3. CSM model of drug selection in the
Ayurvedic Management of
Rheumatologic conditions
Howard Leventhal introduced the common
sense model (CSM) of self regulation of health
and Illness.
The CSM concept is adopted here in principle
, the term common sense refers to adherence
to basic principles of Ayurveda in simple
straight forward way, rather than hair splitting
juggleries .
4. Rheumatology
The term refers to branch of
medicine that which deals with the
medical disorders of the musculo-
skeletal system.
11. Rheumatology and Ayurveda
Daniel E Furst, Manorama M Venkatraman, B G
Krishna Swamy, P.Rammanohar et al
“Well controlled, double-blind, placebo-controlled
trials of classical Ayurvedic treatment are possible
in rheumatoid arthritis”
The major strength of this study was that the
Ayurvedic doctor was free to individualize treatment.
12. Rheumatoid arthritis
Diagnostic criteria
At least four of the following criteria should be present for the
diagnosis of rheumatoid arthritis:
Morning stiffness for ≥ 1 hour
Arthritis of ≥ 3 joints
Arthritis of hand joints (wrist, metacarpo-phalangeal joints or
proximal interphalangeal joints)
Symmetric arthritis
Rheumatoid nodules
Positive serum rheumatoid factor. (Anti citrullinated peptide [ anti-
CCP] andtibodies have high specificity and sensitivity for RA.)
Radiographic changes
13. The methodologies for research and evaluation
of traditional medicine should be based on the
following basic principles.
On the one hand, the methodologies should
guarantee the safety and efficacy of herbal
medicines and traditional procedure-based
therapies.
On the other hand, however, they should not
become obstacles to the application and
development of traditional medicine. This
complex issue has been a concern for national
health authorities and scientists in recent years.
(p.2 Guidelines for methodologies on research
and evaluation of traditional medicine,WHO, 2000)
14. Ayurvedic Approaches to RA
1) Compare this to any of the Ayurvedic disease
state and randomly select medicines indicated for
that .(vyādhijnama hetu saṃprāpti)
2) Analyze the condition without ignoring its subtler
nuances. (dosetikartavyatarūpa saṃprāpti). This
approach is followed by most of the traditional
vaidyas of Kerala.
15. Vātarakta model
vāyurvivr̥ddho vr̥ddhena raktenāvāritaḥ
pathi.
kruddhaḥ sa dūṣayedraktaṃ taṃ jñeyaṃ
vātaśoṇitaṃ. Cikitsāmañjari .1
kṣipraṃ raktaṃ duṣṭimāyāti tacca vāyor
mārgaṃ saṃruṇddhyāśu……S.S.Ni.1.43