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MAIN STREAMING AYUSH UNDER NRHM

1.The Indian system of medicine have age old acceptance in the communities in India and in most places they form the first line of treatment in case of common ailments. 2.Of these, ayurveda is the most ancient medical system with an impressive record of safety and efficacy. Other components such as yoga, naturopathy are being practiced by the young and old alike, to promote good health. 3.Ayurveda, yoga, unani, siddha, and homeopathy (AYUSH) are rationally recognized systems of medicine and have been integrated into the national health delivery system. 4.The NRHM seeks to revitalize local health traditions and mainstream AYUSH (including manpower and drugs) to strengthen the public health system at all levels.

STRATGIES
Integrate and main stream ISM and H in the health care delivery system including national programmes. Encourage and facilitate in setting up of specialty centers and ISM clinics. Facilitates and strengthen quality control laboratory. Strengthening the drug standardization and research activities on AYUSH. Develop advocacy for AYUSH. Establish sectoral linkages for AYUSH activities.

BROAD OBJECTIVES
Main streaming of AYUSH in the health care service delivery system to strengthen the existing public health system. ACTIVITIES Improving the availability of AYUSH treatment faculties and integrating it with the existing health care service delivery system. Integration of AYUSH with ASHA. Drug management. Special initiatives for mainstreaming and strengthening of AYUSH Strengthening the quality control laboratory. Strengthening the drug standardization and research activities of AYUSH. Strengthening the state and district management system of ayush.

AYURVEDA

HOMEOPATHY

YOGA AND NATUROPATHY

SIDDHA

UNANI

INTRODUCTIONONTHEABOVEONBXL

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According to ayurveda all objects in the universe including human body are composed of five basic elements, namely, earth, water, fire, air and vaccum. The growth and development of the body matrix depends on its nutrition i.e., on food. life in ayurveda is conceived as the union of body, senses, mind and soul. The living man is a conglomeration of three humours ( vata, pitta, and kapha), seven basic tissues (rasa, rakta, mansa, meda, asthi, majja and shukra) and the waste products of the body such as faeces, urine and sweat.

HEALTH AND SICKNESS:

1. 2. 3. 4.

Health and sickness depends on the presence or absence of a balanced state of the total body matrix including the balance between its different constituent. Both the intrinsic and extrinsic factors can cause disturbance in the natural equilibrium giving rise to disease. The loss of equilibrium can happen by dietary indiscrimination, undesirable habits and non observance of rules of healthy living.
DIAGNOSIS: In ayurveda diagnosis is always done of the patient as a whole. The physician takes a careful note of the patient internal physiological characteristics and mental disposition. The diagnosis also involves the following examinations: General physical examination. Pulse examination. Examination of urine and faeces. Examination of tongue and eyes.

TREATMENT \\\
The basic therapeutic approach is that alone is the right treatment which makes for health and he alone is the best doctor who frees one from disease. Treatment of disease consists in avoiding causative factors responsible for disequilibrium of the body matrix. Normally treatment measures involve use of medicines, specific diet and prescribed activity routine, in 2 ways.

1.
2.

Antagonize the disease by counteracting the etiological factors. Targeted to exert effects similar to the etiological factors.

TYPES :
1.

2.
3.

4.

5. 6.

Shodhana therapy(purification treatment) Shamana therapy(palliative treatment) Pathya vyavastha( prescription of diet and activity) Nidan parivarjan( avoidance of disease causing and aggravating factors) Satvavajaya( psychotherapy) Rasayana therapy (use of immunomodulators and rejuvenation medicine)

Yoga

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INTRODUCTION: Yoga is one of the six systems of Vedic philosophy. Maharishi patanjali rightly called the father of yoga compiled and refined various aspects of yoga systematically in his yoga sutras. Yoga today, is no longer restricted to hermits, saints and sages; it has entered into our everyday lives and has aroused a world wide awakening and acceptance in the last few decades. DEFINITION : The literal meaning of the Sanskrit word yoga is yoke. Yoga is the suppression of modifications of the mind. Maharishi patanjali.

SALIENT FEATURES OF YOGA: 1. Yoga a universal practical discipline: A. yoga is universal in character for practice and application irrespective of culture, nationality, race, caste, creed, sex, age and physical condition. B. Only regular practice creates a pattern In body and mind to uplift them. 2. Yoga as evolutionary process: A. Yoga is an evolutionary process in the development of human consciousness. B. Indian yogis begin from the point where western psychology ends. 3. Yoga as soul therapy: A. All paths of yoga have healing potential to shelter out the effects of pains.

TYPES OF YOGA
1. Japa yoga

2. Karma yoga.

3. Jyana yoga

4. Bhakti yoga

Poses

5 Raja yoga

6 Swara yoga

7 Kundalini yoga

8 Nadi yoga

INTRODUCTION: Naturopathy is an art and science of healthy living and a drugless system of healing . The revival of naturopathy started in India by translation of Germanys: Louis kuhnes book new science of healing. He propounded the principles of unity of disease and treatment and provided theoretical base to this method. DEFINITION: Naturopathy is a system of treatment which recognizes the existence of the vital curative forces within the body. ----British naturopathic association.

SALIENT FEATURES OF NATUROPATHY: 1. All diseases, their causes and treatment are one, except for traumatic and environmental conditions. 2. The primary cause of disease is accumulation of morbid matter and bacteria secondary cause. 3. Acute diseases are self healing efforts of the body. Hence, they are our friends, not enemy. 4. Naturopathy is the greatest healer. The body itself has the healing power to prevent itself from disease and regain health if unhealthy. 5. In nature cure it is not the disease but the entire body of the patient which is caused and is renewed.

Naturopathy cures patients suffering from chronic ailments are also treated successfully in comparatively less time. 7 In nature cure the suppressed diseases are brought to surface and are removed permanently. 8 Naturopathy treats all the aspects like physical, mental, social, and spiritual at the same time. 9 Naturopathy treats the body as a whole. 10 According to naturopathy, food is only the medicine, no external medications are used.

DIFFERENT MODALITIES OF NATUROPATHY

1 Diet therapy. 2 Fasting therapy. 3 Mud therapy. 4 Hydro therapy. 5 Masso therapy. 6 Acupressure. 7 Acupuncture. 8 Chromo therapy. 9 Air therapy. 10 Magnet therapy.

INTRODUCTION: The unani system of medicine has a long and impressive record in India. unani medicine got enriched by imbibing what was best in the contemporary systems of traditional medicines in Egypt, Syria, Iraq, Persia, India, china and other middle east countries. During 13th and 17th century A.D. unani medicine had its hey-day in India. DEFINITION: Tibb is the science of which we learn the various states of body, in health and when not in health, and the means by which health is likely to be lost, when lost, is likely to be restored. ---Avicenna.(greatest scholars of unani)

PRINCIPLES AND CONCEPTS: 1.The basic theory of unani system is based upon the four humour theory of Hippocrates, (i.e., blood, phlegm, yellow bile and black bile).

2. The human body is considered to be made up of the following 7 components ( arkan(elements), mizaj(temperament), akhlat(humour), aaza(organs), arwah(spirits), quwa(faculties), afaal(functions). HEALTH:
Health refers to that state of human body when all the functions of the body are carried out normally.

DIAGNOSIS: Any illness of a person is to be regarded as a product of: 1. The stuff and material he is made of. 2. The kind of temperature, structure and strength of faculties he has, 3. The type of factors operating on him from outside and, 4. Natures own attempt to maintain his physical functions and to ward off disruptions to the extent possible.

PREVENTION OF DISEASE: . There is emphasis on the need for keeping water, food and air free from pollution Six essential pre requisites have been laid down: 1. Air, 2. Food and drinks, 3. Bodily movement and repose, 4. Psychic movement and repose, 5. Sleep and wakefulness, 6. Evacuation and retention.

THERAPUTICS: In this system the entire personality of a patient is taken into account. Each individual has got its own basic structure, physique, makeup, self defense mechanism, reaction to environmental factors, likes and dislike. Main types of treatment: 1 Regimental therapy 2 Dieto therapy. 3 Pharmaco therapy 4 Surgery.

INTRODUCTION: - Siddha system is one of the oldest systems of medicine in India. - The term siddha means achievements and siddharas were saintly persons who achieved results in medicine. - Siddha literature is in Tamil and it is practiced largely in Tamil speaking part of India and abroad. - The siddha system is largely therapeutic in nature. BASIC CONCEPTS: These principles and doctrines of this system, both fundamental and applied, have close similarity to ayurveda, with specialization in Iatro-chemistry.

DIAGNOSIS: The diagnosis of disease involves identifying its causes. Identification of causative factors is through the examination of pulse, urine, eyes, study of voice, color of body, tongue and the status of digestive system. Urine examination includes study of its color, smell, density, quantity and oil drop spreading pattern. Its holistic in approach. TREATMENT: Medical treatment is oriented not merely to disease but has to take into account the patient, environment, the meteorological consideration, age, sex, race, habits, mental frame, habitat, diet, appetite, physical condition, physiological constitution.

STRENGTHS: The siddha system is capable of treating all types of disease other than emergency cases. In general this system is effective in treating all types of skin problems particularly Psoriasis, urinary tract infections, diseases of liver and gastrointestinal tract, general debility, postpartum anemia, diarrhea, and general fever. In addition to arthritis and allergic disorders.

INTRODUCTION: Homeopathy today is a rapidly growing system and is being practiced almost all over the world. A rough study states that about 10% of the Indian population solely depends on homeopathy for their health care needs and is considered as the second most popular system of medicine in the country. The word homeopathy is derived from two Greek words, Homois similar Pathos - suffering It is based on natural law of healing- similia- similius curantur which means likes are cured by likes.

PRINCIPLES: German physician Samuel Hahnemann first started the basic principles of homeopathy in 1796, known as law of similars. Two important principles of homeopathy: 1. Like cures like: a substance that causes symptoms of illness can cure those same symptoms. 2. Minimum dose: to cure with out harm, use the least amount of medicine necessary. BASIC ASSUMPTIONS: A. Living beings are alive because they have energy flowing through them. B. Disease is a disturbance in the body's energy. C. To cure disease you have to restore the body's energy flow. D. Since disease is a disturbance of energy, you need a energy medicine to correct it.

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