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Saketh Ram T1*, Tirumal G2, Manohar G3, Deep V.C4, Subhose V5, Jaya N6, Narayana Ala7
Abstract
Āyurveda and yoga are like two sides of the coin. They are very much distinct from each other in terms
of philosophy, methodology, yet complement each other and have a common goal to achieve. Both of
them aim at achieving moksa- the fourth purusārtha. Āyurveda is concerned more about mortal, day to
day things and is a discipline totally committed to physical and mental well being of an individual and
the community in which he/he thrives. Its goal is to prevent disease and manage morbidity. Āyurveda is
directly concerned with the health care needs of a society and it functions as a multidisciplinary unit,
with skilled people working as a team (pādacatustaya). In its entire spectrum of literature, it has
carefully avoided discussion of Yogic methods, which it duly regarded as a specialization to be learned
and practiced separately. pañcakarma- the five fold śodhana (refining) treatments of Āyurveda are
meant for either preparing a person for specific regimen like rasāyana (Rejuvenation), vājīkaranacikitsa
(improve virility) or to root out a specific disease condition (covering a very large spectrum of
diseases). The methods are multistage, elaborate ones and are to be carried out in a hospital setup under
the supervision of an expert vaidya. It is a drug based approach and needs specialized equipments and
personnel to carry out them. Generally from the patient only basic code and conduct are expected, and
rest is managed by assisted methods, where patient is totally under the care of health care team. The
idea, practice and philosophy of Yogic disciplines has evolved to address the need of an Individual for
self exploration and achieve the highest level of self discipline which is a prerequisite to attain higher
spiritual and philosophical goals. It follows a secluded, direct one to one training and practice
methodology. It must be noted that the primary objective of yogic methods, especially that of
Hathayoga is not general health care and well being. The primary objective of these practices are to
prepare a person to begin his/her actual Yogic path. This same is applicable to the satkarma described
in hathayoga. Though there is mention of collateral health benefits of such practices, the true purpose
of satkarma are to reduce the excess meda(fat) and ślesma (excess burdensom body fluid, secretions),
essential to perform āsana, prānāyāma, bandha etc., and prepare a person for the Yogic path. These are
completely drug less methods, need minimum equipment, and are to be learned by the sādhaka under
the guidance of an able Guru. These are meant for practice by themselves as per their personal,
situational requirements which arise during the Yōgasādhana with out much external assistance. Today
we see practice of satkarma during illness as a therapy in Yoga and Naturopathy hospitals, which
should be considered as an extended benefit from such therapies. To sum up it can be understood that
āyurvedic pañcakarma and other treatments are meant for general and specific health care maintenance,
where as the yogic practices to full fill higher intellectual, philosophical needs of Individuals. It is safe
to recommend a careful transition from relatively earthly pañcakarma treatments to ethereal satkarmas
as an option if the individual is willing to get into yogic practice. It is the need of the hour to harness
the benefits of the both distinct yet complementing methods for the betterment of mankind.
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1. Research Officer (Ayu.), National Research Institute for Pancakarma (NRIP), Cheruthuruthy, Thrissur Dist. Kerala.
(dr.saketram@gmail.com)* corresponding author, 2. Senior Research Fellow, National Institute of Indian Medical
Heritage (NIIMH), 3. Research Officer (Ayu.), Ayurveda Tribal Health care Research Project, Port Blair, 4. Asst. Director,
NRIP, 5. Asst. Director, National Ayurveda Research Institute for Vector born diseases, Vijayawada, 6. Deputy Director In-
Charge, NRIP, 7. Director, NIIMH
1
Health is a top priority issue for any civilization. With respect to Indian Subcontinent the issue
is addressed in various forms and in different contexts from time to time. An example for this is the
rqgvēda hymn aksībhyāmte sūktam - R.V 10.Hymn CLXIII lists out all the body parts viz.,the cognitive
organs, head, brain, neck tendons spine, all the bones, upper and lower arms, from the internal organs,
from top to toe which indicates structural and functional understanding of Human body by our Ancient
Seers. and prays the almighty to keep them disease free. The prayer is meant for driving away diseases
from all these parts and keep the body healthy 1. Āyurveda is considered as upavēda to atharvaṇavēda 2
and Yōga is a separate philosophy in itself finding its roots from veda and sāñkhya. Rājayōga the ideal
yogic discipline in its aśṭāṅgayōga form is the widely accepted form of Yōga throughout. As mentioned
by the author of Haṭhayōgapradīpika (15th century CE), Svāmi Svātmārāma, a disciple of Svāmi
Gōrakhnāth the purpose of putting forth practice of Haṭhayōga was to protect the practice of Rājayōga 3
and not to create a separate discipline.
Āyurveda and Yōga are like two sides of the coin. They are very much distinct from each other
in terms of philosophy, methodology, yet complement each other and have a common goal to achieve.
Both of them aim at achieving moksa- the fourth purusārtha4 .
Āyurveda identifies the different states of life in tearms of hita-good, ahita-bad, sukha-
confortable and duḥkha-uncomfortable, and tries to potray the varity of this in its entire course of
discussions and descriptions 9. The human organism is a composite of sattva, ātma and śarīra. It
represents what all is is surrounding it, in which it dwells. This composite of three know as human is
the subject for Āyurveda 10.
Śodhana treatments are elaborate and have a preparatory stage where person is oleated and
sudeted to ensure that the accumulated wastes are brought into nearest root (stomach, large intestine
etc) and eliminated accordingly they are know as pūrvakarma (snehana and svedana) which are
mandatory 48. By doing so the physician ensures that the malas(wastes) acre completely eliminated and
no trace of it remains afterwards 49. It is akin to dying a cloth which is very clean and ready to get the
color with which is going to be dyed. The main treatments are followed by saṁsarjana krama -
rehabilitation and gradual introduction of food which if not done systematically will create
complications for the person who has undergone purification treatments 50, 51.
Comparative understanding
Āyurveda-Pañcakarma / Pañcaśodhana Hathayoga - ṣhaṭ-karma
Types 5 types - nirūha-vasti, vamana, 6 types- Dhauti, Basti, Neti,
kāyavirēcana, śirōvirēcana, asravisruti- Trātaka, Nauti and Kapāla
raktamōkṣaṇa Bhāti ; others Gaja-karaṇī etc.,
Post treatment saṁsarjana krama is a Must followed by None specified- only to follow
regimen any śodhana regimen. regular code and conduct as
describe for a yogi
7
not be possible for laymen.
Nasya- Different forms of material, liquids, Neti- cloth/ thread is used. Needs
powders etc, are introduced through nose as training and practice to master
medication. Assisted, therapeutic technique; self administered.
intervention.
Interventions unique to Āyurveda are - Virecana and Raktamōkṣaṇa and interventions unique to
Yōga- Trāṭaka, nauli and Kapālabhāti
8
References
1. [Rig Veda, tr. by 2. Ca.Su. 30/21 3. H.P/1/3 4. Ca.Su. 1/25
Ralph T.H.
Griffith, [1896], at
sacred-texts.com ]
ऋग द, 10/ 163
5. Ca.Su. 1/6 6. Ca.Su. 1/5 7. Ca.Su. 11/4 8. Ca.Su. 1/25
9. Ca.Su. 1/41 10. Ca.Su. 1/47 11. Ca.Su. 1/43 12. Ca.Su. 1/48
13. Ca.Su. 1/ 134 14. A. Hr.Su 15. A. Hr.Su 1/5 16. Su.Su 4/6 and
1/27 commentary.
Bibliography
1. Caraka-e-Samhita Designed and Developed by National Institute of Indian Medical Heritage, Hyderabad
2. suśruta-e-Samhita Designed and Developed by National Institute of Indian Medical Heritage, Hyderabad
3. T.Sreekumar, astāṅgahrqdayasūtrasthāna, vol II, Harisree Hospital, Mannuthy, Thrussur, Kerala
4. Pancham Sinh, Hatha Yoga Pradipika, 1914, e version on www.sacred-texts.com