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AYUSH

11/13/16

Dr. Navya sri. S


Post graduate
BMCRI
1

OVERVIEW
INTRODUCTION
MILESTONES
BRIEF ABOUT THE SYSTEMS
NATIONAL AYUSH MISSION AND ITS COMPONENTS
ACHIEVEMENTS
TRADITIONAL KNOWLEDGE DIGITAL LIBRARY
SWOT ANALYSIS OF AYUSH SYSTEM.
CONCLUSION
REFERENCE
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INTRODUCTION
India is a land of great ecological, cultural, political and economic
diversity. Its healthcare system reflects this diversity, both in its plural
systems of health knowledge and practice and in its range of
healthcare that begins from a host of basic home remedies and
culminates in the most recently developed technologies of modern
tertiary care through a vast array of hospitals.
Modern day stressful lifestyles have lead to a rise in lifestyle diseases
all over the world. It has been realized that no single system of
medicine can address the health care needs of modern society.
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Modern science is well placed to provide answers to increasing


lifestyle related disorders, which are particularly amenable to the
holistic healing systems of Ayurveda, Yoga & Naturopathy, Unani,
Siddha and Homeopathy (AYUSH).
AYUSH is synonymous with:
o ISM&H ( Indian systems of medicine and Homeopathy)
o Allied sciences
o Traditional health care
o Indigenous system of medicine
o Alternative medicine

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MILESTONES
500-1000 B.C - Documentation of information on health, disease and treatment
in Vedas.
1920 - Indian National congress convention at Nagpur resolved to accept the
Ayurvedic system of Medicine as Indians National Health Care System.
1970 - Indian Medicine Central Council Act, 1970
2002 - National Policy on Indian System Medicines and Homeopathy (ISM&H)
2003 - Re-named as Department of Ayurveda, Yoga & Naturopathy, Unani,
Siddha and Homoeopathy (AYUSH) in November, 2003.
2005 - Mainstreaming of Ayush under NRHM.
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AYURVEDA
The word Ayurveda is a Sanskrit term
meaning SCIENCE OF LIFE. Ayu
means life and Veda means
knowledge.
Ether, Air, Fire, Water and Earth, the
five basic elements, manifest in the
human body as three basic principles, or
humors, known as the called VATA,
PITTA,
KAPHA.
In
Sanskrit
terminology, this principle is called
tridosha.
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Definition of HEALTH and DISEASE in AYURVEDA


AYURVEDA defines Health as a state of equilibrium of dosha, dhatu, mala
and agni along with healthy state of sensory and motor organs and mind
with their harmonious relationship with the soul.
Disease is defined as a loss of equilibrium of essential body constituents.
DIAGNOSIS: Urine examination

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TREATMENT
Three classical therapeutic streams advocated by Ayurveda are :
1) Daivavyapasraya cikitsa spiritual therapy
2) Yukthivyapasraya cikitsa - rational treatment
3) Sattvavajaya cikitsa- psycho- behavioural therapy
Ayurvedic treatment can be grossly divide into three methods:
Samsodhana bio cleansing therapy (Panchakarma- 5 detoxification
processes)
Samsamana palliative therapy (food, lifestyle, medicine)
Nidana
11/13/16 parivarjana avoidance of causative factor.

YOGA

Yoga is essentially a spiritual discipline based on an extremely subtle


science, which focuses on bringing harmony between mind and body.
It is an art and science of healthy living. The word Yoga is derived
from the Sanskrit root Yuj, meaning to join or to yoke or to unite.

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Yoga is originated from Veda, oldest scripture of


India (4000 B.C) and systematically presented by
sage Patanjali in Yogasutra in around 150 B.C.
Founder: Hiranyagarbha is the founder of yoga.
Types of Yoga:

Japa Yoga - the path of divine


Karma Yoga - the path of work
Bhakti Yoga - the path of worship
Jnana Yoga - the path of philosophy
Raja Yoga - the path of psychic control
Hatha Yoga - Refers to a set of physical
exercises
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EIGHT COMPONENTS
Restraint (Yama),
observance of austerity (Niyama),
physical postures (Asana),
breathing exercise (Pranayama),
restraining of sense organs (Pratyahar),
contemplation (Dharna),
Meditation (Dhyan) and
Deep meditation (Samadhi).
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NATUROPATHY
Naturopathy is an art and science of healthy living and a drugless
system of healing based on well founded philosophy.
Father of naturopathy is Dr. Benedict Lust.
The revival of Naturopathy started in India by translation of Germanys
Louis Kuhnes book New Science of Healing.
Naturopathy advocates living in harmony with constructive principles
of Nature on the physical, mental, moral and spiritual planes.
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The theory and practice of Naturopathy are based on a holistic view point with particular
attention to :
Simple eating and living habits,
Fasting,
Hydrotherapy-body packs, baths
Mud packs, massages,
Under Water Exercises,
Air therapy
Magnet Therapy, Chromo-therapy,
Acupuncture, Acupressure etc.

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UNANI
As the name indicates, Unani system originated in Greece.
The foundation of Unani system was laid by Hippocrates.
It was introduced in India by the Arabs and Persians sometime around
the eleventh century.
During 13th and 17th century A.D. Unani Medicine had its hey-day in
India.

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PRINCIPLES
SEVEN COMPONENTS
Elements (Arkan)
Temperament (Mizaj)
Humors (Akhlat)
Organs (Aaza)
Spirits (Arwah)
Faculties (Quwa)
Functions (Afaal)
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TREATMENT
There are four forms of treatment in Unani medicine Ilaj bid Dawa (Pharmacotherapy),
Ilaj bil Ghiza (Deitotherapy),
Ilaj Bid Tadbir (Regimenal Therapy) and
Ilaj bil Jarahat (Surgery).

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SIDDHA
The Siddha System of medicine is one of the
ancient systems of medicine in India having its
close bend with Dravidian culture.
The term Siddha means achievements and Siddhars
are those who have achieved results in medicine.
The Siddha system of Medicine emphasizes on the
patient, environment, age, sex, race, habits, mental
frame work, habitat, diet, appetite, physical
condition, physiological constitution of the diseases
for its treatment which is individualistic in nature.
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PRINCIPLES
Based on principles of Triguna
Vata, pitta and Kapha
Believed as its origin itself in foetal developmental stages in mothers womb
These are imbalanced due to nutritional, physical and environmental
conditions
Predominance of triguna according to time in a day is as below 6.00 am to 10.00 am-Vata
10.00 am to 2.00 pm- Pitta
2.00 pm to 6.oo pm- Kapha
Same order of time followed by body in night
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Diagnosis and treatment


Diagnosis of diseases are done through examination of pulse, urine, eyes,
study of voice, colour of body, tongue and status of the digestion of individual
patients.
Treatment :
Characteristic feature -Materia medica .
1. Uppu (Lavanam) :drugs - that dissolve in water and get decrepitated when
put into the fire
giving rise to vapor.
2. Pashanam : drugs that are water insoluble but give off vapors when put in to
fire
3. Uparasam : Similar to pashanam chemically but have different actions.
4. 11/13/16
Ratnas and uparatnas : which include drugs based on precious20 and

HOMOEOPATHY
Homoeopathy is a system of medicine whose
principles are even older than Hippocrates.
It seeks to cure in accordance with natural laws of
healing and uses medicine made from natural
substances: animal, vegetable, and mineral.
Discovered in the early 1800s by a German
physician, Samuel Hahnemann.

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The Principles behind Homeopathic


Medicine
The Law of Similars - States that a remedy can cure a disease if it
produces in a healthy person symptoms similar to those of the disease.
The Law of Proving - This principle refers to the method of testing a
substance to determine its medicinal effect.
The Law of Potentization - This refers to the preparation of a homeopathic
remedy. These medications are prepared by successive diluting and shaking
to the point where the resulting medicine contains no molecules of the
original substance. These small doses are called potencies. As strange as it
may seem, the higher the dilution, the greater the potency of the medicine.
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Background efforts to
Integrate AYUSH

Bhore Committee, 1946


Mudaliar Committee, 1961
National Health Policy - 1983
National Health Policy 2002

National Policy on Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy (AYUSH)2002
Karnataka State Integrated Health Policy - 2003
AYUSH under NRHM- 2005
Ministry of AYUSH- 2014
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MINISTRY OF AYUSH
The Ministry of AYUSH was formed on 9th November' 2014.
Objectives:
To upgrade the educational standards of Indian Systems of Medicines and
Homoeopathy colleges in the country.
To strengthen existing research institutions and to ensure a time-bound
research programme on identified diseases for which these systems have an
effective treatment.
To draw up schemes for promotion, cultivation and regeneration of medicinal
plants used in these systems.
To evolve Pharmacopoeial standards for Indian Systems of Medicine and
Homoeopathy
drugs.
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LIST OF ORGANIZATIONS UNDER


THE MINISTRY OF AYUSH
RESEARCH COUNCILS
Central Council for Research
Ayurvedic Sciences (CCRAS).

in

Central Council for Research in Yoga


and Naturopathy (CCRYN),
Central Council for Research in Unani
Medicine (CCRUM)
Central Council for Research in Siddha
(CCRS)
Central Council for
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Homoeopathy
(CCRH)

Research

STATUTORY
COUNCILS
FOR
REGULATION OF EDUCATION
AND PRACTICE

Central Council for Indian Medicine


(CCIM)
Central Council for Homoeopathy
(CCH)

in
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LABORATORIES

NATIONAL INSTITUTES
National Institute of Ayurveda (NIA)

Pharmacopoeial Laboratory for Indian


Medicine (PLIM)
Homoeopathy Pharmacopoeia
Laboratory (HPL)
DRUG MANUFACTURING UNIT
Indian Medicine Pharmaceutical
Corporation Ltd. (IMPCL).

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National Institute of Naturopathy (NIN)


National Institute of Unani Medicine
(NIUM)
National Institute of Siddha (NIS)
National Institute of Homoeopathy (NIH),
Institute of Post-Graduate Training and
Research in Ayurveda, (I.P.G.T.R.A.)
Rashtriya Ayurved Vidyapeeth (RAV)
Morarji Desai National Institute of Yoga
(MDNIY)
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NATIONAL AYUSH MISSION

Department of AYUSH, Ministry of Health and Family Welfare,


Government of India has launched National AYUSH Mission (NAM)
during 12th Plan for implementing through States/UTs.
Vision:
To provide cost effective and equitable AYUSH health care throughout
the country by improving access to the services.
To revitalize and strengthen the AYUSH systems making them as
prominent medical streams in addressing the health care of the society.
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To improve educational institutions capable of imparting quality AYUSH education


To promote the adoption of quality standards of AYUSH drugs and making
available the sustained supply of AYUSH raw materials.
OBJECTIVE:
To provide cost effective AYUSH Services, with a universal access through
upgrading AYUSH Hospitals and Dispensaries, co-location of AYUSH facilities at
Primary Health Centres (PHCs), Community Health Centres (CHCs) and District
Hospitals (DHs).

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OBJECTIVE
To strengthen institutional capacity at the state level through upgrading
AYUSH educational institutions, State Govt. ASU&H Pharmacies, Drug
Testing Laboratories and ASU & H enforcement mechanism.
Support cultivation of medicinal plants by adopting Good Agricultural
Practices (GAPs) so as to provide sustained supply of quality raw materials
and support certification mechanism for quality standards, Good
Agricultural/Collection/Storage Practices.
Support setting up of clusters through convergence of cultivation,
warehousing, value addition and marketing and development of infrastructure
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for
entrepreneurs.

COMPONENTS OF MISSION
Mandatory Components
a. AYUSH Services
b. AYUSH Educational
Institutions
c. Quality Control of ASU
&H Drugs
d. Medicinal Plants

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Flexible Components
a. AYUSH Wellness Centres
including Yoga & Naturopathy
b. Tele-medicine
c. Sports Medicine through
AYUSH
d. Innovations in AYUSH
including Public Private
Partnership
e. Interest subsidy component
for Private AYUSH educational
Institutions

f. Reimbursement of Testing
charges
g. IEC activities
h. Research & Development
in areas related to Medicinal
Plants
i. Voluntary certification
scheme: Project based.
j. Market Promotion, Market
intelligence & buy back
interventions
k. Crop Insurance for
Medicinal Plants
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MISSION MECHANISM
NATIONAL LEVEL
Mission directorate - National governing body
Appraisal committee
STATE LEVEL
State Ayush mission society
Governing body
Executive body
INSTITUTIONAL MECHANISM
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NAM Administrative Structure


Mission directorate
Approval of SAAP based on recommendations
of appraisal committee

Appraisal committee
Appraising the SAAP, submit to the governing
body
State Governing body
Ayush system overview, review of Ayush
policies&programme
implementation, intersect oral coordination, approval is

measures
to promote
Ayush
Review of expenditure & implementation ofSAAP,
mission,exploration
preparation ofof
state
annual action
plan(SAAP)
Submit SAAP
to governing body, execution of approved SAAP, monitoring & evaluation
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State
Executive
body

RESOURCES

Human resources- All Human resource will be on contractual bases only


S.N.

Post

Numbers

National

State

UT

NE

Program Manager

Sr. Consultants

Jr. Consultants

Finance Manager

Accounts manager

HIMIS manager

Monitoring & Evaluation


consultants

Accountant

Data assistant

10

10

Office assistant

11

Messenger / attendants

N/A

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12
Consultants

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FINANCIAL RESOURCES
For AYUSH Services, Educational Institutions and Quality Control of
ASU&H Drugs: For special Category states (NE States and three hilly States of
Himachal Pradesh, Uttarakhand, Jammu and Kashmir) Grant-in-aid
component will be 90% from Govt. of India and remaining 10% is
proposed to be the State contribution towards all components under
the scheme. For other States/UTs the sharing pattern will be 75%:
25%.
Medicinal Plants: This component will be financed 100% by Central
Government in North Eastern State and hilly State of Himachal
Pradesh, Uttarakhand and Jammu & Kashmir where as in other states
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Components of National AYUSH Mission will have certain core activities


that are essential and other activities that are optional.
For core/essential items 80% of the Resource pool allocated to the
States can be used.
For optional items, the remaining 20% of Resource pool allocated to the
States can be used in a flexible manner, with the restriction that this
20% of Resource Pool can be spent on any of the items allowed with
constraints that not more than 5% of the envelop is spent on any of the
components.
The State/UT shall submit the State Annual Action Plan (SAAP) as per the
recommendation format furnished at ANNEXURE-II.
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Components of the AYUSH Services under National AYUSH Mission


Core/Essential Activities:I. Co-location of AYUSH facilities at PHCs, CHCs and District Hospitals
II. Upgradation of existing Government AYUSH Hospitals
III. Upgradation of existing Government / Panchayat / Government aided AYUSH
Dispensaries
IV. Setting up of upto 50 bedded integrated AYUSH Hospitals
V. Supporting facilities such as Programme Management Units at Central and State level
VI. Supply of essential drugs to AYUSH Hospitals and Dispensaries
VII. Public Health Outreach activity
VIII. Mobility support at State and District level
IX. Behaviour Change Communication (BCC)/Information Education and Communication
(IEC)
X. School
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INFRASTRUCTURE
As on March, 2015 ( source: AYUSH.GOV.IN)
672 Districts
4998 - Blocks
640867- Villages
755 - District Hospitals (DHs)
5363 - Community Health Centres (CHCs)
25020 - Primary Health Centres (PHCs) in India.
The rural population of India for 31st March, 2015 has been estimated as
8752.46 lakhs. On an average, 11.6 lakhs, 1.6 lakhs and 0.3 lakhs rural
population
had been served per District hospital, Community Health Centre,
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SYSTEM WISE DISTRIBUTION OF HOSPITALS AND


DISPENSARIES IN INDIA- 2015 (SOURCE: AYUSH.GOV.IN)
Sl.no
1
2
3
4
5
6
7

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SYSTEM WISE
AYURVEDA
UNANI
SIDDHA
YOGA
NATUROPATHY
HOMOEOPATHY
SOWA RIGPA
TOTAL

HOSPITALS
2827
252
264
7
34
216
1
3601

DISPENSARIES
15520
1453
812
134
113
7439
21
25492
38

System wise distribution of doctors in Karnataka ( 31-03-2016 )


SL.NO

SYSTEM

NO. OF DOCTORS

AYURVEDA

33891

UNANI

1855

INTEGRATED

2425

NATUROPATHY AND YOGA

678

SIDDHA

04

HOMOEOPATHY

12701

TOTAL

51554

Present AYUSH infrastructure in Karnataka


TALUK WISE DISPENSARIES IN BANGALORE
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Mainstreaming of AYUSH under NRHM


After the launch of NRHM, an initiative has been taken by the
department of Health and Family Welfare and department of AYUSH
for strengthening of health care facilities at all levels by integrating
AYUSH systems in national health care delivery systems under
NRHM.
While constructing new PHC/CHC/DHs as per IPHS, adequate space
should be provided for AYUSH doctor & dispensary within the
premises.

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Why AYUSH integration?


Practices are well accepted by the community (rural areas)
The medicines are easily available and prepared from locally available
resources
Economical and Comparatively safe
Deficiency and unwillingness of allopathic doctors to work in rural areas
Cure for some diseases present in these system of medicine
Resurgence of interest in holistic systems of health care
No single system of health care has the capacity to solve all of societys
health needs
Taking full advantage of local enterprise for solving local health problems
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INTEGRATION SO FAR
Co-location Rate of Rural Health Infrastructure with AYUSH facilities in India.
Present scenario. In India.
In Karnataka
570 AYUSH doctors have been posted under NRHM.( march 2016)
Number of AYUSH Medical Officers posts sanctioned and working under the
RBSK : 649.

Criteria for setting up AYUSH facility.

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AYUSH OPD Clinics in the Primary Health Centres under National


AYUSH Mission.
Sl No Unit
1

Government Ayurveda Units in PHCs


at Kuppelur and Hattimathura in Haveri
District

Government Homoeopathy Units in PHCs


at Thiluvalli, Koda and Byadgi

AYUSH IPDs in CHCs and their maintenance under National AYUSH


Mission.
The hospitals are in Sringeri, Thirthahalli, Puttur, Sankeshwara, Kanakapura,
Hosdurga, Jagaluru, Chamrajanagara, Srirangapatna, Arsikere & Legislators
House, Bangalore.

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PUBLIC HEALTH OUTREACH ACTIVITY:


It is proposed to focus on increasing awareness about AYUSHs strength
in solving community health problems resulting from nutritional
deficiencies, epidemics and vector-borne diseases, Maternal and Child
Health Care etc.
This component is aimed to provide grant-in-aid to State Government
initiatives for the roll out of proven AYUSH interventions for improving
health status of the population and also the identified National
Campaigns by the Department of AYUSH, like Geriatric Campaign,
Anti-anaemia Campaign etc. through distribution of medicines,
organizing
Health
awareness
camps
etc.
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OBJECTIVES
a. To reduce the incidence of the disease burden of communicable or
noncommunicable or both as the case may be in selected geographical area
during specific period of time.
b. To give public awareness about the importance of hygiene, dietary habits,
prevention, promotion etc. through AYUSH systems of medicine in the area.
c. To establish a Community Based Surveillance System (CBSS) for early
identification of the outbreak.
d. To increase the accessibility of AYUSH treatment of the population residing
in the particular geographical region.
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Strategies
a. Formulation of specific module for the activities at that geographical region.
The unit size of the implementation will be 2 blocks.
B. Formulation and training of health education team.
Medical camps - medical camps either general health camps or medical camps
for a particular purpose may be undertaken as a part of the project. AYUSH
medicine may be given to the population to enhance their general health by
raising their immunity against communicable diseases.

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Peripheral OPD: A medical team comprising one doctor, pharmacist


and field workers may attend the peripheral OPD. The team will be
present at the OPD at regular period of interval.

Project evaluation (quarterly)- Quarterly progress report will be sent to


Department of AYUSH.
The financial assistance of Rs. 5.00 Lakh per unit of 2 Blocks for each
district is provided for Public Health Outreach activity.

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Behaviour Change Communication (BCC)


The disease burden of the country is shifting from communicable
diseases to non- communicable diseases.
AYUSH systems of medicines are thrived in the country with wellfounded principles of disease prevention, promotion of health and
specific intervention considering patient and environmental and
dietary factors.
Mass media communication strategy incorporating AYUSH strengths
in early prevention of diseases through promotion of healthy diet and
life style to be adopted by the community.
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The financial assistance of Rs. 20.00 Lakh per annum for each State is
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AYUSH Gram
AYUSH Gram is a concept wherein one village per block will be
selected for adoption of method and practice of AYUSH way of life and
interventions of health care.
Objectives:
To spread awareness within community for practice of those dietary
habits and life styles as described in AYUSH Systems of Medicine
which help in preventing disease and promoting health.
To advice people for preservation and cultivation of those herbs which
are found in their surroundings by explaining them their medicinal 49
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To advice people about common ailments and its cure thorough use of herbs
found in their localities.
To raise campaign against communicable diseases like Malaria, T.B.,
Diarrhoea etc. and measures for their prevention and treatment.
STRATEGIES:
The AYUSH Medical Officers under the programme implement the health
plans and train the health workers in identification of medicinal plants and
utilization of home remedies.
Organization of Yoga Camps and Plantation of Medicinal Herbs in AYUSH
dispensary premises may also be undertaken under the programme. As a part
of awareness campaign, information of seasonal disorders and their
prevention
and management through cultural activities through street plays
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The AYUSH medical officer along with other staff contribute for effective implementation
of National Health Programmes by helping to spread awareness about Ante-natal care, postnatal care, infantile care including breast feeding, immunization, communicable diseases,
geriatric care etc.
The AYUSH doctors will also undertake health check up camps at schools in and around the
selected villages. AYUSH training will also be imparted to ASHAs, Anganwadi workers,
school teachers etc.
The record keeping and monitoring of the entire activity will be done by the District
AYUSH officer who in turn will transmit the data to State Head Quarter.
vii. The financial assistance of Rs. 10.00 Lakhs per unit covering 10, 000 in population in 5
to 15 villages in a state.
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Implementation of the program:


Among 659 Dispensaries in Karnataka , 275 villages will be selected to
implement this Program. The program will be adopted based on poor health
indicators, c category district.
Ayush Kits
Combination of Churnas, such as Yasti, Talisadi, Sitophaladi, Karpooradi,
Bharagyade (Jwara, Kasa, Shwasa etc.)
Shadanga Paniya Shankhavati Shanka Bhasma, Dhashmoolaista,
Draksharista, Kutajarista, Mayoora Puccha Bhasma etc. (Diarrhoea,
Dehydration, Vomiting, Pain abdomen.)
Amrutharista, Ashwagandhrista, Ashwagandha Avaleha (General Debility).
Loha Bhasma, Lohasava (Anemia) and Vidangadi Ch. (Worms & Infestations)
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School Health Programme through AYUSH


The main focus of School Health Programme through AYUSH is to
address the health needs of School going Children both physical and
mental through providing AYUSH services including Yoga and
counselling. The component of the programme shall include the following:
AYUSH Health and Nutrition education.
Education on home remedies and locally available medicinal plants and
importance of growing medicinal plants in home gardens.
Practice of Yoga
Education
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on

sexual

and

reproductive

health

issues
53

Health screening:- Early detection and management of common


problems eg;- visual and hearing problems, physical disabilities,
common skin problems, learning disabilities etc.
Nutrition, anaemia, worm infestation management
Development and dissemination
Referral linkages with health services and local remedial action. Nodal
teachers for AYUSH School Health programme should be identified.
The financial assistance of Rs. 1 Lakh per unit of 2 blocks covering for
the State.

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In Karnataka
School health programme will be conducted monthly:
Medical check up, health education, medicinal plant distribution.
supply of easily available and commonly useful medicinal plants like Tulsi, Guduchi,
Dadima, harithamanjari, Matsyakshi, Pothaki, Chakramuni, Nimba, Parnayavani,
Shigru, Agastya, Brahmi, Kakamachi etc.
School AYUSH Kit;
Tribhuvan keerthi rasa, Sudarshana choorna, Dadimashtaka choorna, Shankavati,
Sarasaparilla syrup, Ashta
choorna, Seethopaladi choorna, kanaka taila, Jatyadi taila, Lavangadi vati and Nirgundi
taila.
Mid day Meals plus AYUSH Medicine- Nutrition;
After mid day meals Sapthamrutha loha along with ghee and honey to supplement the
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useful
nutrients.

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Yoga Training:
Training for students (8 years and above), teachers and trainers regarding yoga by yoga experts.
Therapeutic yoga for common ailments will be taught.
Medhya Rasayana;
1.Yashti choorna, Ashwagandha choorna
.in equal parts will be administered with milk.
.2. Kooshmanda rasayana with milk.
Dental care
.1. Dashana samskara choorna (B.R)
.2. Danta dhavana choorna
.3. Bhadra musthadi vati (Y.R)
.4. Chewing of neem leaves
Anemia, Deworming;
1. Drakshyadi lehya
2. Kumaryasava
3. Vidanga choorna, Palaasha beejachoorna
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Quality control of ASU&H drugs


Objective:
To strengthen State Govt. ASU&H Pharmacies and Drug Testing
Laboratories
Strengthening of ASU&H regulatory framework.
To improve the Quality of ASU&H Drugs to enable their export in
International Markets.

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Core Component
Grant in aid to State/Govt. ASU&H Pharmacies/ State Govt. ASU&H
Cooperatives, State Govt. ASU&H PSUs.
Grant in aid to State Drug Testing Laboratories of Ayurveda, Siddha, Unani and
Homoeopathy (ASU&H) Drugs.
Grant-in-aid for strengthening of ASU&H Drug Control Framework.
Grant in aid to State Licensing Authority of ASU&H Drugs for documentation
publication and dissemination of quality control material for States.
It is for strengthening of existing manufacturing units in the form of grant for
upgrading of equipment's, reagents & chemicals and building, drug testing
facilities including man power
Setting
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Good Manufacturing practices (GMP) for Ayurvedic, Unani Siddha drugs:


Good Manufacturing Practice (GMP) is a production and testing practice that
helps to ensure a quality product.
The Good Manufacturing Practices are prescribed to ensure that:
Raw materials used in the manufacture of drugs are authentic, of prescribed
quality and are free from contamination;
The manufacturing process is as has been prescribed to maintain the standards;
Adequate quality control measures to be adopted;
To achieve the objectives listed above, each license shall evolve methodology
and procedures for following the Prescribed process or manufacture of drugs
which should be documented as a manual and kept for reference and inspection.
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Duty of An Inspector
i.

To inspect not less than twice a year, all premises licensed for
manufacture of ASU&H drugs within the area allotted to him.

ii. To send forth with to the controlling authority after each inspection a
detailed report indicating whether or not the conditions of the license and
the provisions of the Act and rules made thereunder are being observed;
iii. To take samples of the drugs manufactured on the premises and send them
for test or analysis in accordance with these Rules;
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Government Central Pharmacy


Today this is the only institute in Karnataka that caters to the
medicinal requirements of all Ayurvedic and Unani dispensaries,
bedded hospitals and major teaching hospitals throughout the state of
Karnataka.
Medicines manufactured at GCP are for the free supply to the patients
at all Govt. hospitals across Karnataka.
Raw materials and finished products undergo strict standard tests for
their quality. All the prepared medicines are dispatched to Govt.
hospitals only after the DTL declares the drugs are Standard
according to Pharmacopoeial guidelines.
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Samples surveyed

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National Medicinal Plant Board


National Medicinal Plants Board (NMPB) under Ministry of AYUSH, NMPB
is the apex national body which coordinates all matters relating to medicinal
plants in the country. The Board was established in November 2000.
Development and cultivation of medicinal plants under the Centrally
Sponsored Scheme of National AYUSH Mission
Good Agriculture Practices (GAP), Good Collection Practices (GCP), and
Good Storage Practices (GSP).
Support Cultivation of Medicinal Plants
Establishment of Seed / germ plasm Centre's and nurseries for Supply of
Quality Planting Material
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Important Achievements under the Central Sector Scheme for


Conservation, Development and Sustainable Management of
Medicinal Plants during 2014-15
Re-afforestation/Conservation of Medicinal Plants in 8256.56 hectares in Forest Areas
5856.56 hectares under Resource Augmentation
2400 hectares under establishment of 12 Medicinal Plants Conservation Areas
(MPCAs)
Panchayats supported 395 Supported projects for setting up of Herbal Gardens,
School Herbal Gardens and Home Herbal Gardens.
Supported Research Studies on: Bioactivity guided fractionation studies
Sustainable harvesting and Inter-cropping.
Quality assessment and evaluation of pesticides and heavy metals.
Validation of Ayurvedic drug qualities through modern methods.
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ACHIEVEMENTS
Celebration of 1st international day of yoga- 21st June 2015.
Certification course in yoga science.
Central sector scheme- yoga training for police personnel.
India- Canada joint statement New Vigour, New Steps.
IEC- telecast 10 episodes of an interactive TV programme AYUSHMAN
BHARAT through doordarshan in 9 regional languages from April to June
2015.
Six national level Arogya fairs.
An Occupational therapy and Rehabilitation Centre has been initiated by
CCRAS and CCRUM has successfully organized a National Seminar on Noncommunicable diseases on 14th 15th January, 2015 in New Delhi.
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ACHIEVEMENTS ( KARNATAKA)- 2015-16


Treated 44.38 lakh patients on OPD basis and 1.63 lakh inpatients.
30 camps were held, also organized MANNE MADHU programme.
Training yoga for government employees and school teachers.

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Research activities

Pilot project on homoeopathy for healthy child for health promotion


and treatment of common diseases in six districts.
Integration of homoeopathy, Ayurveda, unani in NPCDCS in 6 selected
districts.
The Central Council for Research in Yoga and Naturopathy (CCRYN)
has conducted two research projects in collaboration with Swami
Vivekananda
Yoga
Research
Foundation,
Bangalore:

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(i) Integrated approach of Yoga Therapy in the Management of cancer:


The study showed better coping response; decreased distress, reduced
side effects; increased natural killer cell counts, increased pain threshold
etc.
(ii) Effect of integrated approach of yoga therapy for metastatic breast
cancer patients and study of DNA repair mechanisms relevant to cancer:
The study showed significant decrease in anxiety, depression, perceived
stress, pain, insomnia fatigue. It also showed improvement in natural
cell killer counts and early morning cortisol level.

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Traditional Knowledge Digital Library (TKDL)


Documentation of this existing knowledge, available in public domain, on various
traditional systems of medicine has become imperative to safeguard the
sovereignty of this traditional knowledge and to protect them from being misused
in patenting on non-patentable inventions, and this has been a matter of national
concern.
India fought successfully revocation of turmeric and Basmati patents granted by
United States Patent and Trademark Office (US PTO) and Neem patent granted
by European Patent Office (EPO). As' a sequel to this, in 1999, the Department of
Department of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy
(A YUSH) constituted an inter-disciplinary Task Force, for preparing a report on
establishing a Traditional Knowledge Digital Library (TKDL).
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TK encompasses
Community Knowledge
Cultural Heritage
Folklore
Traditional Medicines
Biodiversity

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SWOT ANALYSIS OF AYUSH SYSTEMS


STRENGHTS:
The biggest strength of AYUSH systems in India lies in the trust
which it enjoys among common people referring to its use in wide
varieties of clinical conditions.
Traditional house hold use of herbs
Existing hierarchical system of research organisations
National research organisation collaborating in AYUSH

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WEAKNESS
AYUSH clinical establishments (hospitals and dispensaries)
Poor referral practice in AYUSH.
Lack of noticeable collaborative efforts.
Lack of quality standards in medicines.
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OPPURTUNITIES
Solution for life style disorders
Preventive care
Already accepted forms of AYUSH having high global appreciation.
THREAT:
Safety issues.
Growth of unscrupulous products and practices.
Most of AYSUH doctors practice allopathy
Quacks inadequately qualified persons
Lack of knowledge/ Updates
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WHAT MAKES THE AYURVEDA DOCTORS


SUITABLE PUBLIC HEALTH WORKFORCE?
Educational Training, Exposure and Orientation to the subjects of
public Health.
Evidence of their impact on public health programmes: Ayush doctors
are participating actively in all National disease control programmes
as well as Panchavyadhi chikitcha (Treatment of five diseases such as
Malaria, Leprosy, T.B, Diarrhoea, Acute Respiratory Infection and
Scabies) in terms of planning and monitoring.

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Supervise ANMs and Sub centre and participate in Immunization


programme, RCH (Reproductive and Child Health)/Health camps,
VHND (Village Health Nutrition Day), IMNCI (Integrated
Management of Neonatal and Childhood Illnesses), epidemic control
and school health programme. Promote family planning activities.
Educational institutes accepting Ayush graduates for public health and
related courses.
Government policies to incorporate them in to mainstream health care
delivery system.

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Difference between
conventional medicine and alternative medicine

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CONCLUSION
India is a land of great ecological, cultural, political and economic
diversity. Its healthcare system reflects this diversity.
The disease burden of the country is shifting from communicable
diseases to non- communicable diseases.
AYUSH systems of medicines are thrived in the country with wellfounded principles of disease prevention, promotion of health and
specific intervention considering patient and environmental and
dietary factors.

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Evidence of their impact on public health programmes: Ayush doctors


- participating actively in all National disease control programmes.
AYUSH doctors practicing ALLOPATHY?

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REFERENCE
Col Rajvir Bhalwar Public Health and Preventive Medicine The
RED BOOK Diamond Jubilee Edition New light publishers 2008;p
325.
Ministry of Ayush | Government of India [Internet]. Ayush.gov.in.
2015 [cited 16 September 2016]. Available from: http://ayush.gov.in.

[Internet]. 2014 [cited 17 September 2016]. Available from:


http://ayush.gov.in/sites/default/files/4197396897-Charakasamhita
%20ACDP%20%20english_0.pdf.

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Ayush Karnataka [Internet]. 202.138.101.165. 2015 [cited 19


September
2016].
Available
from:
http://
202.138.101.165/ayush/karnataka.html
Central Council of Indian Medicine:: Ministry of Ayush, Govt. of
India [Internet]. Ccimindia.org. [cited 18 September 2016]. Available
from: https://www.ccimindia.org/

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THANK YOU

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