Future Plan suggested by Our Experts:
Ayurvedic guidelines – COVID 19
Ayurveda is the ancestral wisdom of our country and has deep rooted,time tested, experience based,popular system with vast availability in every household kitchen medicine in India. Ayurveda has the strong concepts of prevention of endemics-epidemics- pandemics by boosting personal immunity-ojus, improving agni & rejuvenating Dhatus. Correcting Societal collapse (Janpadodhvansa) – for correction and treat the air , water , place and seasonal calamities by spraying medicines in form of fumigation, powder sprinklinging yagya, havan, dhoopan etc. Apart from prevention it has sound basis for treatment of unsaid newer diseases and eradication with rehabilitative methodology.
In China where this disease is said to be successfully controlled by integrative use of herbal formulations
More than half of N corona19 viral cases in Hubei were treated with traditional Chinese medicine: Official
The Chinese government has also approved field trials for experimental US antiviral drug, Remdesivir to treat coronavirus patients. The death toll in China’s novel coronavirus (COVID-19) epidemic has climbed to 1,523 with 143 new fatalities reported mostly from the worst-affected Hubei province while the confirmed cases jumped to over 66,000.
PTI| Last Updated: Feb 15, 2020, 03.49 PM IST
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Suggestions for the Integrative management of COVID 19 DISEASE
|1.||Awareness of population about do’s and don’t’s to keep themselves safe|
|A.||Generating an AYUSH APP and TOLL FREE NO to provide authentic information and receiving the data|
|B.||Create special online training and protective module for AYUSH PERSONNELS|
|C.||Release of Ayurvedic health preservation guide lines should be released on all short of media|
|D.||Supplying immunity boosting medicated foods, drinks|
|2.||A separate task force should be constituted to deal and monitor with situation at level of various sectors of ayurveda
i) Colleges and Hospitals for data collections
ii) States and Central govt AYUSH officers
iii) Rural physicians through district authorities
iv) All PG /PhD scholars and Interns of every college should be involved as active skilled medicos.
v) Nasya, Dhoopan, Kwath and Pathya and immunity boosting foods supply chain
vi) For drug manufacturing and procurement centers
vii) Expert team for strategic policies according the situations
viii) Private sector clinicians and hospitals
ix) Data centers
|3.||Differential diagnosis of Covid 19 and common diseases of Pranvaha srotas ( kasa, shwasa, praishyaya, peenas)
|4.||Prevention of spread of COVID19 virus
Stage 1 – precautions to be followed by community here doctors participation not needed
i) Sanitization & Social distancing : Measures suggested by WHO (conventional medicines) such as social distancing (keeping a distance of one meter), washing of hands, covering mouth and nose, should be followed.
In addition following measures according to Ayurveda for washing hands with a decoction of Panchavalkala kwath, triphala, turmeric, neem with bearable temperature at least twice in a day can be replaced/add on.
ii) Kavalagraha – (Gargling) Gandusha and Kawal Dharan: should be followed by simple sesame oil, or medicated Jatyadi tailam and with warm watergargles with turmeric and salt.
iii) Nasal instillation (nasya) of preferably “Anu taila ” or pure sesame oil / desi cow ghee 4-6 drops twice a day.
iv) Dhoompan: followed by dhumapan (Ayurvedic herbal smoking) like vidang/ haridra/ malkanguni/ ghee or by steam inhalation of above said kwath.
v) Dhupana: like in the form of Agnihotra with Ayurvedic herbs like Vacha, guggulu, camphor should done at least at the time of Sunrise and Sunset in homes, clinics, hospitals.
vi) Panam: Drink the treated and boiled water only preferably warm with shunthi, jeeraka, dalchini, nagarmotha, rakta chandan
vii) Ashanam :Eat warm fresh simple, homemade, natural / organic food considering individuals digestive power. Moong dal, brown rice, seasonal vegetables with ghee and avoid market ready food ,including paneer and snacks
viii) Vyayama: Regular exercise for 20-40 minutes
ix) Yoga – Regular practice of Yoga Protocol including Paranayama
x) Nidra:adequate sleep for 7-8 hours at night. Avoid day time sleep
xi) Brahmcharya: good daily regimen according to season, avoid excessive sex , visual or audible exciting materials.
Protective Regimens Where participation of Ayurveda physicians is required
i. Train the Ayurveda physicians, paramedical staff to protect themselves and their patients with low immunity, and the persons who have been in contact or may be in contact with CORONA VIRUS affected patients. These all are prone to this infection and need protective measures.
Provide update knowledge to these workers regarding primary signs & symptoms, Mode of transmission, natural history of the disease, its complications (Udarka).
Follow all above measures very strictly for this category, who are prone to this disease. Additional measures for improving the immunity may be as follows:
ii. Drink; The treated and boiled water only to be taken, preferably warm and cooked with shunthi, jeeraka, dalchini, nagarmotha, rakta chandan, khas, sugandhabala.
Drink water boiled with gold, lukewarm in sips. Use copper vessels as much as possible.
Drink desi cow milk boiled with equal quantity of water along with gold, reduced to quantity ofmilk, with a pinch of turmeric.
iii. Primary medications : Sudarshanghan vati, sanjeevani vati , Guduchi Ghana Vati (samshamani) 2 tablets twice/ thrice a day with cow milk or hot water to be given.
laxmivilas nardeeya,Laxminarayana rasa, Rasayana churna ( Aswagandha, Giloya, Gokshur equal part) half teaspoonful twice a day with ghee and honey is to be given.
iv. minimum Do’s (Pathya) and Don’ts (apathy) be added as
Apathya – To be Avoided
i) Kapha vardhak and drying the kapha dravyas like
ii) Eggs, Meat
iii) Avoid kanda and salads
iv) Udad dal, Chana dal
v) Paneer, Curd, Cheej, Ice creams,
vi) Gobhi, aloo, mashrooms, ladies fingure
vii) Banana, apple, chikoo
viii) Junk foods like Pizza, burger, hotdog,Biscuits, maggy, Maida products, Snacks, and Soya freezed items,
Pathya –Very cautiously use kaphanashak (but not with drying kapha and pitta vardhaka never use vata vardhaka)
i) Drink medicated water as specified earlier
ii) Ghrit bharjit niburasa bhavit ginger with marich and ajwain
Or Ghrit bharjit haridra,
iii) Madhuyashti, tulsi, kantakari, gojihwa, Banaphsa, Shleshmantak kwath thrice a day
iv) Yava saktuk with ghee and madhu
v) Moong dal with ghee
vi) Pomgranate,Grapes, Amalaki
vii) Anjeer munakka kharjur with kalimirch ajwain kala namak
viii) Use fresh warm half boiled steamed and ghrit bharjit seasonal vegetables
ix) Regular use of giloya, kalmegha, dugdhika, haridra, phant
x) Panchkola srit yavagu
xi) Mahasudarshan Ghan Vati, Shanshamani Vati
xii) Drakshavaleha, Brahmrasayana, Chyavanprash, Madifal Rasayana
xiii) Yoga is to be regularly followed for combating stress and depression. Proper sleep is necessary.
|5.||Management of COVId 19 with the active participation of eminent, experienced AYUSH practitioners
CORONA affected cases may be categorised and managed as follows :
A. General population management for prevention (already covered in Stage 1 &2
B. Quarantined Peoples Not tested positive,
1. High Risk – These patients should be treated by medicines already described in Part 1 & 2 with proper pathyapathya.
High risk groups patients suffering from co-morbidities should be treated for these problems
Rasayana drugs for challenged organs
2. Low Risk Group – (PREVENTIVE CARE) – use of Sudarshan Ghana Vati, ShanshamaniVati, NaradiyaLaxmi Vilas Rasa<tribhuvanKirti Rasa. Shilajeet , abhrak bhasma, vishana bhasma, 64 prahari pippal, pipplyasava, amrit bhallaka can be used if required
C. Tested positive,
1. Asymptomatic –
2. Mildly Symptomatic – (CLINICAL CARE),
3. Tested Positive: Full blown but no serious complications – (SUPPORTIVE CARE) can be managed in modern hospitals as an add on therapy
4. Full blown disease with complications –these patients should be treated under the supervision of ICU staff only. Proper rejuvenation of the active patients of CVD 19 as their vital organs have been challenged and become susceptible to various diseases in future.
D. Recovery Phase:
1. Tested Negative – After recovery as per modern diagnostic tools which means the swab culture test negative with recovering of major respiratory symptoms the patients may be categorised by Doctors as cured should be followed for at least 45 days and provided Rasayana therapy and organ specific Rasayana so that the organs specially lungs recover fully and patient does not relapses as is happening in China.
2. Residual disabilities and dysfunctions
3. Prevention of recurrence in recovered cases with emphasis on lifestyle, food habits, exercise and yoga for building up immunity. Rasayan therapy for revitalization of organs(REHABILITATIVE CARE).
Emphasis on general immunity to fight any communicable or even non-communicable disease in any way is necessary as a long term measure. These have to be followed strictly to avoid recurrence in disease-free cases
Clinical classification based on presentation of symptoms is more important because some patients present with gastrointestinal symptoms, some with upper respiratory symptoms and some with lower respiratory symptoms, some also have skin eruptions, myalgia and arthralgia
|6.||To train the ayurveda fraternity for fighting the “Janpadodhvasa” by classical measures to prevent the Jala, Vayu, Desha and Kala Dushti
Lot of knowledge and understanding regarding the process of Janapadodhwnsa is available for which Ayurvedic graduates should be trained vigorously. Most of these regimens are common for all endemics, epidemic and pandemics hence students for these measures should be trained. They should be trained to follow :
a. Nidanaparivarjan – Preventive measure – personal, social global
b. Apakarshan – General and disease specific
c. Prakriti Vighata – Use of Rasayana to make the target organ more resistant to onslaught of disease
|7.||Conducting research projects under proper protocols with ethical and legal clearance|
Integrative considerations during the COVID-19 pandemic
Diagnosing COVID19 affected patients in Ayurvedic perspective is an expert’s job. Ayurveda emphasizes on holistic approach with equal or even more consideration of the host, i.e. the patient. The Agni (digestive power), the bodily strength, the mental strength play an important role in the recovery of patients.
Janapadodhwansa(Pollution particularly of atmosphere causing single disease to all), Sankramaka diseases(spreading from person to person), Agantuja jwara, Vatakaphaja jwara, Sannipatika jwara are few conditions described in the texts match to certain extent in these cases.
Though Ayurvedic treatment is personalised, some protocols can be decided with probable Ayurvedic diagnosis based on above mentioned conditions.
In addition, Diet regimen has to be followed as per Ayurvedic principles.
Even while following conventional treatment, Ayurvedic diet regimen should be followed, along with Yoga practices for combating stress and depression.
In short, Ayurvedic practitioners should actively participate in the treatment of COVID 19 infected patients.
Vaidya Shrikrishna Sharma Khandel Vaidya Madhaw Singh Baghel