Approach to Ayurveda Treatment
(Part-1)
Prof. Muralidhar Sharma
based on the lecture available at–Approach to Ayurvedic Practice
I recommend the book “Die empty” that I have been red recently. The message given was ‘Don’t go to your grave with your best work inside you’. This suggests that before going to the grave the achievements have to be returned to society. When a started my carrier as a teacher and Ayurveda practitioner, the whole thing was a bit controversial. As my specialization is surgery and I had to start with a surgery facility in the hospital. At the time, I had to maintain my identity as an Ayurveda teacher. Being a teacher I have a commitment to showing a model to students. In a teaching job, there were plenty of options to show a model. But I have selected one option of presenting a viable clinical practice based on only ayurvedic principles and ayurvedic medicines. My practice of surgery in the institution was something different. So I started my clinic in the Udupi in such a way that many of those so-called established ideas about successful clinical practice, were neglected. I started it on Saturday at midnight during Bharani Nakshatra. I placed the board and then without any publicity it started and somehow it clicked. I was lucky. I have learned most of the ayurvedic principles while doing practice. Studying in the book and getting through the examination is something different, and learning is something different. That learning happened during my teaching carrier. Along with a few students, we started a camp in Vellore. In that camp, we started distributing single ayurvedic medicine prepared by students in the hospital. That was one of the opportunities where I could get some insights into Ayurveda. The approach to Ayurveda principles was a game-changer in my carrier. I have presented a model that would be viable, and effective, and the sanctity of ayurvedic practice also has to be maintained. Since 1988 to till now I have neither prescribed nor dispensed any allopathic medicine in my clinic. It is possible to present a model of 100% Ayurveda practice that’s all one thing that we could do.
Naturally, during this course of 30-plus years of practice, you will have some knowledge developed that is beyond the texts, and many times it is subtle in nature and quite difficult to present in communicable form. All my efforts would be to give a presentable form to subtle knowledge that I have gained. One of the specialties of my practice is the use of a limited number of drugs.
A list of the prescribed medicine is provided below.
1]Agnitundi Rasa
2] Ananda bhairava Rasa
3] Arogyavardhini Rasa
4] Chandrakala Rasa
5] Chandraprabha vati
6] Ekangaveera Rasa
7] Gokshuradi Guggulu
8] Kaishora Guggulu
9] Gandhaka Rasayana
10] Gokshuradi Guggulu
11]Kanchanara guggulu
12] Kamadugha Rasa
13] Kankayani Vati
14] Lakshminarayana Rasa
15] Mrityunjaya Rasa
16] Shvasa kuthara Rasa
17] Tribhuvana keerthi Rasa
18] Triphala Guggulu
19]Abhayarishta
20 ] Amritarishta
21] Balarishta
22] Ashvagandhaishta
23] Chandanasava
24] Jeerakadyarishta
25] Khadirarishta
26] Kumari asava
27]Manjishtadi kwatha
28] Mustakarishta
29] Paripathadi Kadha
30] Usheerasava
31] Avipathikara Choorna
32] Madhuyashti choorna
33] Pushyanuga Choorna
34] Sitopaladi Choorna
35] Dashanga lepa
36] Makaradwaja
37]Abhraka Bhasma
38] Tapyadi Loha
39 Suvarna malini vasantha
40] Laghu soota mishrana
41] Asanadi kwatha choorna
42] Triphala kwatha choorna
43] Krimi kadha
44] Somasava
45] Bhoonimbadi kadha
46] Manasa
47] Diabecon
Out of these medicine 45 are classical Ayurvedic preparation. Only ‘Manasa’ and ‘Diabecon’ are patented medicines. The procedure that can be followed would be
- Agnichikitsa
- Matrabasti
- Ksharabasti
- Rajayapana basti
- Dashamoola niruha basti
- Pichcha basti
- Kati basti
- Taila /Takra dhara
- Virechana
- Vamana
While learning Ayurveda we would be studying about 64000 formulations. This huge number of medicine choices naturally makes confusion about a selection of medicine and also the context in which it should be used. This is the whole problem with Ayurveda practice and also when we start our carrier as Ayurveda practitioners.
Many times patients are also confused about which medicine is better. In addition to 64000 classical yogas, we have innumerable patent preparation prepared by different pharmacies. One of the major drawbacks while doing Ayurveda practice is we don’t have a clear-cut guideline, you don’t have clear-cut limited choice. My view on this issue is, that using a large number of medicine in a large number of patients would not give intuitive knowledge. Here the word intuitive represents the knowledge gained apart from textbooks. This intuitive knowledge can’t be gained until the use of limited medicines in a larger number of patients. The number of pharmacological choices that I have limited is based on the principle of using a lesser number of drugs in a larger number of people so that you will have some intuitive perception beyond the textbook would be one of the major areas. The selection of a drug was not a random choice, rather it was based upon the basic issue of cost. I would be presenting an economically viable model. I dispense the medicine and I charge ten rupees per day along with medicines. If patients require one month of medication then it would be costing less than ten rupees per day. This idea of using a limited number of medicines would be part national Ayush health policy. The essential drug list published by the Ayush ministry in the year 2016-17 contains274 medicines and out of this list 99% are classical medicines. It is quite possible in upcoming years that Ayurveda practitioners would be forced to use these limited drugs. Hence we need to think about such a possibility.
