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Introduction: The AYUSH system of medicine is effective in the case management of non-communicable diseases (NCDs). The Ministry of Health and Family Welfare launched a pilot program in 2016 integrating AYUSH with the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke for community-based screening and management of NCDs. This study was done to assess the effectiveness of AYUSH treatment with Yoga practices in project districts in terms of the adoption of a healthy lifestyle besides relief from NCDs. Material and Methods: The study was conducted in six districts from six states, namely Bhilwara (Rajasthan), Surendranagar (Gujarat), Gaya (Bihar), Darjeeling (West Bengal), Krishna (Andhra Pradesh), and Lakhimpur-Kheri (Uttar Pradesh) with a total sample of 56 lifestyle disease Clinics and 1790 beneficiaries. Results: The results show that 75% of patients were currently doing yoga and 60%–80% of patients experienced various benefits of yoga. These benefits were relief from pain (82%), improvement in appetite (72%), reduction in weakness (72%), and sickness (71%). The study also found that after taking AYUSH treatment, overall 73% of patients reduced dosage of allopathic medicines, 52% had reduced side effects of allopathic medicines, 24% stopped allopathic medicine, and 50% got faster recovery. Conclusion: Low cost and fewer side effects are considered merits of AYUSH medicine that drive its acceptance in the community and could be prioritized under preventive care. The dual form of medicine is the new form emerging option to the existing modern medicine.
RESUMO
Background: COVID-19 caused immense morbidity and mortality worldwide and was declared a pandemic on March 11, 2020, by the World Health Organization. Lack of effective treatments directed researchers to various interventional strategies, such as development of new drugs or vaccines, drug repurposing models, and AYUSH formulations, for prophylaxis and treatment of COVID-19. Aim and Objectives: The information obtained from registered COVID-19 trials for the year 2020, will help to identify the various aspects for therapeutics and types of study designs used for achieving different objectives, so as to guide researchers for similar future projects. Materials and Methods: A descriptive, observational study was conducted on COVID-19-related clinical trials registered in Clinical Trials Registry of India during calendar year 2020. The details were noted in a predesigned pro forma and evaluated. Results: Of the 946 registered trials, majority were single center (82.76%), interventional (50.7%), randomized (73.1%), open-labeled (61.9%), and prospective in nature (96%). Our study revealed that 40.16% trials used modern medicine while 26.53% used AYUSH formulations. The psychological impact of COVID-19 pandemic was studied in 121 trials, of which 118 trials showed negative impact on the mental well-being. Conclusion: Our study provides thorough insight about the on-going research in our country, especially about various drug repurposing strategies and government supported AYUSH interventions. This may act as a foundation for future investigators to identify any lacunae in the current studies, helping them to diversify their objectives accordingly, so as to encourage quality research in our country.
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The growth of homoeopathy medical colleges in Maharashtra state has been very rapid post-1985. This has resulted in the state’s having the largest number of homoeopathy colleges in the country. However, not even a single government college of homoeopathy exists in the state, creating a significant gap in the health services system. It is in this context that the pattern and growth of homoeopathy medical education in the state and the contribution of government policies towards their growth is examined in this article. Government policies have facilitated the growth of homoeopathy colleges exclusively in the private sector. This growth is rapid, driven by commercial interest and does not match professional opportunities. The article raises some of the key problems of homoeopathy medical education in the state and calls for efforts towards the improvement of the medical system.
RESUMO
India is currently facing shortage of trained health workforce, especially in rural areas. WHO recommends mainstreaming of Complementary & Traditional systems of medicine as an affordable & culturally acceptable way towards achieving Universal Health Coverage (UHC). Despite the Government of India operating AYUSH clinics in PHCs for more than 10 years, we know very little about patients attending these clinics. Exploring the reasons for utilization of AYUSH care is of much value for planning to scale up the integration of AYUSH. The required information on utilization of AYUSH services were obtained through a review of the literature in PubMed databases (including MEDLINE) using the medical subject headings (MeSH) terms: ‘AYUSH’, ‘utilization’, ‘Ayurveda’, ‘Siddha’, ‘Homeopathy’, ‘morbidities’. All such studies which have focussed on profiling of patients who sought care in AYUSH were the individuals who have non–life-threatening chronic diseases or conditions. To improve AYUSH based health care services, it is imperative to understand the acceptability of AYUSH interventions among the general public for the utmost utilization of AYUSH services.
RESUMO
Bhasmas are the most frequently used medicines in the field of Ayurveda as it tends to act fast when compared to other modes of medication. It works on the principle of nanoparticle assimilation, which provides higher bioavailability due its higher surface area and lesser particle size. This invention was made back in ancient days, which proves that during those ages there were faster methods of medical aids for a disease proving to be fatal. Abhraka is one of the main drugs used in Ayurveda mainly in the form of a Bhasma. It is abundantly used in single / compound forms for diseases like Cold, Cough, Diabetes, Anemia, asthma, etc. For a Bhasma to act significantly without side-effects it has to be properly rendered to purifactory procedures and Incineration at optimum temperature. This article basically deals with Samanya Shodana, Dhanyabhraka nirmana and Marana of Abhraka followed by its analysis by SEM-EDX which proved that There was reduction in some of the elements present in the drug after giving successive putas, till the formation of a Bhasma.The atomic percentage of Oxygen increased when bhasma was formed, hence suggesting it to be in oxide form. There was absence of heavy metals after giving puta according to the classical reference. Microscopic images of the Churna and Bhasma could be analysed and the Particle size of bhasma could be analysed which was 580.2 nm.
RESUMO
Introduction: From the religious context also herbal medicines and alternative therapies have found mythological references. As far as Islam is concerned, the Arab healers infused their knowledge of Unani system to the world, greatly prevalent in the Indian sub- continent. We present a survey on the same lines highlighting the prevalence of use of herbal medicines among city dwellers of Pune city, India. Material and Methods: This survey was carried out at the behest of AYUSH department for the sole purpose of helping the government in understanding the use of home based herbal medicines under the Unani perspective in Pune. Geographical sampling was done and among the selected communities a door to door interviewer survey was carried out. Results:Total sample size was 84. . Most of them seeked health care from the private clinicians followed by government hospitals. There was no statistical significant difference between the male and the female participants related to the awareness regarding Unani system (?2= 3.4564. p= .06). There were more females who preferred Unani medicine than males and this was statistically significant (?2= 8.7736, p= .003056). Unani medicines were used for a number of reasons like headache and stomach related problems. Conclusion:The survey data shows the positive attitude of the people at the same time highlights the lacunae present in the knowledge of the common man towards Unani medicines which contributes on a large scale to the failure of demand of such an untapped alterative health care approach
RESUMO
Abstracts: Background & Objective: Integration of complementary or alternative medicine (CAM) with allopathy medicine is a feasible solution to the human resource shortage in India. The scope of this integration will be influenced by the acceptance of CAM by allopathic practitioners. Objective is to assess the knowledge, attitude and practice regarding AYUSH system of medicine among medical officers in Mandya district. Methodology: A cross-sectional study was carried out over a period of 3 months involving 70 medical officers from various PHC in Mandya district. A pretested and structured questionnaire about the knowledge, attitude and practice regarding AYUSH was administered to all the medical officers. Data was entered in excel sheet and results were expressed in terms of percentage and proportions. Results: The average age of the study subjects was 34.85 ± 5.58 years. The most common source of information about AYUSH among study subjects was from colleagues/friends/ relatives. Only 35% of them had referred a patient to an Ayurveda practitioner and 35% had prescribed ayurveda medicines. Regarding the safety of ayurvedic medicine, 65% felt that ayurveda medicines need more scientific testing. Only 30% felt that AYUSH and allopathy should be integrated. Conclusion: The study concludes that the knowledge of the study subjects was inadequate; majority of them felt that ayurveda medicines need more scientific testing. Most of them were of the opinion that AYUSH and allopathy should not be integrated. But in practice nearly half of them were prescribing ayurveda medicines in their routine practice.
RESUMO
Background and Objectives: Majority of Ayurveda, Unani, Siddha, Homeopathy, Yoga (AYUSH) practitioners use allopathic drugs. This study was conducted to assess frequency of use of AYUSH and Allopathic drugs, and rationality of allopathic drugs in prescriptions of AYUSH practitioners. Methods: This cross sectional study was conducted after collecting prescriptions from patients attending clinics of AYUSH practitioners over a period of 5 weeks. Total 401 prescriptions were collected from patients after written informed consent. National list of Essential Medicines 2003, India and other parameters like drug dose, route of administration, indication were used to assess rationality of Allopathic drugs. Descriptive statistics was used for analysis. Results: Total 1037 drugs were studied from 401 prescriptions of AYUSH medicine practitioners. Total 999 (97.65%) Allopathy drugs were prescribed which contained 620 (62.06%) single drugs and 379 (37.93%) fixed drug combinations(FDCs) . 91.52% of total prescriptions contained only allopathic drugs. 19 (4.73%) prescriptions had combination of Ayurveda and Allopathic drugs while one(0.25%) prescription had combination of Homeopathy and Allopathic drugs. Out of 14 AYUSH presriptions containing only AYUSH drugs,13 (3.24%) prescriptions belonged to homoeopathy and one to Ayurveda.Proper diagnosis was written only in 29 (7.23%) prescriptions . 64% of total prescriptions reflected irrational use of Allopathic drugs.Irrational prescribing practices were found high in FDCs (37.13%) as compared with single drugs (26.92%) Conclusion: Allopathic drugs are highly and irrationally prescribed by AYUSH practitioners. Maximum irrational prescribing practice was seen in FDCs as compared to single drugs.
RESUMO
Currently, India recognizes fi ve different healthcare systems, collectively known as AYUSH (Ayurveda, Yoga, Unani, Siddha, Homeopathy), along with the conventional biomedicine. These systems have their own institutionalized structure for monitoring medical education and practice. However, because of the ‘parallel’ kind of policy model that is followed in India, there is no formal provision for any cross-talk between the professionals belonging to these different streams. This situation has not only given rise to mutual misgivings among these professionals regarding the strengths and weaknesses of each other, but also has led to a poor appreciation of the historical and socio-cultural connections these streams share with the community at large. To tackle these issues and to promote adequate participation of biomedicine experts in AYUSH-related research projects, ‘introduction of an AYUSH module in the current curriculum of MBBS (Bachelor of Medicine and Bachelor of Surgery) program’ has been proposed in this communication along with a possible roadmap for its implementation. It is also suggested that the experts in biomedicine be engaged for training AYUSH graduates in their respective specialties so that quality AYUSH education may be ensured.
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The clinical and empirical health benefi ts of yoga and pranayam have been reiterated through research. Yoga is being adopted as a system to alleviate the burden of noncommunicable diseases (NCDs) across the globe. The Directorate of AYUSH, Government of Chhattisgarh (DoA, GoCG) conducts annual 5-day-yoga camp across 146 Ayurvedgrams in the State. The present article brings out the AYUSH initiatives the State is taking toward active ageing. A total of 71,096 people participated in the 5-day-yoga camp across the State. A mean participation of 5079 people over 5 days was reported across districts. Such statewide practices need to be promoted and appraised.
RESUMO
Chhattisgarh has abundant herbal resources and a parallel AYUSH public health system. AYUSH health camps are conducted regularly in rural areas of the State by public and social sectors. The study aims to advocate the gravity of policy issues involved in AYUSH practices at health camps. A cross-sectional study was conducted in Pendra block of Bilaspur district, Chhattisgarh. Random sample of 600 people attending the camp were interviewed. A semi-structured questionnaire was used to collect data on disease complaints and established risk factors for asthma. Pearson’s Chi-square test was used to calculate odds ratio (OR) with 95% confidence interval (CI). Analysis suggests that there was a significant decrease in reported asthmatic attacks (OR 6.68, 95% CI 4.05–11.01) among those who attended the camp. Established risk factors of asthma that were identified as prevalent in the community were using wood and biomass as fuel (OR 2.61, 95% CI 1.30–5.24) and damp walls (OR 1.88, CI 0.9–3.93). Practices at AYUSH health camps conducted by the public and nonpublic sectors need to be documented and reported. People have faith in traditional medicine, and the remedies and practices need to be further explicated and validated in context to health care-seeking practices. The importance of formulation of guidelines by the government for conducting AYUSH health camps is indicated.