1. Dr. Vikas Chothe
Empire Estate M-2, 001, Pune-19. (India)
vchothe@gmail.com

2. • loss of national income
• high treatment costs
• low priority to prevention
© Dr. Chothe. V.R

3. IN ALLOPATHY IN AYURVEDA
 unwholesome diet
 over physical exertion,
 anxiety
 fear
 terror
 ama
 excessive sex
 suppression of vomiting
© Dr. Chothe. V.R
Charak chikitshasthan xxvi/70

4.  Stress (Circulation. 2004 by Eaker ED et al; J
Am Coll Cardiol. 2009 by ChidaYet al. ).
 tobacco and alcohol
(Lancet 1991 by Rimm EB).
 anxiety (engum, 2007).
 depression (mezuk et al. 2008)
 hostility (rod et al., 2009).
 work stress (kawakami et al., 1999).

5.  habitual sleep disturbances
 unhealthy diets
 obesity
 high cholesterol

6.  An estimated 34.7% of
all deaths resulting from
cigarette smoking are
related to CHD.
 Alcohol abuse increases
the risk for diabetes and
CHD.
© Dr. Chothe. V.R

7.  Cognitive signs-poor concentration, low
self-esteem
 Emotional signs-anxiety, agitation, and
feeling lonely
 Depression increases the risk for type 2
diabetes by 37%
 Behavioral symptoms -social withdrawal,
nervous habits such as nail-biting.
 Physical symptoms - chest pain, diarrhea,
dizziness
© Dr. Chothe. V.R

8.  According to Allopathy emotions are
associated with limbic system and different
parts of brain.
 But according to Ayurveda the heart rather
than the brain is the seat of the mind and
emotions.
 Different emotions have powerful influences
on the heart and can cause cardiac diseases.
© Dr. Chothe. V.R

9. Rajas and Tamas types prone to CHD
 hurry to eat, talk, walk  a sense of guilt while
and do most other on vacation or
activities relaxing,
 not able to relax or  hyperactive response
enjoy the satisfaction  unsatisfactory
of achievement interpersonal
 poor listening behavior relationships
 self-centered
© Dr. Chothe. V.R

10. © Dr. Chothe. V.R

11.  consume <10% of
 no smoking, energy from saturated
 consuming at least half fat.
a drink of alcoholic  consume <2% of
beverage per day, energy from trans fat.
 moderate to vigorous  eat (fatty) fish at least
physical activity for once a week.
≥30 minutes per day,  eat ≥400 g of
 BMI<25 kg/m2. vegetables and fruits
Circulation 2006;114:82,
per day.
JAMA. 1998 Dec 16;280(23):2001-7,
Am J Cardiol. 2010 Feb 1;105(3):362-7.
 limit salt consumption
to <6 g/d.

12. Labhopayo Hi Sastanam Rasadinam Rasayanam
(CHARAK CHIKITSASTHANA 1/8)
 Rasayana is any herb, food, or activity which
confers youthfulness and cures diseases.
 rasayana includes purification of all tissues from
rasa to shukra.
 special health promoting conduct and behavior
© Dr. Chothe. V.R

13. SADVRITTA (GOOD BEHAVIOR ) KALA ( ART THERAPY)
Good
mental
conduct
 aalekh
Good Good  geet
religious social
conduct conduct
 nrutya
 natya
Good Good
 vadya
moral personal
conduct conduct
© Dr. Chothe. V.R

14.  LobhaShokaBhayaKrodhaManaVegan Vidharayet-
Charaka Sutrasthana 7/27
 Anger and hostility are associated with CHD outcomes
and predict the development of atrial fibrillation- J
American College of Cardiology. 2009 Mar 17;53(11):936-46.and
Circulation. 2004 Mar 16;109(10):1267-71.
 One should strive to bring happiness, cheerfulness, and
positive manasbhavas to all. This attitude is termed as
Hitaya, which is characteristic of our Indian culture.
© Dr. Chothe. V.R

15.  satya (speaking the truth)
 ahimsa (non violence)
 brahmacharya (observance of sexual discipline)
 The clear link between stress due to unsatisfactory
interpersonal relationships and cardiovascular
disease is scientifically demonstrated. -Circulation,
24:1173-84
© Dr. Chothe. V.R

16. © Dr. Chothe. V.R

17.  Darshan-worshipping god and teachers
 Mantras-religious prayers
 Meditation
 religious involvement or spiritual well-being
affect development of coronary artery
disease and helps in stress management.-J Prev
Med Public Health. 2010 Sep;43(5):445-50.
© Dr. Chothe. V.R

18. Spirituality for Healthy Living

19. DINACHARYA RITUCHARYA
 dina – day & acharya –  Following the seasonal
behavior taste adjustments,
dietetics and regime is
 In order to keep the beneficial in keeping
tridoshas and agni seasonal and lifestyle
(metabolism) in a state of disorders at bay.
healthy equilibrium,
Ayurveda prescribes for
each individual a specific
daily routine
© Dr. Chothe. V.R

20. Arising
Natural urges
Head oil
Cleanliness
Massage
Exercise
Good sleep
www.cozwecare.org

21.  serving elderly people
 respect for the parents
 understanding in
married life
 avoid alcohol and
smoking
© Dr. Chothe. V.R

22.  Art is the expression of feeling of the
artist, who derives the joy of aesthetic
experience (ananda) influencing
beneficially the mind of the viewers–
Abhinavagupta
 Ranging from ancient rock cave
paintings at Bimbetaka and mandalas to
new aged clinical therapy, art has been
used for stress reduction in Ayurveda.
© Dr. Chothe. V.R

23. Art therapy is a ‘mental health’
profession that uses the creation of
art as a way to increase mental and
emotional well-being.
© Dr. Chothe. V.R

24.  A good painting cleanses and curbs
anxiety and banishes bad dreams -
Vishnudharmottara Puranana
 Imagery, touch, music and prayer as
adjuncts to interventional cardiac care.-
Lancet 366:211-217.
 Ragas (Music) exhibit positive effect on
emotions and prolongs life. –Samveda
 Music effectively improves quality of life,
increases health and probably prolongs
life. -Circulation. 2009 Jun 30;119(25):3171-80.

25.  If every individual observes rules and
regulations as described in Swasthavritta i.e.
daily regimen, seasonal regimen and ethical
regimen, takes proper food, sleep and enjoys
controlled sexual activity, he can enjoy long
and healthy life.
© Dr. Chothe. V.R

26. © Dr. Chothe. V.R

27.  cost-effective strategy to reduce global burden of
disease
 Achara Rasayana (Ayurvedic lifestyle modification)
has been highly significant clinically. Hence there is
need for conducting prospective cohort studies
without publication bias.
 awareness about Achara Rasayana in physicians and
health care policy makers needed.
© Dr. Chothe. V.R

28. There is more to life than
increasing its speed.
-Mohandas K. Gandhi
Thank You
© Dr. Chothe. V.R

29. Acknowledgements
• Thank you Dr. Atul Rakshe Sir, Dr.
Mahesh Asalkar, Dr. Arti Firke
• Thanks to Department of
Swasthavritta, CARC, Akurdi (India)
© Dr. Chothe. V.R