The Indo-French Workshop on “Yoga Therapy and Ayurveda” was conducted on 22nd October, 2019 at Maulana Abdul Kalam Azad Hall, Bapuji Library, SBV campus. This was Organized by the Centre for Yoga Therapy, Education and Research (CYTER) of Sri Balaji Vidyapeeth (SBV), and International Centre for Yoga Education and Research (ICYER) at Ananda Ashram, Pondicherry and supported by Gujarat Ayurved University, Centre for Yogic Sciences of AVMC and Krishnamacharya Yoga Mandiram. More than 100 delegates from various countries like France, Columbia, UK and Holland and from various parts of India like Kerala, Tamil Nadu, Mumbai, Chennai, Gujarat, Delhi, Pune and Bangalore participated in the workshop. All the sessions were translated into French for the convenience of the French delegates. Post lunch session was taken by Dr.Ananda Balayogi Bhavanani, Director, CYTER, SBV on “Understanding Yoga Therapy (Part I): Principles, Philosophy, Assessment and Tools”. He explained the focus of SBV is Salutogenesis as opposed to pathogenesis while giving Yoga therapy. He also briefed about the twelve point assessment given by Swami Gitanand Giri as a Yogic diagnostic tool which is being applied in CYTER.

1.  PATIENT EVALUATION
 DWADASHA ROGA
LAKSHANAM ANUKRAMA
( C O N C E P T B Y D R . S W A M I G I T A N A N D A G I R I
G U R U M A H A R A J , F O U N D E R - A N A N D A A S H R A M ,
I C Y E R , P U D U C H E R R Y , I N D I A )
- P R E P A R E D B Y S H V E T I K A K A U L
( G O L D M E D L A I S T P G D Y T , C Y T E R O F S B V )
YOGIC DIAGNOSTIC
TOOLS

2. YOGA AND YOGA THERAPY
 YOGA
-process and state of integration
(mind-body- spirit-universe)
 YOGA THERAPY
- tools to attain integration at all levels

3. Cause of Disease According to Yoga
 Primary cause
– Dwaitam – duality - dichotomy
 Disease = dis + ease
(Asana-stira sukam and tado dwandwa anabigata)
 Tri Doshas and their imbalance
 Pranas and their imbalance
 Yoga Vashistha
- psychosomatic and non psychosomatic disorders
 Somato-psychic disorders

4. LAGHU YOGA VASHISHTA
 Adhija Vyadhi - the psychosomatic disorders
 Anadhija Vyadhi - non psychosomatic disorders
ADHIJA VYADHI
 Samanya diseases are the ones that affect man
physically and may be destroyed by the correction
of the mind-body disharmony.
 However only Atma Jnana can destroy the Sara or
essential disorder of rebirth.

5. The
yogic
concept
of
origin
of
disease
-
Yoga
Vashishta

6. YOGA THERAPY MODELS
 Yoga Vasishta (Pancha Kosha) model
 Chaturvyuha model: heya-hetu-hana-upaya
 Klesha / Vayu / Chakra models
 Kaivalyadhama model
 Cultivation of correct psychological attitudes
 Reconditioning of the neuro-muscular and
neuro-glandular system
 Appropriate diet and encouraging the natural
processes of elimination

7. Therapeutic Interventions
 Annamaya Kosha Interventions: Jattis
(Shitileekarana Vyayama), Kriyas (structured
movements), Asanas & dietary modifications (patya-
apatya).
 Pranamaya Kosha Interventions: Shat Karmas,
Pranayamas, Prananusandhana, breath awareness,
breath-movement coordination & balancing of Pranic
energy.
 Manomaya Kosha Interventions: Trataka,
Concentration (Dharana), meditation (Dhyana) & Japa

8. THERAPEUTIC INTERVENTIONS (Contd..)
 Vignanamaya Kosha Interventions: Analysis
(Swadhyaya), lectures, spiritually uplifting exchange
(Satsangha) & experience (Anubhava)
 Anandamaya Kosha Interventions: Learning to
implement principles of Karma Yoga (skilled action
without expectation). Following the principle of action
in relaxation brings joy in all activities. Realization that
we live in a blissful universe & that all life is joy is to be
brought about through use of Bhakti Yoga, Karma
Yoga (Bhajans, counseling and Satsanghas).

9. YOGA THERAPY MODALITIES
 Physical Therapies: Asanas, Kriyas, Mudras
and Bandhas
 Emotional Therapies: Swadyaya, Pranayama,
Pratyahara, Dharana, Dhyana and Bhajans
 Development of +ve psychological attitudes
 Vairagya
 Chitta Prasadan
 Maitri Karuna Mudita and Upekshanam etc
 Mental Therapies: Relaxation and visualization
practices, Trataka, Pranayama, Pratyahara,
Dharana as well as Dhyana

10. YOGA THERAPY MODALITIES (Contd…)
 Spiritual Therapies: Swadyaya, Satsangha,
Bhajans and Yogic counseling
 Preventive Therapies
 Start early in childhood
 Prevention of accidents
 Improved immunity
 Knows the technique so that can do it if needed
 Rehabilitative Therapies: Prevention of
disability and improving quality of life
 Pain Relief Therapies: Increases pain tolerance
- improved quality of life

11. Yogic 12-Point System of
Diagnosis and Health Evaluation
• The Three Basic QualitiesTrigunas
• The Three HumorsTri Doshas
• Psychological BackgroundTri Vasanas
• The Prana VayusPrana
• Personal DisciplineAbhyasa
• Life StyleJiva Karma
• Quality of ThoughtsChetana
• Quality of SpeechVacha
• Diet and Food HabitsAahara
• Destructive HabitsViparita Buddhi
• Individual Body RatesJiva Vrittis
• Ideals of the IndividualSankalpa

12. NEED for Yogic Diagnostic tools?
 Yoga therapy isn’t a symptomatic treatment.
For “tailor making” the treatment schedule, tracing the “root
cause” of the disease and the awareness regarding it is
imperative.
 Making the patient understand and accept the cause of
his problem and all other factors aggravating it is the only
way to prevent worsening of the condition, its relapse and to
facilitate conscious measures to adopt a healthier lifestyle.
 The inference drawn from the analysis makes for the
baseline of treatment.
Also, acts as reference points to assess progress in therapy
in order to make modifications/ advancements accordingly.
 These are extensive methods to understand one’s patient
wholly and not just on the usual physical parameters.

13. ROGA LAKSHANAM FORM
A tool developed by Dr. Swami Gitananda Giri Guru Maharaj, adopted by
CYTER, combining the modern medical diagnostic measures along with subtler
measures to assess the diseased state of patient.
The form contains 4 broad categories, namely-
 DARSHANAM
Sanskrit: Root ‘Dris’ (Sight) – the act of “seeing/ beholding” – to observe,
survey, witness, contemplate to look for all noticeable signs and symptoms.
 SPARSHANAM
‘Sparsha’- the sense of touch. To physically examine patient.
 PRASHANAM
‘Prashna’ - "question, query, inquiry"
To find out how patient expresses his problem and not how
you diagnose / see it.
 NADI PARIKSHANAM
‘Pariksha’ – ‘to probe, examine’ : Assessment based on the flow in the Nadis

14. DARSHANAM
 Weight / Height: _______________ Kg/cm
 BMI: _______________ Kg/M2
 Respiratory Rate: ______ bpm (sitting / lying down)
 Body Type: Endomorph / Ecto / Meso ; Apple / Pear / Hourglass
 Mood: Energized-Pleasant / Calm-Pleasant / Energized-Unpleasant /
Calm-Unpleasant
https://www.researchgate.net/figure/239949649_fig1_Figure-1-Four-basic-
mood-categories-based-on-the-PANAS-model-by-Watson-and-Tellegen
 Spine: Normal / Lordosis / Kyphosis / Scoliosis
 Gait: length of steps, stiffness of body, swiftness, L-R weight bearing,
arm/ leg swing, open or closed stance, equally paced steps, etc.
https://www.slideshare.net/prkhuman/gait-normal-abnormal
 Tremors: Body part/s ________ / ; duration ______ ; speed
_______ ; at rest/action ; severity _______
https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-
Sheets/Tremor-Fact-Sheet
http://tremor.org.uk/essential-tremor-charactersitics.html
 Others: other physically noticeable aspects of his presence (Odor, Eyes,
Gaze, Skin, other body parts, posture/ stance, etc)

15. SPARSHANAM
 Body Temp: Hot / Normal / Cool / Cold (Peripheral / Core)
https://en.wikipedia.org/wiki/Human_body_temperature#Core_temperature
 Muscular Tone: Body Part ___________ : Low Tone / High
Tone; cramps https://en.wikipedia.org/wiki/Muscle_tone
 Signs of Anemia: Fatigue, pale eyes, skin & tongue, brittle nails,
shortness of breath, Cold hands and feet, Racing or irregular
heartbeat, Chest pain
http://www.webmd.com/a-to-z-guides/understanding-anemia-symptoms#1
 Hydration: Increased thirst, Dry mouth, Dry skin, Headache,
Decreased urine output and volume, more yellowish than normal
http://www.emedicinehealth.com/dehydration_in_adults/page3_em.htm
 Joint mobility & Stability: Area; Mobility (Ankylosing /
Hypomobility / Normal / hypermobility / Instability)
 Lumps: Area ________; Size_____ ; Shape______ ; Consistency
______ https://patient.info/in/doctor/lumps
 Tenderness: Area ______

16. PRASHANAM
 Main Complaint:
Duration & Severity:
 Minor Complaints:
Duration & Severity:
 Appetite: frequency, quantity, quality (type of food),
regularity, satiety, skipping meals, affinity
 Sleep: Timely, quality, duration, dreams, snoring
 Bowel and Bladder: Timely, complete, Color, Pain, Odor,
Blood, related disturbances (flatulence etc), incontinence
 Medical History: (ailment & duration)
 Current Medications: (drug & dosage)
 Family History: Parents, Grandparents – (ailment)

17. NADI PARIKSHANAM
 Pulse rate: _____ (radial pulse / 60 sec)
 Type of Pulse: Speed; Intensity (pounding/ feeble);
Rhythm
 Peripheral Pulse: Area: Speed; Intensity; Rhythm
https://www.youtube.com/watch?v=qvVcG5fYZ04
 Blood Pressure: _____mmHg; R/L; sitting/lying;
manual/machine.
 Auscultation: action of listening to sounds from the
heart, lungs, or other organs, typically with a
stethoscope
https://www.youtube.com/watch?v=yLoxuhAD05M
https://www.youtube.com/watch?v=zdkYujPkeqo&t=136s
https://www.youtube.com/watch?v=TlgP8MzlMaw

18. DWADASHA ROGA LAKSHANAM ANUKRAMA
 A method developed by Dr. Swami Gitananda Giri
Guru Maharaja, adopted by CYTER based on Yogic
concepts of causes leading to disharmony
 This helps understand one’s patient in a holistic manner
 ‘Dwadasha’ stands for ‘Twelve’;
‘Roga’ for ‘Disease’;
‘Lakshanam’ for ‘characteristics’; and
‘Anukrama’ for ‘Methodology’.
These are the 12 diagnostic tools to understand the
reasons why disease has ‘surfaced’ / ‘manifested’ in a
person.

19. 1. Triguna : Sattva | Rajas | Tamas
2. Tridosha : Vata | Pitta | Kapha | V+P | P+K | V+K | V+P+K
3. Trivasna : Loka | Deha | Jnana
4. Prana: Prana | Apana | Vyana | Samana | Udana ; Akasha | Chitta
Naga | Kurma | Krikara | Devadatta | Dhananjaya
5. Abhyasa: Yatna (effort) | Deerga Kala (long time) | satkara (with
reverence towards the supreme- the ‘sat’ – absolute truth |
Nairantarye (uninterrupted/ continuous/ regular) |
Dridhbhumih (Determined) | stillness of vrittis (mental
fluctuations) during practice| Concentration on area of
practice | Vairagya (cravings ceased)
6. Jiva Karma: Daily routines to maintain healthy lifestyle –
yamas, niyamas, dincharya, raatricharya, ritucharya, occupationally

20. 1. Chetna: Quality of thoughts - positive, idealistic, and outgoing,
self-centered, disturbed
2. Vacha: Speech & expression- Clarity | Consistency | Coherence|
Refined | Emphasis (guttural, nasal, throat, heart etc)
3. Ahara: Food (body & mind) Guna | Mitahara | Frequency |
Quantity | Regularity | Specific to disease condition |
Ahara for Panchakoshas
4. Viprita Buddhi: Actions anti harmonious to oneself / one’s society
– addictions, harmful acts
5. Jiva vritti: Body rhythms – Bio rhythms, circadian rhythms,
periodicity of nasal cycle, periodicity and rate of heart, BP, Respiratory
rate, deep/ shallow breathing, sectional or complete breathing,
menstrual cycle, bowels and bladder.
6. Sankalpa: Vows, inclination to get better & live healthy,
icha-kriya-jnana shakti coordination

21. Some Practical Problems in Assessment
 The length of questionnaire for a beginner
 The necessary training of the therapist on these concepts and their
diagnosis
 The interest in / importance given by therapist to perform this
diagnosis
 The way to divide questions based on the time availability during
therapy classes, without losing patient’s interest & involvement
 Knowledge of how to put forth these questions and extract answers
from patients.
 The skills of Yoga Instructors/ Non-medical Yoga therapists in
handling the body assessment parameters
 The importance of scheduling repeat assessment after a month of
therapy
 to assess progress and results at end of therapy
 Maintaining timely, updated records
 Maintaining patient detail secrecy

22. “Health and happiness are your birthright. Do not forsake
your golden culture for the plastic playthings of the
modern world. Learn and live Yoga for then you will know
true health and happiness”
Yogamaharishi
Dr Swami Gitananda Giri
Guru Maharaj
(1907-1993)
Founder
ICYER at Ananda Ashram,
Pondicherry

23. Gratitude
is the
highest
attitude.

24. www.icyer.com

25. Thank you!

26. SRI BALAJI VIDYAPEETH
(Deemed University Accredited with
“A” Grade by NAAC and Ranked 72 in NIRF 2018 )
www.sbvu.ac.in/c
yter