1. Salyatantra (Orthopedics, Surgery, Oncology)
The word 'Salya' is derived from "Sala - Swala = Asugamaney’ which means the foreign body or toxic element which spreads all over the body very quickly on entering the body. This branch of medical system is so named because of its quickness and precision in dealing the emergencies. Salya Tantra deals with the diagnosis and removal of all foreign bodies ( grass ,blades, wooden pieces, sand particles, metallic particles like bullets, rods, balls, nails etc.) from the body. Any foreign body which is dangerous to the body is a salya and the aim of salya thantra is to deal with such salyas.
The term ‘Salya’ further denotes endogenous materials like dead foetus, inflammatory substances like pus which inflict pain either to body or mind. ‘Salya thantra’ which incorporate surgical and para-surgical techniques along with therapeutic techniques serves the purpose of elimination of them from the body.
Among all-the branches of medicine, salya thantra is most important. Because

1. It is an acute management :(Asu Kriya Karanaath)
The Salya Thantra or surgery gives immediate relief and there is no doubt about the prognosis of the disease and efficacy of the treatment. The result can practically be observed and enjoyed by the patient the moment the operation is completed. Such a tremendous result can not be obtained in medical treatment.

2. It employs Parasurgical/ Surgical techniques: (yenthra Sashtra Kshaara Agni Pranidhanaat)
The measures adopted in Salya thantra are surgical (Yantra karma &Sasthras karma) para surgical like caustics (Kshara karma) thermal cauterization (Agni karma). Leeching (Jalookavacharana ),blood letting (prachana), venesection(siravedham) etc. Almost all the surgical procedures are radical and its efficiency is timetested

3. It is popularly accepted ( Sarva thantra samaanyaath):
This is a branch of science accepted by all the other allied sciences like kayachikitsa (general medicine), Koumara bhruthya (peadiatrics) shalakya tntra (ENT ) etc.
Ayurveda is a branch of Adharvaveda. It is said that Brahma recollected this‘Science of life’ and this point to the fact that this medical science had existed even at the times of lord Brahma ( mythological creator of the living beings) Ayurveda is broadly classified into eight branches( ashthaangaas). Salyatantra commands the prime position among the eight branches.

After attaining such great heights in the remote past, surgery was subsequently neglected; abandonment of dead body dissection and relegation of the manual work to inferior artisans gradually deprived those who studied the work of Susruta of practical knowledge. Thus while internal medicine advanced with time, surgery declined and was finally reduced to mere theory, except for some traditional families practicing it.

‘Lord Dhanvanthari’ was the propounder of Salya thantra. Later this branch of medical science was transferred through his disciples like susruta , poushkalavatha, aourabhra, gopurarakshitha for the benefit of the man kind. Each of these disciples separately created extensive texts on this medical branch on their on name like Sushruta samhita, poushkalavatha samhita etc.

‘Susruta’ the auther of sushrutasamhitha, is considered to be the father of Indian surgery. His lifetime may be assumed to be somewhere between 2000 B.C. to 2500 B.c. Heslar and other historians are of the opinion that he belongs to 1000 B.C. Weber - another historian states that he belongs to 500 to 600 A.D. Since his way of writing belongs to the type of Varaahamihira - A great Mathematician of India. Several western Scholars, Mc-Donal, John Wilson, Letart, Max, Neberger etc claim that he belongs to 100 to 1000 A.D. Any how still there are so many opinions about his time but none of them has got any authentic proof.

The Susruta Samhita describes the sequential development of the structures of the foetus. For this study of anatomy, Susruta advocates dissection of dead body. Perhaps we could evaluate the status of surgery during any period by the type of instruments in vogue during that period. Susruta gives a list of blunt and sharp instruments and adds that a surgeon, by his own experience and intelligence, may invent and add new instruments to facilitate the surgical procedures. Susruta has pointed out that haemorrhage can be arrested by apposition of the cut edges with stitches, application of styptic decoctions, by cauterisation with chemicals or heat. Susruta has advocated the use of wine as an anaesthesia. Although the use of henbane (Cannabis indica) and of Sammohini and Sanjivani are reported at a later period, Susruta was the pioneer of anaesthesia. Susruta describes eight types of surgical procedures: Excision (chedana) , Incision (bhedana) , Scraping (lekhana) puncturing with special instrument (vyadhana). probeing (esana), blood-letting (Sravana) and stitching (svana). Susruta also gives classification of the bones and their reaction to injuries. varieties of dislocation of joints (sandhimukta) and fractures of the shaft (kanda-bhagna) are given systematically.
He emphasises that removal of foreign bodies is fraught with certain complications if the seat of the Salya be a marma. Susruta also discusses certain surgical conditions of ano-rectal region, he has given all the methods of management of both haemorrhoids and fistulae.

Surgery of intestinal obstruction (baddha-gudodara), perforated intestines (chidrodara), accidental injuries to abdomen (assaya-bhinna) in which protrusion of omentum occurs are also described along with their management. Susruta lays down the basic principles of plastic surgery by advocating a proper physiotherapy before the operation and describes various methods or different types of defects, viz., He has mentioned various methods including sliding graft, rotation graft and pedicle graft. Nasal repair or rhinoplasty has been described in greater detail, which to this day has stood the test of time and is mentioned as the Indian method of rhinoplasty in the books of plastic surgery.

The orthopedics of today is developing and developed on the same lines of susruta samhita. Reduction, immobilization and rehabilitation are there at the time of susruta and today equally. There is no compromise or second opinion as far as the fundamentals and principles are concerned.
Now all over India, there is an association for the salyatantra experts “National Sushruta Association” (NSA). In speciality of this subject now named as “MS (Ay) salyatantra”.

A.Marma

Introduction
The ‘Ayurveda’ the science of life combined with two words, ‘ayus’ and ‘Veda’. The scince of ayus or the knowledge of ayus. In the contest of ‘ayus’ which is denoted that continuity of consciousness or unified state of physical body, cognitive organs, mind, and soul. The physical body ‘sarira’ which means the functional and anatomical aberrations of the cognitive organs that can easily detect the abnormalities of the other parts of the body.
The body and cognitive organs are visible only in the combination of ‘ayus’. According to father of general medicine in ayurveda, Acharya Charaka explains the body, the seat of soul, ‘chedana’ comprises of an equilibrated combination of the modification of the five gross elements. -’Panchabhutavikara.’ The principles of ayurveda five bhutas are involved in the very beginning of the development of the body (fetal developments) the pedant character of the body ‘vata’, ‘pitta’and ‘kapha’ doing the correlative, substantive and generative functions of the body also made up of with panchmahabhutas (five elements) even though the all organs are divided into minutest units – ‘Paramanu’, is the smallest particle of the earth, water, fire and air according to the philosophy of vaisheshika. The theory of Tridosha has been postulated explaining the process of health and diseases. Vata is made up of Akashabhuta and vayubhuta. Pitha is made up of Agni bhuta and Kapha also made up of apbhuta and prthvibhuta. This somatic humors in a state of equilibrium working as complimentary to each other, perform and control all physiological process of the both body and mind and to maintaining the health.
The characters of panch bhutas are in prthvibhuta the smell of the body and in the olfactory faculty. In apyabhuta the tastes of the different elements of the body and in gustatory faculty. In agneyabhuta gives the faculty of vision, different colours of various parts of the body, luster of the body, anger, generation of instantaneous energy and valour. In vayavyabhuta gives the all the movements in the body and sense of touch. Finally the akaashiyabhuta that the sounds emananting from different organs of the body. According to ‘sarira’ its constituents parts along with the doshas, dhatus etc are derived from a combination of this five elements.
Satwa, raja and thamas are the trigunas. The satva guna increase it give rise to pure knowledge and health otherwise raja and thama increase will vitiate the tridoshas and leads to diseases.
This is the basic philosophy behind the Ayurvedic health & diseases. So the Sushruta father of Indian surgery defines that marma as primary seat of trigunas and tridoshas. There for injuries to this parts will cause irreversible damage or death.
Marma is not a new term as for Sanskrit literary concerned. It figures from athervedic times to recent literature.

Definition.
In Ayurvedic literature is concerned the term marma as ‘Jeevasthana’. Vital spot, vulnerable points, any secret of mystery, the care of anything etc. are the few word meanings of the ‘marma’.
During Vedic periods knowledge of marma was known to king and warriors. It was applied in battlefields to hit and achieve maximum fatal effect against their enemies. There for it can assume that this science was used both in warfare and surgery. Due to this crisis the exact meaning of the ‘marma’, and it s applied aspect are not fully developed or not spreaded to all generation.
Marmas are also said to be composed of above said six elements such as soma, marutha, teja, satwa, raja, and tamas. Etymologically it is said to be each letter of the word marma has got a significant meaning ‘ma’ means prana or vayu, the repha indicates house or seat. Hence the word marma means seat of vayu or prana.
As per marma sastra the combination of sakthi and jada (mortal and immortal) results in life. As per the meaning of ‘pranayatanakendra’ the prana circulates more and hence it is termed as marma.
During injury to marma, the doshas are vitiated in the surrounding areas of marma. The aggravated dosha, vata produces severe pain and blockade in the free movements of prana vayu and vyana vayu.the main function of vyana vayu is to regulate the free movements of nutrients to all the tissues of the body. when this is blocked all the body system suffer due to the lack of nutrition and free flow of ‘prana’ leading to diseases or death.
Acharya charaka explain that in the view of patho-physiologically Marmas are the centers of chaithanya hence the functional abnormality in their centers will be, more sever we when composed to other parts.
According to Acharya Vagbata wherever irregular pulsation and pain felt on pressure or trauma that location called marma.
Again Sushruta explain the Marmas are a conglomeration of mamsa (muscle), sira (arteries/vein), asthi (bones), snayu (nerves) and sandhi (joints) where prana is specially associated. Trauma to there structure will result in irreversible damage. The above statements clearly help in serving a conclusion that there are certain very vital anatomical, path physiological point in the body which are having a secret and significant life values and they are composed of nerves, muscle, blood vessels, joints ligaments and bones. it is not necessary that all structures should not present collectively at a time for the composition of marma.
In the other word the Marmas are basically constituted by six vital elements namely soma, marutha, teja, satwa, raja, and tama. The marma sthanas are the seat of soma (sleshma) marutha (vata) teja (pitha) and three psychic humors (mental forces) raja, tama and satwa.other than there is the supreme power within the marma sthana is bhutatma.this is the force which controls the body and mind.

Further details contact:
drjalaludheenppt@yahoo.co.in

B. Orthopedics.

It is a subdivision of salyatantra deals with management of orthopedic cases such as fracture management, wound healing, physiotherapy, manipulation, rehabilitation etc.
Sushruta is the author of the Susruta samhita; the work recognized after his name, and one of the most luminous gems in Indian medical literature, he is accepted as the father of Indian surgery. Though there is general accord about the great antiquity of Sushruta, there is substantial debate about his exact age. Hessler and Mukhopadhyaya believed that Sushruta should have lived at about 1000 B.C. The ªugveda mentions many a surgical feat of the celestial twin medical experts, the Asvins. Amongst the eight divisions of Ayurveda (medical knowledge), salyatantra(surgery) was considered the first and the most important branch.
Indigenous systems of medicine do not limit themselves to just fulfilling the needs of primary health care, but also reach out to specialised areas like treatment of eye diseases, poisons (snake and insect bites), bone setting, marma chikitsa (ancient acupressure) and so on. Unfortunately these specialised areas are not so well known. Such popular but little known area is that of bone setting and joint sprains. Many interesting facts have been described in ancient Ayurvedic classics on the management of fractures and dislocations including the different sort of bandages and slings to be used. Orthopaedic cases like fractures - both simple and compound, dislocations and sprains are common in rural and tribal areas.
Revitalising the existing precious science of bone healing would be a cost-effective alternative for the costly “state of the art” techniques of surgical reduction, heavy Plaster of Paris plasters and long periods of immobilisation. The science of bone setting in Ayurveda is included termed Bhagna chikitsa.

Further details contact:
drjalaludheenppt@yahoo.co.in

C. Medical Oncology.

According to WHO report 2005 cancer is the third disease in seven major causes of death. In ancient classics of Ayurveda disease “ARBUDA” is explained which could be analogous to malignancy. Among the tridoshas vata and kapha take lead role in progress of Arbuda. The dhatus involved are mamsa and raktha
Early detection of malignancy is a rarity and curative treatment is only effective in its early stages. Palliative care has very important role as 80% of patients are diagnosed with disease in the late stages. Ayurveda is a holistic system of medicine focusing on body, mind and soul of patient rather than the western in which palliative equals pain control. Palliative care includes control of pain, other symptoms and mental support.
With classical anti-cancerous and analgesic medicines pain can be relieved to a extend. Other symptoms include breathlessness, nausea, vomiting, anorexia lymph edema, constipation etc. Most of the patients may be suffering from side effects of radiation and chemotherapy and reluctant to undergo further medication. These cases can be managed by classical treatments prescribed in texts for them.
Mental support is to be given from the doctors and family members. So a combined treatment protocol with internal medicines, panchakarma therapies and yoga techniques have to be derived out for palliative care

Further contacts :
Ayurvedic@dr.com

D. Proctology (Ano rectal diseases)

Ayurvedic Proctology is a field in medicine dealing with diseases and disorders of the rectum, anus, colon and pelvic floor. The word Proctology is derived from the Greek words Proktos, meaning anus or hind parts, and Logos meaning science or study. Physicians specializing in this field of medicine are called proctologists.

Proctological disorders include:

1. Hemorrhoids : varicosities or swelling, and inflammation of veins in the rectum and anus
2. Anal fissures : unnatural cracks or tears in the anus
3. Fistula in ano : abnormal connections or passageways between the rectum or other anorectal area to the skin surface
4. Severe constipation
5. Fecal incontinence
6. Rectal prolapse : protrusion of the walls of the rectum through the anus.

Ksharasutra treatment is a time tested treatment package for fistula in ano, sinuses, preauricular sinus , pilonidal sinus etc.
Further contacts :
Ayurvedic@dr.com

E. Ayurvedic sports medicine.

In India the day and age of the Rig-Veda, Ramayana and Mahabharata men of stature and circumstance were expected to be competent in chariot-racing, archery, horsemanship, military tactics, wrestling, weight-lifting, swimming etc. this shows that sports are enormously popularized in the history of India, and also had a supremely practiced medicines.
The traditional system of medicine that includes marma therapy and kalari chikitsa is very much correlated with sports medicine. Marma chikitsa –the treatment of vital spots- is a derivative of the martial arts known in Kerala as kalaripayatu and in southern Tamil nadu as adimurai. In Kerala from the time immemorial, every sport related injuries were managed with Marma and Kalari chikitsa; integral part of Ayurveda. The West better recognizes the ancient Indian medicine system now. It is less known that great strides were made in the field of surgery too. Revitalizing Ayurveda through integrated scientific research and development initiatives is very much important in terms of improving the health care standard quality of life and also in view of enormous potentials and benefits this system could offer to the field of sports medicine.
I here by promising you the efficacy of Ayurvedic treatment in sports related injuries; offer orientation about sports injuries and maintenance of normal postural mechanism, and give awareness about preventive Ayurvedic treatment modalities for the betterment of sports persons in the way of life by relating them to suitable daily activities.

Further details contact:
drjalaludheenppt@yahoo.co.in

2. Dravya guna (Drugs)
One of the main branch of Ayurveda that deals with drugs. "The literature on Dravyaguna starts from Vedic period with simple naming the medicinal plants. The science in which dravya is studied in detail is called as Dravya-guna-vigyan (Herbology). Dravya-guna-vigyan is based on the ideas of satva-raja-tama, panchmahabhootas and various experiences derived from the study of balance-imbalance of basic components of the universe. Dravya is one which is substraction or abode for Guna (qualities and action) which is a concomitant cause in the matter. Dravyaguna deals with diet and drugs beside nomenclature, identification, synonyms, botanical structure and ecological status etc. Due to continued efforts of researchers and practitioners adequate knowledge has generated about the medicinal plants, their used for nutrition and health care.
Dravya-guna-vigyan is thus a science of treatment. Ayurveda is the system of traditional medicine prevalent in India since 2000 B.C. Ayurveda means the 'science of life'. Ayurveda derives medicine from Nature. After thorough study, experimentation and documentation of hundreds of plants over a period of more than a thousand years, India's ancient sages have come to accurate conclusions about the efficacy of different plants and herbs. Although efficacy of Ayurveda for a variety of human ailments is well known in and around India, most of the world is not aware of the benefits that could be derived from this unique Indian system of medicine.
Dravya-guna-shastra is not only a useful factor for swasthya (maintenance of health) and chikitsa (treatment) but is also the chief factor involved in various substances as well as non-substances which are instrumental in vitiating health and creating disharmony in the equilibrium of body components. The use of Dravya-guna-shastra is necessary for restoring this equilibrium. If drugs are to be used then thorough knowledge of these is essential.
The treatment of Ayurveda is totally based on natural herbs. And each herb has certain medicinal value or property. Medicinal value of the plants mainly depends upon the season in which they are grown and collected. Our acharyas generally preferred the use of fresh plants but they also instructed that if it was not possible to collect fresh plants then the preserved or well stored drugs, not more than a year old could be used. The basic ideas have been developed keeping the patient in mind. Most of the Ayurvedic medicines are free from side effects or reactions. Ayurveda provides rational means for the treatment of many internal diseases, which are considered to be obstinate and incurable in other systems of medicine.

All the Ayurvedic medicines are made from natural medicinal herbs of Indian origin, which are used as herbal medicines, herbal extracts, herbal cosmetics, nutrition foods and other alternative medicines and herbal remedies for natural healings. Life according to Ayurveda is a combination of senses, mind, body and soul. So it is clear that Ayurveda is not only limited to body or physical symptoms but also gives a comprehensive knowldge about spiritual, mental and social health. Ayurveda is a natural form of treatment by natural remedies, which makes use of the power of nature to restore human beings to a state of balance
Further contact : ayurveda@dr.com

3. Baishajya kalpana (Pharmacological)

The important branch of Ayurveda that deals with pharmaceutical procedures of Ayurveda. The word Bhaishajya means medicine and kalpana means forms hence the branch, which deals with the various forms of medicine such as syrups, juice, tablet, powder etc. is named as Bhaisajya Kalpana[pharmacy and pharmaceutics in ayurveda].. In Ayurveda the greatest importance is given to the Bhesaja because to treat the disease successfully, a physician should have good quality of drugs and for that he should have the complete knowledge about Bhesaja. Bhaisajya Kalpana includes complete knowledge of drugs including the basic principles of drugs. It has described various procedures like addition or depletion of certain drugs, by keeping the drugs with certain Bhavana dravyas for specific times. If the physician has a good knowledge of Bhaisajya Kalpana he can treat the patient in a better manner.
Bhaishjya Kalpana is that branch of Ayurveda where one studies the how to prepare various herbal preparations. In this module you will study its history and development and various basic philosophies on which this vast knowledge of preparations of herbal medicines is based. Following are Panchavidha Kashaya Kalpanas;

Swaras Kashaya Kalpana (juice)
Kalka Kashaya Kalpana (jelly like)
Kwatha Kashaya Kalpana (decoction)
Shita Kashaya Kalpana (cold infusion)
Phanta Kashaya Kalpana (infusion)

Further contact : jalal_ayurveda@yahoo.com

4. Rasatantra (Herbo-mineral preparations)

Ayurvedic classics contain innumerable formulations which are branded Herbomineral formulations starts from period of charaka samhita itself which happens to be the first well documented asset of Ayurveda. However the use of minerals because popularized by a sage Nagarjuna approximately 8th century AD.
Herbo minarel & mineral combinations are either used directly in treatment or used as a catalyst with the treatments. Herbomineral formulations popularly known as rasayogas are famous for
- quick action
- low dosage
- No ugly taste
- Less cost
- Long lasting stability
Herbo-mineral formulations are available in the market in the form of Powder,(choorna, sindoora, or bhasma),tablet, lehya(semi liquid),Liquid (Kwatha, drava druti), oil/taila, grutha ,ointment and pottali (round mass)etc.
Whatever may be the form of medicine or method of administration; it should be ensured that the formulation is prepared as per the direction given in classical books of rasashastra. To be specific the purification, incineration & triturating are to be done by specific drugs to the specified way. All should be done to ensure the quality of a product & for the benefit of patient.
If in the methodology in the drug production is not proper it may lead to severe harmful effects or toxicity. Main point to be remembered by a practitioner to use Herbomineral compound is that
- Chemical purity is not a criteria to asses the biological activity of a drug.
- Medicine is so potent that it is correlated with a knife; it can save a person when used to drain an abscess and may be able to kill a person when used to stab.

Further contact : Dr.Govinda Sharma
Gosada house,
P.O. Movvar
Kasargode, Kerala India 671543
Email : govindasharman@rediffmail.com
Ph : 04994260549
Mob 09447343860

5. Swasthavrutha (Preventive medicine, yoga & natural medicine)

According to Ayurveda, every human body is a universe within itself. It must be in a state of dynamic equilibrium. Any change — caused by dietary, lifestyle, routine or climatic imbalances — manifests itself as a disturbance in the physical and mental well being and in everyday life. Ayurveda takes these very individualistic parameters to ease the body back into its rhythm and includes personal hygiene, daily & seasonal routines in the journey towards balance.
This branch of Ayurveda includes preventive medicine, Yoga, Naturopathy, prana etc.
1. YOGA
Yoga is a discipline to improve or develop one’s inherent powers in a balanced manner. It offers the means to reach complete self realization. The literal meaning of the Sanskrit word yoga is yoke. Accordingly yoga can be defined as a means for uniting the individual spirit with universal spirit of god. Accordingly to maharshi patanjali, yoga is the suppression of modification of the mind.
Concepts and practices of yoga originated in India several thousand years ago. The science of yoga and its techniques have now been reoriented to suit modern sociological needs and lifestyle. Various branches of modern medical experts are realizing the role of these techniques in the prevention of disease, mitigation and cure of disease and promotion of health.
Yoga is one of the six system of vedic philosophy. Maharshi patanjali , is known as ‘the father of yoga’ , He compiled and codified various aspects of yoga into a systematic way. He advocated the eight fold path of yoga, popularly known as “ashtanga yoga” for all aspects to improve quality of human life. They are Yama, Niyama, Asana, Pranayama, Pratyahara, Darana, Dhyana, Samadhi. These components advocate certain restraints and observances , physical discipline, breath regulations, restraining the sense organs , contemplation, meditation and Samadhi. These steps are believed to have a potential for improvement of physical health by encouraging better circulation of oxygenated blood in the body, retaining the sense organs and thereby inducing tranquility and serenity of mind. The practice of yoga prevent psychosomatic disorders or diseases and improves an individuals resistance and ability to endure stressful situations.

Advantages of yoga practice
1. A universal practical discipline.- realization of self or the spiritual experiances
2. Yoga as evolutionary process – promote individuals own inner evolution, the ultimate realization of his potential
3. As soul therapy.
Yoga is effective in the management of following disorders
- Anxiety neurosis
- Arthritis
- Allergic skin diseases
- Bronchial asthma
- Back pain
- Constipation
- Cervical spondylosis
- Depression
- Diabetes
- Epilepsy
- Flatulence
- Gastritis
- Hemiplegia
- Hypertension
- Insomnia
- Irritable bowel Syndrome
- Obesity
- Peptic Ulcer
- Postural defects
- Respiratory Tract Infection
- Sciatica
- Tension

To study yoga : contact :Ayurvedic@dr.com or see Ayurvedic courses
For yoga therapy consultation : see online consultation

2. NATUROPATHY
UNDER CONSTRUCTION

3. Ayurvedic spa
UNDER CONSTRUCTION

4. PRANA
UNDER CONSTRUCTION

5.MALE INFERTILITY MANAGEMENT -AYURVEDIC VIEW
Dr. Joseph Itteera MD (Ay) Scholar.
Infertility affects 15- 20 % of all couples that are trying to conceive. In some cases, the infertility cannot be attributed to any specific etiology, but in some other cases there may be multiple causes. The problems associated with male factor infertility come to about
35-40%. 10-15% are unexplained male factor, which affects the quality and quantity of
the sperms. Although all other systems of medicine are trying to find a solution for semen anomalies, the problem is still existing and haunting the researchers. In this scenario, Ayurveda and Naturopathy, both having a holistic approach has more scope in achieving the qualitative and quantitative improvement of semen, and they're by achieving perfect reproductive health of the individual.
Infertility results in considerable distress for those couples affected. It is commonly defined as the failure of conception after at least 12 months of un protected intercourse. Estimates shows that some 15-20 % of couples may be affected at some time in their reproductive lives. Since no other methods rather than adoption can replace Santaana 6aagya, (quality of having children) it is preferable to adopt methods to increase and maintain sukla properties for better sexual and reproductive life.
Vajeekarana drugs (Aphrodisiacs) are mentioned in Ayurvedic Classics by different Acharyas(scholars). Vajeekarana drugs are advised to Swastha (State of well being) people to increase the Vrishya (Sexual energetic) properties (Rasayana & Oorjaskara). Cold hipbath (Naturopathic technique) is very effective in correcting the apana vaigunya (The vital force to ejaculate semen) and also helpful for decreasing the scrotal temperature in varicocele, which plays an important role in male factor of infertility, they're by increasing the quality &quantity of sperms. So a combined approach of Rasayana compound and Naturopathic techniques is also taken for the study.
After thorough and complete purification process (Pancha karma- five main cleaning process, including poorva karma-preparatory process) the drug is administrated for at least two months. Analysis of Semen is done before and after treatment.
Key words: Santaana baagya, sukla, Vajeekarana, Acharyas, Swastha, Vrishya, Rasayana& Oorjaskara, apana vaigunya, Pancha karma, poorva karma.

Further contacts : E-mail : josephitteera@Gmail.com

6. Kaya chikitsa (General medicine)

Among the 8 divisions of ayurveda, Kayachikitsa [General Medicine] deserves a worthy mention, since it deals with the management of almost all diseases affecting the body in part and whole .kayachikitsa comprehensively deals with the diagnosis, assessment of the patient, investigation and effective management of various ailments according to Ayurvedic principles.
The treatment side consists of usage of a wide variety both internal medicines and external treatment procedures. The management modality is selected after careful assessment of various factors like patients prakrithi, doshaavastha, dhatuavastha, agnibala, health, age, stage of disease, climate etc.
The various diseases managed by this department includes neurological diseases, diseases of cardiovascular system, skin diseases, gastro-enterological problems, diseases of hepato-biliary system, rheumatic diseases, renal disorders, respiratory diseases etc.
In Ayurveda chikitsa or treatment is broadly classified into two types, namely sodhana[purification] and samana[pacification].The five sodhana karmas of ayurveda is collectively known as PANCHAKARMAS.The efficacy of panchakarma as a curative treatment procedure and in maintanence of general health is now very well established.According to the nature of the illness OPD or in-patient treatment programmes are adviced.
Further details : ayurvedic@dr.com

1.Motor neuron disease/ Amyotrophic Lateral Sclerosis

Motor Neuron Disease is one of the most devastating degenerative diseases of the Nervous system. Among the classical forms of MND, the most common type is Amyotrophic Lateral Sclerosis (ALS), the other forms being progressive bulbar palsy and progressive muscular atrophy. It is a relentlessly progressive, crippling disease of late middle age, leading to increasing disability and untimely death, within a relatively short period of time.
ALS has an annual incidence rate of 0.4-1.8 per 1, 00,000 with the onset of symptoms mostly seen after 50yrs of age. In India, the average age of onset is a decade earlier. The incidence of MND is increasing world wide, according to recent studies. Despite extensive research there is no effective cure for this ailment. Certain drugs which may at best add a few months to life expectancy are available or otherwise only supportive measures are possible.
Signs and Symptoms similar to those seen in MND are mentioned in Ayurvedic texts and various formulations are recommended in those conditions. In this clinical study an Ayurvedic thaila preparation (Medicated oil), modified, by fortifying it with certain drugs which are having specific beneficial effects in the degenerative conditions of nervous system is administered. The treatment package consist of administration of the above-mentioned formulation along with some selected Ayurvedic treatments.

Further details contact:Dr. Franco James.A.
Ayurbhavan clinic.Aloor House,
Thiroor, Mulamkunnathukavu PO,
Thrissur.Kerala India.
Ph: mob 09447342111
Email :

2.Ayurvedic Care for HIV / AIDS
DIAS - ( Defensive Immuno-modulation and Anti - HIV Strategy)

Dr. Reji Thomas B.A.M.S. has designed a patient-friendly package named DIAS, overcoming many of the limitations of the currently available drugs. His first-hand experience of treating AIDS victims since 1996, at almost all the stages of disease and his commitment to the profession contributed much towards this outcome. Being a social service volunteer during his student life, Dr. Reji Thomas happened to come across the agony of some AIDS victims. Since then he has put dedicated effort to tackle the world's most deadly virus. His visits to various high-profile medical institutions on this ground, interactions with many doctors within the country and abroad and with Ayurvedic experts in Kerala, enabled to sharpen his skills.
In 1996, his first HIV patient, a resident of Hyderabad, who had non-healing ulcers and venereal disease recovered from those opportunistic infections without side effects. In 1997, Andhra Pradesh Times published his innovative views on Ayurvedic management of HIV. In November 2000, The New Indian Express published in detail the lab evidence for his claim of immuno-modulation with Ayurvedic drugs. His anti- retroviral package based on Ayurveda (the traditional and well-documented health care system of India) is named DIAS (Defensive Immuno-modulation and Anti-HIV Strategy).This happens to be the befitting response to the WHO's appeal for "alternative therapies including traditional approaches to care and treatment".
The following features make DIAS unique and acceptable.
1. Purely Ayurvedic formulations, which never create side effects, toxicity, intolerance or drug resistance.
2. Proved efficacy in immune reconstitution, in accordance with WHO guidelines for monitoring anti-retroviral therapy.
3. Laboratory evidence for consistent proliferation and maintenance of CD4+ cells. (CD4+ T-cells safeguard the human immune system. HIV directly destroys them, causing a fall in number and in turn, immune deficit. The treatment is termed effective, only if CD4+ cell count increases with consistency.)
4. Inhibits HIV replication and activity.
5. Ascertains longevity of the patient, arresting the disease progression and effectively combating opportunistic infections.
6. Improves the quality of life and protects the immune system; sets the patient free from any threat on life, though he remains positive.
7. Cost-effective and affordable.
Treatment Modalities
Kindly call (0891) 2535477, 2507940 or 5627084 between 9.00 am and 7.00 pm for appointment. Patient shall come for medical check up with available lab reports.
Periodic monitoring of CD+ T-cell count, viral load (number of viral copies per ml. of blood) etc. is helpful to ascertain the effectiveness of the treatment.
The counseling is free of charge.
Medicines for month may cost around 1500/- depending on the absolute CD+ count, viral load and other clinical parameters.
HIV +ve? Not a death sentence, any more!
AIDS victims have now reasons to smile!

7. Salakya tantra (ENT)

This subdivision of Ayurveda deals in particulars with the etiology, diagnosis, prognosis, prevention and treatment of diseases of head, ear, nose, eye and throat. This branch of Ayurvedic science is called Shalakyatantra. Specialization in this subject named as MS (Ay) Shalakyathantra. Father of salakyatantra is Acharya Nimi. Ancient Ayurvedic texts such as Sushrut Samhita and Ashtang Hridya has described treatment of different types of conjunctivitis and glaucoma, along with surgical procedure of the removal of cataract and cosmetic surgery such as rhinoplasty and auroplasty (repair of traumatized nose and ear). Approximately 72 diseases of the eye are discussed by Sushrut, including surgical procedures for cataracts, pterygium and for diseases of the ears, nose and throat. Problems like wax in ear, dryness of eyes etc have also been dealt. Apart from these complicated methods of treatment the three samhitas-Charaka, Susruta and Astanga Hridaya, recommended simple home remedies for minor problems like dryness of eye, migraine and mouth ulcers etc. which are being successfully administered even today.

Further contacts :
ayurvedic@dr.com

8. Stree roga (Gynecology)

Gynaecology and obstetrics in Ayurveda

In Ayurveda the term given for Gynaecology is Sthree roga and Obstetrics is Prasoothi thanthra. Ayurveda can be broadly divided into eight branches.Prasoothi thantra and Sthree roga was not specifically said as a separate branch in Ayurveda, but it is included in a branch called Bala chikitsa. From this we can understand that in older times sthree and sthree rogas were not given prime importance. But later Gananath Sen counted Prasoothi thanthra and Stree roga as a separate branch which shows its importance gained in later periods

Ayurveda is the science, which deals in comprehensive healthcare system having a traditional system of medicine. Ashtanga Ayurveda deals with eight branches of Ayurvedic treatment specialties and in that Prasutitantra i.e. the obstetrics and gynecology section form one of the main branch. The Ayurvedic methods or practices, if followed during pregnancy, will lead to a complication-free delivery.

Ayurveda states the ideal guidelines to be followed during pregnancy. It states the ideal way and the right time of conceiving a baby. It is followed by the mode of life that needs to be followed religiously by the pregnant lady. Ayurveda has suggested a very good protocol for that, which is called garbhini paricharya. It has given a detailed description of ahara (nutrition), vihara (life style) and vichara (thought process) to be followed during pregnancy. According to Ayurveda, all these directly affect the mother as well as the child. Apart from this specific emphasis is given on the nutrition chart and medication to be followed during that time.

The various disorders and complications during pregnancy along with their treatment have also been highlighted. The ayurvedic herbs and foods help in promoting harmony of mind during menstrual problems, menopause, and hysterectomy and prevent abortion and infertility. Apart from this usage of proper contraceptives for a better sex life has also been provided. Garbhini Paricharya prescribes ahara (diet), vihara (lifestyle) and vichara (thought process) to be followed during pregnancy as these have a direct effect on the mother and the child. Of these, wholesome diet is given great importance as it aids foetal growth, maternal health and lactation after childbirth.Great care is also recommended during the first three months and after the completion of the seventh month of pregnancy. This specialized branch is also deals the total women care.

While going through classics, one can find that the portion enjoyed by Gynaecology is very less for today’s need. Several new life style diseases are emerging in Gynaecological practices such as Poly cystic ovarian syndrome, Endometriosis, Adenomyosis etc, which we had no exact co-relation in our classics.

One of the remarkable thing is that Ayurvedic treatment modalities are providing excellent results while treating Gynaecological and Obstetrical disorders comparing to other branches of Ayurveda. So I think it is the duty of present day scholars in Ayurveda to carve new dimensions and possibilities of Ayurveda in Gynaecology and Obstetrics.

Further contacts :
Dr. GIBY GEORGE,
MEDICAL OFFICER,
GOVT: AYURVEDIC DISPENSERY
PALAKKAD
E mail:drgiby76@yahoo.com
Mobile:9447419235|

9. Koumara bruthya (children’s disease)

It is the subdivision of Ayurveda that deals with the diagnosis and treatment of diseases associated to Pregnancy, childbirth (delivery) and diseases of children (Pediatrics). This branch of kaumarabhritya deals comprehensively about prenatal, postnatal baby care and gynecology. With the view to achieve its ultimate aim of creating a healthy and disease free society Ayurveda strives to make the baby from the time of its conception up to the time of its growth into an adult. Kaumarabhritya has recognized that the mental and physical state of the mother has direct links with the health of the child. It has recommended particular diet, regimen, nutrition and conduct for women during and after delivery. It is important for the mother to attain perfect health so that she can feed her child. So advanced was this science that thousands of years back Charaka described the growth and progress of fetus in minute detail. This branch meticulously dealt with the problem of infertility and its causes and treatment methods. Apart from that kaumarbhritya deals with various disorders concerning children's health such as gastrointestinal diseases, teething disorder, rickets other than midwifery. The branch of Pediatrics is mainly concerned with children. The diseases suffered by them and the various methods of treatment given for curing

Further contacts : ayurvedic@dr.com

10. Rasayana and Vageekarana (Reguvinative)

One of the eight branches in ayurveda, Rasayana Chikitsa it includes longevity, improved memory, health, youthfulness, glow, complexion, generosity, and strength of body and senses. Rasayana-chikitsa basically boosts the ojas (vital force of life) and the immune system. It helps a person to maintain good health or to establish impaired or lost physical or mental health. Rasayana improves the metabolic activities and results in best possible bio- transformation leading to health. Jara Cikitsa or Rasayana Tantra is the rejuvenating therapy, which promotes rejuvenation in a healthy person and cures the disease of a diseased person. This branch of Ashtang Ayurved aims at achieving a long and healthy life. The philosophy of Ayurved is to establish good health rather than just curing diseases. Rasayana is an active step towards achieving this. It prescribes treatment for repairing wear and tear of the body due to aging or diseases. It rejuvenates the tissues of the body to give a young look.
Rasayana means that physical, mental and spiritual aid to the human body, which brings the body out of its condition of natural or man made loss. It claims that it retards the process of aging. Ojas gives a bright look, sharp memory, high performance and every expected pleasure. To achieve this state of health, intermittent regeneration of dhatu (body tissues) is recommended by ayurved. Rasayana chikitsa is the optimal way to achieve this. The Jara chikitsa regime comprises of a very strict diet. Amalaki, haritaki, trifala, brungaraj, ashwagandha, punarnava, chitraka are some examples of herbs that are called rasayanakar. The Rasayana medicines are believed to have aphrodisiac qualities. In short Rasayana chikitsa is rejuvenation and provides a long, disease free and vigorous life to the person who undergoes this therapy seriously it helps to bring life back to normal.
Ayurveda in this branch of science explains the art of producing healthy progeny for the creation of a better society. Hence, deals with various diseases like infertility and conditions relating to weak shukradhatu (semen) or the vital reproductive fluids of the body. Apart from prescribing a lot of effective formulations to provide nutrition to enhance the quality of these vital body fluids it specifically emphasized to lead a highly disciplined life. Charaka states the use of aphrodisiacs as mentioned in ayurvedic therapies enhance one's potency. Vajikarana means the medicine or therapy by which the man becomes capable of copulating with the woman. It also helps in nourishing the body of the person.
This branch of ayurveda highlighted that celibacy is essential for good health. It helps increase the will power, intellect and memory in addition to a healthy body. The shukra dhatu has a direct link with ojas or the immunity of the body. Hence, vajikaran prescribed the therapeutic use of various aphrodisiacs and tonic preparations for enhancing the vigor and reproductive capabilities of men that also strengthens other body tissues (dhatus) like muscles, fats, bones and blood. Vajikarana is mainly concerned with therapies concerning specific remedies for male infertility and impotence as well as female infertility. They serve as good aphrodisiacs and induce an immediate sense of pleasurable excitement, along with increased fertile seminal secretions even in an ageing person

Further contacts : ayurvedic@dr.com

11. Pancha karma (5 eliminative process)

Ayurvedic panchakarma therapy according to ancient Sanskrit text will preserve and promote positive health and cure disease. Ayurveda emphasizes preventative and healing therapies along with various methods of purification and rejuvenation. Ayurveda is more than a mere healing system; it is a science and an art of appropriate living, which helps to achieve longevity. Panchakarma is Ayurveda's primary purification and detoxification treatment. Panchakarma means the "five therapies". It effectiveness in many chronic illness, incurable in modern medicine, absence of side effects, concepts like detoxification and rejuvenation of the body, the incorporation of different kinds of massages in the treatment and its emphasis on prevention of diseases makes it immensely popular even in the west.

It is a comprehensive system of knowledge and practices to purify the body of toxins and restore it to balance with natural law. These five therapeutic means of eliminating toxins from the body are Vamana, Virechana, Nasya, Basti and Raktamoskshana. This series of five therapies help remove deep-rooted stress and illness causing toxins from the body while balancing the doshas (energies that govern all biological functions). Panchakarma is ineffective if special detoxification diet is not given along with the treatments. Panchakarma plays a vital role in Ayurvedic medicine, both in health as well as in disease. Although panchakarma is often thought of as the entire procedure, it really is only one part of a group of therapies belonging to a class of cleansing procedures called shodan. There is also a group of milder techniques called shaman for those not strong enough for shodan.
Kerala the cradle of Ayurveda have an ideal history towards the growth of this system & acceptance by globally keraliya pancha karma highlighting their role along with the purifactory & restore the equilibrium of the dosha and the normal condition of the tissues for the total health of the persons.

Panchakarma includes the following purification therapies:
1. Vamana (emesis),
2. Virechana (purgation),
3. Basti (enema),
4. Nasya (nasal insufflation) and
5. Raktamokshan(blood-letting).

In today's world when more and more people are falling prey to the adverse effects of stress and anxiety, which is leading to diseases like improper digestion, lack of sleep, allergies, chronic fatigue, cancer, heart diseases, diabetes, osteoporosis etc. The importance of pancha karma in ayurveda is borne out by the fact that it is applicable to all cases covering a wide range of preventive, curative, and promotive conditions. These diseases are caused mainly due to deeply seated toxins. With the process of Panchakarma it eliminates these toxins from the body, allowing healing permanently of tissues, channels, digestion and mental functions.Panchakarma is a very important branch of Ayurveda. It involves various cleansing procedures done in various conditions to attain the state of balance quickly with very effective and long lasting results. This section gives you the theoretical knowledge of panchakarma
Further details contact: drjalaludheenppt@yahoo.co.in

12 Agadatantra (Toxicology)

One of the eight branches in Ayurveda , agadatantra is a well popularized & practiced saga of Ayurvedic treatments in all our Kerala by eminent viadyas. Agada tantra or toxicology is a branch of Ashtang Ayurveda, which includes the science of poisons. Damstra chikitsa branch of ayurveda deals with various methods of cleaning the poisons out of the body as well as recommends antidotes for particular poisons. It deals with a wide range of natural toxins originating from wild lives like animals, birds, insects etc., plants including herbs (belladonna, aconite etc.), vegetables, minerals (leads, mercury, arsenal etc.) and artificial poisons prepared from poisonous drugs. This branch also deals with air and water pollution, which are basically the causes of various dangerous epidemics.

The three samhitas described about this branch of toxicology, which also include description, and disadvantages of food of opposite qualities, drugs and food causing chronic poisoning symptoms. In ayurveda certain poisons are used as medicines after proper processing and quantification. Precious stones like diamond, ruby and poisonous minerals like lead and mercury were in use for this purpose. This branch also has information regarding fatal doses of various poisons, which are resorted to in a view to administer those into an enemy's body system

Further contacts : ayurvedic@dr.com

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