1. Reverence for the God , elders , teachers , adepts .
2. Keeping cheerful , pleasant and peaceful disposition .
3. Initiating the conversation and make the person comfortable who has come to meet you .
4. Speech should be wholesome , measured , palatable and timely .
5. Fellowship with all creatures .
6. Winning over angry .
7. Consoling the frightened .
8. Befriending the destitute .
9. Be devoted to charity , kindness , joy , impartiality , peace and gaining knowledge .
10. Overcoming impatience .
11. Bearing with harsh words from others .
12. Remove the causes of passion & aversion .
13. Waste the time of work / action .
14. Undertake anything without deliberation .
15. Be a slave to your senses .
16. Pander to the fickle mind .
17. Overburden your senses & understanding .
18. Over procrastinate .
19. Give way to joy & anger .
20. Nurse your sorrows .
21. Be arrogant in Success and dejected in Defeat .
22. Remind yourself constantly the vanity of things .
23. Grow complacent with your achievements .
24. Lose heart .
25. Recall calumny .
26. Think that time will always be favourable .
27. Take other’s goods .
28. Delight in vengeance .
29. Commit sin , not even against a sinner .
30. Speak untruth .
31. Covet other’s wealth .
32. Pry into other’s secrets .
33. Keep the company of those who are disloyal , arrogant , depraved .
34. Expose anyone’s shortcomings .
35. Speak ill of good people and your elders .
36. Breakup with the relations , companions , helpers in Adversity and those who know your secrets.
37. Be timid or overbold .
38. Be distrustful of your kinsmen .
39. Regard the maintaining of character , scriptural enjoinments and social observances as a tax on you .
40. Trust or distrust everyone .
41. Hold back the salary of your subordinates / servants .
42. Enjoy your pleasures alone .
WHOLESOME DIETETIC REGULATIONS
43. One should eat rightly considering one’s individual constitution (Prakriti).
44. While eating a meal , the capacity of stomach is considered into thre parts :
* 1/3rd of gastric capacity for SOLID food
* 1/3rd for LIQUIDS
* Remaining 1/3rd for the three Doshas – Vata , Pitta , Kapha
45. Signs of FOOD eaten in MEASURE : Freedom from distress in stomach as the result of the quantity taken , gratification of senses , subsidence of hunger & thirst , Doshas are in balanced state , sense of ease in standing , sitting , walking , inhaling , exhaling , repartee and conversation , easy digestion and assimilation of food in morning and evening , imparting of wholesome health and promotes life .
46. Eat Hot Food – Hot food is relished and on consuming excites gastric fire , is soon digested and stimulates the peristaltic movement and breaks up the Kapha in the gastric secretion .
47. Eat Unctuous Food – It also has the same benefits as Hot food .
48. Eat after Digestion of Previous Meal – The food taken when previous meal has been fully digested, the Doshas are normal , the gastric fire is kindled , hunger appears , the channels of body are clear and open , the eructation from mouth is healthy , the stomach is clear , the peristaltic movement is normal , when the urges for evacuation of flatus , urine and faeces are well attended to – THAT Food , not vitiating any of the body elements , serves the purpose of PROMOTING LIFE .
49. Eat what is not Antagonistic in potency .
50. Eat in a Congenial place & Circumstances , provided with all the necessary appurtenances .
51. Take meal without saying your Prayers .
52. Eat without feeding the elders , guests , dependants .
53. Eat without cleaning the hands , feet and mouth .
54. Be served by an illwisher , undevoted , unmannerly , unclean or hungry attendant .
55. Eat in improper vessels and at improper time .
56. Eat while reviling food .
57. Indulge in untimely intake of foods & drinks that are heavy , dry , cold , dehydrated , disagreeable , irritant , unclean or incompatible .
58. Eat while the mind is afflicted with desire , anger , greed , envy , shame , grief , anxiety , fear .
The WordPress.com 2014 annual report for DR BALJOT BHARAJ’S blog.
Here’s an excerpt:
The concert hall at the Sydney Opera House holds 2,700 people. This blog was viewed about 13,000 times in 2014. If it were a concert at Sydney Opera House, it would take about 5 sold-out performances for that many people to see it .
I am really thankful and grateful to everyone who visited my blog and found something useful about health through Ayurveda .
These are some of the responses and kind words which are so inspiring that it keeps me motivated to share the virtues of Ayurveda . I am humbled .
Thank you so much for posting, Dr Baljot Bharaj! If I ever come to India, I would love to visit your center and see how you serve women with the kayakalpa postnatal (and menopausal?) care.
Love this post! Thank you!! There is so much a new mom doesn’t know about breastfeeding, I’m scowering the internet myself to help my friends. I was blessed with it coming easy for me (AFTER we figured out how to latch). – but so many of my friends have struggled. And dried up their supply not knowing they were!
Congratulations for nice article and well compare with Ayurvedic reference.
Thanks for linking up with the Thirty-One:10 breastfeeding link-up! I LOVE the graphics here of What Moms Can Do and What Dads Can Do – perfect!
Very informative and useful . All the parts of Lotus has a medicinal value .
Didn’t know so many types of salt existed. Thanks for sharing!
One of my sisters gave birth recently, choosing to do it at home with the help of midwife and she was very pleased by the entire experience. During the pregnancy we searched the internet for info and your site was one of those we checked. We really appreciated the valuable information we found there about pregnancy, giving birth and caring for the baby so thank you for that . Keep up the good work.
Sarve Bhavantu Sukhinah I Sarve Santu Niramayah II (May All Be Happy I May All Be Healthy II)
World Arthritis Day is celebrated on 12 October every year and provides a chance for people and organisations from around the world to join together and raise awareness of rheumatic and musculoskeletal diseases (RMDs).
Rheumatoid Arthritis is one of the commonest joint disorders with varied clinical sign and symptoms involving multiple joints at various sites . In Version 2 estimates for the Global Burden of Diseases 2000 Study , published in the World Health Report 2002 , Rheumatoid Arthritis is the leading cause of YLDs ( Years Lived with Disability ) at global level , accounting for 0.8% of total global YLD .The disease has shown to put an enormous economic burden on society .
RHEUMATOID ARTHRITIS : It is a psychosomatic disease which is also of autoimmune origin .The essential feature of an autoimmune disease is that tissue injury is caused by the immunologic reaction of the organism with its own tissues .
It is characterized by symmetrical polyarthritis , fever , raised ESR , morning stiffness . The affected joint shows synovitis , damage of articular cartilage , formation of pannus , end muscle wasting . If untreated this disease often leads to complications like spindle shaped joint deformity , ulnar deviation , Z- deformity , bony ankylosis of the affected joint .
It is said that rheumatism licks the joints and bites the heart . That is why even cardiac pathologies like endocarditis , pericardial effusion etc are also seen as complication of this disease .
JUVENILE IDIOPATHIC ARTHRITIS : Juvenile arthritis encompasses a range of disorders in children and adolescents aged 15 and below, which can be classified into groupings including infectious arthritis, reactive arthritis , connective tissue diseases and congenital and developmental diseases . The most common of these diseases is now called juvenile idiopathic arthritis (JIA), an umbrella term which describes children with an inflammatory arthritis of unknown origin which has persisted for at last 6 weeks . In the past numerous other terms including juvenile chronic polyarthritis, juvenile chronic arthritis (JCA), juvenile rheumatoid arthritis (JRA) and Still’s disease have been used for this.
AMAVATA : In Ayurveda , Amavata is a disease which has simulation with Rheumatoid Arthritis . In Amavata , ama ( undigested proteins or autoantibodies ) are spread to various joints by vata , causing inflammation and pain in the joints .
CLASSIFICATION : According to severity , it is of two types
Symptoms of Samanya Amavata : Angamarda ( Bodyache ) , Aruchi (Anorexia) , Trishna ( Thirst ) , Alasya ( Lethargy ) , Gauravam (Heaviness) , Jwara ( Fever ) . These symptoms are produced due to prevalence of Ama in the body .
This includes Langhan ( Fasting ) , Shodhan Chikitsa ( Purificatory measures ) and Shaman Chikitsa ( Drug Therapy ) .
LANGHAN : It is the first line of management in the treatment of Amavata . Langhan means either absolute fasting or light diet . It increases the digestion and metabolism . It also helps in digestion of already formed ama .
SHODHAN CHIKITSA : It is the purification of body by Panchkarma therapy. It helps in removal of accumulated ama from the gut and microchannels so that vata can circulate and perform its physiological functions in the whole body.
Snehapana ( Internal oleation ) and dry Svedana (Fomentation) is given as purvakarma . Shodhana treatment given are Virechana ( purgation ) and Basti ( enema ).
SHAMAN CHIKITSA : It helps check further formation of ama by correcting agnimandya ( sluggish digestion ) and also helps in pacifying vitiated Vata dosha . Drugs having katu , tikta rasa ; deepan properties are used in the treatment of Amavata .These increase agni ( metabolism ) , digest ama , remove excess kapha , clear srotorodha (obstruction of channels ) .
Today is World Heart Day . Atleast 80% of premature deaths from cardiovascular disease ( CVD ) could be avoided if four main risk factors – tobacco use , unhealthy diet , physical inactivity and harmful use of alchohol – are controlled .
So , this year’s theme is creating Heart –healthy environments .
Along with these environments if we judiciously use Ayurvedic herbs , health of heart can be maintained and many complications can be avoided.
ARJUNA ( Terminalia arjuna ) :
Anti hyperlipaemic Activity : Terminalia arjuna is known to inhibit cholesterol biosynthesis and potentiates the activity of lipolytic enzymes to early clearance of lipids from the circulation in triton induced hyperlipaemia .
Hyperlipaemia cause inhibition of hepatic lipolytic activity and specific binding of I-125-LDL in membrane, T. arjuna is known to restore the enzyme activity and receptor mediated catabolism of LDL. T. arjuna administerd in hyperlipaemic subjects inhibits the overall hepatic lipid biosynthesis as evidenced by the decreased incorporation of sodium acetate , cholesterol – digitonoid and free fatty acid fractions of liver lipids . T. arjuna enhances the synthesis of LDL apo proteins as well as receptor protein and inhibits the oxidative modification of LDL to accelerate the turn over of LDL cholesterol in liver .
Antianginal and Cardioprotective Activity : T. arjuna is known to alleviate angina pain in Ischemic heart disease . It is also effective in patients having rhythm disturbance particularly in ventricular premature beats . In one of the studies , T . arjuna exhibited increase in the coronary flow of the blood in coronary heart diseased patients .
It is known to lower systolic blood pressure , body mass index and increases HDL cholesterol . It has been observed to increase PGE2 activity . PGE2 is known to induce coronary vasodilation and hypotension .
DRAKSHA ( Vitis vinifera ) :
Cardioprotective Activity : The cardioprotective effect of V. vinifera is contributed to the three polyphenolic groups . These are – procyanidins , anthocyans and trans – resveratrol . The cardioprotective action of resveratrol is supposed to be mediated through anti oxidant property . Resveratrol significantly protects LDL from oxidation .
ARDRAKA ( Zingiber offinale ) :
The active constituents gingerol and shagol are known to cause vagal stimulation . This results in decrease in blood pressure and heart rate . Gingerol shows a significant decrease in serum cholesterol with an increase in HDL cholesterol.
KALMEGHA ( Andrographis panniculata ) :
Stenosis caused by injury to the inner lining of the blood vessel and high cholesterol in diet is also decreased by A. panniculata .It is known to have anti platelet aggregation property . It is also known to have fibrinolysis property which helps to dissolve the clots after myocardial infarction .
DARUHALDI ( Berberis aristata ) :
Clinical trials have suggested that B. aristata and berberine may be effective in preventing the onset of ventricular tachy arrhythmias and sudden coronary death after myocardial ischemic damage . In human’s berberine in a specific dose for 30 minutes elicited several significant changes . A 48% decrease in systemic and 41% decrease in pulmonary vascular resistance , along with a 28% decrease in right atrium and 32% in left ventricular and diastolic pressure is observed . Measurable increase of 46% in cardiac index , 45% in stroke index and 56% in left ventricular ejection factor is found .
PUSHKARMULA ( Inula racemosa ) :
Inula racemosa is known for its anti angina action . Alantalactone and isoalantolactone are considered to be responsible for its action . I. racemosa shows improvement in precordial pain and dyspnoea in angina patients when administered along with Commiphora mukul . It also lowers the serum cholesterol and triglyceride levels , in hyperlipidemic patients .
The powder of I. racemosa is known to prevent ST segment depression and T wave inversion in patients with proven ischemic heart disease .
Obesity or Sthaulya is the most common nutritional disorder in the present era. It has reached epidemic proportions globally with more than 1 billion adults overweight – atleast 300 million of them clinically obese – is a major contributor to the global burden of chronic diseases and disability.
Childhood obesity is also on rise. An estimated 22 million children under five are estimated to be overweight worldwide. The prevalence of obese children aged 6 -11 years is becoming a global problem and increasingly extending into the developing world.
Sthaulya – In Ayurveda , Sthaulya or obesity is considered as one of eight condemned human constitutions.
Sthaulya according to Ayurveda is – when a person is having excessive and abnormal increase of medodhatu ( fat tissue ) along with mamsadhatu ( muscle tissue ) and results in pendulous appearance of buttocks, belly, breasts and whose increased bulk mass is not equal to a corresponding increase in energy.
Obesity – Excess deposition of adipose tissue in the body is known as obesity. It exists when body weight is 120% above the ideal weight.
Hina Sthaulya (Overweight)
Madhyama Sthaulya (Obesity class 1& 2)
Adhika Sthaulya (Severe or Morbid Obese)
Mainly faulty diet and sedantary lifestyle. It can be classified into
Physical activity should be increased. Research shows that exercise for 10 – 15 minutes at a stretch for 4 – 5 times a day is beneficial than doing exercise for 30 -40 minutes at a stretch. Optimum time to prevent obesity is during age 5 – 10 years.
Yoga is beneficial in controlling obesity. Nadi shodhan pranayam , meditation and asanas mainly surya namaskar (Sun Salutations), paschimottanasana (Posterior Stretch Posture), suptapavanmuktasana (Lying wind release Posture ), bhujangasana (Cobra Posture), katichakrasana (Lumbar – Wheel Posture) etc help one’s body and mind to stick to the conviction and to work with firm determination.
Diabetes is the most common medical complication of pregnancy and it has increased about 40% . The increasing prevalence of Type 2 Diabetes in general and younger people in particular has led to an increasing number of pregnancies with this complication .
Women can be separated into :
– those who were known to have Diabetes before pregnancy – Pregestational or Overt
– those diagnosed during pregnancy – Gestational .
There is keen interest in events that precedes Diabetes which includes the mini environment of the uterus , where it is believed that early imprinting can have effects later in life ( Saudek 2002) . For example in utero exposure to maternal hyperglycemia leads to fetal hyperinsulinemia , causing an increase in fetal fat cells, which leads to obesity and insulin resistance in childhood . This in turn leads to impaired glucose tolerance and Diabetes in adulthood . Thus a cycle of fetal exposure to Diabetes leading to childhood obesity and glucose intolerance is set in motion .
GESTATIONAL DIABETES MELLITUS :
Gestational Diabetes Mellitus is defined as carbohydrate intolerance of variable severity with onset or first recognition during the present pregnancy . An alternative explanation is that Gestational Diabetes is Type 2 Diabetes unmasked or discovered during pregnancy .
Risk Factors :
a) Positive family history of Diabetes
b) Having a previous birth of an overweight baby of 4 kg or more
c) Previous stillbirth
d) Unexplained perinatal loss
e) Presence of polyhydramnios ( excessive amniotic fluid ) or recurrent vaginal infection in present pregnancy
f) Persistent glycosuria
g) Age over 30 years
i) Ethnic groups ( East Asian , Pacific Island)
The method employed is by using 50 gm oral glucose challenge test without regard to time of day or last meal , between 24 – 28 weeks of pregnancy . A plasma glucose value of 140 mg percent or that of whole blood of 130 mg percent at 1 hour is considered as cut off point for consideration of a 100 gm ( WHO – 75 gm ) glucose tolerance test .
a) Increased perinatal loss is associated with fasting hyperglycemia . Fetal anomalies are not increased due to the absence of metabolic disturbance during organogenesis in early pregnancy.
b) Increased incidence of Macrosomia ( Fetal Macrosomia is defined as infants whose birth weight exceeds 4500 gm) .
d) Birth trauma
e) Recurrence of GDM in subsequent pregnancies is about 50 %
OVERT DIABETES :
A patient with symptoms of Diabetes Mellitus ( increased urination , increased thirst , weight loss ) and random plasma glucose concentration of 200 mg / dl or more is considered overt diabetic . The condition may be pre existing or detected for the first time during present pregnancy .
According to American Diabetic Association , diagnosis is positive if
a) The fasting plasma glucose exceeds 126 mg / dl
b) The 2 hour post glucose ( 75 gm ) value exceeds 200 mg / dl
Patients with poor glycemic control and vascular disease are at increased risk of complication of IUD , IUGR , Pre eclampsia and Ketoacidosis .
During Pregnancy :
Preterm Labour ( 20% )
Infection – Urinary tract infection and vulvo vaginitis
Increased incidence of Pre eclampsia ( 25 % )
Polyhydramnios ( 25 – 50% )
During Labour :
Prolongation of labour due to big baby
Fetal Macrosomia – With good Diabetic control , incidence of Macrosomia is markedly reduced .
Congenital Malformation – It is related to the severity of Diabetes affecting organogenesis , in the first trimester ( both in Type 1 and Type 2 Diabetes ) .
Hypoglycemia ( < 37mg / dl )
Respiratory distress syndrome
In Ayurveda Madhumeha disease can be correlated with Diabetes Mellitus . Though there is no direct reference of Gestational Diabetes but GarbhaVriddhi is described as a complication .
Garbha Vriddhi : In Garbha Vriddhi , there is excessive increase in size of abdomen and perspiration . Labour is difficult .
This can be understood as Overweight fetus or Macrosomia .
Ayurveda helps in limiting the maternal and fetal complications . Herbs are helpful as a supportive treatment along with the modern medicine under supervision .
Generally beneficial , congenial , purifying and suppressive dietetics and mode of life , not causing loss of doshas and dhatus but capable of decreasing the increased doshas and dhatus should be used .
Though the most appropriate diet for women with Gestational Diabetes has not been established , it is suggested that obese women with a body mass index greater than 30 kg / m2 may benefit from a 30 – 33 % caloric restriction .
This should be monitored with weekly tests for ketonuria because maternal ketonemia has been linked with impaired psychomotor development in the offspring .
Physical Activity : Physical activity during pregnancy reduces the risk of Gestational Diabetes .Resistance exercise helps avoid insulin therapy in overweight women with Gestational Diabetes .
Pranayam and Yogasana is beneficial .
Herbs : Tinospora cordifolia , Holarrhena antidysenterica , Rubia cordifolia , Emblica officinale , Boerhavia diffusa , Withania somnifera , Tribulis terrestris , Hemidesmus indica etc can be given under supervision .
One of the major causes of absenteeism from work , decreasing efficiency and quality of life amongst women is Dysmenorrhoea , also called Menstrual cramps . The word Dysmenorrhoea is derived from Greek word : Dys – difficulty , Menorrhoea – monthly flow . Thus it is defined as pain associated with menstruation . It is the commonest gynecological disorder affecting women in reproductive age group .
In Ayurveda , the diseases in women are described under ‘ Yonivyapad ’ where Yoni means genital organs and Vyapad means diseases . One of them having similarity with dysmenorrhoea is Udavartini Yonivyapad . The cause of painful menstruation is Vata . The pain is before onset of menses which is relieved with start of menses .
Classification of Dysmenorrhoea :
a) Primary or Spasmodic : It is the painful menstruation in the absence of pelvic pathology . It is essentially a first day pain .
b) Secondary or Congestive : It is the painful menstruation secondary to underlying organic disease of the pelvic organs . Pain may continue throughout flow.
Risk Factors :
a) Menstrual Factors : Early menarche ; long and heavy menstrual cycles.
b) Cigarette smoking
c) Behaviourial & Psychological Factors :
Just before and during menstruation , most women are less efficient physically and more unstable emotionally – these factors lower the pain threshold .
Expectation of pain can be fostered by overanxious parents and by curtailment of normal physical activities during menses .
Unhappiness at home or work .
d) Uterine hyperactivity and incoordinate muscle action of the uterus .
e) Hormonal Imbalance : It has been observed that progesterone induces high tone to the uterus .
f) Prostaglandins : They increase the sensitivity of the nerve endings to pain .
Sign & Symptoms :
Primary Dysmenorrhoea :
Pain is experienced a few hours before and after the onset of menstruation and rarely lasts for longer than 12 hours .
It is colicky in type and causes her to double up .
Pain is felt in lower abdomen , inner and front aspects of the thighs .
Some low backache may be present .
During severe attack , woman looks drawn , pale and may sweat . Nausea , vomiting are common . There may be diarrhea and rectal and bladder tenesmus .
In 50 % of cases the pain does not arise until 6 – 12 months after menarche .
It usually develops after a phase of painless menstrual cycles and is seen at older age .
Pain is worst premenstrually and relieved during menses .
It is diffuse , dull ache in the pelvis often accompanied by backache .
Most common causes are Pelvic inflammatory disease ( PID ) , endometriosis , IUCD etc .
a) General Measures :
i) Counselling : Explaining young girls regarding the condition and reassurance should be an essential component in the treatment plan . Girls should be taught to have a proper outlook on menstruation and health in general .
ii) Improvement in nutritional status and dietary changes .
b) Physical Activity : It can be in the form of yoga , walk , exercise , aerobics etc . The yogasanas which are helpful in dysmenorrhoea are pavanmuktasana , bhujangasana , paschimottanasana , katichakrasana , Pranayam etc .