judicious and the most optimised use of Basic science based guidelines , principles and reminders of Ayurveda in making health care decisions of every individual patient
Why do we need SBEBA?
We have a very expanded and complex knowledge base in basic science .
We possess limited amount of time and brain capacity to recollect the knowledge base and apply on time .
Hunting for medicines is worthless and endless , especially because Ayurveda is Science Led Medicine(SLM) and not Medicine Led Science (MLS)
Key points in SBEBA
The practice of SBEBA beginning and proceeding from Basic science and ending up with clinical evidence.
One of the greatest achievements of SBEBA has been the development of Evidence Triad Approach ( published in
Evidence Bsaed Ayurveda & rational prescribing , 2012, Remya Krishnan) to recognise the accurate “evidence leads” .
The easiest way to practice SBEBA is to learn to use the literature base of Ayurveda , comprehend their exact intentions along with learning of their appraisal techniques
Key points
In Ayurveda , without the indepth involvement of Basic science , no intended outcome is possible in research as well as clinical practice. Hence practice and research must ideally begin from science .
The inbuilt evidences of “science based research” must be exploited instead of “ research based science”.
Good research is “ science based” and not “research based.”
Key points
Good evidence is not that which is ‘approved’ by “probability statistics” , but rather that which is ‘led’ by “certainity based science “.
Good evidence is static in identical circumstances in every period where as bad evidence is variable and uncertain .
In Ayurveda, science based evidence is exactly “the evidence that matters to the status”.
Science based evidence is patient oriented while statitical evidence is population oriented
Key points
Accurate science led directions to appraise the patient circumstances would only guide to treat and heal fast, while the data(statistics) led directions would only help for drug approval .
All studies are pointless, irrelevant and harmful, unless they are accurately led by science .
Getting started with SBEBA
SBEBA teaches learning to ask what is to be specifically known and why .
SBEBA teaches learning to appraise samhitha base and use them relevant to the context.
Teaches how to work out the “evidence triad” and ultimately reach the diamond evidence that is most filtered to focus on the individual patient status . Evidence Triad technique is useful in all named and unnamed diseases
By continuous learning and practice, rational prescribing becomes a habit .
Regular updating by constant learning and pondering of key evidence base in samhithas as well as Modern science and techniques, their accurate appraisal for the situation and practice .
Taking samhithas into clinic and constantly ponder into diagnostic and treatment principles foster the change
Keep a manual of evidence based guidelines and ignore the rest .
Learn to acquire complete knowledge of every individual patient circumstances by SBEBA techniques and enjoy practice for reasons other than money .
Old habits die hard
The shift from current practice of Traditional medicine to SBEBA is doable, but not easy .
It requires fostering the attitude of change which comes purely from dedication to profession and internal commitment .
SBEBA cultures the intellect of physician which leads him to a path of exploration and learning and opens up an exciting style of practice which is originally scientific.
Welcome to change !
We can change if we want to !
Welcome, all doctors and researchers of Ayurveda !
Let us practice Ayurveda – as it is !
All queries to [email protected]
THANK YOU
