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Adravyabhuta Chikitsa Non-pharmacological Remedies 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 kinds –

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

Adravyabhuta Chikitsa is complementing remedy in some ailments however will also be a mainstay strategy or part of it in some situations. Instance – Aside from medicines and dietetic regimens, historical treatises have advocated and in addition emphasised fixed indulgence in bodily actions and workouts, as in santarpanottha rogas i.e. ailments precipitated as a result of over-nutrition like in prameha (diabetes), sthaulya (weight problems) and so on.
Learn – Chikitsa: Remedy Varieties, Ayurvedic classification

Can we deal with the ailments with out medicines?

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

It isn’t that every one that’s ‘non pharmacological’ can deal with ‘all ailments’. It’s selective and contains talent and expertise to implement the identical in remedy. Some ‘non-drugs’ can remedy some ailments for which they’re designed and so they might not be appropriate to deal with the opposite ailments or to deal with the identical illness in another individual. So, adravyabhuta chikitsa can be a ‘personalised drugs’, 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 steadiness (samyavastha) of the dhatus ought to be thought of as chikitsa i.e. therapy or remedy. If one thing which isn’t a medication can obtain this goal, we are able to positively name it a medication.

Elements of complete therapy – In each illness, when the therapy procedures are defined, Ayurveda has all the time comprehensively targeted on proper kind of aushadha i.e. medicines, ahara (weight loss plan) and viharas (way of life/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 (drugs). All these are non-drug kinds which outline therapy. These synonyms spotlight the significance of non-pharmacological remedy. Pathya additionally contains weight loss plan rules 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 – Significance Of Weight loss plan (Pathya) For Particular Ailments

The physicians ought to discover this methodology of therapy since it’s also cost-effective and really vital many instances. Adravyabhoota and Dravyabhuta Chikitsa shall be skillfully mixed in order to obtain most advantages in healing and preventive facets 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 – Well being Advantages Of Yoga: Thoughts And Physique

Likewise the energies derived from Solar, Water and Air and different parts of nature had been used for therapeutic functions within the historical days. The forces of nature had been additionally thought of as Gods and had been worshipped. Rituals like hearth sacrifices, oblations and so on had been additionally accomplished for creating therapeutic impression. They’re adopted even at present. 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 stated, 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 under talked about to be adopted within the therapy of psychological remedy –

  1. Gyana – non secular information
  2. Vijyana – scriptural information
  3. Dhairya – nurturing endurance
  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 under talked about strategies –

  • creating terror or worry (bhaya darshana)
  • shocking / surprising (vismapana)
  • making one to neglect (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 on

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 widespread methods utilized in Ayurveda to comprehensively deal with many bodily, psychological or psychosomatic problems. They’re –

  1. Daivavyapashraya Chikitsa – non secular 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. Due to this fact most measures included in daivavyapashraya and sattvavajaya chikitsa fall below adravyabhuta chikitsa.
Learn – Psychological And Non secular Advantages 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 loss plan and achara – conduct and way of life 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 Remedy For Calm Thoughts And Lengthy Life

Adravyabhuta Chikitsa and a few types of Shamana

Shamana means palliative remedies remedies. The under 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 Information 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 an alternate 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 recognized or when there are numerous ailments and it’s troublesome to make an correct analysis. In a method upashaya works on the logics of ‘trial and error methodology’. 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 – drugs, ahara – meals and vihara – actions. They could be both much 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 elements
  • Vyadhi viparita vihara – actions antagonistic to the illness
  • Hetu-Vyadhi viparita vihara – actions antagonistic to each trigger and the illness
  • Hetu viparitarthakari vihara – actions much like the causative elements
  • Vyadhi viparitarthakaria vihara – actions much like the illness
  • Hetu-Vyadhi viparitarthakari vihara – actions much like each trigger and the illness

Learn – Upashaya Anupashaya – Pacifying And Non-Pacifying Elements Of Illness

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 attempting to precise them. If they’re suppressed they may result in many ailments. If they aren’t suppressed they’d contribute in direction of complete well being. Under 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 drugs or substance is used for upkeep of well being. However it’s suggested to not withhold these naturally manifesting urges.
Learn – Do Not Suppress Physique Urges: Charak Samhita Sutrasthana seventh 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 every day foundation within the context of dinacharya i.e. every day routine like strolling, train, waking up early within the morning and so on shall be thought of as non-pharmacological therapies. Likewise the actions suggested to be accomplished or practiced throughout each season within the context of rtucharya i.e. seasonal routine additionally have to be thought of.

Different inclusions

Nidana Parivarjana – preserving away from the etiological elements (causative elements 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 hearth 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 are usually not used
Vyyama – train – helps in making the physique agency, secure and robust, will increase endurance – other than many different advantages
Nidra – sleep – is claimed to be one of many upastambha i.e. supporting pillar for upkeep of well being in a complete method, is therapeutic in emaciation sufferers
Brahmacharya – celibacy – is one more upastambha i.e. supporting pillar for upkeep of well being in a complete method, helps in having steadiness of wholesome semen and sperms in males, it bestows longevity and can be thought of as an necessary pathway for salvation
Sankalpa – willpower or choice to get indulged in intercourse is claimed to be the very best aphrodisiac Vajikarana Viharas – some actions, regimens and conducts are talked about to have aphrodisiac impact within the chapter of Vajikarana
Vidya – information / knowledge is claimed to be the very best among the many brmhana – bulk promoter / promotes bodily and psychological nourishment
Vata, Pitta, Kapha hara Viharas – regimens / actions to steadiness / pacify vata, pitta and kapha Harsha – exhilaration is the foundation of cheer or delight
Prashama – tranquility is claimed to be the very best among the many pathyas i.e. healthful regimes – these useful and conducive for the channels of the physique
Tattva Avabodha – understanding the fundamentals, fact and actuality is claimed to be the very best among the many Harshana – these which promote happiness / bliss
Indriyajaya – management over one’s senses / self management is the very best amongst these which promote delightfulness
Nivrutti – means freedom (from liabilities), that is thought of to be the very best amongst these which induce / bestow nourishment of the physique
Vayu – contemporary air is claimed to be the very best amongst these which give 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 – Varieties, Advantages, Myths And Information

Examples of Adravyabhuta Chikitsa

Sl No Illness Adravyabhuta Chikitsa That means
1 Jwara / fever Langhana, Vishnu Sahasra Nama   Bandha, aveshana, pujana and so on in bhutabhishangaja jwara Fasting, Chanting varied (1000) names of Lord Vishnu or chanting the identify of Lord Vishnu 1000 instances Tying up the affected person / arresting, driving out / scaring out, worship and so on in fevers precipitated as a result of evil spirits
2 Raktapitta / bleeding problems Shita upachara Chilly comforts
3 Urustambha – stiffness / spasticity of thighs Tarana, Vyayama Swimming in opposition to the present of the river, bodily train, strolling on gravel and so on to alleviate kapha
4 Atikrisha / emaciation Nidra, harsha, sukha shayya, sukha and so on Sleep, being joyous, comfy bedding, being in a state of enjoyment and so on
5 Atisthula / weight problems Vyayama, jagarana, vyavaya and so on Indulgence in bodily and psychological workouts, vigil (wakening throughout night time time), indulging in sexual act and so on
6 Prameha / Diabetes Vyayama Train, naked foot strolling, strolling
7 Rajayakshma / Tuberculosis Yagjya Fireplace sacrifices
8 Unmada / Madness, Psychoses Ashwasana, Bhaya, Trasana, Pratidwandwa Chikitsa, Rudra Puja – in therapy of Nija Unmada  
Mantra ucchara and so on – in therapy of agantuja unmada
 Counseling and assurance, creating worry / terror within the thoughts of the affected person, creating sudden terror, therapy by mutually contradictory psychic elements and worshiping Lord Shiva / Rudra – in treating madness / psychoses brought on by endogenous causes (doshas) Chanting sacred / spiritual hymns and different spiritual actions – in treating madness / psychoses brought on by exogenous causes
9 Shanka Visha / suspicious poisoning Mantra ucchara, Aswasana Chanting holy / spiritual / sacred hymns, counseling the sufferers and so on
10 Atisara / diarrhea Harshana – in bhayaja atisara
Ashwasana – in shokaja atisara
Exhilarating – within the therapy of diarrhea brought on by worry Counseling – within the therapy of grief induced diarrhea (each these diarrheas might be in contrast with psychological diarrhea)
11 Madatyaya / Alcoholism Gandharva, Sahayascha praharshanah, harshani kriya Indulgence in music, pleasing and pleasant corporations, psychotherapy
12 Atattvabhinivesha / Psychic perversion Vijgnana, dhairya, smrti, samadhi Buddies of the affected person ought to instill understanding, endurance, reminiscence and energy of focus

Additionally,

The under 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 – worry

The under 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 (constructive impression) on the physique elements and their capabilities. 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 steadiness of well being and lots of others in curing the ailments – at bodily, psychological or each ranges.

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

The imbalance of bodily doshas and psychological doshas might impression one another in the end of time. Due to this fact the non-pharmacological measures used at bodily degree would assist in psychological steadiness 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 – particular impact which can’t be defined logically. These actions additionally improve and promote sattva attribute of the individual. It is usually 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 keeping with the trendy analysis, train helps in controlling the blood glucose ranges and in addition improves insulin sensitivity. It helps in stopping the related issues equivalent 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 kind and so on confirmed useful impact in T2DM (Srijit Das et al).

By all these we are able to see that adravyabhuta chikitsa are necessary 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 stated to work on the premise of particular impact for which no scientific precept or foundation has been explored. However what’s necessary is that any therapy with or with out type ought to present remedy or assist in stopping the ailments or in upkeep of well being. A super and skillful mixture of dravyabhuta (remedies whereby supplies like medicines, weight loss plan and so on are used) and adravyabhuta (non-drug) chikitsa is one of the simplest ways in direction of comprehensively coping with many ailments in medical follow. When accomplished so, the principle goal of therapy i.e. dhatusamya might be positively achieved to an amazing extent.
Click on to Seek the advice of Dr Raghuram Y.S. MD (Ayu) – Skype

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