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Management of Lifestyle Diseases: A Siddha Perspective Siddha system is one of the ancient systems of medicine that evolved in south india for thousands of years. Sage Agasthya is said to be the father of Siddha.It is a potent system of medicine through which we can treat many of the chronic and dreadful diseases.

Souvenir 2010

Dr. K. Jagannathan, MD (Siddha), PhD Reader & HOD, Dept. Of Maruthuvam, Santhigiri Siddha Medical College Research Officer, Santhigiri Research Foundation drjagan.siddha@gmail.com

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ifestyle diseases (LSD) are the diseases which result from changes in the diet, lifestyle and environment. In the first half of last century, communicable diseases like pneumonia/ influenza, tuberculosis, diarrhoea/enteritis were dominated and accounted for about 60 percent of all deaths. By the latter half of twentieth century, 60 percent of all deaths have come from an entirely different sort of diseases defined as lifestyle diseases. The WHO also has warned that more than 270 million people are susceptible of victim to diseases linked to unhealthy lifestyles and most of these people are thought to come from China, India, Pakistan and Indonesia. As per obtainable data, it has been learnt that death rates peak from accidents at age 40;

People themselves are responsible in the development of LSD and none of the other factors could be blamed.

(Environmental factors). The same concept is highlighted now as a new invention by the contemporary scientists while describing the aetiology for LSD. The uniqueness of Siddha medicine is not only cure physical and mental illness but also looks after social, moral and spiritual welfare of an individual. Hence it is very evident that system like Siddha only can combat LSD perceptibly and offer better solution since it is comprehensive, holistic in nature and educates the

Healthtips Decoction obtained from 10 gram of Asoka bark powder twice a day will correct the problems of menstrual irregularities.

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mankind the art of living. Causative factors of LSD as follow: In many countries especially western in origin, peoples’ diet changed substantially in the second half of the twentieth century, generally with increases in consumption of meat and other non- vegetarian food items, dairy products, fried and oily foodstuffs, alcohol and other beverages, junk food, fast food, sugar and decreases in consumption of starchy staple foods. Other aspects of

from cancer at age 70 and from heart diseases and stroke at the age 85. The last two classes are coming under lifestyle diseases. Even though a global problem, LSD that appears to become ever more widespread as countries becomes more industrialized and urbanized. Following features make distinct lifestyle diseases form others: 1. LSD are potentially preventable 2. LSD takes months and years to develop 3. Very hard to alleviate unless make a change in diet, lifestyle and maintain good environment 4. People themselves are responsible in the development of LSD and none of the other factors could be blamed. Some thousand years ago, Siddhars, the founders of Siddha system of medicine, evidently mentioned about two ultimate reasons for the onset of diseases. They are 1. Agakkaranangal a) Unavathi seyal marupadu (changes in diet, personal habit and habitat) b) Kanma vinai (congenital/ genetical disorders) 2. Purakkaranangal Souvenir 2010


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lifestyle also changed, notably, great reduction in physical activity, huge increases in the prevalence of obesity, living under stress, becoming addict to alcohol, drug and smoking, overindulgence in sexual activities, extra marital contact and involving in immoral activities. In fact, personal habit of an individual has been changed radically. Environment also considerably affected due to industrialization and urbanization in both developed and developing countries. Polluted air due to increasing emission, unprotected and unsafe drinking water owing to industrial waste, pesticide residues and heavy metal contaminations, geo-climatic changes, depletion of ozone, release of green house gases Souvenir 2010

Currently Alzhiemer’s Disease becomes a worldwide problem especially in western countries.

and global warming are some of the other factors deliberately affecting the state of environment. The people who migrate from one country to another normally acquire the diseases of the host country, suggesting that environmental factors are the key determinants rather than others in the development of LSD. Siddhars had the concept of geo- specific diseases and its management with geo specificplants and the same had been documented fully by them in their ancient literatures. Middle East countries are belongs to Neithal, Paalai and to some extent Marutham variety of land as per their concept. These guidelines also reveals that Rheumatic disorders, Vatha diseases, Obesity, Hepatomegaly, Hernia, Filariasis will be the predominant diseases in that kind of lands. The land -Paalai (desert) will invite all kind of diseases very simply due to different reasons as per their theory. Medical survey reports in these areas also substantiate the so- called prevalence. In fact, extensive research has to be done in this area to establish Siddhars concept scientifically and to find solution to the prevalent diseases in natural way for the benefit of mankind. This paper will furnish the details to manage top 10 LSD through Siddha way, educate the people to lead healthy life and insist the mankind about the importance of traditional custom. Alzhiemer’s Disease

Currently it becomes a worldwide problem especially in western countries. Degeneration of brain cells is the main reason and it can be triggered

A Kayakalpa medicine prevents not only greying of hair, wrinkle of skin, ageing process, and disease but also extends the life span of an individual. by various factors. Medicines, having anti oxidant, tonic and alterative properties found to be useful in the management of dementia. Siddhar’s Kayakalpa medicines and kayakalpa methods definitely capitulate fine solution to this dreadful disease undoubtedly. A Kayakalpa medicine prevents not only greying of hair, wrinkle of skin, ageing process, and disease but also extends the life span of an individual. In simple words, Kayakalpa drugs are intended for keeping the body like stone in order to maintain youth forever. Vallarai nei, Brahmi nei, Serankottai nei, Amukkara Legyam, Sitramutti madakku thylam, Santhgiri’s Balasarvangam are a few valuable medicines to check degeneration, augment neurotransmitters, rejuvenate brain

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and neurons and boost up memory. Practising Dhyanam, Pranayamam and yogasanam will yield supportive treatment to get rid of the problem in early stage in the patients who are co-operating. Atherosclerosis & Ischaemic Heart Disease

Deposition of atheromatous plaque in the inner surface of blood vessels, especially in the coronary vessels which are supplying cardiac muscles results in inadequate blood supply and ultimately results IHD i.e. heart attack. Obesity, Hyperlipidaemia, Hypertension, Diabetes Mellitus is some of lifestyle diseases which provoke this hazardous condition. Medicines having the capacity to resolve this plaque and provide cardiac tonic effect will be beneficial to control IHD. Guggulu and Garlic preparations found to be effective to dissolve the plaque and prevent further deposition and complications. To tonify cardiac muscles, cardiac tonics like Marutham pattai choornam/ kudineer, Thamaraga kudineer, Shirungi parpam, Santhgiri’s Hridaya santhi could be prescribed.

Mortality rate: Lifestyle diseases Vs Communicable diseases 70 60 50 Lifestyle diseases

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Other diseases

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Communicable diseases

20 10 0

1900-1940

1900-2000 Souvenir 2010


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What is Siddha? “By purifying the mind and attaining perfection one becomes a siddha (Tamil Chittan); He is indeed fit to be called ‘Siva’. Purification of the Body and mind is the aim of Siddha medicine. The origin of Siddha tradition in the South India in Tamil Language, including culture, is traced back to Agastya. More than 5000 yrs old in Indian history. There are 18 siddhars (All the Siddhars taught their principles along with their well experienced medicines to their disciples under Gurugulavasa). Understanding of health and disease is explained in siddha medicine in relation to Tridoshas. Three pillars that support a structure 1. Vali or Vaatham 2. Pitham or Azhal 3. Aiyyan or kapam World view related to Panchaboothas - 1. Prithivi 2. Appu 3. Theyu 4. Vayu 5. Akaya All the substances in the universe are created under the actions or reactions of the Panchaboothas’ functions only. Even for disease also, disease occurs in the living objects (body) by means of less quantity of the ratio of the Panchaboothas only. If the ratio differs from one to another any disease may attack the body (human beings, animals, birds, flies etc.) The Meteria Medica of Siddha Medicine is very vast compared to that of other indigenous system of Medicine. In the usage of Metals and Non-metals this system was far more advanced than Ayurveda. Siddhar Nagarjuna introduced the use of Mercury and its compounds by the Siddhars to the Ayurvedic systems in later period. The use of more Metals and Non-metals are justified by the fact that to preserve the body from decomposing materials that do not decompose easily should be used. The other reason being, the South Indian rivers were not perennial and herbs were not available all through the year. The expertises of Siddhars in Alchemy lead them to the finding of therapeutic properties of this metals and minerals. An estimate of 1450 plants are documented in Siddha medicine.

60% of world population are afflicted with Diabetes Mellitus.

Souvenir 2010

Cancer is a leading cause of death worldwide: it accounted for 7.4 million deaths (around 13% of all deaths) in 2004. Deaths from cancer worldwide are projected to continue rising, with an estimated 12 million deaths in 2030. Reasons: 1. Physical carcinogens, such as ultraviolet and ionizing radiation 2. Chemical carcinogens, such as asbestos, components of tobacco smoke, aflatoxin (a food contaminant) and arsenic (a drinking water contaminant) 3. Biological carcinogens, such as infections from certain viruses, bacteria or parasites. Chemotherapy, irradiation and surgical treatment are the measures employed in modern medicine in handling of cancer. No cure for cancer is the dictum at

Cirrhosis of Liver & Other Liver Disorders

Top 5 cancers out of 150 varieties Women

Prostate

28% Breast

30%

Lung

17%

Lung

13%

Colorectal

12%

Colorectal

12%

Bladder

7%

Uterus

6%

Non Hodgkin lymphoma

4%

Ovary

4%

60% of world population are afflicted with this disease. Environmental factors, improper diet habit, lack of exercise, mental stress play a vital role to trigger this problem. Mild form of non insulin diabetes mellitus and DM due to lack of insulin sensitizers could be manageable with Siddha medicines. Advantage of these

Bronchial Asthma & Copd

Liver is the power house of our body. If any defect happens, it

Men

Diabetes Mellitus

will affect whole body through many pathological events/ consequences. As far as liver is concerned, Chemicals, Drugs, Alcohol, Infection, are the main damaging agent’s leads to mild form of jaundice to major form of cirrhosis. Keezhanelli, Karisalai, Kadugurohini, Aamanakku, Seenthil, Nilavembu, Mandooram preparations in Siddha readily available to tonify liver, corrects liver problem, and protects liver from further damage.

present. But with traditional medicines, cancer is curable to greater extent only in the beginning stage. Siddha offers Chithiramoola guligai, Serankottai Nei, Rasaganthi Mezhugu, Idivallathy Mezhugu, Nanthi Mezhugu, and Van Mezhugu to check the proliferation of immature and poorly differentiated cells.

Cancer

No cure for cancer is the dictum at present.

potent brocho- dilators which relaxes the spasm whereas medicines like Adhathodai kudineer, Kasthuri karuppu, Pavala parpam, Santhgiri’s Thippili rasayanam, Thalisathy choornam, Solanum forte, Solanum syrup helps to liquefy sputum; controls cough and expectorate the phlegm from the chest.

Healthtips Gargling of coconut milk twice a day will be useful for mouth ulcers.

Air pollution due to industrialization, Emissions from vehicles, Smoking, Allergens present in air, Climate change are some of the reasons for the occurrence of respiratory disorders. Air pollution creators, top 5 at global level: China -22.3%, USA – 19.91%, India -5.5%, Russia – 5.24%, Japan -4.28%. Swasa kudori mathirai, Nanjaruppan choornam are Souvenir 2010


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Stroke

Neurological deficit results from the LSD like HT, DM, Hyperlipidaemia, Smoking, Heart disease etc. Anti vatha drugs in Siddha like Chandamarutham, Arumugha chenduram, Vatharatsasan, Vishnu chakram, Sitramutti madakku thylam, Kungiliyam preparations, and Santhgiri’s Balasarvangam, Jathilinga thylam offers better remedy to manage the conditions and quite beneficial for rehabilitation. Management of LSD

In Siddha, Pathyam means not mere restriction but regulation of both diet and personal habits. Souvenir 2010

medicines is believed to be preventing onset of further complications related to DM owing to its hypoglycaemic effect, hypolipidaemic effect, and anti-oxidant effect and by the enhancing effect on microcirculation. Nisamalaki, Abhraga chenduram, Aavarai kudineer, Seenthil kudineer, Vengai kudineer, Nilavembu kudineer, Madhumega choornam and Santhigiri’s Meninokki fulfils abovementioned activities. Renal Failure

Functional and organic damage of kidneys is caused by LSD like DM, Hypertension, and some Nephro- toxic chemicals/ drugs. Kungiliya parpam, Mavilinga pattai choornam, Thriphala choornam, Nerunjil preparations and Santhgiri’s Jalamanjari found to be valuable clinically to some extent.

Healthtips Thuthi (Abutilon indicum) leaves kalkkam is a wonderful remedy for bleeding as well as first degree piles.

Maintaining Pathyam: In Siddha, Pathyam means not mere restriction but regulation of both diet and personal habits. It has been clearly mentioned by Siddhars for each disease and also in preventive aspect in the ancient literatures. Up to 1980’s and 90 are we Indians, preferred traditional food only. It was the correct combination of 6 variety of taste; perfect mixture of Pancha boothas; proper ratio of vital forces governing our body i.e.Vatham, Pitham and Kapham. Thus we had healthy Saptha thathus and fine physique. Now our diet and personal habit were entirely changed. It is the right time to realise the merit of traditional food and customs by ignoring western manner. Avoidance of Purakkaranangal: Hazards of environment have to be recognized and rectified. Encouraging the public in plantation of trees is inevitable. Awareness on conservation of nature/forest ought to be promoted. People should be aware of waste management. Regulation of disciplines according to type of land

Awareness on conservation of nature/ forest ought to be promoted.

(Thinai ozhukkam), day (Naal ozhukkam) and season (Kaala ozhukkam) is essential. Regulatory measures were perfectly documented by ancient Siddhars in their literatures like Pathartha guna chindamani and Therayar pini anuga vidhi, thousands years ago for future generation. There are 108 kayakalpa medicines are mentioned in Siddha by Siddhars like Thirumoolar, Therayar, Korakkar, and Agasthiyar. Any one of simple kayakalpa medicine should be taken periodically and systematically under supervision of Siddha

Healthtips Decoction of KhasKhas seeds will solve insomnia problem.

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doctor to maintain health, promote immunity, prevent damage caused by ROS, and to alleviate disease. Yogasanam for healthy individual and disease affected person are clearly told by Siddhars in literatures. Practising Pranayamam, Yoga, Dhyanam, Asanam also indispensable to revitalise systems, maintain our body sound and to get rid of psychological factors. Conclusion

Pursue Siddha Principles: Ensue Blissful Life 

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Traveler’s Guide to Avoiding Infectious Diseases Talk to your health care provider or visit a travel clinic 4 - 6 weeks before you leave for your trip. You may need a series of pre-travel vaccinations.

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he best way to stay healthy during travel is to prepare before you leave and take appropriate preventive measures while traveling. Different areas of the world have different diseases and require different precautions. Factors that contribute to these differences include: • Local climate • Native insects • Parasites • Sanitation The best public sources for upto-date travel information are the: Centers for Disease Control and Prevention (CDC) — www.cdc.gov/travel

Don’t Take a Vacation From Health The stress and excitement of travel can make you more likely to get sick, but if you follow a few simple tips, you’re more likely to stay healthy throughout your trip — and your trip will definitely be more enjoyable. The good news is that as a teen, your immune system is as strong as an adult’s, but lack of sleep and a poor diet can make it easier for you to become sick. The first thing you should do if you’re heading overseas is to find out what kinds of vaccinations you’ll need in advance because different countries have different requirements. You’ll want to allow plenty of time for this step in case you need to get vaccines that require more than one dose. Souvenir 2010

Different areas of the world have different diseases and require different precautions.

World Health Organization (WHO) — www.who.int/en Before Travel

• Talk to your health care provider or visit a travel clinic 4 - 6 weeks before you leave for your trip. You may need a series of pre-travel vaccinations. Some vaccines need time to become effective. • Depending on the destination, updating or “boosting” routine vaccinations is sometimes recommended. Examples of routine vaccinations include: • Diphtheria • Measles - mumps - rubella (MMR) • Polio • Tetanus You also may need other vaccines for diseases that are not commonly found in North America. Examples of recommended vaccines include: • Hepatitis A • Hepatitis B • Meningococcal • Typhoid Certain countries have required vaccinations. You may

Malaria is a risk mainly in tropical and subtropical climates.

need proof of vaccination to enter the country. • Yellow fever vaccination is required to enter several Sub-Saharan, Central African, and South American countries. Meningococcal vaccination is required to enter Saudi Arabia for the Hajj pilgrimage. For a complete list of country requirements, check the CDC or WHO web sites. People who may have different vaccine requirements include: • Children • Elderly people • People with weakened immune systems or HIV • Pregnant or breast-feeding women • Check with your health care provider or local travel clinic. Malaria Prevention

Malaria is a blood parasite transmitted to people by the bite of certain mosquitoes. The disease is a risk mainly in tropical and subtropical climates. If you are traveling to a region where malaria is common, you may need to take medications that prevent the disease before you travel, during your travel, and for a Souvenir 2010


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from areas with poor sanitation can lead to infection. Only drink the following liquids: • Canned or unopened bottled beverages (water, juice, carbonated mineral water, soft drinks). • Drinks made with boiled water, such as tea and coffee. • Do not use ice in your drinks. Local water can be purified by boiling, or by treating it with certain chemical kits or water filters. Additional Precautions

• Frequently clean your hands using soap and water or an alcohol-based cleanser to help prevent infection. • Avoid standing or swimming in fresh-water rivers, streams, or lakes that are contaminated with sewage or animal feces because they can lead to infection. Generally, swimming in chlorinated pools is safe. • Practice safe sex and use condoms to prevent sexually transmitted diseases. • Always use seat belts when driving or riding in a vehicle.

short period after you return. The effectiveness of these medications can vary, and you may also need to take additional insect precautions.

Staying Healthy During Your Trip

First and foremost, enjoy your trip! Don’t let all the travel health precautions discourage you. Using common sense with prevention in mind will ensure a healthy and safe trip. Do • drink boiled or bottled water, or use water purifiers / tablets. • wash your hands regularly, especially before handling food. • eat thick skinned fruit that you can peel yourself, such as oranges and bananas. • eat well cooked food while it’s hot. • use anti-mosquito measures, including sprays or lotions containing DEET. • stay fit and be well rested. Avoid • ice cubes in drinks. • unpasteurized milk and dairy products. • shellfish and large fish. • food from street vendors. • insect and animal bites. • swimming in fresh water. • unprotected sexual contact. Souvenir 2010

Insect Precautions

Mosquitoes and other insects can transmit malaria and a number of other infections to people. To protect yourself, wear insect repellant containing DEET or picaridin whenever you are outdoors. You may also need to use a bed mosquito net while you sleep.

Outlook

Most infections acquired while traveling are minor, but in rare cases, they can be severe or even fatal.

Food And Water Precautions

It is possible to catch many infections by eating or drinking contaminated food or water. Undercooked or raw foods pose a significant risk for infection. Avoid the following: • Cooked food that has been allowed to cool (such as from street vendors). • Fruit that has not been washed with clean water and then peeled. • Raw vegetables. • Salads. • Unpasteurized dairy foods such as milk or cheese. Drinking water that is not chlorinated enough or that is

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When To Contact A Medical Professional

Undercooked or raw foods pose a significant risk for infection.

Travelers’ diarrhea is the most common infection caught while traveling. Diarrhea can sometimes be treated with rest and fluids. Your health care provider may prescribe an antibiotic if you get sick with severe diarrhea while traveling. Talk to your health care provider or visit a travel clinic 4 - 6 weeks before you leave for your trip. You may need a series of pre-travel vaccinations.  Souvenir 2010


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Heart Disease – The Modern Day Epidemic Coronary artery disease (CAD) is the most common type of heart disease. CAD happens when the arteries that supply blood to heart muscle become hardened and narrowed

Souvenir 2010

Dr. Madhu Sreedharan MD,DM,MRCP (UK), FIC (Aus). Director, NIMS Heart Foundation.

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oronary Artery Disease (CAD) is the number one killer in the developed world. While deaths from CAD are declining over the past 2 decades across the developed nations, a disturbing trend of increasing mortality is seen among people in South Asia. Immigrant population from the Indian continent to the US & UK experience a disproportionately large burden of CAD and have 2 to 3 fold higher risk of mortality as compared to the native population. Prevalence of risk factors of Ischemic Heart disease including hypertension, high cholesterol levels, obesity and diabetes is not only higher in this sub-population but is also rapidly rising. This predisposition to accelerated heart disease is reaching epidemic proportions. It seems to be a result of

Coronary Artery Disease (CAD) is the number one killer in the developed world.

genetic predisposition among Indians which is enhanced by changing lifestyle, dietary and cultural predisposition. In Kerala, more than 1.5 Lakh patients suffer a Heart attack and more than 25% of these die every year. This affects people in the prime of their

Healthtips Honey is an excellent home remedy to increase iron level in blood. It increases hemoglobin in blood as it is rich in minerals such as manganese, copper and iron.

life with profound social and economic implications. Yet, up to 80% of this can be avoided by controlling the main risk factors. How do we go about doing it ? 1. Healthy food intake: Eat at least 5 servings of fruits and vegetables a day and avoid saturated fat. Beware of processed foods, which contain high levels of salt. 2. Get active & take heart: Even 30 minutes of physical activity can help to prevent heart attacks and strokes; and your work will benefit too. 3. No to tobacco: Your risk of coronary heart disease will return to normal over time. 4. Maintain a healthy weight: Weight loss, especially together with lower salt intake, leads to lower blood pressure. High blood pressure is the number one risk factor for stroke and a major factor for approximately half of all heart disease and stroke. 5. Know your numbers: Visit a doctor who can measure your blood pressure, cholesterol and glucose levels, together with your weight & body mass index (bmi). Once you know your overall risk, you can develop a specific plan of action to improve your heart health. 6. Limit your alcohol intake: Restrict the amount of alcoholic drinks. Excessive alcohol intake can cause your blood pressure to rise and your weight to increase. These are things which each one of us can & must do. Our heart is our responsibility and unless that message percolates down to each of us, healthy heart will always remain a myth. I see patients who come for check-up after a heart attack. In the first few months, they go by what we say as the chest pain & trauma they suffered are fresh in their minds. Some

Excessive alcohol intake can cause your blood pressure to rise and your weight to increase.

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unfortunately go back to unhealthy diet, put on weight, start smoking, their Diabetes Status & BP become high and invariably they would return with another Chest Pain / Heart Attack. What we must understand is that Heart Disease is not curable – it can only be controlled. We spend half of our waking hours / more in our work places and so ‘Work Place Wellness‘ is important and it forms the theme of this years‘ World Heart Day. What do we do to maintain this? 1. Insist on a smoke-free environment: Demand a tobacco ban - ensure your workplace is 100% smokefree Support the adoption of smoking - cessation services and encourage your employer to provide help to those wanting to quit tobacco

Sleep Disorder Raises Heart Risks While Flying People with obstructive sleep apnea may be at greater risk for heart troubles during air travel, a new study shows. Sleep apnea is a common condition characterized by temporary breathing interruptions during sleep, often due to an upper airway obstruction. People with sleep apnea often snore loudly and gasp for air during sleep. In a new study, Australian researchers looked at oxygen levels and breathing patterns in healthy people and in 22 people with severe sleep apnea during a simulated flight. All study subjects were awake, and the conditions in the simulator mimicked oxygen and pressure levels typically found on commercial airline flights. The researchers found that people with obstructive sleep apnea had lower levels of oxygen in their blood before and during the simulated flight. People with apnea experienced higher heart rates, physiological stress and demand for oxygen than healthy people, according to the findings, presented this weekend at the American Thoracic Society’s 2008 International Conference in Toronto. “We addressed obstructive sleep apnea because it is becoming so much more common as obesity increases and there are greater numbers of obese passengers on commercial flights,” said lead researcher Leigh Seccombe, a senior scientist in the department of thoracic medicine at Concord Repatriation General Hospital in Sydney. The results suggest patients with obstructive sleep apnea are at higher risk for heart problems during air travel, and raise questions about whether patients with severe apnea should travel with supplemental oxygen, the way patients with lung diseases do. Souvenir 2010


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Each action produces two effects –A tangible material effect, And an intangible imprint in the Jeeva.

Souvenir 2010

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2. Bring exercise to the workplace: Include physical activity in your working schedule - cycle to work if this is possible, take the stairs, exercise or go for a walk during your lunch breaks, and encourage others to do so too 3. Choose healthy food options: Ask for healthy food at your work canteen, or find nearby cafes or restaurants that serve healthy meals 4. Encourage stress-free moments: Whilst stress has not been shown to be a direct risk factor for heart disease and stroke, it is related to smoking, excessive drinking and unhealthy eating, which are risk factors for heart disease. Now, despite all this if one does develop a heart attack, what is to be done? Heart attacks are due to blockage in the heart arteries and the single most important thing to do is to remove these as early as possible. Each minute lost results in damage to heart muscle. The damage that does

Healthtips Ripe bananas are one of the richest sources of iron. Have banana with honey twice a day to stimulate production of hemoglobin in blood.

happen cannot be repaired whatever may be done in future. This is the reason why we say that ‘Time is Muscle‘ & there is no ‘First Aid‘ in the treatment of Heart Attacks! There are 2 ways of removing the blocks 1. Blood thinning injection – Thrombolytic therapy - effective in only 50% of patients 2. Primary angioplasty whereby the blocks are detected by a Coronary angiogram and removed using wire mesh called ‘stents‘ - effective in more than 90% of patients. Primary angioplasty is the best treatment for Heart attacks and if done safely is among the most rewarding of all medical procedures. The main limiting factor for this is the cost involved. Unless Government and Corporate hospitals work hand – in – hand to establish a Primary Angioplasty program which is functional on all days & at all times, we would end up losers in our battle with Heart Disease. We at NIMS Heart Foundation have a very Active Primary Angioplasty program functional 24hrs and have been successful in doing a large number of cases at concessional rates for deserving patients. Let us pledge to stop smoking, have healthy diet and increase our physical activity as ‘Prevention is Better than Cure ‘ is best applied to heart diseases. It is our responsibility to take care of our heart; to know the numbers – Blood Pressure, Blood Sugar, Cholesterol & Ideal weight and to stick to the targets. And in the unfortunate event of sustaining a Heart Attack, the best treatment is Primary Angioplasty – done safely and early. 

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Basics of Ayurveda & Panchakarma Therapy The resurrection of Ayurveda and the growing awareness about Ayurvedic treatment have given rise to a fresh hope among people across the globe, irrespective of status, caste, creed and color.

Souvenir 2010

Dr N Jayan B.A.,M.S.,M.D. (AY), Manager and Research Officer Navajyothi Sree Karunakara Guru Research Centre for Ayurveda and Siddha Uzhavoor Kottayam and Santhigiri Ayurveda and Siddha Hospital Uzhavoor Kottayam.

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yurveda is the science of life introduced to the earth by the vision of ancient sages. Ayurveda can be called better as a science of life rather than medical science. The science emphasis the principle ‘Prevention is better than cure’. A scholar of Ayurveda uses the word ‘Condition of the patient’ and not the word disease. For an Ayurveda practitioner ‘Line of treatment’ is important than medicine, whether it is a single drug of herbal origin, animal origin, metal origin or mineral origin in different diseased conditions of patients. Management of diseased conditions in Ayurveda system of treatment is by pacification in mild conditions and elimination in severe conditions depending on the condition of

Ayurveda can be called better as a science of life rather than medical science.

the patient. ‘Ayurveda treats the patient’, not the disease. Coming on to the philosophy of Ayurveda, the word is derived from the Sanskrit root ‘Ayu’ which means life and ‘Veda’ which means science. Minute concept of life can be attributed to a ‘Living cell’. All living animal and plant cells posses three functions of ‘Elimination’, ‘Transformation’ and ‘Assimilation’ under a conscious control. The above said three functions stands for the three functional entities in Ayurveda in the order ‘Vatha’, ‘Pitha’and ‘Kapha’. The conscious control stands for the soul ie living soul or ‘Jeevathma’ and the normal functions of mind. As mentioned for bodily functions the mind functions can also be categorized under the heads ‘Sathwa’, ‘Rajas’ and ‘Thamas’. Sathwa denotes moderate, rajas for hyper and thamas for hypo type of personalities in social interactions. Deviation from the above mentioned functions of mind and body leads to diseased conditions. Today in modern world, where human life is fast moving, the body and mind is susceptible to diseased condition mainly due to wrong living habits. Here our body can be considered to be a fast moving vehicle. Wear and tear Souvenir 2010


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of mechanical parts lead to derangement or failure of mechanical functions. Keeping the above facts in mind let us see what is said about life span in Ayurveda science. According to Ayurveda the life span of an individual is 120 years. In this span first 16 years is said to be ‘Baalya’ where the potential of growth function

An individual should look like young or middle aged even in late 60s

in collective or assimilation cell wise will be predominant. From the age of 16 to 70 is the period of ‘Yauvanah’ where a fully grown up individual involve in his activities of life. After the age of 70 degenerative changes gradually increases in the body. In this stage of life the graying of hairs, wrinkling of skin like old age signs develop in the body. Ayurveda therapy for the Middle East population is important in the 54 years of life span starting from the age of 16. An individual should look like young or middle aged even in late 60s only if he follow the diet and regimes mentioned in ‘Dinacharya’ and ‘Rthucharya’ Dinacharya describes the diet and regimes to be followed in a day, while rthucharya explains

According to Ayurveda the life span of an individual is 120 years.

that to be followed during a year. Seasons according to Ayurveda are 6 in number. ‘Sisira, Vasantha and Greeshma’ in the ‘Utharayana’ ie northward movement of sun, starting from January 15th. ‘Varsha, Sharath and Hemantha’ in the ‘Dakshinayana’ ie southward movement of sun starting from June 15 th. This season concept is applicable only for countries in the northern hemisphere. Each rthu is a period of 2 months. The period in between rthus is called rthusandhi a period where there is chance of communicable diseases to spread. Hence the elimination or ‘Sodhana’ therapy should be done in rthusandhi. Elimination therapy in Ayurveda are categorized to

Healthtips Beets have a blend of beet juice with apple juice and honey. It is a rich source of beta carotene and iron.

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5 in general. ‘Kashayavasthi, Vamanam, Virechanam, Nasyam and Rakthamoksha’ are the five elimination therapies. A middle aged individual should undergo the elimination therapies considering living conditions, state of mind strictly under the direct supervision of a registered medical practitioner. By undergoing this therapy,

Panchakarma 1. What is Panchakarma? Panchakarma is a bio-cleansing regimen which facilitates the body system for better bioavailability of the pharmacological therapies, besides achieving homeostasis of humours (doshas). These therapies help in the elimination of disease-causing factors and maintain the equilibrium of body tissues (dhatus) and humours (doshas). 2. What are the Keraliya Panchakarma procedures? Keraliya Panchkarma procedures are modified Snehana (oleation), Swedana (Fomentation) procedures practiced for the management of various diseased conditions. These are different from the classical Panchkarma procedures. 3. How are the Panchakarma procedures different from other therapies? Panchkarma procedures are biocleansing (shodhana) procedures which help to expel accumulated toxic metabolites from the body. Whereas, other therapies are palliative in nature. Diseases managed by Panchakarma therapies may never recur. 4. What are the Panchakarma procedures? The following five procedures come under Panchakarma procedures. a. Vamana karma (Therapeutic emesis) b. Virechana karma (Therapeutic purgation) c. Anuvasana vasti (Oil/ unctuous enema) d. Asthapana vasti (Decoction based enema) e. Nasya karma (Nasal administration of medicaments). Before performing Panchakarma, preparatory procedures viz, Pachana (Digestion of toxic metabolites), Deepana (Increasing the digestive fire), snehana (oleation), swedana (fomentation) are essential. After performing Panchakarma, specific procedures, dietary regimen and lifestyles are required to be followed.

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5. What dietary and lifestyle regime should be followed before during and after Panchakarma procedures? Based on the doshic predominance and type of Panchakarma procedure carried out, specific dietary regimen for a specific period is prescribed after Panchakarma procedures. However, usage of warm water, maintaining celibacy and avoidance of the following activities are similar for all the procedures viz. sitting/ standing/ walking for prolonged period, strenuous traveling, riding on animals, daytime sleep, loud speaking, suppression of natural urges e.g. passing of flatus, stools, urine, etc.,

exposure to breeze/intake of cold food items, over exposure to sun light. Smoke, dust, etc., intake of food at unusual times, intake of incompatible food, exercise, etc. 6. What diseases can be treated with Panchakarma procedures? Panchakarma is beneficial in the management of various systemic diseases e.g. Joint disorders (Rheumatoid arthritis), Musculoskeletal (Low backache), Dermatological (Psoriasis), Neurological (Paralysis, Migraine), Respiratory disorders (Bronchial asthma), Gynecological disorders (Leucorrhea), Psychiatric, Geriatric, etc. It is also widely prescribed in chronically incurable diseases and for improving the quality of life. 7. What are the precautions to be taken while undergoing Panchakarma procedures? Indications and contraindications, specific guidelines on dietary regimen and life style are to be strictly followed. 8. Does massage therapy come under Panchakarma? Massage therapy does not come under the five procedures of Panchakarma. It is a type of Shehana (oleation) process performed as a preoperative procedure for Panchakarma. Massages are also indicated in various musculoskeletal and neurological disorders. 9. Are Panchakarma procedures indicated only in patients or can they be indicated for healthy persons? Panchakarma therapy is also indicated for healthy persons for the purpose of prevention of diseases and promoting good health. It is also indicated to expel doshas accumulated and for aggravated conditions due to seasonal variations.

10. What is the time period required to perform all the Panchakarma procedures? The duration for each procedure of Panchakarma therapy varies according to the choice of the attending physician. However the general duration for individual procedures is as given below: Vamana: a. Preparatory- Snehana - 3-7 days, Swedana - 3 days b. Main - Vamana - 1 day c. Post therapeutic - Samsarjana Krama - 3-7 days Virechana: a. Preparatory -Snehana - 3-7 days, Swedana - 3 days b. Main - Vamana - 1 day c. Post therapeutic - Samsarjana Krama - 3-7 days Vasti Karma: Bahya Sneha (External Application) – On the same day Vasti Karma - Time duration ranges from 8 to 30 days depending upon the different kinds of Vasti Karma. Nasya Karma: Bahya Sneha (External Application) - On the same day Sweda - Local - On the same day , Nasya Karma - 3-7 days 11. What are the benefits of Panchakarma therapies? Panchakarma is beneficial for the • Prevention of disease, and for promoting good health • Management of various systemic diseases The regimen is also widely prescribed in chronic, incurable diseases for improving the quality of life. 12. Are Panchakarma procedures free from side effects? The safety aspects of Panchakarma are very comprehensively mentioned in the classics in regard to indications, contraindications,

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By undergoing elimination therapy, the process of ageing of the functions of body and mind can be considerably reduced.

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Cover Story

the process of ageing of the functions of body and mind can be considerably reduced. The output from an individual to the world can be increased (efficiency). Ancient ayurveda We need to add practitioners of Kerala some more developed Ayurvedic therapeutic procedures information to finish like 窶連bhyangawedana, this article. I add Pathrapotalasweda, dummy text for the Shashtikapindasweda, Jambirapindasweda, Nasya, overall feel. Vasthi, special types of massages etc which are applicable in maintaining healthy body and also in management of complicated disease conditions. Nettle (Stinging Nettle) Ayurveda practitioners is a well known even now successfully carry herb rich in iron. It is out different therapeutic similar to spinach and procedures.Ne moravoliam watercress (also high ublicus cendius, urnimus in iron content). maciem, num fortam ia

Healthtips

deniame forum ad coenina timulin temus, que nonium in sicavolium publiu silium publinteri pritesses rei patus haliisquam endiusquam etorbit istris? Ad caed conloca ninam actum, nonunum pat arioratum, quidet actortessim audacie ssediendius adeorum quost veres consupimissi scris consupio const factortum proporet ad rei pore numunu cons bonfectem denat verebultor hos Catasti liconum terebemprei coena, quoncem fur iae nihin hum dio, quamdit, sendam sum, neribus etis conduces bons vertuam etil unterit fac omanunum et auciam abertab efaciesus, tum te atusque publi sesticae, cavo,Arbi pra, Catum des fex nosti sed res M. Efac in terit. Ortebus vast ressid cotamprita condem nonum

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Importance of Food on Health “One-quarter of what you eat keeps you alive. The other threequarters keeps your doctor alive.”

should be healthy. To make body healthy one should know about basic functions of human body. There are only few basic functions of the body. 1. Digestion and Absorption of Nutrients from food 2. Cleansing and Detoxification of Body cells. 3. Defending and regeneration of human systems Let us go in details; To satisfy the first function - Digestion and Absorption of Nutrients, body needs an average of above 50 nutrients per day which should be natural.

Dr. Lalitha Appukuttan M.Sc. M.B.B.S. Karthika Hospital, Weight Reduction Clinic (Life Style Disease Prevention Clinic) Karthika, H.No. 15, Sudarsan Nagar, Thycaud P.O. Trivandrum – 14, Ph: 9387812172

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n this changing Scenario of environmental pollution, toxic ingestion through food materials, air as well as water and sedentary life style, it is better to think to terms of preventive life style and food style modifications of every person especially NRKS. Before going in to the details of the topic, one should know about the structure and functions of human body. Whether an NRI, NRK, Keralite, Indian, Asian or European, every human being has the same body constitution gifted by god. It is made up of numerous cells approximately about 70 trillion. This cells combined together to form tissues, which in term joins to form organs, several organs unite to form systems, and different systems constitutes to form a human body. So the ultimate micro unit of every human body is a cell. If your body wants to become healthy, each and every cell of your body

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Daily Diet Plan Morning should start with three glasses of water with an Alkaline drink (Lime Juice or Chlorophyll). Raw vegetables and fruits minimum 500gms per day should be taken in the empty stomach half an hour before food. Avoid refined oil, sugar & refined flour, milk and milk products, trans fats, red meat as far as possible. Give importance to whole cereals like whole wheat, barley, oats than rice maida, rava, etc. Daily intake of pulses like Green gram, Black gram is highly essential. Leafy vegetables like Drumstick leaves, Lettuce, Spinach, Ameranth, Tomato, Garlic, Onion, Savala, Ginger, Goosberry, Guava, Curry leaves should be there in the daily diet plan. A calorific awareness is a must also the daily intake of the calories to be taken care of.

highly essential for preventing any type of disorders. To make it clear, as age advances body’s BMR is getting lower and lower. So calorie need is little. Also organ stop growing after adulthood and also as a result of modernization little energy is being lost from the human body. So the role of macronutrients in the body is little as compared to micronutrients, fiber, water and good cholesterol. These 4 ingredients are highly essential for the second and third functions of the human body. That is cleansing, detoxification, regeneration and defending.

Proper defecation is possible only with the help of fibers and water.

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Let us go in to the details of these functions. Body detoxifies and cleanses mainly through 4 ways. • Majority through breathing • Through motion. • Through urine • Through sweating. 1. Breathing: Now a days no affluent people is not breathing properly. Your lung’s approximate size is equal to a tennis court. Unless and until you do and exertional breathing like pranayama your breathing is not proper. Here is the role of Yoga and Meditation in daily life. 2. Motion: Normal defecation reflex is - 2 banana stools within a matter of 3 minutes. Now a days so many affluent people are arranging book shelf’s and video libraries inside the toilet to save time. It shows that they are spending that much time in toilet. That is constipation is a regular feature in their life style. Proper defecation is possible only with the help of fibers and water. There are two types

What are these nutrients?

If your body wants to become healthy, each and every cell of your body should be healthy.

It is of mainly two types – Macronutrients & Micronutrients Macronutrients are carbohydrates, proteins and fats, which are mainly calorie based. Their function is to provide calorie to the body and provisions for growth. As age advances the requirement or the need of this macronutrients is negligible depends on the work status. On the other hand the necessity of micronutrients is getting enhanced as age advances. What are these micro nutrients? 1. Vitamins and Minerals mainly, but we can add fibers, water, and good cholesterol in this category because they are Souvenir 2010


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Healthtips Never use hot water for bathing in winters. Always use warm water that feels gentle to skin. Too hot water can rob the skin off its natural oils leaving your skin dry and itchy.

One should take water as a medicine for the body because more than 70% of total body weight is water.

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of fibers. 1. Insoluble Fibers 2. Soluble Fibers. Insoluble Fiber accelerates proper bowel cleansing and thereby preventing bowel cancer where as soluble fibers are highly essential for regulating all carbohydrate, protein and fat metabolism, absence of which leads to all life style disorders like obesity, heart attack, Diabetes, Hyper Cholestremia, Osteo Arthiritis, piles, varicose veins, and even cancer. 3. Detoxification of urine: One should take water as a medicine for the body because more than 70% of total body weight is water. It is the body building material and detoxifying medium. So deficiency of water leads to constipation, urinary stone, stiffness of join, dryness of skin etc. An average man needs 1.5 – 2 liters of water per day. As body weight increases the requirement also gets increase. 4. Sweating: Now a days affluent people is not at all sweating they are sitting in the

AC rooms all time not doing at exertional work. So toxins are not getting excreted through sweat. Here is the importance of exercise. During exercise we sweat a lot and also lots of antioxidant enzymes like SOD and good cholesterol like HDL is being produced. These SOD & HDL are highly essential for detoxification of free radicals (Free radicals are unstable atoms produced as a bye product of body metabolism in every cell and multiply in millions with in a fraction of seconds) and also to prevent atherosclerosis in our body. So as a result of improper food, water intake and lack of exercise lots and lots of toxins are getting accumulated in our body. So the last two functions of the body like Regeneration and Defending mechanisms are being suffered which result in abnormal multiplication of normal cells leads to cancer like disorders and different types of unknown infections to various viruses, bacteria, etc. if these two functions becomes corrected, body systems will be corrected each cells, each organ will function properly, will make proper quantity of hormones, enzymes, antibodies

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Regarding NRKs Some Vital Factors to Be Taken Care Off

• Emotional tension is very high • Their food is very rich in Calories • Drinking Hard water • Lack of Exercise • Very hot climate So the tendency to get urinary stones and kidney disorders are very high. Also all the life style disorders like obesity, diabetics, hypertension, hyper cholestremia, heart attack, osteoarthritis, piles, varicos veins and cancer can have a high prevalence in NRKs. Since chances are high, the attention to be taken in a preventive and natural way. Believe in nature and natural product. Go back to nature. After all man is a bye product of nature. Anything against nature’s call is suicidal. It is better to remember one thing. Every organism has the right to survive in this Universe. What we want to acquire is an immunity to survive against those organisms. Souvenir 2010


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