Adravyabhuta Chikitsa Non-pharmacological Treatments In Ayurveda

By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Adravyabhuta Chikitsa contains all these remedies whereby no drug or pharmacological strategy is concerned. A = no, Dravyabhuta = drug / pharmacological dependent, Chikitsa = therapy. So, adravyabhuta chikitsa means ‘non-drug or non-pharmacological remedies / remedy’. These remedies could also be in several varieties –

• Bodily actions
• Psychological / psychological actions
• Non secular actions
• Non secular actions and so forth

Adravyabhuta Chikitsa is complementing remedy in some ailments however will also be a mainstay strategy or part of it in some circumstances. Instance – Other than medicines and dietetic regimens, historic treatises have advocated and in addition emphasised fixed indulgence in bodily actions and workouts, as in santarpanottha rogas i.e. ailments induced resulting from over-nutrition like in prameha (diabetes), sthaulya (weight problems) and so forth.
Learn – Chikitsa: Treatment Types, Ayurvedic classification

Can we deal with the ailments with out medicines?

Completely sure. It’s mentioned that something – a fabric or non-material is skillfully chosen, can be utilized to deal with the ailments and something which might achieve this would fall below the purview of an efficient remedy / therapy.

It’s not that each one that’s ‘non pharmacological’ can deal with ‘all ailments’. It’s selective and contains ability and expertise to implement the identical in remedy. Some ‘non-drugs’ can treatment some ailments for which they’re designed and so they will not be appropriate to deal with the opposite ailments or to deal with the identical illness in another individual. So, adravyabhuta chikitsa can also be a ‘personalised medication’, like ‘what fits you doesn’t swimsuit me!’.

How does it work?

How does one thing which is a non-drug could be thought of as a remedy?

As per the definition of drugs, something which brings in regards to the stability (samyavastha) of the dhatus ought to be thought of as chikitsa i.e. therapy or remedy. If one thing which isn’t a drugs can obtain this goal, we are able to positively name it a drugs.

Substances of complete therapy – In each illness, when the therapy procedures are defined, Ayurveda has all the time comprehensively targeted on proper sort of aushadha i.e. medicines, ahara (weight-reduction plan) and viharas (life-style/conduct). Viharas are non-pharmacological interventions. Amongst synonyms of drugs – Pathya (that which is healthful for the channels of transportation within the physique), Prayaschitta (atonement) and Hita (useful) are the synonyms of bheshaja (medication). All these are non-drug varieties which outline therapy. These synonyms spotlight the significance of non-pharmacological remedy. Pathya additionally contains weight-reduction plan laws that are within the type of substance, however these that are formless and serve the aim of pathya shall be included on this dialogue.
Learn – Importance Of Diet (Pathya) For Specific Diseases

The physicians ought to discover this technique of therapy since it is usually cost-effective and really vital many occasions. Adravyabhoota and Dravyabhuta Chikitsa shall be skillfully mixed in order to acquire most advantages in healing and preventive elements of the therapy. It may be used alone or together in therapy of each bodily and psychological problems and thus would cowl a broad spectrum. Meditation, Yoga and Marma therapies additionally fall below the umbrella of adravyabhuta chikitsa.
Learn – Health Benefits Of Yoga: Mind And Body

Likewise the energies derived from Solar, Water and Air and different parts of nature have been used for therapeutic functions within the historic days. The forces of nature have been additionally thought of as Gods and have been worshipped. Rituals like fireplace sacrifices, oblations and so forth have been additionally carried out for creating therapeutic impression. They’re adopted even right now. They will also be included in daivavyapashraya chikitsa i.e. divine therapies however being non-medicinal are included in adravyabhuta chikitsa. Adravyabhuta Chikitsa in Nija Rogas (somatic ailments) – As already mentioned, these therapies are additionally included within the therapy of somatic problems, as in psychological problems. These therapies are talked about in each yuktivyapashraya chikitsa (rational remedy) and in addition daivavyapashraya chikitsa (divine therapies)
Learn – Daiva Vyapashraya Chikitsa – Divine Therapies of Ayurveda

For psychological problems

Adravyabhuta Chikitsa in Manasika Rogas (psychological problems) – Grasp Charaka has suggested the beneath talked about to be adopted within the therapy of psychological remedy –

1. Gyana – religious data
2. Vijyana – scriptural data
3. Dhairya – nurturing persistence
4. Smriti – evoking reminiscence
5. Samadhi – meditation

All these fall within the territory of adravyabhuta chikitsa. It’s administered utilizing measures (upaya) that are formless (amurta) which incorporates the beneath talked about strategies –

• creating terror or concern (bhaya darshana)
• shocking / stunning (vismapana)
• making one to overlook (vismarana)
• inflicting agitation (kshobhana) or exhilaration (harshana)
• threatening to kill (vadha)
• tying up an individual (bandhana)
• inducing sleep (swapna)
• mild therapeutic massage / touching (samvahana) and so forth

These measures are defined within the context of chapter coping with therapy of unmada (psychoses) and apasmara (reminiscence problems).

Adravyabhuta Chikitsa and Trividha Chikitsa

Trividha chikitsa i.e. threefold remedies are in style methods utilized in Ayurveda to comprehensively deal with many bodily, psychological or psychosomatic problems. They’re –

1. Daivavyapashraya Chikitsa – religious therapies
2. Yuktivyapashraya Chikitsa – rational therapies (together with remedies, medicines, dietetic regime)
3. Sattvavajaya Chikitsa – psychotherapy

Amongst these three codecs of therapy, divine therapies and psychotherapy are formless remedies and don’t use any substance for the aim of therapy. Subsequently most measures included in daivavyapashraya and sattvavajaya chikitsa fall below adravyabhuta chikitsa.
Learn – Mental And Spiritual Benefits Of Fasting

Adravyabhuta Chikitsa and Chaturvidha Chikitsa

Grasp Sushruta has talked about 4 sorts of remedies, adopted to comprehensively deal with the ailments. They’re samshodhana – cleaning therapies, samshamana – palliative remedies, ahara –weight-reduction plan and achara – conduct and life-style modifications. Amongst these, achara shall be included in adravyabhuta chikitsa. Alternatively we are able to inform that many measures of adravyabhuta chikitsa fall below the umbrella of achara.
Learn – Achara Rasayana – Behavioral Therapy For Calm Mind And Long Life

Adravyabhuta Chikitsa and a few types of Shamana

Shamana means palliative remedies remedies. The beneath talked about shamana measures shall be thought of as adravyabhoota chikitsa since no substance is utilized in these types of therapy –

• Kshudha (nigraha) – controlling or pacifying the starvation (fasting)
• Trshna (nigraha) – controlling or pacifying thirst
• Vyayama – getting indulged in train
• Atapa – publicity to warmth of the solar
• Maruta – publicity to the wind
  Learn – How To Do Fasting? A Step By Step Guide For You

Adravyabhuta Chikitsa and Upashaya

Upashaya is like shamana. It’s administered with a hope of pacifying a illness, if it does, it’s continued and the identical upashaya turns into chikitsa i.e. therapy for that illness. If it doesn’t, the doctor would search for another strategy. If it aggravates the illness, it’s thought of as anupashaya and the measure is discontinued. Upashaya is considered when a illness shouldn’t be correctly identified or when there are various ailments and it’s tough to make an correct prognosis. In a manner upashaya works on the logics of ‘trial and error technique’. It’s one among the many 5 diagnostic instruments nidana panchaka.

18 sorts of upashaya have been defined in Ayurveda treatises. Three sorts of strategies are used within the context of upashaya i.e. aushadha – medication, ahara – meals and vihara – actions. They could be both just like or antagonistic to the reason for the illness, illness or each. The permutations and mixtures make up for 18 sorts of upashaya.

Amongst these viharaja upashayas associated to actions shall be thought of below adravyabhuta chikitsa. They’re –

• Hetu viparita vihara – actions antagonistic to the causative components
• Vyadhi viparita vihara – actions antagonistic to the illness
• Hetu-Vyadhi viparita vihara – actions antagonistic to each trigger and the illness
• Hetu viparitarthakari vihara – actions just like the causative components
• Vyadhi viparitarthakaria vihara – actions just like the illness
• Hetu-Vyadhi viparitarthakari vihara – actions just like each trigger and the illness

Learn – Upashaya Anupashaya – Pacifying And Non-Pacifying Factors Of Disease

Gist of Non-pharmacological Therapies extracted from Ayurveda classics

Adharaniya Vegas – Ayurveda enlists 13 physique reflexes which shouldn’t be forcibly withheld when the physique is making an attempt to precise them. If they’re suppressed they are going to result in many ailments. If they aren’t suppressed they’d contribute in direction of complete well being. Beneath talked about are these urges which shouldn’t be suppressed forcibly –

• Vata – fart and belch
• Vit – feces
• Mutra – urine
• Kshavathu – sneeze
• Trt – thirst
• Kshudha – starvation
• Nidra – sleep
• Kasa – cough
• Shrama shvasa – exertion dyspnea
• Jrmbha – yawning
• Ashru – tears
• Chardi – vomiting
• Retas – ejaculation

Right here no medication or substance is used for upkeep of well being. However it’s suggested to not withhold these naturally manifesting urges.
Learn – Do Not Suppress Body Urges: Charak Samhita Sutrasthana 7th chapter

Dharaniya Vegas

Equally there are some urges which ought to be managed and withheld. They’re primarily the psychological expressions / feelings. They’re –

Dinacharya / Rtucharyokta Vihara

Bodily actions suggested to be practiced on day by day foundation within the context of dinacharya i.e. day by day routine like strolling, train, waking up early within the morning and so forth shall be thought of as non-pharmacological therapies. Likewise the actions suggested to be carried out or practiced throughout each season within the context of rtucharya i.e. seasonal regimen additionally have to be thought of.

Different inclusions

Nidana Parivarjana – conserving away from the etiological components (causative components of a illness) Sadvrtta – observance of excellent conducts and noble deeds
Achara Rasayana – all these acts and deeds which might bestow the advantages of rasayana (rejuvenators, immune modulators, anti-ageing medicines)
Langhana – all sorts of lightening therapies besides shodhana – cleaning therapies,  deepana – digestive fireplace kindling medicines and therapies, and pachana – ama digesting medicines / therapies
Niragni sweda – all 10 sorts of sudation therapies whereby the contact of fireplace or warmth generated from the hearth will not be used
Vyyama – train – helps in making the physique agency, secure and powerful, will increase endurance – aside from many different advantages
Nidra – sleep – is alleged to be one of many upastambha i.e. supporting pillar for upkeep of well being in a complete manner, is therapeutic in emaciation sufferers
Brahmacharya – celibacy – is yet one more upastambha i.e. supporting pillar for upkeep of well being in a complete manner, helps in having stability of wholesome semen and sperms in males, it bestows longevity and can also be thought of as an essential pathway for salvation
Sankalpa – dedication or resolution to get indulged in intercourse is alleged to be one of the best aphrodisiac Vajikarana Viharas – some actions, regimens and conducts are talked about to have aphrodisiac impact within the chapter of Vajikarana
Vidya – data / knowledge is alleged to be one of the best among the many brmhana – bulk promoter / promotes bodily and psychological nourishment
Vata, Pitta, Kapha hara Viharas – regimens / actions to stability / pacify vata, pitta and kapha Harsha – exhilaration is the foundation of cheer or delight
Prashama – tranquility is alleged to be one of the best among the many pathyas i.e. healthful regimes – these useful and conducive for the channels of the physique
Tattva Avabodha – understanding the fundamentals, reality and actuality is alleged to be one of the best among the many Harshana – these which promote happiness / bliss
Indriyajaya – management over one’s senses / self management is one of the best amongst these which promote delightfulness
Nivrutti – means freedom (from liabilities), that is thought of to be one of the best amongst these which induce / bestow nourishment of the physique
Vayu – contemporary air is alleged to be one of the best amongst these which give very important energy – prana
Dhee, Dhairya, Atmadi Vijnanam – These are the threefold remedies most well-liked and extremely advocated as the primary line of strategy in direction of dealing with psychological problems. That is the premise of psychotherapy in Ayurveda. Dhee means selling the mind of the individual, dhairya means putting in braveness within the minds of the affected person and atmadi vijnana contains making the individual to grasp the idea of self-worth and offering counseling. These measures are used within the fashionable psychiatry additionally.
Learn – Counselling – Types, Benefits, Myths And Facts

Examples of Adravyabhuta Chikitsa

Additionally,

The beneath talked about measures (non-pharmocological) are thought of to be upayantras i.e. accent devices and therefore helpful within the therapy of ailments –

• Harsha – exhilaration
• Pravahana – straining for evacuation
• Kala – time issue
• Bhaya – concern

The beneath talked about non-drug therapies shall even be included in adravyabhuta chikitsa –

Abstract

Adravyabhuta Chikitsa don’t comprise of any herbs, medicines, meals or substances to deal with the ailments. Being non-pharmacological therapies they do have an effect (optimistic impression) on the physique components and their features. A few of them have their therapeutic impression on the physique and thoughts. A few of these non-drug therapies assist in stopping ailments, some in upkeep and stability of well being and lots of others in curing the ailments – at bodily, psychological or each ranges.

At bodily stage they assist in upkeep of bodily well being and in addition to keep up dhatu samya i.e. stability of physique tissues. They assist in balancing the physique doshas and thus preserve all of the features in a state of stability. Instance – train, sleep, and fasting, not withholding physique’s pure urges and so forth. These non-drug therapies that are primarily applied for upkeep of psychological well being helps in enhancing the sattva attribute of the thoughts and stability imbalanced rajas and tamas attributes on the identical time. This helps in prevention and treatment of assorted psychological issues and ailments. Instance – psychotherapy, counseling, exhilaration, encouragement, meditation, pleasant firms and so forth.

The imbalance of bodily doshas and psychological doshas might impression one another in the end of time. Subsequently the non-pharmacological measures used at bodily stage would assist in psychological stability and treating psychological problems and vice versa. The non-pharmacological therapies together with spiritual actions and divine therapies primarily act on the premise of prabhava – special effect which can’t be defined logically. These actions additionally improve and promote sattva attribute of the individual. It’s also believed that these therapies have an effect on the cosmic rays of various planets (graha) and thus is believed to please the exogenous forces.

From illness and their therapy perspective – Even in response to the fashionable analysis, train helps in controlling the blood glucose ranges and in addition improves insulin sensitivity. It helps in stopping the related problems comparable to cardiovascular injury. Ayurveda too has given significance to the inclusion of train in lots of metabolic ailments together with prameha / madhumeha vis-à-vis diabetes mellitus. In a research it was discovered that varied sorts of workouts viz cardio, resistance, Yoga, endurance sort and so forth confirmed useful impact in T2DM (Srijit Das et al).

By all these we are able to see that adravyabhuta chikitsa are essential a part of the Ayurveda therapy protocol, be it in case of psychological problems or bodily problems or psychosomatic problems. Most of those measures are additionally adopted within the fashionable period, some owing to the practices which have descended via the timeline of evolution and a few after having been proved via scientific checks and analysis works (although many of those haven’t gone below the hammer of scientific checks and have been discarded as absurd and ineffective). In most of them the religion or belief is the working issue and lots of are mentioned to work on the premise of particular impact for which no scientific precept or foundation has been explored. However what’s essential is that any therapy with or with out type ought to present treatment or assist in stopping the ailments or in upkeep of well being. An excellent and skillful mixture of dravyabhuta (remedies whereby supplies like medicines, weight-reduction plan and so forth are used) and adravyabhuta (non-drug) chikitsa is one of the simplest ways in direction of comprehensively coping with many ailments in scientific observe. When carried out so, the principle goal of therapy i.e. dhatusamya might be positively achieved to an amazing extent.
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