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Dr. Vikas Chothe
Empire Estate M-2, 001, Chinchwad Pune-19. (India)
vchothe@gmail.com
   India also leads the world today with the largest
    number of diabetics in any given country
                                 R. Pradeep & V. Mohan (2002) Indian J Med Res 116
IN ALLOPATHY                  IN AYURVEDA

                                  Over physical exertion,
                                  anxiety
                                  fear
                                  terror
                                  ama
                                  excessive sex
                                  drastic & excessive
                                   purgation
                                  suppression of vomiting


               © Dr. Chothe. V.R
                                       Charak chikitshasthan xxvi/70
   tobacco and alcohol
    use (bonnet et al., 2005; rod et al., 2009).
   stressful life (pouwer et al., 2005;
    kokoszka et al., 2009).




   anxiety (engum, 2007).
   depression (mezuk et al. 2008)
   hostility             (rod et al., 2009).



   work stress (kawakami et al., 1999).
   habitual sleep disturbances

   unhealthy diets

   obesity

   high cholesterol
  An estimated 34.7% of
all deaths resulting from
cigarette smoking are
related to CHD.


 Alcohol abuse increases
the risk for diabetes and
CHD.
                      © Dr. Chothe. V.R
   Cognitive signs-poor concentration, low
    self-esteem
   Emotional signs-anxiety, agitation, and
    feeling lonely
   Depression increases the risk for type 2
    diabetes by 37%
   Behavioral symptoms -social withdrawal,
    nervous habits such as nail-biting.
   Physical symptoms - chest pain, diarrhea,
    dizziness

                 © Dr. Chothe. V.R
   According to Allopathy emotions are
    associated with limbic system and different
    parts of brain.
   But according to Ayurveda the heart rather
    than the brain is the seat of the mind and
    emotions.
   Different emotions have powerful influences
    on the heart and can cause cardiac diseases.

                      © Dr. Chothe. V.R
Rajas and Tamas types prone to CHD

 hurry to eat, talk, walk             a sense of guilt while
  and do most other                     on vacation or
  activities                            relaxing,
 not able to relax or                 hyperactive response
  enjoy the satisfaction               unsatisfactory
  of achievement                        interpersonal
 poor listening behavior               relationships
                                       self-centered


                        © Dr. Chothe. V.R
© Dr. Chothe. V.R
   consume <10% of
 no smoking,                                    energy from saturated
 consuming at least half                        fat.
  a drink of alcoholic                          consume <2% of
  beverage per day,                              energy from trans fat.
 moderate to vigorous                          eat (fatty) fish at least
  physical activity for                          once a week.
  ≥30 minutes per day,                          eat ≥400 g of
 BMI<25 kg/m2.                                  vegetables and fruits
                                                 per day.
    Lichtenstein A et al. Circ 2006;114:82      limit salt consumption
                                                 to <6 g/d.
Labhopayo Hi Sastanam Rasadinam Rasayanam
    (CHARAK CHIKITSASTHANA 1/8)


 rasayana means the purification of all tissues
  from rasa to shukra.
 dietary regimen
 special health promoting conduct and behavior




                            © Dr. Chothe. V.R
   Heart diseases and diabetes are related to the
    disturbances in rasavaha strotas.

   If rasa dhatu is produced in optimum quality
    and quantity, then naturally all the tissues in
    the body will be nourished properly.

   It reverses the atherosclerosis process and
    helps in improving dhatu bala, ojas and
    stabilizing vitiated doshas.
                        © Dr. Chothe. V.R
   Ausadha Rasayana - Drug Rasayana.

   Ahara Rasayana - Dietary Rasayana.

   Achara Rasayana - Conduct of Rasayana.




                     © Dr. Chothe. V.R
ADOPTION OF ETHICAL
    ELEMENTS LIKE :


   serving elderly people
   respect for the parents
   fraternal love
   understanding in
    married life

                          © Dr. Chothe. V.R
   worshipping gods and teachers
   preferring religious sayings
   ahimsa (non violence)
   speaking the truth- lying has been
    found to boost blood pressure and
    stress
   calm behavior-chronic anger,
    irritability produces elevation in
    blood pressure and it can be a
    serious risk factor for CHD
                      © Dr. Chothe. V.R
   laughter is as good as relaxation therapy to
    overcome stress. Study shows that laughter
    decreases adrenaline and cortisol production.
   sweet speech
   following social ethics and conducts




                      © Dr. Chothe. V.R
© Dr. Chothe. V.R
SATTVIK AHARA (DIET)                            NIDRA (SLEEP)
                                           having equal work & sleep,




                       © Dr. Chothe. V.R
   BRAHMACHARYA
    (OBSERVANCE OF SEXUAL
    DISCIPLINE)


   Following the rules
    relating to the three
    triads i.e. food, sleep and
    celibacy is essential.
                                            Chastity and integrity



                        © Dr. Chothe. V.R
   For those who have a
    myocardial infarction,
    the risk of fatal
    recurrence may be
    halved after cessation
    of smoking.




                         © Dr. Chothe. V.R
   dharma (righteousness or duty),
   artha (wealth),
   kama (desire for pleasure) and
   moksha(spiritual emancipation)

   The first three are for the body and mind and
    the last one consists in the realization of the
    soul.
                       © Dr. Chothe. V.R
Spirituality for Healthy Living
   dina – day & acharya – behavior

   In order to keep the tridoshas and agni
    (metabolism) in a state of healthy
    equilibrium, Ayurveda prescribes for each
    individual a specific daily routine



                      © Dr. Chothe. V.R
Arising

     Natural urges

     Head oil

     Cleanliness

     Massage

     Exercise

     Good sleep
www.cozwecare.org
   The doshas are influenced primarily by
    seasonal variations.
   Knowledge of this is related to the
    balancing of the doshas.
   Hence Ritucharya i.e. the seasonal taste
    adjustments, dietetics and regime is to be
    followed.


                      © Dr. Chothe. V.R
   Ranging from ancient rock cave
    paintings at Bimbetaka and
    mandalas to new aged clinical
    therapy, art has been used for
    stress reduction in Ayurveda.

   A good painting cleanses and
    curbs anxiety and banishes bad
    dreams -Vishnudharmottara Puranana
                        © Dr. Chothe. V.R
   improving quality of life
   triad of life
   spiritual health - four purusharthas
   man and nature
   daily regimen
   seasonal regimen and ethical regimen
   social health
   balanced personality and behavior (sattvik)

                      © Dr. Chothe. V.R
   formation of high quality dhatus (tissues)
   increases the quantity and quality of ojas
   a vital factor for health and immunity
   antioxidant
   anti-stress
   peace of mind
   healthy and long life


                       © Dr. Chothe. V.R
   If every individual observes rules and
    regulations (described in Swasthavritta) –
    daily regimen, seasonal regimen and ethical
    regimen, takes proper food, sleep and
    enjoys controlled sexual activity, he can
    enjoy long and healthy life.

                     © Dr. Chothe. V.R
© Dr. Chothe. V.R
   Achara Rasayana (Ayurvedic lifestyle
    modification) has been highly significant
    clinically.

   Hence there is need for its scientific
    accreditation in international community



                       © Dr. Chothe. V.R
There is more to life than increasing its
speed.
            -Mohandas K. Gandhi




          Thank You


            © Dr. Chothe. V.R

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Achar Rasayana in Cardiac health- Dr. Vikas

  • 1. Dr. Vikas Chothe Empire Estate M-2, 001, Chinchwad Pune-19. (India) vchothe@gmail.com
  • 2. India also leads the world today with the largest number of diabetics in any given country R. Pradeep & V. Mohan (2002) Indian J Med Res 116
  • 3. IN ALLOPATHY IN AYURVEDA  Over physical exertion,  anxiety  fear  terror  ama  excessive sex  drastic & excessive purgation  suppression of vomiting © Dr. Chothe. V.R Charak chikitshasthan xxvi/70
  • 4. tobacco and alcohol use (bonnet et al., 2005; rod et al., 2009).  stressful life (pouwer et al., 2005; kokoszka et al., 2009).  anxiety (engum, 2007).  depression (mezuk et al. 2008)  hostility (rod et al., 2009).  work stress (kawakami et al., 1999).
  • 5. habitual sleep disturbances  unhealthy diets  obesity  high cholesterol
  • 6.  An estimated 34.7% of all deaths resulting from cigarette smoking are related to CHD.  Alcohol abuse increases the risk for diabetes and CHD. © Dr. Chothe. V.R
  • 7. Cognitive signs-poor concentration, low self-esteem  Emotional signs-anxiety, agitation, and feeling lonely  Depression increases the risk for type 2 diabetes by 37%  Behavioral symptoms -social withdrawal, nervous habits such as nail-biting.  Physical symptoms - chest pain, diarrhea, dizziness © Dr. Chothe. V.R
  • 8. According to Allopathy emotions are associated with limbic system and different parts of brain.  But according to Ayurveda the heart rather than the brain is the seat of the mind and emotions.  Different emotions have powerful influences on the heart and can cause cardiac diseases. © Dr. Chothe. V.R
  • 9. Rajas and Tamas types prone to CHD  hurry to eat, talk, walk  a sense of guilt while and do most other on vacation or activities relaxing,  not able to relax or  hyperactive response enjoy the satisfaction  unsatisfactory of achievement interpersonal  poor listening behavior relationships  self-centered © Dr. Chothe. V.R
  • 11. consume <10% of  no smoking, energy from saturated  consuming at least half fat. a drink of alcoholic  consume <2% of beverage per day, energy from trans fat.  moderate to vigorous  eat (fatty) fish at least physical activity for once a week. ≥30 minutes per day,  eat ≥400 g of  BMI<25 kg/m2. vegetables and fruits per day. Lichtenstein A et al. Circ 2006;114:82  limit salt consumption to <6 g/d.
  • 12. Labhopayo Hi Sastanam Rasadinam Rasayanam (CHARAK CHIKITSASTHANA 1/8)  rasayana means the purification of all tissues from rasa to shukra.  dietary regimen  special health promoting conduct and behavior © Dr. Chothe. V.R
  • 13. Heart diseases and diabetes are related to the disturbances in rasavaha strotas.  If rasa dhatu is produced in optimum quality and quantity, then naturally all the tissues in the body will be nourished properly.  It reverses the atherosclerosis process and helps in improving dhatu bala, ojas and stabilizing vitiated doshas. © Dr. Chothe. V.R
  • 14. Ausadha Rasayana - Drug Rasayana.  Ahara Rasayana - Dietary Rasayana.  Achara Rasayana - Conduct of Rasayana. © Dr. Chothe. V.R
  • 15. ADOPTION OF ETHICAL ELEMENTS LIKE :  serving elderly people  respect for the parents  fraternal love  understanding in married life © Dr. Chothe. V.R
  • 16. worshipping gods and teachers  preferring religious sayings  ahimsa (non violence)  speaking the truth- lying has been found to boost blood pressure and stress  calm behavior-chronic anger, irritability produces elevation in blood pressure and it can be a serious risk factor for CHD © Dr. Chothe. V.R
  • 17. laughter is as good as relaxation therapy to overcome stress. Study shows that laughter decreases adrenaline and cortisol production.  sweet speech  following social ethics and conducts © Dr. Chothe. V.R
  • 19. SATTVIK AHARA (DIET) NIDRA (SLEEP) having equal work & sleep, © Dr. Chothe. V.R
  • 20. BRAHMACHARYA (OBSERVANCE OF SEXUAL DISCIPLINE)  Following the rules relating to the three triads i.e. food, sleep and celibacy is essential. Chastity and integrity © Dr. Chothe. V.R
  • 21. For those who have a myocardial infarction, the risk of fatal recurrence may be halved after cessation of smoking. © Dr. Chothe. V.R
  • 22. dharma (righteousness or duty),  artha (wealth),  kama (desire for pleasure) and  moksha(spiritual emancipation)  The first three are for the body and mind and the last one consists in the realization of the soul. © Dr. Chothe. V.R
  • 24. dina – day & acharya – behavior  In order to keep the tridoshas and agni (metabolism) in a state of healthy equilibrium, Ayurveda prescribes for each individual a specific daily routine © Dr. Chothe. V.R
  • 25. Arising Natural urges Head oil Cleanliness Massage Exercise Good sleep www.cozwecare.org
  • 26. The doshas are influenced primarily by seasonal variations.  Knowledge of this is related to the balancing of the doshas.  Hence Ritucharya i.e. the seasonal taste adjustments, dietetics and regime is to be followed. © Dr. Chothe. V.R
  • 27. Ranging from ancient rock cave paintings at Bimbetaka and mandalas to new aged clinical therapy, art has been used for stress reduction in Ayurveda.  A good painting cleanses and curbs anxiety and banishes bad dreams -Vishnudharmottara Puranana © Dr. Chothe. V.R
  • 28. improving quality of life  triad of life  spiritual health - four purusharthas  man and nature  daily regimen  seasonal regimen and ethical regimen  social health  balanced personality and behavior (sattvik) © Dr. Chothe. V.R
  • 29. formation of high quality dhatus (tissues)  increases the quantity and quality of ojas  a vital factor for health and immunity  antioxidant  anti-stress  peace of mind  healthy and long life © Dr. Chothe. V.R
  • 30. If every individual observes rules and regulations (described in Swasthavritta) – daily regimen, seasonal regimen and ethical regimen, takes proper food, sleep and enjoys controlled sexual activity, he can enjoy long and healthy life. © Dr. Chothe. V.R
  • 32. Achara Rasayana (Ayurvedic lifestyle modification) has been highly significant clinically.  Hence there is need for its scientific accreditation in international community © Dr. Chothe. V.R
  • 33. There is more to life than increasing its speed. -Mohandas K. Gandhi Thank You © Dr. Chothe. V.R

Editor's Notes

  1. Good afternoon to everybody. I am Dr.VikasChothe from Pune and I would like to speak on the topic- AcharRasayana in Cardiac Health. This paper explores whether achararasayanaand Art therapy could be beneficial in lifestyle related disorders like CHD and type 2 diabetes.
  2. Coronary heart disease (CHD) is the leading cause of death in Indiaand India also leads the world today with the largest number of diabetics in any given country.
  3. Stress, alcoholand smoking are important determinants of coronary heart disease and diabetes.
  4. “old fashion Italian”
  5. In short this picture would give a brief summary of these type A personalities. This man thinks about leisurely golf activities during office. When he is playing golf with friends he is wondering about his house hold job and when he is busy doing it he thinks about office work. Such people are found to be more prone to cardiac diseases and type 2 diabetes.
  6. Ayurveda believes in the principle where excess in any walk of life be it food, sleep or sex causes harm to the body.
  7. Life is like an ice-cream, enjoy it before it melts..
  8. Improving lifestyle by adoption of ethical elements mentioned in &apos;AcharaRasayana&apos; and incorporating art therapy into the comprehensive cardiac rehabilitation program definitely would enhance efficacy and value.
  9. Finally what Gandhiji felt about life is that..My utmost gratitude to Dr. AtulRakshe, Director of Shree NiramayaAyurveda Kendra, Pune who has always been my guide and inspiration.