Dr .Remya Krishnan MD (Ayu) PhD,

Proposer of Science Based Evidence

Based Ayurveda

Science Based Evidence Based Ayurveda

Call for new paradigm in Ayurvedic medical practice

Updating Ayurveda?? No change in the medical literature possible

because Ayurveda is a shasthra ( rationale proven in multiple ways based on cause-mechanism – effect analysis , constantly verified and established for many centuries.

“Mature sciences” need to update in application process only.

“Immature sciences” require constant updating/ revision in knowledge .

Ayurveda being a mature science solely requires updating in application process .

Outdated application of even mature sciences provide immature impact and detrimental outcome in healthcare .

Statistics cannot signify any

“science “

Statistics is probability based calculations to

validate data findings .

Science is deterministic (mathematical)way of

calculations to validate specific circumstances .

Statistics has no role in validating mature

sciences.

Statistics could be an aid to validate immature

sciences as validation by its own inbuilt technical

infrastructure is incompetent for validation

process.

Therefore statistics can never signify Ayurveda .

Medical vis a vis Medicine

literature

RCT’S , meta analysis , efficacy testing of drugs

etc are not employing medical literature , but

rather “medicine literature”

“Medical literature” stands superior to “medicine

literature”.

Standardised techniques on how to access,

appraise , interpret, translate and evaluate

medical literature are required for Ayurvedic

physician.

Methodologic criteria A standardised methodologic criteria to optimise

the diagnostic and treatment principles explained in medical literature to treat the specific circumstances in the subject is to be applied by Ayurvedic physicians .

Practice guidelines based on methodologiccriteria must be implemented .

Training programmes and seminars which instruct the physicians on how to make the optimised use of medical literature in their day to day patient care is required .

We call this new paradigm Science Based Evidence Based Ayurveda (SBEBA).

Former paradigm

Unsystematic clinical experiences of teachers and rolemodels , blindly adopted to build up nd maintain the knowledge .

Practice of cookbook medicine and traditional practice style .

Business oriented practice.

New paradigm Indepth knowledge of science based appraisal

techniques of medical literature are inevitable

components to become a competent physician of

Ayurveda.

Intense training to use methodological criteria of

Basic science for adopting and translating core

principles into clincial practice .

The indepth learning, understanding and practice of

science based intentions lead to accurate predictions

in patient diagnosis, prognosis and management .

The clinicians must regularly stay in touch with

original medical literature and must be able to solve

their clinical problems by use of them

Barriers to teach SBEBA All the physicians and faculties are new to this

knowledge of practice style and appraisal techniques , so the topic may be threatening for them .

All the physicians feel that they are doing right as no standardised appraisal of stable &solid rationale of science is adopted and practiced by Ayurvedic physicians until today.

So as “what is right” is not known, established and practiced, they think that anything could be right .

SBEBA is met with skepticism by many faculties and hence they are unenthusiastic about modifying their teaching and practice in accordance with its dictates.

Barriers to teach SBEBA

Most physicians run a common unit for

dispensing and medical practice. Scientific

prescribing cuts off unnecessary medicines and

treatment procedures and so commercial eye

make them favor unethical irrational practice.

Physicians appreciate quick answers , so cook

book medicine has its appeal . Learning new

techniques to appraise medical literature and go

for astute application is counted as burden by

lethargic physicians .

How to over come barriers? Education and awareness programmes on SBEBA for

Ayurvedic physicians .

Support from the Government to implement the same in the curriculum and as residency programmes for physicians .

Regular prescription audit to ensure rational practice in health care .

Teaching among three groups of people :

a. Those physicians who think that the current paradigm is unscientific and shift is indispensable .

b. The group of physicians who possess energy , enthusiasm and attitude to learn and conduct educational trials by new paradigm c.Skeptical group, but believe that it is very unlikely that the new paradigm will result in bad effects .

SBEBA – future Ayurveda

Offers a lot for personal and

professional development of

Ayurveda.

The only way to expose the inbuilt

scientificity of the Medical system

and acquire global acceptance .

The only practical way for “Health

for all” .

Future of Ayurveda .