Spirituality in He Lath Care

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Acknowledgments

to o og d omsso lod, Bhgw S Sh S Bb,o mos s d h gd o hg g s hs q soo s osos hs tm o Hg, d so mkg hso h.

O s hks o

TheSriSathyaSaiMedicalTrustforgrantingpermissiontood hs wo-d o.

Dr.A.S.Hegde,ourDirector,forhisunstintedsupportandogm.

Theconferencespeakersfortheirspontaneousresponseto hs o s o h bs shds.

Awonderfulaudiencewhocametothistwodayconferencefrom os o id d bod.

Ourhospitalstaffandtheseveralotheragencieswhocontributedsg o mk hs o hmk .

cogh 2010 b S Sh S is o Hgh Md Ss, Whd, Bgo.a ghs sd. no o hs book m b odd om b o omh ms, dg omo sog o ssms, x o b ssgsqod b ws.


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An oering with love and dedication at theLotus Feet o our beloved Bhagawan

Sri Sathya Sai Baba

From the presentations made atThe International Conerence 2009

on

Spirituality in Healthcare

The Department o Counselling,Sri Sathya Sai Institute o Higher Medical Sciences,

Whitefeld, Bangalore, India.


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sPeAkeRs At tHe conFeRence

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contents

1. An Introduction and Conerence Overview 1Umesh Rao, Conerence Coordinator, Department o Counselling,SSSIHMS, Whiteeld, Bangalore.

2. Conerence Inaugural Address 9Dr. A.S. Hegde, Director SSSIHMS, Whiteeld,Bangalore and Chairman, Department o Neurosciences.

3. Conerence Keynote Address 15Caring or the Soul as the Keystone in HealthcareDr. Mia Leijssen, Proessor o Psychotherapy and Counselling,University o Leuven, Belgium.

4. Chronic Stress The Ultimate Risk Factor, 24Soul Medicine The Ultimate SolaceDr. E.V. Joshy, Head, Department o Neurology, SSSIHMS,Whiteeld, Bangalore.

5. Following a Shining Star - Inspiration and Guidance or 36Clinical Research using Music, Imagery, Touch and Prayerin High-tech Cardiovascular CareDr. M.W. Kruco, MD, FACC, Proessor Medicine / Cardiology,Duke University Medical Centre, Durham, North Carolina, USA.

6. Counselling the SAI Way a Spirituality Based Patient 56Centred Complementary TherapyGita Umesh, Senior Counsellor, Department o Counselling,SSSIHMS, Whiteeld, Bangalore.

7. Healthcare Reorm and The Evaluation o Complex 70Healthcare Interventions Integrative CareDr. Torkel Falkenberg, Associate Proessor in Healthcare Research,Department o Neurobiology, Karolinska Institute, Sweden.

8. Work is Worship 81Dr. Joe Phaneu, Chie o Medical Sta Education,Kaiser Permanente, Union City, CA, USA.


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9. MindBody Medicine in the US 91 A Mayo Clinic PerspectiveDr. Kavitha Prasad, Department o Internal Medicine,

Mayo Clinic, Rochester, MN, USA.

10. Spiritual Support Reduces the Burden o Cardiac Disease 98Dr. Shekar Rao, Senior Consultant, Department o PediatricCardiac Surgery, Narayana Hrudyalaya, Bangalore.

11. Role o Spirituality in Controlling Chronic Diseases 111with reerence to DiabetesDr. V. Mohan, Chairman and Chie Diabetologist,Dr. Mohans Diabetes Specialities Centre, Chennai.(WHO Collaborating Centre or Non-communicable

Diseases Prevention and Control).

12. Spirituality - A Potent Power in Palliative Care 124Dr. S.N. Simha, Chairman and Medical Director,Bangalore Hospice Trust, Bangalore.

13. Spirituality and Illness 130Dr. B. Barooah, Senior Consultant, Department oCardiology, SSSIHMS, Whiteeld, Bangalore.

14. Role o Counseling in Neurosurgical Outcome 134Dr. Ganesh Murthy, Consultant, Department oNeurosurgery, SSSIHMS, Whiteeld, Bangalore.

15. Research in Spirituality Based Complementary 141Therapies to create an Evidence Base Perspectives

16. The Spiritual Dimension in Preventive Medical Care 144 Perspectives

17. Selected Bibliography or Further Reading 148


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wha i piriuai?

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bs o hm ? Dos f hm bho? How dos ogo? c f hh d omo hg? th o oddm oo o f, db d dsss o hs d oh d sss.i d s om o shg xs od md .

to s h sg s wod b o h d omsg domdoos, do d xo o s ws sd, s odd bh ro cog o pshss uK, whh ds s oows:

In health care spirituality is identied with experiencing a deep seated senseo meaning and purpose in lie, together with a sense o belonging. It is aboutacceptance, integration and wholeness. Spiritual practices oster an awarenessthat identiy and promote values. Values such as creativity, patience, perseverance,honesty, kindness, compassion, wisdom, equanimity, hope and joy. All promote goodhealth practice.

O s h sm bw h bo dso o s dh o hm s s oodd b Swm o Sh (th), Dhm

(rgh cod), Shh (p), pm (lo) d ahms (no-vo).W h dod hs o hm s s bs o s, ghs s s s s d o who s hs s s sso. D os s so s sd Fg i.

spiritualityand Counselling

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3

dIVIne gRAce

dIVIne gRAce - A sHelteR FoR tHe sPIRItUAl

FIgURe - I

tRUtH

loVe PeAce

sPIRItUAlIty

non

VIolence

RIgHt

condUct


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DIFFERENT

RELIGIONS

CULTURAL

DIFFERENCES

LOW

LITERACY

DIVERSE

DIALECTS

BELIEF IN

DIVINE GRACE

NO UNIVERSAL

METHODOLOGY

PATIENTS

UNDER STRESS

COUNSELLING

CONTEXT

MUST FIT

LOCAL CULTURE

- LIFESTYLE

LOW

SOCIOECONOMIC

STATUS

FIgURe - II

FIgURe - III

Fostering the innate Spirituality to help heal The Essence of Counselling.

Reaching out to the patients to help them reach within todraw upon their inner strength.

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Mind alone is the cause or either bondage or liberation.

The body and the mind are so closely interrelated that Physical Health is aprerequisite or Mental Health and Mental Health ensures Physical Health.

The human body is a very complex organisation. There are our importantworkers in this organisation, namely the body, the senses, the mind and the intellect.The body can be compared to a chariot, the senses to the horses, mind to the bridle andthe intellect to the charioteer. On this analogy, the charioteer called intellect is yokingthe horses (senses) to the chariot (body) and driving it careully holding the bridle(mind). This is the proper method. On the other hand i the mind is given charge othe charioteer, it will lead to disastrous consequences.

Just as exercise is necessary or the well-being o the physical body, so also pure

(positive) eelings (thoughts), good company, and good deeds are necessary or regulatingthe nature o the mind, contributing to nourishment and well being o the mind.

Our Inner Consciousness (Spirit) is comparable to a twin bullock cart, ourmind and intellect being the two bullocks. It is only when these two bullocks aretrained in Truth, Right Conduct, Peace and Love, the cart o our Inner Consciousnesscan reach its destination saely.

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th qss o h ogm ssd dog -hososo g ogm. S oso sks qd o ddsss dom o ow soo-oom ss hzd b ow ,

ds ggs d ds. W sd wh o osos dod w h w s, o, d h sbsq w hosos who dw h -hos g h b sod hogh hs wg o h S Sh S S Ogso, Kk.


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BMJ do s sggsd h m g md sg s bsmogs whh w Consideration o all actors that infuence health, wellness anddisease, including body, mind and spirit and a philosophy that neither rejects conventionalmedicine nor accepts alternative medicine uncritically.D. Fkbg so sd

som sg wok gog o Kosk is Swd. cos ohom w hd D. Smh g s bo hs hos Ksh Bgo, d D. Shk ro bo hs xs Swms S SHos ph. D. v. Moh md ow so o hmg s h d o t ii dbs id wh sss bg mjosk o. Sss, h sd, od b ddssd b s bsdosg ogmm. Fom wh h hs hos D. Booh shd hsxs s o doogs d w hd D. Gsh Mh dG umsh s s hsos boh og d hogh ookg o h o

d b s mod md .

cg d bs hs sg s hgg b hss wd sg . D. tok Fkbg d D. M ljss h oddb gds dg hs o. aoh dmso h mgdom h o ws so o s bsd osg sh scosg h Sai W s omm h md.D. v.Moh d D. Shk ro shd h kowdg d x ogwh odg b gds hs .

wha ha r r hi r i r?

Thatspiritualcareisintegraltomedicalcareandintegrativemedicinewhereinmodern high tech medicare together with spiritual care is the way ahead.

That there is considerable amount of work being done in theWest in thisregard, although there is ambiguity concerning spirituality and religion. Thework being done is relevant to their patient categories, their cultures and withinthe ramework o their regulatory agencies.

ThathereinIndiaattheSriSathyaSaiInstituteofHigherMedicalSciences,similar work o the same caliber in patient care pertinent to the local culturesand conditions is happening based on Sai Babas teachings that all religionslead to the same goal and recognizing the underlying spirituality in thatThere is only one religion, the religion o love. There is only one God, He isomnipresent.

Thatthereisamplescopeandopportunityfortakingupcollaborativeprogramsor research and or integrating the spiritual dimension into preventive medicalcare or global societal well being.


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conFeRence InAUgURAl AddRess

DR. a.s. hegDedireCtor, sssiHms, Bangalore, CHairman

departmentof neurosCienCes

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s hos s go o 19h J 2001. Swm o o wdo mo h hh o h oo b so od d dmsossd wh o d omsso. th gdg s o HiS hhmsso :-

HumanizationofHealthcare:Intodayshealthcarewhichhasbecomecompletelyommsd, omsso d o o d. Hm s oog sb d o hh. Swm ws h hh b ddwh dm hm s s h bss.

GlobalizationofHealthcare:HEbelievesthatapersonwhoisnotwell,whetherh s dod o dog o gos hogh h sm . So wshod h o bs gdg o, s, d o go. Whowks o hs hoss dg md m s bg d who qsos bg skd

ThethirdpointwhatHEhighlightsisspiritualizationofhealthcaretoprovideom o h - o js o b o h h .

Lastlydecommercialization:Todaymajorityofhealthcareistakenoverbythe

so d oss o o h mdd ss o go o hs hoss o m. Hg sos k hs, wh hgs s bb. i sos omg h d sk whh s om !

th Sh S Hh isos o d h do o 240,000sgs/ods h o hoss d bow. ths S SHos hs o cd s d nos whs h o ph hs oh dms k uoog, Ohmoog, Ohods,

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o h s o h doos s h do h o wo bo sghos bs h hos s hs o b xdd.

comg o h o hm o S Hh, hso md hg ws ws ssod wh God. i G h ws Godo hg, ass, d id ws Sh h om o vdshw,wh ms b o hs Gods. e h Gods hd h ow hss kDh d ashw. i ws do d som o k h so h ms o m, whh s o hs d m hogh

o s wh sh sss. How wh ds md ds ogss s d s q ook d hs. ths ss o hg o od o m h b sdd bs oh o w dgs, w hqs d h d hgs h swod.

tdo odg o h ss h hs ss o ss os, oxs d m, h m ss , wo, gd moo dshmo d h s ss b md so skss.So skss s bb o ms go o hs osh whGod d h sgs ms bd h ss s mb o h g. Doos d o h hs sd o ss wh md osomms b sg, h m d s dmsos o ss ws ok o osdo. a ms h go b b h dss d.O sgs h od d h h mds d md od h md ow d h o h hs ss, whs s ow h h md d h so.

th qs o doo ssm mo d sg bs o

h d o k osso o o o s b mos do oh osdos. a doo shod h ommm, omsso, o,ddo o hs wok, s d o os mos mo jo wok - hshod jo h wok. i s o js job o bsss o b do. i id doos ws hd s so, whh s odhs d. H h sg vdo no Hh mgdoo s God sm hod somms od b s bg d. i gh hs s d o os md ossh w hm bgs, o k s o o ob. H o s doowho ss hs s sfss m.

a doo b , g md bw God dh . Doos od o o h s g h


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o m, odg h m d oowg hogh b sog dg hogh h o sg. Swm s o Hs dsoss hsdsbd h ds o doos d h objs o hh. H hs sd:

Educationismeantforservingtheneedy.YouhavetheGodgivenpoweralwaysbereadytoservethepatientDoctorsareembodimentsofDivine.TakedutyasGodandWorkasworship.Diseasepreventionisanimportantpartofdoctorsduty.

tm shod d dg o h s o h dss d o moh s. Md s o h hs omoso o h bod ; doso bg bo hgs h los o wh sgs d g

g, o p s d o Ssk.

Sgs h so sggsd s gdg gs dss d how o ss:-

Properfoodhabits&sleep.Exerciseeveryday.Drinkadequatewater&fruitscontainingminerals.Periodicfastingtorejuvenateyoursystem.Exposuretosunrayseverydayatleastfor10minutesAlwayshaveselfcontrolregardingyourhabits,dietandactivities.Smile.The Power of a Smile is often not understood.When you smile

hos d s h s jo om wh g h ow o God. a sm dsbs h osm o o p, whh gsjd. a doo dos hm o hms b bg gm d gmbg h m.

W w h m hg oms om God, h mos o s

bom sdd God od o gos wh w dsss - oojs omd, s od d w bg wh God o oomg hsobm. Wh s dd s oos h d sg s. God sh o o who h g. uss o sd o hm d hoos h s . H m so w d wh o s wh o w do.tho wh obs o hg?

Prayertherearestudiestoshowthatthesearereligionspecicandthatevenoh o o .

Meditationdonebytheindividual.Apositiveframeofmind.Assurgeonswesometimeshaveapatientwhorepeatedlytellsthedoctorthat

somhg s gog o go wog d s o o b . th oo

ConferenCe inaugural address hegde

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conFeRence keynote AddRess

cARIng FoR tHe soUl

As tHe keystone In HeAltHcARe

DR. miaLeijssenprofessorof psyCHotHerapyand Counseling,

universityof leuven, Belgium.

i m hood o b h wh o o od, ookg owd o mgo d shg o wok s w. i m g o h hs ooo f o wh mos ms o m. thogh m wok s shohsd hogh d xs m so d m , h sdmso hs bom h o o m wok d . M os od s o how osg oss ob o dso h so d whg o h so s o hg d somo.

l m s b xg h d dmsos o hm xs.Hm bgs sm o do om oo wh hs s,hogh g how o wh ohs d bg go, o dsogdd, d m o dg h s. ths o dmsoso hm xs: h hs, so, shoog d s, hod m dom hos d d h dos. th od s gd o mg hm os: om s o omo d hh,om ogo o bogg d o, om oom o d d dom,

om dg mg o h d wsdom. i , o oo , o o hs dmsos s s. B hg dom d o kok-o hgs h ohs. Fo xm, so whoboms sd b dmg m ds o bg ddo ohs d osg hs oom. th sg ss gg h sdmso.

a hg oss ds h hs, so d shoog dmsoso m, wh h m hg sms o om om og o hs dmso, so bod h o o ow w, s sdso. th h o hh b dd d hd, somd, wh h s dmso s ddssd h m.

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H a pri h piriua ii?

Bo og o ddss h s dmso hh, i wo o w qsos so h o b o h s os o so . ths qsos whh h sos,dsos, sggs d somos o d h ossb o d dmso.

Whatgivesyoupeaceorcomfort;strengthorcourageinyourlife? Forwhatareyoudeeplygrateful? Whatmakesyoufeeljoyful? Whatareyoustrivingforinyourlife? Howwouldyoulikepeopletorememberyouwhenyouaregone? Whoorwhatdoyouputyourfaithandhopein?

Towhom,orwhat,doyoumostfreelyexpresslove? Whenhaveyoufeltmostdeeplyandfullyalive? Whataretheexperienceswhichchangedyourlife? Whataremomentswhichyoufoundextremelydifcultorwhichyouregret? Whatwouldyouliketobeabletoletgoofinyourlife? Whatgivesyouthefeelingthatyouaremakingthebestoflife?

Wh sm qsos o sos s sos o gd sos h g o h oboghs od o xo wh somos ssss o h o s. th qsos do o d ohgh ows, gos sos o gos s. isd h mk so shoog gg, shoog mg os g mooow ooos. ths w o wokg gos hd hd wh h s oos shoog. pos shoog fs hg ohg hh.

tkg sos h obos o s d sghs ogsd msd b s dgm sh. How, h qsos g bo dgd h s s h go pos shoog. ths qsos ok hs dmso, bs h o o os so.

wha I a b h su?

commo, h s sggsd h bod, md d so d ods o , h wh s ow s. th bods ossso ssos d moos, whs h o h md osss o hoghs, gsd dss. O x s mo h ombo o hs, how, so hw d o dsgsh hd s, h o h so. th so s bomg , wh w do wh o hs d m ss, wh h mo s o ds sbj. W s bod d md s oos o g, b h

so s bo how w , wh s k o s o , d bo wh mso s. i s bod ososss whh s d om sgh.th so s o gb b q o dmso o xg d oss; hs o do wh dh, , dss d h.

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th so s h sb, omg d ogsg dd .i s h o whh show s os xs. i s hh gs do d mg o h dd . i sds h mds hogh h x o bogg o g oss. So, o h o hd,

h so s gb s so o omss, bod so. O hoh hd h wd-od mom s sb kd o owd-od mom o odss wh somhg h sds h so.ths moms go ogh k h oss o bhg d bhgo.

th ddo o h o so omd o, o s, ho o so s h h so s bod o so s w s bg s-so. i dos o so h bods o h so; sds h

so. i os o h ms dmso o hm x. Mssm s oss hogh whh odss o g oss s xd. thso x h so s m o h d g h oh hm so.

ths m o h d xss s hogh o hkg, ogs, o os, d s wh w d oososss. ths o d hs o s: h h o hkg,h h o g, h h o os, d h h o s. a ddmgh h o som s h(s) o sd h md s.

th s sd x s o wdg odo; s x whh s s godd o h xs d wh b bod . Bg md o wh ss s h h d ow mosh oo o so o h h dom o h so. th so bxd s bod bo.

ths mmd x show s h om o jo, og,gd, soshm, oo, b so s mos, g, g,

dsom. Fo xm, sdss o g h sd oss o oo.ad mos o , h so xsss s hogh o o gg dg o. lo s h k o ss h hg o d o o sgos.

H a a ui pr prvi h ii r vi hpiriua ii?

Fs o : osg s bo bdg osh, mkg oo.c rogs omd h gds o hg osh:

, mh, d og. ths ds bog o h mosd bsd gds o h oh. S ogzs hswh s dos s mhszd s h mo o o, omsso,h. c rogs ws ms mkg x h odos o hg

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CaringfortHe soulastHe Keystonein HealtH Care mia Leijssen


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oshs. l hs h bm mo d mo gd b h sdmoms whh oso od h h o. M Bb(1970), h hosoh who dsgshd bw wo s o osh: i-d i-tho, mhszd h o sod o s o s tho.

i hs kd o i-tho osh o om os o o wh hd. i dog wh h hoog p th, c rogs dmd: Ieel at times when Im really being helpul to a client o mine there is somethingapproximating an I-Thou relationship between us, then I eel as though I am somehowin tune with the orces o the universe or that orces are operating through me in regardto this helping relationship(rogs, 1989, .74).

B g o s, hss m x hmss s g sd . i m x h g d o h sso s

b h oom hos moms o ood mg wh dhs xssg h so. Wh w s h h osh hs, hs soh w o xssg h h s so-o so o.

th mmd o wh h sd s mo h m o h md; s d bod d hd o o wods. rogs dsod h wh so ss o oh h oss o gowh d dom s s. B odg mh, s, g, , hos h hss h s so.

O o h s o hs ds s h h bg mo wsso h ogog xg oss. Oh s h h m s mo bo ox d os h so o hs/h . th osh hs ds how d wh s bg xd.

l hs h rogs (1980) dsod s. to qohm: I nd that when I am closest to my inner, intuitive sel, when I am somehowin touch with the unknown in me, when perhaps I am in a slightly altered state oconsciousness, then whatever I do seems to be ull o healing. Then, simply my presence

is releasing and helpul to the other(.129).i s o m o osos o o wow. i o mk s

h. B i mk h ho o b mo o ss d o , moo ss o, mo o ss d o o h. i o w hs hsmos o m s oso, so h h bgg o o iosos mk m o s bk om h sh d sh m wss.i somms sg som m o go o m oog md d bg mososss o oh . i so mk oo wh hgh so owsdom, smbo o abso ps, whh s o m h d Moh M,o whh b om o h d h s o o.

th m ws o o hs abso ps. M obogh chs s s d smbos om h chs

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do wh h md. chss somms osd Bddhss dHds o b mm bs h h o d so God;Bddhss d Hds wod s h sm o chss bs h s sk o so God. Wh s bo h? i s bo abso ps. Wh

o who ms, so, sso, bod h sso hs so h o. ths s bo h. th h s h o om mg, o h mg s; s o wh os h o g h d wh d x. Fo xm, h G Mohh o h m s o h d s om hsh o dd, h o sh w o b d o ms God-mg.th moh h s sso od mhoogs dgos dos. Sh s g o ms d oog, b, gdss o hm, h s ws d wh G Moh o Goddss who ssh m s o h d; k M, Soh, Shh, K, Dg,Q y, t, d so o. Fom h wo, hs ds m d om sm m o o oko d mhss. th msos o h sm dg h .

ex hs gh m h mkg oo wh hs s-sdgso hs m o b s o xm oms o sg o whh ssomms sk h. i sos m sdg o h oss o . i sohs m o o m h o o o hgs wh whom i mgh o s

w o mk oo.

i h h o somms i x q jm; i o h m s shs o mo ood dom , shomsso wssg, mo sk-kg h, sg oos osho, h h gg o omd h soos.M og B tho (2006) s hs dsdg o hos moms sg h h d h gh sm o o. Wh hs smh oms oss o dsdg, d wh s soshg s

how omx hs dsdg b. Wokg om o so-o-soo ss m dom s w s h o h . th od i gowh mo i s s s h o odo o hg d gowh, d ix o s h mos ow h o h sg so.

i sh ow x b mo bo h x o h so s bod oss od o hghgh h q o o h bods kowg h ogoghm jo o s. Fo m so, ws g-o m wh i dsod dg woksho wh hd wh h os o o

hgd o h wd bod. i ws omd dm omwh h o oh ws s-d. lsg o h bod odd w dom m ososss. th gg og o h bodhs hd hod o m s h. i h d o s mo d mo.

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so. i sds wh s kow o h s o bho, mood ogo, d bgs mg om w wh hs om o who bod ss. as h so sds m wh h ss, w d mgs mg. th bod ss o o

who d o ds d, o s ow od, bgs h x wod,mg, mmo, dsdg, w d, o o s whh s dd. thhs bod, sos, w x som sg o s o so s gss h ghss o wh oms om h ss. th hgs bod d s good, h o w dg wh s . thssg o so s wh s s h w h md o wh hs d o wss d h w o h gh h.

th sog smbs bw dsos o h so d Gds

o o h ss. Gd odd h w wod ss o oh os h o wh gd o go o om o md who hs h wod so. Wh o ss h b kow gg, oo ossb b sh wod xss somhg h s oss o omg.ad h wod so s wod whh od kds o os d mgshogh h s h bok om bg dsood sh.

Fo ms, s i s h h osg oss d o m xgm so o d w. M g h so d ss sm osss ws omd b m ogs who s h h sos o shohd o x. Fosg sms o bg o os o oo s hm, whb bod sms o so d so o bod. Soh hm bod s mkb o dog wss o s.Wh s h hm ogsm sg ds o bodg o hx d d dg o mg. Wh w ow wh s ,o bod os o lg Bod d shs o w s. O o hoo w w omo whh d s s sd o d h oh o s h h s w g whh d

dos s d o s g. B dg o xso od b d owd h gd sm wh h ss o bg bod som lg poss od. ths x ogs h bodb hs bod h bods ms: h so s hm- o hs o b o lg poss. i h wods o Gd (1984): th ss h i so h dg o wss s h o h so. i oms bw hosos so d h d s hs o hm wh w o og oss. i s o o wh oms om hos ss, b sk m (.81). th ssg bod, h so, s od o h who

s. i os oss whh ms mo h w dsb wodsd whh s s o h o mhos, smbos o mgs o xss hmo. th hos mhos dd o wh s o s oom.

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th bod x ss s g, d h d o d, o-jdgg s wh s xd h d ow s ds . Wh w h osg, dg os osh o hxg oss b bg smbg bok o h . idd, h

ss o h oss dds g d o h q o h o.th s wh o mos o h s o omo s o dg g womg d o h bod xg oss. O, mo;h oss gs osdb mo dh h s o good s. Bbgg g d sd s h osh wh h ,h oso hs h o s o h sh mgg mgs hso h oss. cs dg mh mo d o dsssg ss o hbkgod, bs h s h s o s h wod h x o-jdgm w. So b odg hs s kd

o osh d b g h o o o h wd xg oss, h oso os h w o h o z h o o h so.

F i w o s h hogh i o d bsd osg - mdsdg o hg d hg s d om h ss dsdgo h o hg. i m oh, h mhss s js o h osossosss. rh h osos soss o h os o hgh b s o hs/h ow x d dg h w o hs o h

so. i s bo g og osh; h b o h ob s o hs o h ow mg x womg, ojdgm w. ths s mo o h dom o h s o sd kow s, d s wh o s o wh s mggsd. ths s so ss o ssg ss o h Msd sg o h mom o h S o h D. as oso i msg o h sos odg oss d i m so o o h hghdmso, wh s m s h sks o s.

thogh h oss o og bw h ss o h d h ms o h Hgh S, i h o s how h HghS s obg o hs oss o hg. i w o ss oss oh b, mmsb, o h D h woks bodo ws, o hqs, d o dsdg. th m hg ossos oo bw d bod h oso/ osh,dg h ossb o D io.

thk o o sg o m, d wh m, o wh h Hgh S wss o b o.

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P prai rap-up b si criar:

D. Ms hs b ood s m o how w d o ook wh whh sos wh Swms hgs o h mo o s somo o h dd. th ss o h k s d h sm How a counselling process can contribute to discover the souland why caring or the soul is crucial or healing and transormation. Fo hg h s somo hs o k . Wh sh ks oodo os gd (upr) o h /, whh s o o ho ms o h rog h so kow s pso cd cosg, s b odo o o S hosoh . Who upr oodo o o o b o-jdgm whh s so ss od- osh.

How dos o hs g sd o d osg s bgsd h hs hos? to s wh xm dg osgssso wh h s od o b hb smok h s o gosd s bd so d dmoshd. isd b skg o dd qsos k whd wh dos h k smokg, h bgs o b hh s sombod who s sd sg o wh s hg hs . asD. M ss Clients (patients) can dig much more deeply into distressing aspects otheir background, because they eel secure in the presence o a listener that would treattheir experience in a non-judgmental way.Wh o s d s ss,o d smokg b s o sss h wok, hom, . Wd ho o h h ddss h sss.

aoh ow oo s o whh s g moo. as D. M ljsssd The older I grow the more ...... I experience love as the most powerul healero the suering soul. a hs sd h k d dgosg h oso os o h o h hs sd bod dmg,whs h bod ogs o hs m, hs od os, o d. Howh m , x d sg h dw ws os, h sd,

d s o goom o h m. th o h hs o hsm, whh dos w h m o b h, boms moo owdsh somo o mkg hgs wh hms owds hhd h .

i w bom sg h h m bg sd hso b smss wo o h o md.

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25

CHroniC stress - tHe ultimate risKfaCtor joshy

Summary Part-1

Heartattacks&Strokes#

rsk Fos: Mbo Sdom#

cho Sss#

emoo ro (F)#

S Mhsm#

Hm codo

Summary Part-2

Hm codo$

Whs Mssg ?$

Hm Bg$

Hm vs. Bg$

So$

So Md


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m xdg 40 hs m d 35 hs wom,h ws g dd ooh os. i Swdsh sd o

x, dsso d obs do 2002 x d dssow so od o s h sko obs. is d bood-sgs w hgh hos who wxos d dssd.

Sm h oobw moo sss, g,

x, wo d d dssd s w sbshd bshd md . th sds odd h moo sss ws mo d o dhom d dos dss h smokg. po who w bo mg h sss hd 40% hgh dh h o-sssddds. a Hd Md Shoo Sd o 1623 h k sosod h wh sbjs go g dg moo ofs, h sk osbsq h ks ws mo h dob h o hos h md m.

a 20 sd o o 1700 od m odd b h Hd Shoo opb Hh od h wo bo so odos, hh d sos sg sd h sk o oo h dss. O o-h o oo dsss o xd b h sdd sk os, sh shgh hoso, smokg o sd s. aodg o Mo csd o dds wh h dss, shoog sss ws h sogsdo o d s, sh s d dh, d s d h ks.th nw egd Jo o Md Fb 2005 bshd ogdg 19 ss o Mod Sg d o sdd moo sss.

th od moo sss s h k s who oodss, xggd smh smo (sss sos) bg h s ohs sdom.

Wh s sss sos d xo sos? Wh h bod s oodb sss, gh o fgh so s sos s o s h h ,bood ss, mbosm, bood gos d gg mo g. thss h sss sos. O h oh hd h xo sos s js hoos wh h , bood ss, mbosm, ds. eg s

osd, d jo ks h bod. th sss soss mdd b h smh os ssm whs h xo sosb h smh os ssm. th oowg sd ods ghso o h hsoog.

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Wh i h d o do so s o o h ho sss o h sk

os, mbo sdom dg o aho-homboss dg o h kd sok.

Chronic Stress4Risk Factors: Metabolic Syndrome 4Atherothrombosis 4Heart attack & Stroke.

d I hav chri sr?

How o d o hs ho sss? a sss s s o s o bw. th obm wh ho sss s h mos o o w o hsodo. W o o o k dm bb wh h og s ow. Howdo o w kow w g o sss? th oowg b ds h ssssgs-hs, bho, og d moo?

Iii r ia

Phia Bhavira ciiv eia

ShortnessofBhMuscletension

HeadachesHeartburnUpsetstomach

EatingpatternsAlcohol/SmokingGrindingteeth

NailbitingNeglectingaProcrastination

PoorcooMemorylapse

NegativeAttitudeForgetfulnessConfusionWorrying

NervousnessAnxietyIrritability

CryingeasilyImpatienceSensitive

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Iii r v

High Stress Levels Ioftenloseperspective Ifeelirritable&onedge Icomplainandgrumbleregularly IworklongerhoursbutgetlessdoneMyhome/workbalanceissuffering Ihaverepeatedminorailments,achesandpains IdontthinkasclearlyasIusedto Ihavesleepproblems IfeellikeImoperatinginasurvivalmode

Moderate StressLevels

Ifeeldriven,hyperactive,andrestless Itendtomakesnapdecisionbutwitherrors Ifeelover-burdenedbutcantstillsayNo

Ioftenfeeltiredbutamtakingstepstorecover Ioftentrytosqueezeafewextradropsoutofmy

om Discipline,tness,socialpressure&stimulantsplayagreater

o m b o om Mysleepisjustaboutadequate Othersseemeastiredyetsuccessful

Low Stress Levels Ifeelwell Iamabletorelax

Physicalrecreationbringsmepleasure Increasingpressureenhancemyperformance MythinkingisclearandIlearneasily IamabletosayNo Othersfeelmemoreadaptableandapproachable Othersseememoreenergeticandsuccessful

chri Rvr Pari - wha i i ?

tw s go Hbs-idoogs om co, Kh Smh

dsod w o d ho sd o d ho sss s hk omo hs odo. a sh h o o h bod h hgsh w odo fows hogh h s. O bod hs oh dsoh o, js s h h dos. Wh somhg ss sh o ssm,(s m o sss os ) o xs so hgs, hs oos h sd d o bod o o h mos w.

Wh h smoms o ho s o? ths s mo.e d o wok o s s wh ho dsods, bo ho sss, hg h smoms o ho s o sh s:

Feelingtired,havingnoenergy Wakingupseveraltimesatnight Notfeelingrefreshedaftersleeping

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Feelingconstantlystressed Irritability,especiallywhenunderpressure Lossoflibido Susceptibilitytocatchingcoldsandcoughs

Inability Inabilitytothrowoffmildillnesses Short-termmemoryloss(wheredidIleavethecarkey) FeelingFog-brained Pronetodepressionorthesads

cho sss Md p ss s:

EnergyDisorderslike- cho Fg Sdom

- pos m sss dsod Autoimmunedisorderslike- M soss o sodg o m

Cancer Diabetes

i s mjo o d dbs. i h sk s o hosd o, mds do wok s shod, sg dos o h odo. a xm s h Fd bk sdom wh sg oodo o bk s. ths hs wh h dg mhs

s o h bk s o ddssd. ths od b so, kho s -o mo s o o bk b o bk. aoh sh dg od h nw egd Jo o Md sbo h mo o o odg d s o sss, gg dodg dsss md s o odg dsods.

a sm w o s os d md o ho sd o oho sss sabdominal breathing.p o hd o o hs, ogh hd o o b d k w d bhs. S whh hd s mog.

i h hs hd s mog h ms h o hs odo sddow o sd bhg . i bdom bhg o dhgmbhg, whh s od om o h ow, wh o k dbh o b shod om o s dd b h mom o h bhd. i b s h sg mos mo soo o ho sss. ps h q o d d d sgg wh d h b odo hs who g. to b ssd h hs s h gh kd o bhg,js ook bb bhg wh s sg s b bhg. as wgow o b ds, w m h ssss om d s d bom

sd.

ls ook h bss/ so o ho sss. th so o sss - is om osd o sd o o? Wh w ook osd s s h so o

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sss, h sss s sd b o ow emotional reaction o h s.i s o h s o sos h do h hm; s how o sod o hss, whh s h k o sss. Mo s, s how o bo hmh dm whh o bom sssd o o. ths ms h o h

som oo o hs o!

emoo s o oo o x , moo so ms g mooh g moos d os moos. th g moos, o owb-g, g, sm, so, s d dsso whsh os moos, o hgh-b g, d o, d o.

l s ook h moo b hogh h oo s o hmb. th h s - b, dog b d hm b gd o o. r b s h m, g bsd b sm, whs

h dog b s h mb ssm kg bod d moos boh dh oo o om sb-osos mhsm dsgd o s. thhd o h hm b s h o osos md wh h bo hoos o bho. eh o h h s omsg h hmb hs s dd os d bs ds s sd h oowgsd.

th s b s dsgd o h mmo o moo, s g x. th mgd h mb ssm, so g d

xs h m h hd os . Fo xm o w

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i h B B m o h dgms mkb dogzb o Ws s, dg h mss d h bos o hms-sk ssm, h s d h od ogs. adh h oh dwgs. Show bow dgms o h h hk

d h oos o h os ssm d ssm dgm oh do o h 500 oos bw h md, h bod d hs. i g o h o w o d hs dgm wh Gsxbook o om.

39

folloWing a sHining star mitchKRUcoff


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ombg o hs wo wod ws o o h h- osh,o, omsso, omosh, oh. W so h ws md sow,gd m b b ood wkg . How w msogz h h o dsos o mod, ssm ws md

s d. D ds osso so gds, bdgdsos, d mgg hh o dsos.

D o h o gb hm hg s hsogss mgd. i o gos omm wh ohs, o dssd, o sssd, o wh hos s sos, o o d o h h dss h dms o hs ogb s oo wh h dss s o whsmokg o o wo ks o gs d ms o sd mo om

h dss.cos wh gb moo d s m o h bod o

oodoo. th w kow hsoog o h sss sos wh ggd osd o h bood, whh ss h bood ss o os, ss hbood o hk, h sms fmmo ssms, sms h h ob hd d s, hg h s good o o o zb gw om o. B o hs s bd o o o h h k o wh doo s g o oo s sd o bokd .

Shod w d w sd hs gb hogh smhods? i h 1990s h hos ph d m odd hgd o so o h-h hh. W m bk hom o o o sog os d qsos. is h o d sd God? a sd s mhods so dm dos h hs dmhm oo dsood d s bs od bmg d sg s mhods?

ths good qsos. is h dos sos o ? i o o ho dos mk o h s h o o ms?

i o h 250 md sds g o o o h ogs h,s h ss h wh w g osd cm s towso, Md who do ohg b h s o o hg.Dos m who o g o? Dos m who o o s w h o g o hm? Dos m who o g odos o w o o o hm?

W hd om D. Hgd hs mog h wh w k bosh w k bo dos. i doog d om FDa

o o w o o h dos s dh. i g o h wh d go o h uSFDa d hm h o h ss dh s wh h dss h uSFDa w sk o o go w, d h w oo o h.

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b o wss whh o h hs d o bh o hw skg d o o g o wh. Wh o bh s hsb , wh o bh o go o wh o d o go. Sssxo s sm hq b h h mg ss hs

m m, h m s sd o h dd so h h goo s o h o o d wh s mg hs o h ;o gos mgh b om o sd th wb do, o mo s mgh b sm hs s dos .ad g wh bhg xd om h bdom o bg h hs omd, wh bhg o o go wh o d o go. i toh hh m mods o hg oh d h oh w dod o hs o ws hds o h bod 10-22 osos o bo 45 sodsh o do wh o hk oh h dos- mobz g,sh g, so g - wh mho o k.

isso ws o o h dob bd ms. Wh h somd os d msso w s h m, g d ss o gh oggos od h wod. eh s m, g d ss wo gh gos. Fo h o sd h gos dd hcm sss towso, Md. ths s h ods osd cho h uS dg bk o h og 13 oos. th abd l

chs s hsm chs go noh co. th uhh Msso hs od s h 24/7 ds wk o d o mo h 200 s. th Ko d nd moss h n d h ss ogzo h soh o F d bo 150Bddhs moks d s. th w h hs o h Bs mss h soh s. ad h v Jsm wbs s mgd Jsmwh h w k s o h , o o o d k h Ko, h Ws Wg W h Jwshdo.

ths h d om h o d i oms o hs mog i m ogog o mk oo d h. B i do w o b h w sosbo hs. ad d s h o gg hs kds o os dmod md d d qs h wok o dog sh.

So wh o s h h bow h om s w od 150s d o x, domzd 4:1. W h 30 h sdd go d 120 h o hs gos. a hs hozo s

h bd hgs h hd o h s hs sgs. th mdd oSt s odogm dg h ws sd bdd o boo.Mace (Mjo ads cdos edos) h ds dh, Mi,h d d o g sg o ace (a cdos es)

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sg sm o hos wo. Wh o s s h o o hs h o h go h ws bo 30% do.

now hs o d h oo o ss h hb obsd sd om h o hs. Fo o sd ws s ogg d dd h s dsd wh w sho, wh w ddwog d wh w od do b od o g mo dsdg o ho o gb hs o s. th sm mb o sws mo, d qsos bo how gsb hs dgs?aso, wh sd o o h o oh w od ow ombos ohs o wok ogh? ad wh bo h bo ? ps hdob bd m h mgd h w gg somhg h w o.

ao o h mos o h o d o h dsg o o sodsd wh ms g oo o 750 s do o o b s h ws os, h Mdws, h ohs d h sohso g mh bod gogh dsbo - comb us, Dkus, Wshgo H c h Ss c, wh soddm dos ogms. th dsg o hs sd s wh w 2x2o domzo. a h moog ms s h sg ws domzd 50:50 o ooo ssgd o o d wsso domzd 50:50 o o b o bdsd o o o. Wh

h 2x2 gs o h s 4 qds o s o qd o s gsh o o hs hs, o qd h gs o o h oh o hshs d o qd h bohgd go g boh hs dogh o ook sg, gosm o oh o m os.

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ths sod sd ws bshd h l 2005 s h s mdomsd o h wod.

two hs w sd Mantra ii. th o bdsd h bm

ombo o ms, mg d oh (Mit), wh s kowg xwh ws gog o. th os sso mod ws d s dobbd, hogh w xdd om 8 o 12 oggos wh h so oMsm gos. W sbshd sddzd qms o hg ohg, d odd ss wh ms d mg s so h hMit h od b d s sob homogos om o. th s o d hdhos owd boh h h d o so h sm ms d h sm mg h sm m. ths ws h oowdb h oh ssso.

Fo hs sod ooo w sdd mo s gog o hhb o oo o, d so w g h hs mo mh w dd o h -s o. Foowg h mg ssso h wd o h od o o w h hdhos d s o ms whh h hb.

abo wo hds hogh hs sd chg d ogs om combus bshd s mod h Jo o rod

Md. i ws wh h d wo-d mod. th sd wsodd , wh mohs who w g -o h. th sd ooms w hh m bbs. th sd od h ws ood d h d d o- d gos. thwo d os sdg h o h ho moh o o - so h h - hd mg o h mom. B h h sd dsg sod sod - who ws o g h , d h sod -sjob ws o o h s o h - g s o h mom. Sow ookd od d h o dgm w od d h s hs s

h cho chh wh h s do o h Sss g oh s o h Fhs. Fo h Mantra ii sd, w dod hs s md-sd hg, h 500h ws od, d h d d hswo-d mhod h hgh dos mod. to x hs hg,w ggd ddo w oggos who d o h s o hw oggos who d o h s s b m.

th sd ws owd o ook m ombo d o o -hos omos o o sx moh dh d - hoszos. th

s h sd w w ookg o 35%, h ds h oows 37% so ss w d h g o s w hod o o.Sod dos w sd s sbgos o hs omos mos bs o go w s xog o o bs hgs. Fo s,

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i domz 10 ook h mog d h hm hb b11:00 m b h cm Sss do s h vs s 5:00 m,s h oo ? So w sd gos m m zos odh wod d so os dod sod d os h owd s

o ook sho m d og m ooms d oh mo s.

a h Dk c rsh u w do o o wok h s sbmd oFDa o o o w hs. W sos bo q ood h ss ohs d d h w wok wh d h Mantrasd oj s o d. O ommm s o s who h hdss. ths s d gdg h s s o job w gogo do hm sh. So w goos bo how w mg d.W so ookd Mantra ii o som oh bs h mgh h d

hs ooms. Fo s hs w s mos q o hs bo h od h oom, d 89% o o s w w osomo g o hm h hd ohg o do wh h sd ooo. ads ssssm o bo , b qso bo 2/3 o h s whohd o b ssgd b ooo bd h h w.

ths s K-M xssg o sx moh m o hhozo xs h obb o s o h m og h god h o go- d d bk. yo s h bso d

o d , kg md h 90% o h s h o-go hd h h kw bo omg w osd o h ooo.

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th s o d i w show s h os sb sd d oh hg oh d h hs hmss. as o wok wh hs who sgb hs, s h ossos, o g h mssoh hs o b h h kow wh h dog. ad h o

h hogh o mhos. ch-Gog os w k bo hb o mo o mobz ch. Ohs m o p d s do h s, o h mo. rsoo o og o dsd mds do chs md, o o sog hk moo d gghks, o o sg d g oos o s o fg g. a ohs mhos sd b d os hs gb ggs b o hm og s hs mhos wok m .So w hm o h s. W skd o o o hs h Mitssso o o h h od o js g 0-10 s s do ohk hs wokd. yo h h, o dd h ssso o o omho o o 0-10 how good do o hk hs ssso ws. How w dd go? ad s w od hos sos wh ooms ook k hs.

ths s h m omos do o h . i h hs so o o h od h d o h ssso ws 10 h dsoom ws dd b mos 50%. ths kd o dos hgh h hs s obb o h js o h. ad s wookd o h os sod dos g o hd ssso

bo h od o hs ook ood b. Wh i ws s hddhs d b m s o, bs hs ws h d, i sd hw hs sm: hs ms o k od o, bs dos h ds d oos o omos d os dos h d b g. Wh smd k, hs h dsos d.

th g dsbo oss h d o gos bsod. i ss sk o h s kow o f 6 moh

ooms os oom h /s h o- go hdsbo s bso d.

ad s o s mb og gsso mod o ssss o hsbs whh w kow w ooms, h sogs sgdo h mod ws h hs so o bo h od.

W ms s sk: wh do o hs d s? Wh do w? is h ms? is h mg? is h oh? O s js hg omsso hm bg sd 30 ms wh o bo o od.

is hs h? O hs hs sm od o oh o dgoss h gos mh d h h ss sk o dd mods? a hs dgs odb? Wh h mhsms oo? ths qsos, o sws dod b hs sh.

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Dear Lord and Great Healer,

I kneel beore you, Since every great git must come rom You, I pray, give skill tomy hand, clear vision to my mind, kindness and meekness to my heart.

Give me singleness o purpose, strength to lit up a part o the burden o mysuering ellow men, and a true realization o the privilege that is mine.

Take rom my heart all guile and worldliness that, with the simple aith o achild, I may rely on You.

Mother Teresa.

P prai Q&A si:

Q. wha i h iifa h hii ar?

a. th shg ss hs wo hoss hs o h Whd d h oh ph. Shg ss h dk o ghh gdd os sos o hdds o s. ths wo hoss m, bk d mo, dg o o d bss hs s mo

h js k, hs s o js hosoh; hs s oo hgh hmd h hs so gd hs hgh d osg.

ci rar b si criar:

D. Ko hs xqs d h ss o h owh h ss I think it is important that we all work very hard in this moderntechnology world to get over the idea that somehow you are either a spiritual personOR a technology person, that somehow i you pray or a child rather than allowing thechild to have therapy or its leukemia, that is what we mean by spiritual medicine.

That is the wrong construct. That certainly is not what we are talking about thismorning. We are standing in the nest halls o medical technology, we are talkingabout embracing and contextualizing that technology with a more serious and moreintegrative awareness o how it ts together with the intangible human capabilitiesthat we all have and that we could learn to practice.

D. Ko d hs m bk Dk Md c h o b hogd o hs x sh o h Mantra-i d Mantra-ii sds- whh d h h s os o o ommhs mod h-h md . i s o o h h soo hs sh o m om D. Kos ssoo wh Swms ss hos ph 1993. phs ws d sk.

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i o s h h s s hos Whd ws dHs sk h odd osg dm b s gh omo 2001. cosg h Sai W ogm whh ws od ddod h s ow g o h m odd o s

dmd o sg o o. thogh dod dd h sms wh D. Kos mhods. H so d bdombhg s sdd o xo wh mg s do d.th os s o h md, s Swm o ss the mind alone is solely responsibleboth or your bondage and your liberation. th hogh oss h md sshozd wh h bh so s o s h md o g hoghswh xhg d o bh os hg hoghs. p o h God oh ho b h s d h ds s ogd d sssd o

b h osos. Ms s d oos hogh h hos pa ssmo h b o . isso s h ws b o h h d wd hogh s o o hos m.

Wh oms o md ho s h mo sh hs s wddg o wd m o b hh .


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s d h ms - h b o b ss d b b o d hgs o h om o-b s om whh h oso bd good o wh h . Attend to them lovingly, with unfinchingcare sss h h s odo os gd o oh wods

odo o o h om h oso. cog s o b hmo om wh d who, s om whh ms h d bwhh ws b dd so wh hms h s whohg.

lo s dm o hm d h bss o o hms. th oowg sg o Swm bm o gd o osg.

Love in Thought is Sathya (Truth), Love in Action is Dharma (RightConduct), Love in Feeling is Shanthi (Peace), Love in Understanding is Ahimsa

(Non-Violence).

Live with love, Move with love, Speak with love, Think with love, Act with love.This is the most ruitul sadhana (service).

th oos w sd w bsd o h d s s oodd bSwm o Sh, Dhm, Shh, pm d ahms.

Genuine interestinknowing thepersonwhois thepatient, thepersonbhd h bod ss.

Maintainingcondentiality,distanceandboundariesduringthesessionswh h d m.

Creatinganawarenessoftheinnerspacewithinthepatienttocontemplated jo h xsg sgh d wh.

Active listening with empathy and unconditional love which help thes bd h d sd x d s.

Caretoremainsensitivetothepatientsneedswhichpavesthewaytowardsbdg sg osh

asg osos ms h o hm s o h, ghod, , o d hms - h bss o o osg g ogm.th osos o o hos d os dsg hmsso , do d hs o osg sk whh o o hsh s b so hs h osos h ow s gowh. th om hs ohd h s, d h o sk h oso doo ws bh hs w hom? th sk o sg ss ddsdg wh mh h so who s h bgs bo h hd

m o og o os. a sg osh s b hogh so os d bg o-jdgm. th s h s hoso dds ow o h oss o osg d hs h s h os d h do os m o md.

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th osos d hs, ss wh s o h gs o hmo wh hmss. l m s wh s hso.a w mohs go, s od , og g, ws dgosd whho mgs d hdohs d ws dmd o hos. H

bd h ws dg o h wh h oso m hm soo dmsso. as o , h s sg osg omsgo bod xo d md sg ommd o h h dh h h omg d x d ssd. th osossd s so d osss h hs dmo. H dd o xd os od hs hmb wh hs gh hd hg .a bod xo hogh sow bdom bhg d md sg hs qsd b h oso o odo h md hogh so h god o h ho. a hs sg h oso sw h hs s

mos, sh obsd h o hs s h jod hs hds gh mk o h oss ood o h sd o hs hmb g h God ohs ho d hs go. H ws hs o h h h dhs go hs dgh mgh o b d h hos! th h hhos d h osg do s s gd dwd oh h dg h osg ssso s h shd s o d jo.

Wh do w m b s d s osg? i ls ms bh h whh gs . Swm hs mod so b o wh God. cosg h Sai W hs h xo wh God b og o h gg bh. a md dod odsg hoghs om wh d who hs h b o x hs s o God.

chh Shdh g wss h o h d o s hmd o g hoghs oms g o cosg h Sai W.

th oss bgs wh h d bod xo mhod wh h s o x h bod d bdom bhg i s d s ogd o d om bod xo. Wh h s o x hhs bod h d o h x sg o bomg w o h sbgs wh hm h hoghs, gs, os, ow o sog,. th bh s s h bdg og h goss bod wh h sbgs. th o gd x g hoghs, whdwg hsss om h osd wod o ook wh d h h sgho d s. Bod rxo (Br) s Md csg (Mc) hshm q h md d s hm o h x sg - h xo ossg o sg hogh. i S hosoh hs s o md s dkh bhkh.

Detach yoursel rom thoughts o the body and things around you and you cometo the stage o ekantha bhakthi. It is that state o mind without thoughts and desireswhen it is concentrated on god - Baba.

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ths oss hs o h g moos d s h odoso mo d d sb o o h so - h gw oh xg h d h hm. th bod d md oo ssbshd d xd b h s, g h s o md owds

s wss go.

th md s Swm hs xssd so o hs ood m o whw d how w h wod - yath bhawam tat bhawathi.

i 1842, h Gm hsoogs Johs M wo, the things weknow are only the essences o our senses; o outer objects we only know their actionson us in terms o our own energies.to hs d hs hows gh o h sdsdg o o.

Itisthesenseorgansthathelpthebrainperceivetheshape,smell,soundo x o o objs. Thebrainhasnocapacitytoperceiveindependentofthesenseorgans. It is the energies of themind that determine the content of sensory

o.

th o o o s dmd o o b h ss ogshmss, b b h w h s o h b ossd d wh h d o ososss h s o md. cod o Br dMc ods sh owds f mod om h o o. thsdos o h o b o-m hg - h dd s h bod, o s bd b s ss, h h h sss h jo.

th s SSSiHMS, Whd h h b o h ososjog wh hm o h hm m h o o dgh s h hos.

a q o o osg oss s g o o osd whh doms h s moo, s dbs hs ss. Wh o o ms o o mo. H h o. th s h dm o osg ws sd hhos, w odd h s o - h o s ow o hmd ods o h h hos (s ax). W h d oms h o osg. Dos osg mk d oh s h o sh sss hogh h hos? th o hs kgh d d w h zd h h s g sh o dd, d osg h bo sg dos h hm x b. as w m o w s o osos osg s

h sgs - o h d o dmsso, h d s om icu d oh d o dshg. th osos jo wh h s hogho hs h hos gg hm h moo so s d wh dd. iss wh h ogoss s ob os-o h s g d

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whh hs h oso dsd h s w bg o h dm.

Whom do h dd o o go o o moo so wh oodwh ds h ? -s h dg qso.

Wh mks hm h, xd d od?

Wh s hg o hs hd h s sg d sss, woo m?

Wh do h s h os whh ds mg o h ?

How h h d hgs d sgs h ?

Do h b go?

Do h g, od o ?

Dd h sgh h mds hogh s bo ss? Dg ssdd h h d o mo, ss o dd h g ogh?

Hs hd hm x sd h, hg o, sgh, sd o h w o god d ?

ths hs hm os d ook bod h obos. a o hsomo s domd h o. th h wh h

hms o hs s dog h bod xo, md sg, oso,md odog, osg o os so b d sdg o h godo ho o h d xg h sgh s ho s g oss. Swm hs sd when the heart is puried the consciousness isillumined. i gds o o ook bod h hozo, o dw sgh om hss o os whh s s.

th h b hgg moms o sssos o osgwh h o h g s o sod o b o h om

mhods o osg. tg bsd o o o h o hm s,h o dw sgh om wh, odo o od whqm o md sg om bg h sss h hd h oso h h sg os ooms.Hssss o h o h m o h o oo ogoss sxssd hogh g obss sg osd d mddd jdgmsb h o m.

l m h s o og , 26 s o g, sg hdo o mss dg who ws od h o hos o gho s soom gd3.th sdd os o sod o szd h sbsq dgoss o hs sos ss hs hho hh do dgh o wh f s dsd h m d

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whs o h d o dshg h hds d ogh o sdo h D d wh o h dod o ox moos s b s hs h bo .

l m hs s s hso bo odg. th g os h wok o og 26 s o g. H s d d m s bh dhs b sg . H ws dgosd wh oog obm

d ws dmd o o hos wh h dw sss sg o gh mo so. th osos oh wh o d os gdhd h mdos bo sg. O m wod how osoomms wh who s hg d sh md - Swmsmssg There is only one language, the language o the heartd s xssdb h osos bod gg s xm mo o h. thoso dd x job o ommg wh hm d h d o hssso h bodd xm w wh h oso. pos-oh ws mh od, whh h wod b b o sm hs

s s. to ss hm d o so hs s od smghs wok h oso g hm m d skd hm o s hs wok wh g h hos. th bow ws h oom ohs o h hos whh h gd o h osg dm s oko hs gd. H ws owhmd wh jo wh h zd h h wsom who oog d os-o.

cosg h Sai W, s d o hos h, mos h o hs x o h ss d, h s hg

oss owds bomg who s gd om wh hogh h wsso h ow o h hm w d h s - h d. th s mkd sh h s ososss, o, sso d o,h so om h ox owds o moos, dg hm owds

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Currentlyashorttermtherapyitcanbeexpandedforalongertermtod hbo d md ogms.

Itneednotberestrictedtotertiarymedicalcareandmaybereplicableinoh sgs.

l m d wh h w h d h osg dm h d o h d.

Asathoma Sathgamaya From The Unreal To The RealThamasoma Jyothirgamaya From Darkness To Light Mrithyoma Amrithamgamaya From Death To Immortality.

P prai Q&A si:

Q. wi r bf r ui?

a. i ods wod o hoog d md d wh m s mm doos o o sss d bo, whh bddssd d d b s bsd osg. D. l Ssbook th Hm Sd o Md, w s o doos, s

omhs, hoogh d s .

Q. Ar hp-hrap a a rri u i sAI cui?

a. nh s sd. W do o gd h s o do somhg h w whm o do, b h ow h s o bom w o h ow sgh d do o o h ow. aog wh h xd sowd d bdom bhg w k h s hogh h oss oosg, owg hm o oss h hoghs d gs gd o o wh h sh h o os om wh s h bom

w o h ow sgh. How m b osd s om os-hoss s d b D. Sg o Sod Md Shoo whw md so h bo o osg.

Q. Ar hr a aii avaiab pai ir rii biu?

a. ys s s domd h moo-s o h smd o dmd o h hos.

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AnnexURe (Pa 2 2)


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HeAltH cARe ReFoRm And tHeeVAlUAtIon oF comPlex HeAltH cARe

InteRVentIons IntegRAtIVe cARe

DR. toRKeLfaLKenbeRgassoCiate professor/aCademiC leader researCH unitforstudies

of integrative HealtH Care, KarolinsKainstitute, stoCKHolm, sWeden

a Kosk is Sokhom, Swd i od oss o ss,md doos d sds h o omm d md. M sh s g - dsdg wh, how, whd wh o s . rsh hs hs o s zo,, o d do. W h d hh ojs los, vm, thd, Bo, p, ugd, Zmb, Bos Hzgod somms ssoo wh WHO d Wod Bk. O s od sh, dom d do d o do, omm, d g h zo d oso. rsh ojmmbs o d wd g o md, do, domm ossos d shs om os dss dgsg, mdw, md, md hooog, . s w s (wh) hh s d dso mks o d o.O m s o ob o g hh dom bsd o bodd mds d hos wh sh mhods gdo om h bss o d bs o hh so om d bs

dom. Sh goos d d bsd g hh ogmsshod h sm m b ss o h s dom o ho d sd kowdg hh d wss o h who so dg boog,shoog, so d s ss wh . W h s gg d h b sd o hgg hh ssms d m osw b o hh ssms b ow, ds h wod os, os modmd, g , sh hgs d o x dog

d g g .

Gog bk hosds o s o h hso o md commd a Md (caM) hs ws b . i hs b so o h wod, o, d s s mos os o oo md. Wh i k o o md sds h i k bo

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ad, chs md, a hb md o h eo hmdos, o h mds h Mdd es o l am. Bswh s Swd o o h wod o h o caM, w om Bsh Md Jo (BMJ) o xm h o mh o wh s dd

s caM hs sh s ss, , d, om h,hg, homoh, hb md, . o w mods b o hh ssms bg mod o dod os, sommsbg sod s hoog o wh h hoog d h o. i dogos so h caM s xdg.

th sd bo om WHO hghghs h xo gowh h hbmds mk uSa om h o h . thwod mk o hb md s od 60 bo uS dos wh gowh bw 5 d 15%.

th og wok do b D. esbg Hd us showdh ams o g x w o caM od o m hh os h h o m hh hs, sdg od 30

bo uS dos o caM hs. i ch hs b smdh 2004 do chs md od o 26% o h 41 bous dos chs hm mk. th oowg sd ss hwdsd s o tM/caM hs wod o.

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a sg mb o h wods oo ks ss o mod

md d h o h mo s ssb caM hs o som o h dsss. th s som sk wh hs o os hdog os bs o k o dq oo o h caM hs.th s h sk o m b qd os, wsg mo o ms, mssd o dd dgoss d h sk o sg osog oo m. Mo mo h s so h sko ds s om h m d h ossb o dgos osbw hb mds d mod md k ogh. ths sss

d o b ddssd s s g mo d mo owds caMhs, whh so ds h d o mod q ss hs. O oh mo qso s dos wok? th s gowg dbs s so om m-ss o show h hbs o , s o s d bk , h m h s mo d ss os o g k h hsoh o mb g o uK d h MBct (Mdss Bsd cogth) d s dsso s b 50%. ths s hd d -d h mks caM hs d b d ossb og hm om hh .

th Wod Hh Ogzo (WHO) dsood hs hg osd bh sg o o caM hs hh , s bk. i d

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wh o WHOs do md sg s bss o odo md ogms o wok s. W h so d odg oh doms o h WHO sh s qso o HhMss h mmb os who sgos o h 56h. Wod

Hh assmb soo skg sws o How do h gs? Howdo h s go bw h caM , o h do mdwh , d mod md? th so oh doms do sh mhodoogs omg osms h o zoo caM. ths smmzs h WHO s showg o h h mjo ss g o owd hh ssms d mds o d doo s o caM hs d sg s o hscaM os h og s omos MBct o xm.

c h s sh ogm Oxod og h moo odg gds o hh hoog ssssm bods sm o hFDa uSa, so h o w h hh hoog ssssmbod mowd o dd whh o o hh hoog wodb d sb o doo h o. pos mod md ws sk bo omm d hs; h godsdd d bhmks w h domzd oo s. Howow h os-mod md h s sh owds d bsdmd dmg hh os d mgm dsos. as J.a. M

G os o ed bsd hh dom h os modmd sg mhszs wo m os. Wh s sso h hss o mod md d , os mod mdms so o o d d o so os d ds. Dsbg hsso os d ds, n Gs hs ommd h o m sh oss o s s mo s h oom. W hd h sm hgh od. th oss o f h ooms o o o whs o sso b so ms o h s s o hh dss o m. Mod md d omm md bsd ogh wh s d g md. ps mo odod bo h sks o mod md h h md sbshm, whh ow hs mhszd h bs. So hs h mo sggsos hs gg o dso mks d hh hoog ssssm bods o hwod od.

Wh s g md? D. adw W, Do o h c oig Md, us o azo, uSa, wo do BMJsggsg h m g md d sd s bs.

Apartnershipbetweenpatientandpractitioner.

Considerationofall factors that inuencehealth,wellness anddisease,dg bod, md d s.

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A philosophy that neither rejects conventional medicine nor accepts md .

Recognitionthatgoodmedicineshouldbebasedingoodscience,inquiryd d o o w dgms.

Useofnatural,lessinvasiveinterventionswheneverpossible.

Practitionersasmodelsofhealthandhealingcommittedtotheprocessofs xoo d s dom.

ths s sm o wh G d M sd od. th s o hhh; w s d g om hg. ig md sdsbd b adw W s dmo mod g o dsd howo d hh .

c h mo h o hdd ogms o gmd uSa. a -hg msso sm mjo g hos Mh wh mo h gh hosd mos - Mmo So Kgc c ss th ig Md S Mmo SoKg c c ws sbshd 1999 o omm msmmd d ddss h moo, so d s ds o s dms. We are waiting or a similar statement rom the hospital here because thisis very much what is being done here.

l m ow q o wh bd hos Swd d hvd c wh i m hd o sh. i s hogh d dgh h, d s g md wh oomd og wh os s o hs dd. H oomd s bg do wh d doos, ss, hsohss bh obo s wh os o h, modg, dh, ms, sog, d mssg d s h. th mk omhsm o h , h o h oh d h od hgh

h oo ogh wh hs s o mods. th smhoss oh os so h do hs. ths s o- o doogd hos, whh szs m d , d somb-o sdoms.

l m ow mo o o h s sd d show how sh bo omos b wh oms o hgg hh so. posso Mk Wms, s osso pshoog Oxod us d ws so om s egd. H odd wo domzd s (rct)

o mdss bsd og h (MBct) h uK o sd o ooom m, dsso s , s wh s dsso wh h w sbjd o m s s (tau) o tau ddowh MBct. Wh h omd tau+ MBct o tau o h sd ss

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dd h h s dsso ws b h, wh MBct wss! th no hh ssssm bod uK, nice, ws od bhs sh o hg h m gds uK o s dsso od MBct.

th bo sd s osdg xm o g h rct mhodoog.l m so o o som o h wksss o hs s o sh dgms.W kow h s mo d h h oozd md dh qsob good o hgs. B h obm s h moso m o hk h h h soo o hg. l m bob sg h obm d h dox, whh s sd hoowg sd.

l s osd domzd bg odd o woms, m X d m y, o owg bood ss.

tm X ss h ows Bp wh o 70% omsgo 10% s sg d 60% bo oo. Whs m yhs o g o 55% wh 20% s sg d bo

o 35%. i o w ms o hh o o whh hwod o b o o o? nom mos hh hoog ssssmbods w ommd hs o m y bs hs w h ssg omd o m X. O h oh hd s osd

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doo o wh h doo gs h h ho ohoos bw h wo ms. tm X hs sg hgh oss o 70% b s so g hgh o-s ddo s hgs whh b hzd b oh, mh, s, m,

oo, h, s, . tm y s mo o hd o hoogh wod wok s o hs os. So o s h omx hd b h dox osg dmm o dso mks.. Mos owh i m sd , sh s, s, oo, ms, oh, mg o h bo. th hg h s how do w od good do dso mks o mk h gh ho.

i sh so w sggs h w mo om xs hhd d bsd mhods o ombd o mxd sh mhods ogzg

h h h o bs mhods ws. th sh mhodoog ob dod shod b ddd zg h obm d o oh qsos osd somms rct m b h bs, somms oh, ms -dh q o w od b h bs shmhod. as mod h BMJ do o how o os h d g g md s mo h w shod b md h omhods shod b osdd wh g omx os.

M go Kosk is s wokg o s g sh ojs:

TowardsintegrativemedicineinprimaryandemergencycareinSweden.

Mindfulnessbasedhospitalandcommunitymanagementofdepression.

Bridginggapsbetweenpublicandtraditionalhealthcaresectorstestingamod o mo q o Sti/Hiv/aiDS sb-sh a.

l m bf s h hghghs o h s oj whh s mo dsbd h bshd h Bsh Hh Ss rsh jo J 2007 d towds mod o g md Swdsh m.

a g md mod ws dod wh h sgods od sh go d k om mgs wh mskhods dg g os, ct ods, md sss,m dmsos d o o ss. D oodd mg os whh w d bk wh h sh go dsd s ogog wokg doms. D ss ws md b mmso/sso d sh go osss. rss w gosd wh

b hh ssms mwok o ss, osss d ooms.

Wh w h s wh ho bk d h om o hm hh h g m s s - oo md

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W bshd h ss o gm domsd whh w dd o om o bo, b w omd o m s s(oo md m) d w hd hs s bk box mod. W hso m d mods g h s mossb o s

d od whh o h, s , s b h s Q Gog.W wd h sw o h qso Dos wok? ad o ss How woks? ths od b ddssd s hogh sh.

th ss s xd showd h h sd ws dowd o od ss sg d bw h gos. How o o oSF36 doms showd d d o . th ws sog d o show h g md obd o sss o so o o-so gss s omd o oo

md .th s o hs sh sd ws o o hm, h q

qsos d h ooms w hd om hs sh, b ddo w ddos go dsssos wh h s h d g d whh s h d oo md m o h ho bk. H d so mgd. Fom mjo o h s wh o-s bk d k w h h o o g so s h ombo o x md dgoss wh mowg sh sgs. th s w h wh g , h hd o

s hg k hs bo d h w dsg s h h wod k os mo o hs o h Swdsh hh so.

i oso hs sh sd dmosd h ws ossb odo g mod wh h Swdsh b hh ssm.th s o b hgh dm s hs o sh. O sdshowd h o mod o g s s s s oomd ; s o wos d hs s o b sgh b. th sss d d s o dgs g . th q ss show h

ws o, mowg d obd o wh s hoghws x .

a o hs ws do b ombg hh ssms sh, h moss, how o do wh q d q sh. thss s o h mo, s BMJ dos, o h d o omb mhodso do js owds ddssg s ds, s s bg do hosk hs h d o o dm o bomg k hs. W ho o dh wh hs o sd d mbk o g hg sohs hos md. th hkg bhd hs bg h sh ojshogho h wod whh show, o o show, h g md s good d d hb h o m.

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P prai Q&A si:

Q. Wh bo g o s d doos?

A. ig sh s hoh, mssg d oh odd o h

s o bo 140 mos h mg wd Kosk hos.th wok s sss wh hgh bssm d 11% sk od.B g ws sd h ws dm mom. Bohomd ss d h hsss o g mdd h bs d sd o sd s om oh dms sw s s o h mg wd.

Q. c mds o o ojo wh ohmds?

A. a Kosk w h oss o sdg d mhods oodg g d o ssg d s o o dmods. Wh s o oh s o odd hhoss s go o d g hs x os. ths s mod o g wh h s om m om h hosdoos d ddo h so os o som om o s om osd. ths s h mod w sdg dh hs mod o h d s o hs ks, , s bg d.

Q. Q om D. Mh Ko o h sss g o h bsss modoowd h Ws. Wh s bb? Bs s w o m oo omm hs. H s x os m boms m b o o h w-o-do h hss o h osgogm h hs hos. How do o ho h wodso wh s om o h ?

A. ths s so mo o ow om os bs o h sss oos ss. to s o s o odg ommh w h o o k wh s bg do h o swh h hss so h h sho m s o hog m. M so oo s h s hgs, mowm ds mk s s hh ss.

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81

woRk Is woRsHIP

DR. joe PhaneUfCHiefof mediCal staff eduCation, CommuniCation Consultant,

dermatologist, Kaiserpermanente, union City, Ca. usa

ths s wod m o s o f o wh s h mg o . Wh w h? Swm hs gh s h w h o z h m .th m s h w d d h o d hg

od s s d. rzg d xg hs w bg o o s wh h o, d s h h ds. W owdsd h s o o s s s o God. ths hg o Swmhs somd h w i d o s. Kowg h God sds h d , i h bom mh mo hmb, d h mh mo d s o m s. ths m o so hs m ok o m s wh o d omsso.

Wh w mmb h w sg God who sdd h , w

z h w ms d h hghs q hh o o o s,s h oo, who o od md ss, d s Swm ss:

There are numerous people who cannot aord the cost o medical treatment.Doctors should render ree treatment to such persons.

i s mo obgo o who d hh . Hh s bhgh o o d o m o hos who od o o hsss.

i odg d hh h go shod o b md o js gh ss b shod so os o md. i so g wh ossks h w ms od hos hh , whh ogzs h fso h md, bod d s o hh o h dd. i m g o wok o g ogzo b h m o Ks pm h so ogzs hmo o g h md, bod d s o o s.

i hd h good o o m S Bb 1986 d h b wokg hs G Hos ph s oxm 1998.S h m,

i h b wokg o 10-14 d od h d mk 2-3 s h. i s o o oo o d s o h oo, b so qg x o wok wh so m ddd hss om odh wod.


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i h uSa, whh hs oo o od 300 mo, h bo46 mo o who o ss hh bs h do o h mds. Bg w o Swms b mod o hh id i sog g o h hos d o md m ow o. ths

d ws shd b m o m ds d ogs d so w ddd o s md . th ashd F Md c s od ooghbohood S lozo, co, d hs hs b ooo h s s.

Fdg o hs hs om who b soo o dsoowg h gds o h S Sh S Ogzo. Swm hs sd hmo w om o so good wok h s s m o h hos dd s do wh os. a ss o ms, dobd bb

o Swm, h od wh mo hs ws b odd o sohs . Js bo w od h , o gom os odd$10,000 o h s s hs . th od m h $100,000 hd msosd h bk o. th o dd o kow how goh! th mmd hogh bo o d ddd o s som ohs mo o h so o . M oh q mzg ms hod gds o mo omg o o o h o xss.W kow o hs h s God who s odg hg w d o hs .

ths s o Sd d ods m ss dso dmoog s . S og o J 8, 2005 w h hdo 400 os wokg h , d h bo 50 os. th s w ogzd h omm d hs b h o s wds o omm s.

comg bk o h o hm, i b h S id Hh c mo ooms o h oowg sos. i w od hghq hh , o s wh o, omsso d s, ds o hm , wh s h s? W g h s d h so s . Wh o s s s d kow h w bohm, h mh mo k o oow o ds gdg h hh .ad w kow h wh om mos, w g b ooms. How, s o js mds d mod om h hs.to qo Swm:

I must point out to the doctors serving here that perhaps even more than thedrugs they prescribe, the sweet, sot words they speak and the love and sympathy they

evince can cure better and quicker the illnesses o their patients.

Medicines on their own cannot cure disease, it is Divine Grace that cures. Onlysacrice can win Gods Grace.

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H s o js good d mod om h ms.i s so h ow o o d D G h s sosb o b ooms.

i wok o Ks pm, whh s g hh ogzo hods md s ss h uSa. i co o, h o oxm mo s. a mb o s go h dod ogm d h Fo Hbs aoh to e ccommo bs h zd h good ommo s so mowh w g o o s. th 4 hbs :

InvestinthebeginningDemonstrateempathyElicitthepatientsperspective

Investintheend

cod, hs mod o ommo s sh wh Swmshgs o ommo. as commos os Kspm i d wokshos d do dd ohg wh doos oh hm mo h ommo. i so os o mog m owommo wh s d s h o oom o mom.i hs wok i d h Swms hg d s gdso good ommo wh o s. Fo xm, o o m o

qos om Swm, whh hs wh 3 o h 4 Hbs, s Fs udsdg,th adjsm. aoh hg o Swm h s h ommo wh o s s yo co aws Obg, B yo c aws Sk Obgg. i s Swms qoos s o d hwod o hs Ks pm mod s h so w so s oh whh s sm o Swms ed mhod o hg. Fo s Swms ed mod sd hg hm s o hd, Swmmds s h Hm vs o s d s h d o hh o h bg o hs Hm vs hd. th h dos hs

b hs o h ow xm h w h d h s, d so b oggh hd o s o h ow gd whh s h os, oh hm bg o h 5 Hm s o lo, p, th, rgh aod no vo. ths oh s oowd h ommowokshos w od s ommo oss. W kow h ohs h kowdg o wh s h gh hg o do d wh s hgh hg o s o o s wh w omm wh hm. W m hdod som bd hbs og h w, b wh w h h doos fo d os d how h mo h ommo, s mzg o s how h b o o h kowdg d go h bs w o omm wh s. th g h ooo hs good ommo hqs wh h ow doos, d

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somms w s osso os o h s o ommohqs.

to ssss h ooms o hs wokshos d ohg sssos w ms sso sos. e doo s h so ssoso w h o h hm moo how h dog gds o hommo d h h od o h s. W h od hsommo wokshos d dd ohg sssos o b gds o mog sso wh h h om hdoos.

l s s wh h s o h 4 hbs mod o ommo,whh s o is h bgg.Swm mhszs h w shod smd wm g o s. i ddo, w shod g h sm wmwom o h gs, sos, o ghbo who omd hm,kowdgg h o. W h s d g o dddo. i do kow bo oh os, b h uSa, doos h d o wh w sods (gh sods s h g)wh h o g s sg somhg. th s o ogh m. tooow Swms d o Fs dsdg d h djsm, w d os d g h o d ddd o. ths s mjo s o h s hb whh is h Bgg.

aoh s o is h Bgg s o h s. O mss sk o hgs h o good o hm d whh hmhm. O h m h mo obms h w hd o o s.How do w hd sh sos? W oow Swms d,whh s:

You cannot always oblige but you can always speak obligingly.

Treat them as your own kith and kin to make the patients comortable.

Give your patients the capsule o love, that will help them heal aster and speedtheir progress. While examining the patients you should have smiling aces and talk tothe patients sweetly. Doctors should inuse courage in the patients and speak soothinglyradiating compassion and love.

to show h hss s ogos, sd bshd h Bsh MdJo s sd h omg sd show bow. i shows h d g wh m w b d b o sm d hss whhs .

So w w o s o b h w shod b h oss, djs o smg dmo som h w h s ss o, d hshs o g h s s.

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th sod hb w d o do ommo s o Dmos

emh. G umsh h so cosg h Sai W somod h mo o dmosg mh wh o s. thFo Hb aoh to e c commo d cosgth S W boh g mhss o h mo o dmosgmh. B dmosg mh, w o s kow h w d bo hm, d h so m ws o do hs. O o h ws s b,s wh somo dsbs h m h xg, w sodb sg how d ms b o o d how so w oh bo . B mo mo h o wods s h o o o o

d o bod os. Mos o s kow h mjo o ommo s o-b. i ommg wh o s s h o o o o, o bodos, hodg h hd, o g hd o h shod, whh showsw . th s sg h s do how mh w kow, hkow how mh w . So showg h w s mo! Fs wh o g h od, d h h mo k o s o s, d mo k o oow o d. Swm ss h sm hg:

Ater winning the condence and love o the people (patients) then advise them

on good ood habits and other means o maintaining health.M ms s hss w w o b d w g gh o h

o b mg h hgs h h o do. How, s Swm dss,

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s b o s mk h o h o d g h o d s.e h s s.ths s h hd hb o b oowd h4 hbs oh wh ommg wh s. Swms d oFirstunderstanding, then adjustments mh d h so. W w o kow

wh do h hk s gog o? Wh h o? How s h ssg h s? a h hgs gog o hom o h m h wshod kow bo? Js kowdgg h sg b hg b s.

th oh hb s is h d. ths s dm bo whhh hs dsood h doo hs sd. How m o s hk who s o mk s h h dsood h dgoss d m? rh h sk Do o dsd? s b o sk hm o bk how h gog o k h mdo d o how og. ths s h

bs w o hk o s h hs dsood o sos. i w jssk Do o dsd? mos o oo mbssd o dm h dodsd d mk shk h hd o d h dsd b hdo dsd, o h hk h h dsood b h!

th o w o s h h hs dsood h doo s o s h bk hq. a og od b s sm s skg h ,c o s m how o gog o k o mdo? th ws. rmmb Swms wods First understanding, then adjustment.ths

sm woks boh dos. a h s o h s w sd o h o mk s w dsood h obm, d h d o hs, w w o mk s h dsds wh w h od hm. thdoo hs o mk s h hs dsood h sos, d h ow o d o s o s h bk hq d d o h hsdsood h sos. th h hs o dsood, h doo og x g.

W so w o s h hs h qsos o os. is

h o o o h m w h ommdd ? M msw ommd wh o o od, o som hg h s o ,om h s s. W hm kow w h o k ohm h d wh o x om h m. W so oow wh oh wds o s how h dog. po o wh w hm hom d sk hm how h dog? is h m wokg, oh ds h b od? i som os, g s hom o hk o h ogss m o b o o ohss, b s woh osdg wh s dob.

id h rhb ogm h do Swms hos, wh hoow wh d ss h s o g wh o doos s jswod.

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Wh h ss o oowg h 4 hbs mod? pg h 4Hbs ss mod sso, mod om,d mom h s hh. W ws d o mmb hmom h s hh w so om bo wh w o

s wh o d omsso d h d doo boh oGods G.

Mog o o md, Swm hs g s so mh d o hs. H hs sd: Food and recreational habits are the two main causes orill health.How o do w sd m kg o o s bo md? Swm hs sd: Hurry, Worry and Curry (atty ood) are the main causeso heart disease.H d wo h o do wh h sss h w s ws o s h o s. ths h m bos h go o

o mds h s dss. c s o o ood b hhood. So h s qm s o oo h ood d h md. Wh wh o s o oo hs, h mjo d os m oh hh o o s. th s wh i m so mssd wh h Sai sosg mod bs ddsss sh w h bos oh md. ths s somhg whh sd h hos, b hssm hq od h h d m sg.

Swm hs s xd how mo s o m m

hh js s w m bod hh. H ss Just as exercise is necessary or thewell-being o the physical body, so also pure (positive) eelings (thoughts), good company,and good deeds are necessary or regulating the nature o the mind, contributing tonourishment and well being o the mind.

i s ho mo h w h o s s Swmhs sd h gs dss s h bs o . ad wh h md gs, h bod w so h hh. Gg o s h s o o sso mo h hg oss.

Love is the basis or all other values. Doctors can inuse courage in patients bythe love they show towards the patients. Give patients the capsule o love.

i o d bohs d sss, od i hd h h o obsh Sai s osg wh wo osos. i o h h moo h hos ws b. i h s o xdhg k hs. th h i ws b o m ws js db.a h d o o osg ssso, h shook m hd, d h wsjs dg o. i i w sg om ss, i wod h b d

mmd! i ws bb; h ws js dg o. ths hoss k o oh, d w od o h wod, h wod bwod. th k o hs hos s h o, omsso, d h s oo h h g o s.

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th osos oh h s so sm o som o h ohs sd h uSa d somms d Bho Md. th mjo ds h hs hos h oso shows h wh o, d umshd G ro mk s h h osos dg o bo h

d o do hs wok.

W Sai S cosg wok osd o hs hos? i m ooh sw s bso s! as m o w d hs o h wod.i h uSa d m oh os somhg h s os o hs s d . i s d b d ms bho md, md-bodmd, shoh, xo sos, . W g oh xms Mdo, yog, t ch, . How w d o mmb h whhq w s, w h o s wh o, bs dog o hs hgs

who o w mk ss .a h ashd F Md c co, w h js bg

ogm h s sm o S S cosg. a o o osos wsd bs h m wh hs wok, d h so ddswho dg o d ho qd o do hs wok.

i md w w h som smoms og ommd ss, sh dsod o moo dsss. a o o m hss kow h smoms o sss d sss (Sri). th

m, g, xd smoms wh sg dsooo ohs dgs. th o omos sgs o smoms (o d fgs). th sos o sdd md m. th so ssod whmood hgs, dsso, x d g. How ommo s hs? abo s go i d h Swm sd h 80% o s h m s oss ss om h bos o h md h sss sos. a h m i h 80% ws oo hgh g. B h i hogh, Swm ss so msb . M mohs i dd md o. i bg sm

omg o m wh h showd sd, whh dd h 80% o s h m sss s sg o h dss. So s bgoo x s Swm hs od s.

ths s so oobod ss o nwswk mgz whh show h o g md bod md d h z hm bos dm h os o som dsss, h os o md h o om mos. Moo o d sd ddssg m sss d so h s. How h o sgh h do b oo md, b h wod k o dd hs o h o oo md.

a sg s h s o js o who g o s so od og osh. a sg sd bshd b e.Fdm

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pb Hh ros 1980 showd h h oowg h k, ows h o-h h o h k. W od mhbo odo o om ms!

th s so d o show h wh o h ohs h hhmss hs hm h. asm dos mk d. cogwh d g o somo o somhg om os s o hhh d s. l m o o ss o s h hgow o sm.

a d o m hd os h hsbd s mohs go, d s s o hs, sh ws dssd d o. i sggsd o h hsh osd og h o hos. ths wod g h h og o o h hos d do somhg o ds h md. Sh gd o g . i m h g s mohs d sw hss w oh . Wh mhg hss h o, sh sd h og i hdsggsd hd d h od om, d sh ws mos bk oom. Sh ws gg o sg ds d sh ws b o d whh oss o h hsbd. Sh ws s og d os o h ohs.

th oh s s o i hd bo om good d gdg d doo who hd s h obm wh ow jo o.H wod g d ho o wo o wok. H sd wokg s odoo md m. Gd h od h od wok o h oo hos d soo h ws wokg sh. a w mohs whh w o hs doo o o hk hs h o ws om! Soms h wh o h ohs. no o ws o hs so who ws hg ohs, b ow h so h so mohs.

th s sh o show h gd so mos hh. yo gd ssm w s show b emmos J ps Sopsh, 84;377,2003. Mk d s o hgs o g d hko. comm g d x o ohs wh o g o(p psg). Mk s o hgs o k o gd.

Gd d ogss wo bs h g o o hss.aodg o D. So abmso, th s o hss s d, d hs o d s gd. W shod ws mmb h good h ohsh do o s d xss o gd. W shod og d og hwog d h hm ohs h do o s. Sh hs hh wh os.

Swm hs so sd: th s o hss s o dog wh o ks,b k wh o hs o do.

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Wh mks oms? Omss sk o, mmb d x osxs. Omss o b s mmbg m h oss om h s. v mo h os o h s. as osqomss jo b hh.

as Swm hs gh s hoghs ow, d os hoghssh s o boh s d md. ths ms hwh w sg s, s o o o o h hs wh h hgoss, b w shod h h do os d d s hgshogh h s o o.

e o g hoghs sh s x, , so, g, . o hoh hd s hh. Hbog sh hoghs wh kgo ood o hh. O mds shod b wh w . v

o w s o h o gg, ghg o whg o o tv whhg m hs s h wos hg o do d gs h oshm hood s sosd o od. e o hoss, h uSa, wh o gos ob d d hd, s o wk b h wds o obs s whgogms o tv wh g. i s ho mo h w sh hsomo wh o s. W shod so sss o o s hb s o sg bo m.

ag s g hogh h ds o b ood d h s

ws o do hs. Do nmsm (g h m o God), dow bdq, dk som od w, o go o wk. i ohg woks, k ook o h mo wh o g, o w so dsgsd h g sg bk o, h o s ghg d o g w sh!

W o k bo s who kg bo . Swmmos h g w d w g sgh d og owhsd ss. H so mos h md o o hg; s D G hogh h s d hs, whh s hmbg

hogh o s doos. H s m b od h h o dg ddo o kg h sbd md.

i smm, wh Swm hs gh m, s S o M s S oGod, d wh w do hs d, o Wok s somd o Woshhb bgg db jo o o s. Wh w s wh od omsso, h mh mo k o s o o ds d oow oommdos. Js s mo, wh w g o s h s oo, ods hm wh g omo d sds h hg o h md,bod d s.

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91

mInd Body medIcIneIn tHe UnIted stAtes:

A mAyo clInIc PeRsPectIVe

DR. KaVitaPRasaDdepartmentof internal mediCine, mayo CliniC, roCHester, mn, usa.

tods k gs g s o md bod md h ud

Ss, s wh w hg o s h Mo c. thno iss o Hh, whh s h mjo sh dg bod hud Ss, ds md-bod md s o hqs dsgd oh h mds o f bod smoms. i ws ss s oo o so gowh d somo d hh odss gds d ss hs oss. commo md-bod hqs h d d o h oowg: mdo, d bhg, og, hoss,gdd mg, ogss xo d s d . Wh w h o md bod dm s m s d mdo o o h

md bod hqs sd.th s o s odd s h ud Ss

kow s h nHiS o no Hh iw S s odd 2007.i showd 2002 h 36% o h d oo ws sg som om oomm md d hs mb sd o 38% 2007. O o h omm d md o caM mods, ods, d bhg d mdo h o h bg sd h u.S.Bw 2002 d 2007, o mods h sd s: d bhg,

mdo, mssg d og. th mos ommo sos wh o somm hs s o sdoms, s bk , k d jo s.

i am, hh s o d s o o ok o hhh . $2.2 o dos ws s o h hh ds 2009.$33.9 bo ws s o o ok b s o s o ommmd hs.

th niH ods sh dg o mos o h sos hogho

h uS d s s h o md bod md hs sd. thno c o comm d a Md, o nccaM, o h niH, h x s w s s dg o sh h o md bod md. th h d g mhss o


98/156

md bod ohs h b s dssmd o h oo g.Bw 2006 d 2008, h hs b mo h dobg o h mo osh sds h dd h o md bod md. a mjomd sos h uS dog caM dms. Mo so hs

caM dm o h s w s d hos o o md bodmd , h Md Bod Md i, o MMBi h x 1-5s. th so s o do, s d dssm o o d md bod ohs o dsg sss, mo og d hs d w bg o s w sg rohs d h ho sso owd.

Mo c hs h shds; h s s o h sod so sh d h hd o do. Fo , w ho o h

h q o md b og md bod hqs, d gg og wh msm md, zg h oo md o ssho ddssg h s d moo ds o h s. Wh gdso do, w hog om x o h md bod oso md sds s oos o ds sss, x d d h hs hqs o s. W sg o s md bod hs sdod b D. am Sood sh sds m o o dms.th MMBi w h h omos: o o o, og d so xo g ogm o d bhg mdo

ogm.

(Sd os D. am Sood)

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as i mod os, oo md o s sho ddssg h moo d s ds o o s, d hs s moo m o h s w sg wh ho dsss. M s is d om md sbss m wh d h go

hogh oo h, b g sg d hd do ohmoh, h s s somhg kg md whh h s skg. us s d o sm s whh mboos h mm ssm o oog . uo, h o s hw ds, b o os s o g h hkg.

W ogz sss s mjo o h dom o dss.nowd, h ss so f hs d s h w odd oo Mo c s showd h h s hgh o sss d bo

hss s w. th g m o sss o o od, d w bg s w s o o hh s w domd. th ds md bod ogms h uS d h cs o Md Bod Mdb D. Jms Godo d h Mdss Bsd Sss rdo pogm bD. Jo Kb Z o m ogog sh sds whh hshow os ss. Ds h o o m o hs, h oo m o hs md bod hs s md d obb, hs s d oxs, m ommm d k o wdsd b. M o hhqs zd d h ms s o whh

s b o oo o h d s.

Sss s o s h d. W h sssos d oos wokg oo bods s w s h gh ow. Somhg oms og d dss s,whh s ss o . W d o h bs w w do s wh w m bom dso. M o s o m h w wh dsso. a w o g b, b o bk o h wh w . Som k o b o g bk o h wh w og, b h s o sm mb. a oh go o o s

ow bg ogzd s go o s o d h k h hs o hm wh os s o -h mo oms. thb hgh ow gdg h whh o God o g o o. W x o s h w d b s w ook dso s oo o . Mos s h h hdo s so o d o oo. i w ook bk , h m ww bo o, h s w w g, h bohs d sss w h, hhd h w bo hogh s, o hh, h hh-h bg hgs od o oo. y, h hgs w so mo -w owh sss o g o s.

th moos h w g o so wo o , h d o h moo o o b o hms, d om h, h

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sg gs smd o o mgd o wo o h b. ths sso oo h b d ss h s o d d od, hsmh homos, o h gh d fgh sos wh w o hsg d o bood ss gog . i so ss h s o sods om

js bo o kds whh ss o bood sg. O hs oo s d o b, w d sg h mb oo whh s oo oo.How, ow h h s o s m o o s, 90% o s wkod sg hs mb oo g w sssd s.

W d o s how o so sg h mb oo, hows d h s o hs hm homos. W kow h s osom o hs homos, b w do o kow h og m s o sss. tho ox s h hgh o o b, h o hkg o

o b. uo b og g b oh ss o o. th goodws s h b sg o h b, w -gow os h o o b whh s sd. i w b o h o ox,h hgh hkg o h b, w sd sgs bk o o mgd dh d h s o h hm homos o bod. Mos o h mwh w hkg w h wog bo h s o , boh owhh o d o oo, o w h b b o og, o wwo bo h bo wh mgh s. W sd m h s mom d Swm ssss h mo o bg h s

mom. ths s h o m h w b h.

(Sd os D. am Sood)

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O o h ws o h o ox s b bg md. isb hs xs o m s o do 3 ms d o 5 ms d d ishow hm o fow d sk hm o dsb . Bg md msdsbg h fow x s w s who ssg jdgm. th k

o s h w d g s o o h hoghs d o h wod.

W h o mmb h x s q d w o ho o m. th moo h ws s s gh w o b h smmoo ogh, w o hoghs w w mss h. Mdss sds ow hs b show o h o ox. W so h h o ogss bs hs hs so b show o h oox. M o ms ogss. i o w xss ds ojss h h wog ws do o s. Wh ows s o do s o g d o

h g moos whh hm o s, h gs o g, smd hd. W h w do o og somo d hod oo gdg,w h shd hm. ths ods s wh shoog omo zo. is k bk ho, o h og w b o og somo, h mos b d h og d d h h gs gd ob. th o so w h h oss s oss, so wh w x sh ogss s oss. yo og bs o w o h; oog bs o w o hgh moo . Bs ogssos g g moos wh o d omsso ks og

m o do d somms hs m k m s o omsh.

th hd hg h s h o ox s . Whd wh mjo ss w sh oss s o wh w dd wog. i w b o h wh hs hs o so sommswhh w m om dsd hs m, w b o h hgh o o b. Hg sog mg so s ho ox. i s s qso h o h os bskd. Fo mos o mg s odd b h hs ,

h sos, m o ds. th bgg h mg xdg wom oss o o h omm d h o h, h mo ho ox s d. i s good o o s o wod k o bmmbd o o ob. Wh d wh mjo ss s good m osk hs qso d dd w do o o do os. th goodws s h b sg h o ox hs ws w s boms b w g omo.

a hg s mdss o bo wo mohs, w h s

d bhg xo ogm, mdo ogm o DvD. ths hss hg h hgh s - h s o so. th mdo sogs ss o . i og m mdos, hs b show h boms dd o ds s oo sbjs, b sd wh

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h o mdo, so h s mo so wh o s shodmd. a oms o mdo h o o o b dsom sh s sggsg h h s o o b h dos azhms dss s h o o o b. W do o o

hgs og ogh. i w s o o o objs o w mosods, w mo o og m hh.

M ms wh sg s wh o ss w d hh hs bod s d b dss h md s s d dos o g. th s hd o s, h m o so. O hs bod hgsom hdhood, o oh o mdd g d od g. y h s o s hw h wod om sd o h hgs. th s o hgh s o m- h hgg o s d h s o o d kdss d o goodss.

th s wh w shod ho h h o hs bs h w ws g s sg d .

i w oss s o o o ook o s whomsso, , o d ogss, o bg h bggs q-i mk h o wh o o mh d. nom whw ook om sbosos w ook o s whh h gs h o s, d h w ook h hs hss-do wk h ook o h so, h w s jdgm. Wh w d h sh w shod sd w mo sods g o o h so o ommg wh d d sd o o h so. thogh o sd sm o omm hs. Fom g hm h w h s w d h w w ; om og hm odo dom ogg hm bs w og o d bss o h msks wmk who kowg hm, w ho h s h b.rmmb h xsso oh h o s o h. to d h h s h w h hgs whh Swm hs: Past ispast-orget the past, uture is uncertain present is present it is omnipresent.

Bo omg h, h hogh o h d i m oss smmzsh hgs i h dsbd od. ths sh smmzs hgh w h. Know that God is goal o man. Direct all attention to that goal.Control the mind that wanders away rom it. This is the teaching o all the scriptures.Be bound to the atma in you, take reuge in it. Meditate on it withoutinterruption.

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P Prai Q&A:

Q. How shod o md s h md ds o wd?

A. a Mo w h h s o b h s mom. W sk hm o

os h o o fow d o hs xs o 6-8 wks whh s mh s o md. Wh mdg hoghs w som b h o o b sssd, hm om d go. th oos o o ho o.

Q. How do w ssss h om o h caM o?

A. a Mo so oh s k wh mhods dod oh b shd. addo h s -hos g ogm oh os.

Q. Wh bo h sss os k uSa d wh s hg Mo?

A. th HMOs uSa who g o s mo h moo omm caM. B wh h mhss s o bg o bh h s o moo o sh sos o do caM.

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98

sPIRItUAl sUPPoRt RedUces tHeBURden oF cARdIAc Illness

DR. sheKaRRaoseniorConsultant pediatriC CardiaC surgeon,

narayanaHrudayalaya, Bangalore.

i wod k o xss m ds gd o Bhgw o hg owdm o b o Hs msso s h 1994 d hogh h mdm od sg x hs wh md b s bs d wh shod b d . i hs hd m d i hk i h gd moh i h g. Swm hs sd wh s o do, do o o momhk h o dog hg o sombod. e s ooo o, o mh o sks (o sk), o o wbg (o kh),sb o o sgh (o shk) o do o h (o bhkh) dm o o bo (o mkh). So do o sdh (h wok) wd h oss mmb h o so gg. So hs w s s

wg, ws h bk o os md wh o ds o b d wb o hms.

M m os od w b o o bhod d x, hoghh s o d sgo, h b o Swms hos d wh dos oo. a hos wh h s d o md s s wod bs, homo so sbm, ommd b h Sai ssm o cosg whhhs ddd h mssg dmso o wh ds o b os m so hoog. a w gmss bsd o m x s wh i w o

o, b o mk h k om i w d b w obsoswhh i hk bsd o som kd o s s s.

th o m so, Spiritual support reduces the burden ofcardiac illness, hs b hos o show how s sghs boh dooss w s s, who m om mos s mo h d

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