By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Adravyabhuta Chikitsa contains all these therapies whereby no drug or pharmacological strategy is concerned. A = no, Dravyabhuta = drug / pharmacological dependent, Chikitsa = therapy. So, adravyabhuta chikitsa means ‘non-drug or non-pharmacological therapies / remedy’. These therapies could also be in numerous kinds –
- Bodily actions
- Psychological / psychological actions
- Religious actions
- Non secular actions and so on
Adravyabhuta Chikitsa is complementing remedy in some ailments however will also be a mainstay strategy or part of it in some situations. Instance – Aside from medicines and dietetic regimens, historical treatises have advocated and in addition emphasised fixed indulgence in bodily actions and workout routines, as in santarpanottha rogas i.e. ailments brought about as a result of over-nutrition like in prameha (diabetes), sthaulya (weight problems) and so on.
Learn – Chikitsa: Therapy Sorts, Ayurvedic classification
Can we deal with the ailments with out medicines?
Completely sure. It’s stated that something – a cloth or non-material is skillfully chosen, can be utilized to deal with the ailments and something which might accomplish that would fall beneath the purview of an efficient remedy / therapy.
It’s not that every one that’s ‘non pharmacological’ can deal with ‘all ailments’. It’s selective and contains ability and expertise to implement the identical in remedy. Some ‘non-drugs’ can remedy some ailments for which they’re designed and so they will not be appropriate to deal with the opposite ailments or to deal with the identical illness in another individual. So, adravyabhuta chikitsa can be a ‘personalised medication’, like ‘what fits you doesn’t go well with me!’.
How does it work?
How does one thing which is a non-drug could be thought-about as a remedy?
As per the definition of drugs, something which brings in regards to the stability (samyavastha) of the dhatus ought to be thought-about as chikitsa i.e. therapy or remedy. If one thing which isn’t a drugs can obtain this goal, we are able to undoubtedly name it a drugs.
Components of complete therapy – In every illness, when the therapy procedures are defined, Ayurveda has all the time comprehensively centered on proper sort of aushadha i.e. medicines, ahara (weight loss plan) and viharas (life-style/conduct). Viharas are non-pharmacological interventions. Amongst synonyms of drugs – Pathya (that which is healthful for the channels of transportation within the physique), Prayaschitta (atonement) and Hita (useful) are the synonyms of bheshaja (medication). All these are non-drug kinds which outline therapy. These synonyms spotlight the significance of non-pharmacological remedy. Pathya additionally contains weight loss plan laws that are within the type of substance, however these that are formless and serve the aim of pathya shall be included on this dialogue.
Learn – Significance Of Weight loss plan (Pathya) For Particular Ailments
The physicians ought to discover this technique of therapy since it’s also cost-effective and really important many instances. Adravyabhoota and Dravyabhuta Chikitsa shall be skillfully mixed in order to obtain most advantages in healing and preventive features of the therapy. It may be used alone or together in therapy of each bodily and psychological issues and thus would cowl a broad spectrum. Meditation, Yoga and Marma therapies additionally fall beneath the umbrella of adravyabhuta chikitsa.
Learn – Well being Advantages Of Yoga: Thoughts And Physique
Likewise the energies derived from Solar, Water and Air and different components of nature have been used for therapeutic functions within the historical days. The forces of nature have been additionally thought-about as Gods and have been worshipped. Rituals like fireplace sacrifices, oblations and so on have been additionally achieved for creating therapeutic impression. They’re adopted even in the present day. They will also be included in daivavyapashraya chikitsa i.e. divine therapies however being non-medicinal are included in adravyabhuta chikitsa. Adravyabhuta Chikitsa in Nija Rogas (somatic ailments) – As already stated, these therapies are additionally included within the therapy of somatic issues, as in psychological issues. These therapies are talked about in each yuktivyapashraya chikitsa (rational remedy) and in addition daivavyapashraya chikitsa (divine therapies)
Learn – Daiva Vyapashraya Chikitsa – Divine Therapies of Ayurveda
For psychological issues
Adravyabhuta Chikitsa in Manasika Rogas (psychological issues) – Grasp Charaka has suggested the beneath talked about to be adopted within the therapy of psychological remedy –
- Gyana – religious information
- Vijyana – scriptural information
- Dhairya – nurturing persistence
- Smriti – evoking reminiscence
- Samadhi – meditation
All these fall within the territory of adravyabhuta chikitsa. It’s administered utilizing measures (upaya) that are formless (amurta) which incorporates the beneath talked about strategies –
- creating terror or worry (bhaya darshana)
- shocking / stunning (vismapana)
- making one to overlook (vismarana)
- inflicting agitation (kshobhana) or exhilaration (harshana)
- threatening to kill (vadha)
- tying up an individual (bandhana)
- inducing sleep (swapna)
- mild therapeutic massage / touching (samvahana) and so on
These measures are defined within the context of chapter coping with therapy of unmada (psychoses) and apasmara (reminiscence issues).
Adravyabhuta Chikitsa and Trividha Chikitsa
Trividha chikitsa i.e. threefold therapies are common methods utilized in Ayurveda to comprehensively deal with many bodily, psychological or psychosomatic issues. They’re –
- Daivavyapashraya Chikitsa – religious therapies
- Yuktivyapashraya Chikitsa – rational therapies (together with therapies, medicines, dietetic regime)
- Sattvavajaya Chikitsa – psychotherapy
Amongst these three codecs of therapy, divine therapies and psychotherapy are formless therapies and don’t use any substance for the aim of therapy. Subsequently most measures included in daivavyapashraya and sattvavajaya chikitsa fall beneath adravyabhuta chikitsa.
Learn – Psychological And Religious Advantages Of Fasting
Adravyabhuta Chikitsa and Chaturvidha Chikitsa
Grasp Sushruta has talked about 4 sorts of therapies, adopted to comprehensively deal with the ailments. They’re samshodhana – cleaning therapies, samshamana – palliative therapies, ahara –weight loss plan and achara – conduct and life-style modifications. Amongst these, achara shall be included in adravyabhuta chikitsa. Alternatively we are able to inform that many measures of adravyabhuta chikitsa fall beneath the umbrella of achara.
Learn – Achara Rasayana – Behavioral Remedy For Calm Thoughts And Lengthy Life
Adravyabhuta Chikitsa and a few types of Shamana
Shamana means palliative therapies therapies. The beneath talked about shamana measures shall be thought-about as adravyabhoota chikitsa since no substance is utilized in these types of therapy –
- Kshudha (nigraha) – controlling or pacifying the starvation (fasting)
- Trshna (nigraha) – controlling or pacifying thirst
- Vyayama – getting indulged in train
- Atapa – publicity to warmth of the solar
- Maruta – publicity to the wind
Learn – How To Do Fasting? A Step By Step Information For You
Adravyabhuta Chikitsa and Upashaya
Upashaya is like shamana. It’s administered with a hope of pacifying a illness, if it does, it’s continued and the identical upashaya turns into chikitsa i.e. therapy for that illness. If it doesn’t, the doctor would search for another strategy. If it aggravates the illness, it’s thought-about as anupashaya and the measure is discontinued. Upashaya is considered when a illness is just not correctly identified or when there are a lot of ailments and it’s troublesome to make an correct analysis. In a approach upashaya works on the logics of ‘trial and error technique’. It’s one among the many 5 diagnostic instruments nidana panchaka.
18 forms of upashaya have been defined in Ayurveda treatises. Three forms of strategies are used within the context of upashaya i.e. aushadha – medication, ahara – meals and vihara – actions. They might be both just like or antagonistic to the reason for the illness, illness or each. The permutations and mixtures make up for 18 forms of upashaya.
Amongst these viharaja upashayas associated to actions shall be thought-about beneath adravyabhuta chikitsa. They’re –
- Hetu viparita vihara – actions antagonistic to the causative components
- Vyadhi viparita vihara – actions antagonistic to the illness
- Hetu-Vyadhi viparita vihara – actions antagonistic to each trigger and the illness
- Hetu viparitarthakari vihara – actions just like the causative components
- Vyadhi viparitarthakaria vihara – actions just like the illness
- Hetu-Vyadhi viparitarthakari vihara – actions just like each trigger and the illness
Gist of Non-pharmacological Therapies extracted from Ayurveda classics
Adharaniya Vegas – Ayurveda enlists 13 physique reflexes which shouldn’t be forcibly withheld when the physique is making an attempt to specific them. If they’re suppressed they are going to result in many ailments. If they aren’t suppressed they might contribute in the direction of complete well being. Under talked about are these urges which shouldn’t be suppressed forcibly –
- Vata – fart and belch
- Vit – feces
- Mutra – urine
- Kshavathu – sneeze
- Trt – thirst
- Kshudha – starvation
- Nidra – sleep
- Kasa – cough
- Shrama shvasa – exertion dyspnea
- Jrmbha – yawning
- Ashru – tears
- Chardi – vomiting
- Retas – ejaculation
Right here no medication or substance is used for upkeep of well being. However it’s suggested to not withhold these naturally manifesting urges.
Learn – Do Not Suppress Physique Urges: Charak Samhita Sutrasthana seventh chapter
Equally there are some urges which ought to be managed and withheld. They’re primarily the psychological expressions / feelings. They’re –
Dinacharya / Rtucharyokta Vihara
Bodily actions suggested to be practiced on each day foundation within the context of dinacharya i.e. each day routine like strolling, train, waking up early within the morning and so on shall be thought-about as non-pharmacological therapies. Likewise the actions suggested to be achieved or practiced throughout every season within the context of rtucharya i.e. seasonal routine additionally must be thought-about.
Nidana Parivarjana – retaining away from the etiological components (causative components of a illness) Sadvrtta – observance of excellent conducts and noble deeds
Achara Rasayana – all these acts and deeds which might bestow the advantages of rasayana (rejuvenators, immune modulators, anti-ageing medicines)
Langhana – all forms of lightening therapies besides shodhana – cleaning therapies, deepana – digestive fireplace kindling medicines and therapies, and pachana – ama digesting medicines / therapies
Niragni sweda – all 10 sorts of sudation therapies whereby the contact of fireplace or warmth generated from the hearth usually are not used
Vyyama – train – helps in making the physique agency, steady and powerful, will increase endurance – other than many different advantages
Nidra – sleep – is alleged to be one of many upastambha i.e. supporting pillar for upkeep of well being in a complete approach, is therapeutic in emaciation sufferers
Brahmacharya – celibacy – is one more upastambha i.e. supporting pillar for upkeep of well being in a complete approach, helps in having stability of wholesome semen and sperms in males, it bestows longevity and can be thought-about as an vital pathway for salvation
Sankalpa – dedication or determination to get indulged in intercourse is alleged to be one of the best aphrodisiac Vajikarana Viharas – some actions, regimens and conducts are talked about to have aphrodisiac impact within the chapter of Vajikarana
Vidya – information / knowledge is alleged to be one of the best among the many brmhana – bulk promoter / promotes bodily and psychological nourishment
Vata, Pitta, Kapha hara Viharas – regimens / actions to stability / pacify vata, pitta and kapha Harsha – exhilaration is the foundation of cheer or delight
Prashama – tranquility is alleged to be one of the best among the many pathyas i.e. healthful regimes – these useful and conducive for the channels of the physique
Tattva Avabodha – understanding the fundamentals, reality and actuality is alleged to be one of the best among the many Harshana – these which promote happiness / bliss
Indriyajaya – management over one’s senses / self management is one of the best amongst these which promote delightfulness
Nivrutti – means freedom (from liabilities), that is thought-about to be one of the best amongst these which induce / bestow nourishment of the physique
Vayu – recent air is alleged to be one of the best amongst these which give important power – prana
Dhee, Dhairya, Atmadi Vijnanam – These are the threefold therapies most popular and extremely advocated as the primary line of strategy in the direction of dealing with psychological issues. That is the premise of psychotherapy in Ayurveda. Dhee means selling the mind of the individual, dhairya means putting in braveness within the minds of the affected person and atmadi vijnana contains making the individual to know the idea of self-worth and offering counseling. These measures are used within the trendy psychiatry additionally.
Learn – Counselling – Sorts, Advantages, Myths And Information
Examples of Adravyabhuta Chikitsa
|Sl No||Illness||Adravyabhuta Chikitsa||That means|
|1||Jwara / fever||Langhana, Vishnu Sahasra Nama Bandha, aveshana, pujana and so on in bhutabhishangaja jwara||Fasting, Chanting varied (1000) names of Lord Vishnu or chanting the identify of Lord Vishnu 1000 instances Tying up the affected person / arresting, driving out / scaring out, worship and so on in fevers brought about as a result of evil spirits|
|2||Raktapitta / bleeding issues||Shita upachara||Chilly comforts|
|3||Urustambha – stiffness / spasticity of thighs||Tarana, Vyayama||Swimming towards the present of the river, bodily train, strolling on gravel and so on to alleviate kapha|
|4||Atikrisha / emaciation||Nidra, harsha, sukha shayya, sukha and so on||Sleep, being joyous, snug bedding, being in a state of enjoyment and so on|
|5||Atisthula / weight problems||Vyayama, jagarana, vyavaya and so on||Indulgence in bodily and psychological workout routines, vigil (wakening throughout evening time), indulging in sexual act and so on|
|6||Prameha / Diabetes||Vyayama||Train, naked foot strolling, strolling|
|7||Rajayakshma / Tuberculosis||Yagjya||Hearth sacrifices|
|8||Unmada / Madness, Psychoses||Ashwasana, Bhaya, Trasana, Pratidwandwa Chikitsa, Rudra Puja – in therapy of Nija Unmada
Mantra ucchara and so on – in therapy of agantuja unmada
|Counseling and assurance, creating worry / terror within the thoughts of the affected person, creating sudden terror, therapy by mutually contradictory psychic components and worshiping Lord Shiva / Rudra – in treating madness / psychoses attributable to endogenous causes (doshas) Chanting sacred / non secular hymns and different non secular actions – in treating madness / psychoses attributable to exogenous causes|
|9||Shanka Visha / suspicious poisoning||Mantra ucchara, Aswasana||Chanting holy / non secular / sacred hymns, counseling the sufferers and so on|
|10||Atisara / diarrhea||Harshana – in bhayaja atisara
Ashwasana – in shokaja atisara
|Exhilarating – within the therapy of diarrhea attributable to worry Counseling – within the therapy of grief induced diarrhea (each these diarrheas will be in contrast with psychological diarrhea)|
|11||Madatyaya / Alcoholism||Gandharva, Sahayascha praharshanah, harshani kriya||Indulgence in music, pleasing and pleasant firms, psychotherapy|
|12||Atattvabhinivesha / Psychic perversion||Vijgnana, dhairya, smrti, samadhi||Associates of the affected person ought to instill understanding, persistence, reminiscence and energy of focus|
The beneath talked about measures (non-pharmocological) are thought-about to be upayantras i.e. accent devices and therefore helpful within the therapy of ailments –
- Harsha – exhilaration
- Pravahana – straining for evacuation
- Kala – time issue
- Bhaya – worry
The beneath talked about non-drug therapies shall even be included in adravyabhuta chikitsa –
Adravyabhuta Chikitsa don’t comprise of any herbs, medicines, meals or substances to deal with the ailments. Being non-pharmacological therapies they do have an effect (constructive impression) on the physique elements and their features. A few of them have their therapeutic impression on the physique and thoughts. A few of these non-drug therapies assist in stopping ailments, some in upkeep and stability of well being and plenty of others in curing the ailments – at bodily, psychological or each ranges.
At bodily degree they assist in upkeep of bodily well being and in addition to take care of dhatu samya i.e. stability of physique tissues. They assist in balancing the physique doshas and thus preserve all of the features in a state of stability. Instance – train, sleep, and fasting, not withholding physique’s pure urges and so on. These non-drug therapies that are primarily applied for upkeep of psychological well being helps in enhancing the sattva attribute of the thoughts and stability imbalanced rajas and tamas attributes on the identical time. This helps in prevention and remedy of varied psychological issues and ailments. Instance – psychotherapy, counseling, exhilaration, encouragement, meditation, pleasant firms and so on.
The imbalance of bodily doshas and psychological doshas could impression one another sooner or later of time. Subsequently the non-pharmacological measures used at bodily degree would assist in psychological stability and treating psychological issues and vice versa. The non-pharmacological therapies together with non secular actions and divine therapies primarily act on the premise of prabhava – particular impact which can’t be defined logically. These actions additionally improve and promote sattva attribute of the individual. It is usually believed that these therapies have an effect on the cosmic rays of various planets (graha) and thus is believed to please the exogenous forces.
From illness and their therapy perspective – Even in keeping with the trendy analysis, train helps in controlling the blood glucose ranges and in addition improves insulin sensitivity. It helps in stopping the related issues comparable to cardiovascular harm. Ayurveda too has given significance to the inclusion of train in lots of metabolic ailments together with prameha / madhumeha vis-à-vis diabetes mellitus. In a examine it was discovered that varied forms of workout routines viz cardio, resistance, Yoga, endurance sort and so on confirmed useful impact in T2DM (Srijit Das et al).
By all these we are able to see that adravyabhuta chikitsa are vital a part of the Ayurveda therapy protocol, be it in case of psychological issues or bodily issues or psychosomatic issues. Most of those measures are additionally adopted within the trendy period, some owing to the practices which have descended by means of the timeline of evolution and a few after having been proved by means of scientific exams and analysis works (although many of those haven’t gone beneath the hammer of scientific exams and have been discarded as absurd and ineffective). In most of them the religion or belief is the working issue and plenty of are stated to work on the premise of particular impact for which no scientific precept or foundation has been explored. However what’s vital is that any therapy with or with out kind ought to present remedy or assist in stopping the ailments or in upkeep of well being. A really perfect and skillful mixture of dravyabhuta (therapies whereby supplies like medicines, weight loss plan and so on are used) and adravyabhuta (non-drug) chikitsa is one of the best ways in the direction of comprehensively coping with many ailments in scientific apply. When achieved so, the primary goal of therapy i.e. dhatusamya will be undoubtedly achieved to an awesome extent.
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