For Ayurveda faculties, physicians and students

1. Let us practice Science and
NOT STUPIDITY in Ayurveda
Dr.Remya Krishnan

2. How do Ayurveda docs make clinical
decisions?
 Toss coins
 Guess
 My “ yukti” – what is that Yukti??!
 Ask colleagues
 Text books- Exclusively for exams
 Browse journals –charts and graphs of efficacy
 Surrendering to senior Vaidyas- “Experience”(of
what?) matters

3. Clinicians really need to learn and understand
shasthraarthas
If learning and understanding in right
direction:
 that will reflect in our clinical decisions
 but we do not know what is “right”
direction
– “my textbooks are full of complexity and
sutelity
– “my time for learning is less- I have to attend
many OPDs a day ”
– “library who wants after degree ??? Life is to
enjoy !”

4. How many minutes a week did we
spend last week reading and
working out on our patients?
 Medical students- Working out?! We observe what
others do
 Interns – We practice what our seniors command
 Medical Officers- We practice what we think as
right and what our colleagues do
 Faculties- We teach Medicine based practice and
practice medicine based trial and error
 Consultants- We hardly think what we do ! We are
busy in meeting two ends in living !

5. How many minutes a week did you spend last week working
out based on samhithas?
 Medical students- We are
too young to do that  ! We
learn shlokas often
 Interns- for entrance to MD
 Medical officers – Joking?
We attend 100 Opds a day,
no time
 Faculties- We teach but
working out???? Why? teach
and forget
 Consultants- does that make

6. The inevitable consequence
The translation of samhithas
into practice guidelines for
clinical situations of
physicians NEVER HAPPENS
in clinical practice and
teaching

7. Three solutions
Clinical performance can keep up to date:
1. by learning how to practice evidence-
based medicine which is primarily science
based .
2. by seeking and applying evidence-based
tools and techniques developed from
shasthra which is already existing in
SBEBA resources .
3. by knowing, understanding and translating
shasthraarthas into variable clinical
situations

8. What Is Science Based
Evidence Based Medicine?
The conscientious, explicit, and
judicious use of best standardised
shasthrik evidence in three different
levels in making decisions about the
care of individual patients in
accordance to their unique cause and
circumstances

9. What Is Evidence Based
Medicine?
The practice of EBM requires the
indepth accurate knowledge of
shasthraarthas
with the appropriate
Tools and techniques for their
translation into appropriate situations
NOBODY TEACH US THIS IN
COLLEGES OR SEMINARS .

10. WHAT ARE THE IMPORTANT ELEMENTS OF EBM?
‘SBEBA begins and ends with patient’
1) Appraise and know patient situation
based on intended shasthraarthas
2) Work out on intended shasthraarthas
3) Write down what you understood and
your conclusive judgement.
4) Translate judgement into clinical
situation.
5) Evaluate your performance based on
shasthrik standards .

11. Practical SBEBA
1. Understanding situation based
shasthraarthas
2. Working out in shasthraarthas
3. Deriving conclusive judgement
4. Translating judgement into clinical
practice
5. Evaluating results based on inbuilt
scientific standards

12. Scenario 1
 In the middle of the night you are called to
see a screaming, febrile 3 years with acute
shooting pain in ear. How are you going to
proceed in
 Reducing pain?
– Controlling fever?
– Preventing complications?
– Assuring parents?
– Or Refer the case to an Allopath?

13. The one and only way to become a
PHYSICIAN is UNLEARNING
STUPIDITY AND LEARNING
SCIENTIFICITY
THANK YOU

14. Scenario 2
You get a patient aged 7 years with
fever, breathing discomfort and
absence of general wellbeing. On
auscultation bilateral rales and
rhonchi present . What is your
Ayurvedic diagnosis and how will you
manage by Evidence Based Ayurveda?