Prof. Y. K. Sharma MD(Kayachikitsa), Ph. D(Geriatrics), Former Principal and Dean, R.G.Govt P.G. Ayurvedic College Paprola-HP

1. Lifestyle Related Disorders-Ayurveda Perspective
Prof. Y. K. Sharma
MD(Kayachikitsa), Ph. D(Geriatrics), Former Principal and Dean,
R.G.Govt P.G. Ayurvedic College
Paprola-HP

2. Origin of Life
Based on union of
1. Shukra - Sperm
2. Shonit - Ovum
3. Sukshma sharir /Jeev.
Life is based on?
Staying together of Panchmahabhoota, Mana and Atma

3. Phenomenon of Life
Birth
Maturity Senescence Decay/death
Procreation
Continuity of life and species
Evolution
New species

4. How Long One Can Live ?:
According to atharva - veda one should live 100 years (sharadam shatam) with health
vision, intellect as well as fit physical structure.
What is purpose of life? :
It is “ purusharath chatushtya” i.e, four things to be achieved during life.
1. Dharma – civilized life with high moral values.
2. Artha – earn livelihood.
3. Kama – procreation.
4. Moksha – salvation

5. How we define “Ayu”
Life is based on working together in peace of:
1. Sharir – Physical structure
2. Indriya – Sense organs
3. Satva - mana – Mind
4. Atma – biological force.
Ayu and vaya
1. Ayu – Chronological aging.
2. Vaya – Biological aging.

6. What Is Health Which Ayurveda Attempts
To Preserve or Restore?
It is
1. Sama Dosha – Normal Biorhythm
2. Sama Dhatu – Ideal physical constitution
3. Sama Agni – Ideal Metabolism
4. Sama Mala – Normal level and discharge of metabolic wastes from body:
Prasanna Atma Indrya Mana – State of having ideal sensory and motor perceptions and
balanced psyche and spirituality.

7. Lifestyle Diseases:
Sometimes called diseases of longevity or diseases of civilization interchangeably.
 These are the diseases that appear to increase in frequency as countries
become more industrialized and people live longer
 Dictionary meaning of Lifestyle disease: A disease associated with the way a
person or group of people lives.
 These are different from other diseases because they are potentially
preventable, and can be lowered with changes in diet, lifestyle, and
environment.
 Lifestyle diseases are the result of an ill-relationship of people with their
environment.

8. Lifestyle Diseases Emerge as Silent Killers
 The world health organization (WHO) has warned that more than 270 million people
are susceptible of falling victim to diseases linked to unhealthy lifestyles.
 Most of these people are thought to come from china, India, pakistan and indonesia

9. Highlights of Lifestyle Diseases:
 Until the present era, death was caused by sudden onset conditions. Sudden
onset conditions are easily curable by allopathic medicine.
 Today, conditions that slowly develop over many years as we age cause more
deaths. These insidious diseases do NOT lend themselves to a quick fix by
allopathic medicine.
 The onset of these lifestyle diseases is insidious, they take years to develop,
and once encountered do not lend themselves easily to cure.

10. Why Increased Incidence of Lifestyle Related Diseases?
 Peoples' diet changed substantially in the second half of the twentieth
century, generally with increases in consumption of:
 Meat, dairy products, vegetable oils, fruit juice, and alcoholic beverages.
 With decreases in consumption of: starchy staple foods such as bread,
potatoes, rice, and maize flour.
 Other aspects of lifestyle also changed, notably; large reductions in physical
activity and large increases in the prevalence of obesity associated with
smoking, stress of daily routine and substance abuse.

11. Common Life Style Related Disorders:
 These include hypertension , heart disease, stroke, Obesity, diabetes,
diseases associated with smoking and alcohol and drug abuse, tobacco- and
nutrition-induced cancers, chronic bronchitis, emphysema and premature
mortality.
 Various lifestyle related diseases now-a-days include:
 Alzheimer’s disease, atherosclerosis, asthma, cancer, chronic liver disease or
cirrhosis, chronic obstructive pulmonary disease, Type 2 diabetes, metabolic
syndrome, nephritis or chronic renal failure, osteoporosis, acne, depression,
obesity, heart disease and stroke.
 In our scenario we may also include diseases like Osteoarthiritis Knee, Low
Back Pain, Stress related illnesses, etc in this list.

12. Indian Scenario:
 In india, the scenario is quite worse. It is said that, the possibility of an indian
suffering from a lifestyle disease is four per cent greater than people from
other nationalities.
 Changing lifestyle is mainly responsible for an increase in the number of
people suffering from hypertension, stress and other heart ailments.

13. Why Sudden Increase In Lifestyle Related Ailments:
 Today's 24x7 world order leaves little room for entertainment, social life,
exercise and regular eating and sleeping patterns.
 Time is being converted into money and personal priorities take back seats
as corporate interests and personal ambitions take centre stage.
 Only when our body starts showing signs of fatigue and inability, we look at
our daily routine and think how the same impacts our personal lives.

14. Affluent Society Diseases:
 Doctors term these diseases as 'affluent society diseases', which are mainly
caused due to reduced physical activity and consumption of fast food and
alcohol.
 Since factors like heredity, sex, age cannot be avoided, one must manage one's
lifestyle to avoid being at risk of different lifestyle dominated diseases.

15. Life Style Medicine:
 Lifestyle medicine is nothing but the use of lifestyle interventions in the
treatment and management of lifestyle diseases.
 Such interventions include diet rectifications (good nutrition), exercise, stress
management, smoking cessation, and a variety of other non-drug modalities.
 A growing body of scientific evidence has demonstrated that lifestyle
intervention is an essential component in the treatment of chronic disease
that can be effective when used appropriately with medication.

16. The Emphasis of Lifestyle Medicine is On:
1. Assessing lifestyle
2. Evaluating the risk factors
3. Evaluating laboratory reports
4. Discussing the opportunities for interventions
5. Prescribing an optimal lifestyle
6. Tracking and follow-ups

17. Healthy Lifestyle Habits ,Society Should Practice Are:
A strict “No” to
 Smoking
 Alcohol
 Illegal Drugs
 Hypertension
 Stress
A “Yes” to
 Eat Low Fat,
 Low Salt,
 High Fiber Diet
 Physical Activity etc.

18. Ayurveda and Lifestyle Ailments.
Ayurveda the science of life primarily aims to preserve the human structure by:
1. Protection of healthy state (swasthrakshan)
2. Cure of sick state (vikarprashamanam)
In other words its mission is to preserve health.

19. How It can be Achieved?
In healthy person state of health is achieved by three important components:-
1. Dincharya – Daily regimen
2. Ritucharya – Seasonal regimen
3. Rasayana Therapy – Longevity promoting medications and practices.

20. Ritucharya
 These are primarily set of instructions which if ideally followed as per season
shall help individual to physically and biologically to a particular season as well
as make him free of seasonal ailments.
 These include-dietetic instructions, clothing instructions as well as some
behavioral practices which besides other guidelines include bio-purification as
per seasonal needs.

21. Rasayana
 Use of rasayana is advised particularly to seek disease free geriatric age
as well as to specifically fight some ailments or potentate concomitantly
used medication.
 These have plenty of anti-oxidants, nutrients, stress busters, mood
stabilizing potentials to preserve and promote health

22. Dincharya:
 It is Dincharya are ideal Daily Life routine instructions which if followed
as life style shall prevent life style related ailments.
 This not only helps in provision of physical health but also helps attain
mental and social health.

23. Components of Dincharya:
1. When to get up.
2. Exercise
3. Brushing, bath, oleation, etc.
4. Diet.
5. Social behavior
6. Sleep, etc.
7.Other mandatory components of dincharya can be retention of abnormal
physical urges and retention of abnormal mental urges ( vega adharan and
vega dharan )

24. When To Get up:
 Ideal time is brahm - mahurta i,e between 4.00 to 6.00 am
 One should ideally have 6-8 hour sleep.
 That makes it ideal that one sleeps early
 People who regularly work at night can sleep during day as a habit.
 Lack of sleep disturbs bio-rhythm with physical and mental ailments.
 That is why nidra is one of up- stamba of life.

25. Vayajama-exercise
Regular exercise gives feeling of :
 Lightness (Laguta),
 Improves working capacity (Karyasamarth),
 Potentates appetite (Diptagni)
 Leads to loss of body fat (Medokshaya)
 Strengthens body tissues esp. muscles.
 Vayajama should be performed to the extent of “Ardhabala” or limit it to
time till one start mouth breathing.

26. Aahar-diet
 Ayurveda believes that diet should be as per season, age but it should be
balanced both from point of view of quality and quantity.
 It should be “shadrasa”
 One should follow concept of eightfold (aashatvidhvishashatayan) and]
Twelevefold (dwadishpervachar) guidelines of dietetics

27. Food Habits To be Avoided:
 Aakal annasavan – irregular timing.
 Atimatra – overfeeding.
 Asatamaya – taking intolerable/undesirable diet.
 Visham-ashan – incompatible diet
 Indulgence in such dietry habits is called in ayurveda as
“mithyaahara”

28. Social Behavior or Sadavritta:
 Ayurveda has a strong preaching of Sadavritta and Aachar Rasayan
which can be interpreted as personal behaviour to society as Self and
Social Code of Conduct which are essential for mental health.
 If practiced this not only makes individual stress free but also helps
maintain mental health but shall also improve social structure.

29. Social behavior or Sadavritta:
Some of the practices include:
1. Not to harm other creatures.
2. Give due respect to old, seniors, rulers, guests, teachers etc
3. Avoid insulting and ignoring others
4. Keep balanced mind during pleasure and pain and avoid thinking of
harming others.
5. Try to speak only when desired but speak truth and softly.
6. Try to help needy
7. Avoid theft, violence, and abnormal sexual urges, etc which are
categorized as pap-karma.

30. Nidra -Sleep:
 Like aahar nidra is also considered as a pillar of health
 While adequate sleep assures good nutrition, strength, potency, capacity to
retain learned knowledge, etc.
 Continuous lack of sleep leads to loss of energy and body weight,
impotence, difficulty in retaining learned knowledge and may in long run
vitiate entire bio-rhythm and cause even death.

31. Other Life Style Related Advises in Ayurveda Include:
1. Taking bath with cold water.
2. Regular application of oil on body.
3. Regular oil application in nostrils
4. Regular brushing, tongue cleaning
5. Avoiding sleeping during day
6. Practice of bramacharya, etc.

32. Common Lifestyle Related Ailments and Their Remedy:
Alzheimer's disease: a form of brain disease.
 No one knows the exact cause, but a real breakdown of the cells of the
brain does occur. There is no treatment, but good nutrition may slow the
progress of this lifestyle disease.
 Use of Ginkgo-biloba, aindri, brahmi, sankhpushpi, jotismati is
recommended besides sirobasti, tarpan nasya.

33. Common Lifestyle Related Ailments And Their Remedy:
2. Arteriosclerosis: A generic term for several diseases in which the arterial
wall becomes thicken and loses elasticity. Atherosclerosis is the most
common and serious vascular disease.
 Plaques (atheromas) deposited in the walls of arteries are major causes of
heart disease, chest pain (angina pectoris), heart attacks, and other
disorders of the circulation. Atherosclerosis usually occurs with aging. It is
linked to overweight, high blood pressure, and diabetes.
 Use of low fat but high pufa containing oils like tila , sarsoon, coconut oil is
desired.
 Use of gugglu, lashun, triphala, jav-kshar, methi, etc lowers abnormal fats
in blood.
Start early for better results.

34. Common Lifestyle Related Ailments And Their Remedy:
3. Diabetes: a disease affecting sugars used by the body.
 Disease characterized by persistent rise of blood glucose. May be out
come of genetic predisposition, dietary habits, sedentary lifestyle, side
effect of some drugs, endocrinal ailment, etc.
 Disturbs energy metabolism in body. Leads to serious complications in
heart, brain, eyes, kidneys, etc.
 Early detection, weight control, use of regular therapy and regular
monitoring is key to treatment.

35. Common Lifestyle Related Ailments And Their Remedy:
4. Heart disease: any of several abnormalities that affect the heart muscle
or the blood vessels of the heart.
 Heart disease has been the number one cause of mortality and
morbidity. Heart disease and other forms of cardiovascular disease can
lead to a state where pumping action of heart is insufficient for need of
body. Vessel disease can also cause sudden death.
 Maintain ideal weight, regular walk, low fat and calorie diet, avoid
smoking, avoid stress and keep your blood fat under control. Don't
ignore regular examination after 40.

36. Common Lifestyle Related Ailments and Their Remedy:
5. Chronic obstructive pulmonary disease (COPD): a disease characterized
by slowly progressing, irreversible airway narrowing and loss of lung
capacity.
 The symptoms are problems in breathing while exercising, difficulty in
breathing in or out deeply, and sometimes a long-term cough. The
condition may result from chronic bronchitis, emphysema, asthma, or
chronic bronchiolitis.
 Cigarette smoking and air pollution make it worse.
 Remedy lies in stopping smoking, avoiding pollution and doing regular
pranayamic exercises. Expectorants and bronchodilators are also of
help.

37. Common Lifestyle Related Ailments And Their Remedy:
6. Stroke: a condition due to the lack of oxygen to the brain that may lead to
reversible or irreversible paralysis.
 Stroke is linked to advanced age, high blood pressure, previous attacks of
poor circulation, cigarette smoking, heart disorders, embolism, family
history of strokes, use of birth-control pills, diabetes mellitus, lack of
exercise, overweight, high cholesterol etc
 Remedy is keeping risk factors under check and regular evaluation.

38. Common lifestyle related ailments and their remedy:
7. Cancer: diseases characterized by uncontrolled, abnormal growth of cells.
 Cancer is definitely considered the number one disease of civilization.
There are more than 150 different kinds of cancer and many different
causes
 Regular screening of any potential cancer sign or symptom and early
detection and treatment. Avoid cancer risk factors and precancerous
states.

39. Other Common Lifestyle Ailments:
1. Osteoarthiritis knee: loss of joint space, cartilages and bony out growths
with limiting joint mobility.
2. Low back pain : wrong back curvature and damaged vertebra and discs
due to wrong postures, chronic trauma, and degenerative changes.
3. Chronic liver disease: shrinking liver due to chronic low grade damage
due to alcoholism, drugs, etc.

40. Final Word
 Average life of man is increasing and lifestyle related disorders are wound
to come.
 Adopt a healthy lifestyle to have a long trouble free life.
 Don’t delay correction of ailment till late when it shall compromise quality
of life.
 While adding years to life add life to year.
 Try to achieve physical, mental and spiritual healthiness by laying
foundation in childhood.

41. THANK YOU