In Chronic noncommunicable diseases in nonemergency settings Dr Vina Vaswani Director Centre for Ethics Yenepoya University Deralakatte Mangalore India Ayurveda The original Indian system of medicine ID: 1038874
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1. Alternates to clinical trial design for Ayurveda : In Chronic non-communicable diseases, in non-emergency settings Dr Vina Vaswani, Director, Centre for Ethics, Yenepoya UniversityDeralakatte, Mangalore India
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3. Ayurveda: The original Indian system of medicineAyurveda, science of all timesSanskrit: Ayu-age; veda-scienceClinical examination in 2 areas I. Examination of patient (Trividha pariksha)Inspection (Darsana )Touch (Sparsana ) Interrogation (Prasna)II. Consideration of the disease and the context
4. Identifying doshasBody-mind governed by biological energies which are displaced in illness - dosha Clinical examination to detect imbalance (doshas) and restore balance Doshas provide blue print for an individual for health and fulfilmentThree common doshas: Vata, Pitta and Kapha
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6. Body constitutions that favor doshas
7. 8 steps of detailed examination
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9. Treatment modalitiesNon-specific modalities (oil massages, dietary alterations) play a significant role Several herbal combinations (more in the nature of general tonics)Few specific herbal remedies
10. The Ayurveda approachEvery patient is unique and responds differently to same doses of medicines In contrast modern medicine averages every body into a same mouldIf a practice is based on individuality not commonality, the measurable end points cannot be the same
11. Efficacy paradox Efficacy in modern research is measured against a placeboBut this is an assumption that might be fallaciousAyurveda treatment - non-specific modalities aimed at assisting body to relocate its balanceRandomized Clinical Trials in Ayurveda - akin to searching for mangoes on an apple tree
12. The new RCT…Randomized Clinical Comparison Trials?A new schema where outcomes from different studies could be merged to assess the larger pictureIn the existing hierarchical structure of research in modern medicine, an error in the early levels will multiply its effect in the RCTCircular structure for research eliminates this
13. Circularity of the trial designMix and match from various quadrants can be easily performed Wallach et al 2006Mix and match from various quadrants can be easily performed
14. EndnoteAlternate systems of medicine are well entrenched and accepted by public but not healthcare professionalsThe need of the hour is to relocate these systems within the realm of scienceThe research model needs out-of-box thinking
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