Stories

AYURVEDA PROFESSIONAL EDUCATION NEEDS EVOLUTION BEFORE REVOLUTION

There are many timesAyurveda heated discussions going on regarding how Ayurveda professional education can be improved in standards and also debating the lacunae of current approaches. But mere dialogues and debates do not cause any change in the current pathetic scenario. Ayurveda is being taught as literature today as narrating sansrit verses of Raghuvamsha or Kumarasambhava where the faculties describe their self and shared beliefs and experiences. When the faculty members lack clear comprehension in the theorems and principles of Ayurvedic Science and their true practical implications, the students experience frustration, confusion, despai , increased anxiety and eventually when they understand that it is “a mere normal phenomenon in Ayurveda colleges”, they accept the reality and land in safe zone where they think that getting professional degree merely matters in BAMS. As there are no clear explanations possible from faculty side to students in any Ayurveda medical institutes of the country, there is no clarity or motivation (motivation emerges from clarity) and naturally they are driven to quackery practices of Polytherapy, mixopathy and allopathy.

Professional learning in Medicine inevitably requires a professional beginning and advancement in right direction through Basic and Applied Science of Ayurveda. Ayurveda unlike Modern Medicine cannot be practiced by looking into the Biostatistical uncertainities of benefit risk ratio emerging from population. Ayurveda is not Biostatistical Medicine; rather it is Ayurvedic Science Based Medicine. Without accurate comprehension of the complex concepts of fundamental Ayurvedic Science in a practical demonstrative setting in the realistic scenatio of human being, it is never possible to understand the core concepts of Ayurveda. There is no standardized comprehension of real implication of Ayurvedic siddhantas and sutras today and for that reason, faculties are free to teach anything which they believe as true rather what is accepted as correct led by the scientific standards of Ayurveda.So when the faculties themselves lack clarity, there is inherent uncertainity and rest of everything built up on that uncertainity is obviously wrong. Naturally the entire clinical decision making process becomes baseless and aimless and definitive teaching and training the future doctors get impossible. The so called award winning faculties and so addressed legends tactfully mask their ignorance and deepest uncertainity (evident from their writings and words)and project confidence or arrogance at genuine questions making the complete scenario difficult to change. Resource overuse is happening in Ayurveda medical instututes and irrational treatments are done with endless formulations and procedures. There is no clinical audit possible as there are no clinical decision making standards available for reference.The patient safety is very much compromised but the suffering patients think that it is because of flaw of the medicl system that they experience worsening of the disease or inability to cure or onset of a medical emergency while undergoing treatment.
There is nothing called prioritizing clinically relevant science for imparting clarity in comprehension to Ayurvedic medical students in their learning and training phase while completely disregarding the irrelevant literature . The only certainity the faculties encounter is uncertainity in Ayurvedic Science and its practical aspects.
1, Knowledge and skill gaps in faculties potentially harm patient care by misdiagnosis and irrational treatments on a series. The students are compelled to blindly copy them rathen any How and Why questions

2. The best course of action for a patient is decided by self and shared experiences of faculties, blind beliefs on “This Treatment in that disease” rather than any structured mode of Ayurvedic Science led decision making process. Hence the over confident doctors who adopt no uniform standards from Ayurvedic Science make misled diagnosis and poor quality decisions on treatment of patients and students feel confused and hopeless when they naturally find the patient condition not improving. Polytherapy and mixopathy are encouraged by many faculties to hide their ignorance
Solutions

The only solution is implementing standards in profeesional education in both curriculum and training by appropriate competency based medical education. Traditional approach of Gurukula training and encourages unscientific mode of practice of Experience and Eminence based Medicine rather than the intended practice of Ayurvedic Science Based Medicine. The curriculum should be led by the professional standards of Science Based Evidence Based Ayurveda to emerge scientific medical professionals in place of medicine prescribers and ignorant Gurus.
Dr. Remya Krishnan MD PhD(Ay), The Pioneer, Science Based Evidence Based Ayurveda

AYURVEDA PROFESSIONAL EDUCATION NEEDS EVOLUTION BEFORE REVOLUTION

There are many times heated discussions going on regarding how Ayurveda professional education can be improved in standards and also debating the lacunae of current approaches. But mere dialogues and debates do not cause any change in the current pathetic scenario. Ayurveda is being taught as literature today as narrating sansrit verses of Raghuvamsha or Kumarasambhava where the faculties describe their self and shared beliefs and experiences. When the faculty members lack clear comprehension in the theorems and principles of Ayurvedic Science and their true practical implications, the students experience frustration, confusion, despai , increased anxiety and eventually when they understand that it is “a mere normal phenomenon in Ayurveda colleges”, they accept the reality and land in safe zone where they think that getting professional degree merely matters in BAMS. As there are no clear explanations possible from faculty side to students in any Ayurveda medical institutes of the country, there is no clarity or motivation (motivation emerges from clarity) and naturally they are driven to quackery practices of Polytherapy, mixopathy and allopathy.

AYURVEDA PROFESSIONAL EDUCATION NEEDS EVOLUTION BEFORE REVOLUTION

WHY MEDICINE NEEDS RENOVATION TO HEAL PEOPLE ?

Why Medicine needs renovation to heal people?

In Medicine, the foundational scientific knowledge in the particular system of Medicine guides the diagnosis, treatment and prognosis of patients in addition to health promotion and disease prevention strategies. It inevitably requires clear scientific (pertaining to concerned Science) principles, reproducible methodologies adopted from the concerned science and scientific tools adopted from the concerned science to validate the process of scientific diagnosis, selection and application of treatment and also evaluate the response to any particular treatment. Employing the very foundation of concerned Medical Science itself is very important as long as the particular Medical system does not treat led by Tradition, Beliefs and self and shared Experiences. Without the foundation of the concerned background of Basic and Applied Science and its foreground applicatory inbuilt standards, medical practice is unsound and invalid, losing its innate precision, rationality and scientificity.

Science Based Evidence Based Ayurveda (SBEBA) provides an inbuilt scientifically structured and practical approach to resolve single or multiple ailments existing together in the same subject and thereby heal the individual. This method consists of detailed exploration of the individual and his morbidity in his own unique internal environment by standardised scientific parameters of Ayurveda, identifying Vyadhi Bheshaja Prabhava Tatwa (VBPT-the Golden tool for Standardised Clinical Decision Making in Ayurvedic Science), evaluate its applicability and implement it through One Medicine Scientific Diet (OMSD) Approach targeting to resolve the morbidity and heal the subject. The core of Evidence Based Practice of Ayurveda thus lies in Evidence Triad Approach (The Golden Standard of Clinical Decision Making) and appraisal of Vyadhi Bheshaja Prabhava Tatwa (Golden tool of clinical decisions). This standardised process and strategies emerged in Science Based Evidence Based Ayurveda can yield quick and reliable answers avoiding the possibility of personal bias in clinical decisions. This process also avoids the mistake of accepting traditional thinking, conventional beliefs and Eminence Based Medicine. The ultimate goal of SBEBA is to integrate Shaasthraartha Buddhi (Ayurvedic Science Led Intelligence) with Shaastrasahita Tarka (Ayurvedic Science Led Reasoning) and unique internal environment of every individual subject and thereby on judicious implementation will provide the best personalised while standardised scientific quality care by Ayurvedic Medicine. Thus, SBEBA not only seeks to guarantee the best possible quality of care, but also constitutes an ethical imperative as resolving disease(s) and healing are the sole objectives of principles of scientific foundation of Ayurveda rather than emerging pharmacological unknown drugs and interventional adjustments for blocking, masking, irritating, suppressing, depressing etc. of disease mechanisms. Unlike the Western system of Medicine, Ayurvedic Medicine is led by a Determinist science which explains transparent tools and methodologies to abandon probability and confusion in the process of clinical decision making. Ayurvedic Medicine is not a Science of Uncertainity and art of probability. In deterministic science of Ayurveda, there is Karya Karana Siddhanta (causal reasoning oriented theorems and principles) and hence when the initial conditions are known and applied rationally, that would lead to an predictable and explainable unique outcome. There is no random phenomena happening when the transparent scientific principles of determinic science are judiciously employed in any clinical situation and subjective variability is explainable by the inbuilt rational standards of the Science of Ayurveda. The subjective parameters in humanbeings are thus possible to be estimated by standardised objective means and that is why Ayurveda is fundamentally Ayurvedic Science Based Medicine.

When the internal environment of humanbeing and laws of nature pertaining to humanbeing and his interaction with the environment are constant in nature as long as the human is fundamentally human, then it is possible to intervene upon the nature of disease and its cause mechanisms in the body also by constant scientific knowledge to approach the humanbeing. When the highly complex and vast science of humanbeing in his health and morbid status is not comprehended in its entirety and complexity but rather experimental drug research is done with isolated compounds or synthetic molecules to do different “adjustments” in different targets of disease mechanisms, such reductionist outbuilt experimentation cannot emerge the inbuilt complex knowledge about “the healing process” in the body but which is the sole objective of doing treatment. The cause mechanisms in a particular aetiopathogenesis remains the same for identical nature of pathologies and hence the mode of reversal or reversal of aetiopathogenesis also remains constant in identical situations. This is what Science originally refers to and what Science is intended to provide, no matter whether pertaining to man or universe. If I drop a ball and if sometimes it falls while sometimes floats, we can never conclude that gravity is probabilistic. When it floats, we assume reasonably why and how it floats instead of falling and the answer is consistently true. Science is the knowledge which provides this fundamental clarity, consistency and rationality to a natural phenomenon pertaining to man or universe. We learn and do experiment in science to abandon probability and confusions and establish the fundamental certainity. Probabilistic outcomes if happening in response to treatment, it happens by the limitations in the scientific knowledge and application of researcher and not the established body of Science. When an astronomer cannot track a constellation, they never declare the constellation is random , they evolve the tools to attain precision knowledge of the same .

Conclusion

Science Based Evidence Based Ayurveda (SBEBA) explains the innate Ayurvedic scientific tools and methodologies to attain precision knowledge about the internal environment of a patient and his healing process, It is no way comparable to the highly reductionist biostatistical tools to emerge random population data of benefit risks by blind adjustment drug administration. Probabilistic Medicine can never establish the Science of Patient and healing with the components of certainity- Transparency and Reproducibility and hence not an ethical and valid tool to measure treatment outcome in every humanbeing on earth led by his own internal environment. When the probability, contradictions and confusions naturally grow in the data building process of so called Evidence Based Medicine, they glorified it as Science where as originally it is not.

If the current experience of treatment in Western Medicine is something random, it is because they have not understood Man and Medicine in the way it is intended to be comprehended and not because the Science of man is playing dice. It is essential for them to acknowledge that they do not know what they do not know.

Dr. Remya Krishnan MD PhD(Ay)

The Pioneer, SBEBA

The History of SBEBA

In the summer of 2012, Associate Professors, Clinicians and faculties Dr. Remya Krihnan and Dr.Rajkumar had introduced the new concept of Science Based Evidence Based Ayurveda The term described the crucial relevance of adopting the standardised Ayurvedic Science Based Evidence to practice Scientific Medicine in Ayurveda. The first publication of Science Based Evidence Based Ayurveda that technically defines and introduces the same is Evidence Based Ayurveda &Rational Prescribing, First Edition; Remya Krishnan (2012). The implication that the conventional Ayurveda practices lack clarity and transparency and hence unscientific, although true when measured by the quality control prescribing parameters of Ayurveda, were nonetheless unacceptable to Ayurveda community. This has led to the pioneers emerging the decision to start a formal training program for Ayurveda medical professionals and students in Evidence Based Practice of Science Based Medicine of Ayurveda titled Bhaarat Mission Bhishak; SBEBA Wisdom Series.

Although the term Science Based Evidence Based Ayurveda was introduced in 2012, the foundation for this novel strategy was accomplished through a decade of work by the pioneers. The effort to emerge the components of systematicity, precision and certainity to clinical decision making process spurred this novel approach. The impetus for SBEBA can be attributed to the conventional irrational, baseless and poorly standardised clinical decisions. Guru’s wisdom, experience and “what everyone do all these years” are the foundation of conventional Ayurveda clinical decision making. The comprehension and employment of inbuilt rational scientific standards adopting from Science of Ayurveda in Clinical decisions is unheard of in the world of conventional Ayurvedic Medicine.Historical precedence and intense lethargy to unlearn and relearn Science and Science Based Medicine posed barriers to emerging SBEBA.

The pioneers of SBEBA movement recognised a major deficit in conventional Ayurveda practices. Ayurvedic Science and its innate scientific parameters and methodologies have no translational application to Ayurvedic Clinical Medicine. They recognised that by accurately incorporating the Ayurvedic scientific diagnostic and treatment principles in conventional health problems of man,not only that the results are fast, accurate and intended but also it provided a sound rational scientific basis to emerge standardised clinical decisions in every individual patient in his own unique internal environment.They recognised that the Ayurveda medical institutes even are unable to provide the students and professionals the necessary knowledge standards and tools to improve the accuracy and quality of clinical care.

SBEBA Wisdom series emerged a major breakthrough transformation in the life and career of many dedicated doctors who have joined the program and became change agents in their mode of practice. They remain as live evidences for the quality of SBEBA. They started diagnosing a clinical condition and a patient uniformly led by the scientific standards of SBEBA Clinical decision making and managed by adopting uniform inbuilt scientific standards of Ayurvedic science which yielded intended effect in intended time rather than an uncertain mix of some benefit risks. SBEBA provides concrete methodologies to the systematic scientific study of diagnostic and therapeutic process inorder to effect the process of recovery in the patient which is the objective of Ayurvedic Medicine. The pioneers noticed the necessity to understand the deep and highly complex Ayurvedic Science and Science Based Medicine prior to learn their application at the bedside.

Two differently distinct effects emerged from the practice of SBEBA by the trained physicians in the past one decade: 1. Systematic clinical reasoning knowledge and skills trained have drastically improved the impact of their decisions in their patients. For example, previously they were loading medicines in prescriptions which got transformed to One Medicine Scientific Diet (OMSD) approached the impact of which was observed to be the predictable fast improvement in the healing process and completion of recovery.2. Irrational procedures and therapies were ended in their practice and patients recovered without the necessity of complex treatment procedures and by fragmented dosages of most minimal medication in most minimal period. Moreover they learnt professional communication with rationality, consistency in the explanation of working of their treatments by avoiding all kinds of personal bias. They stopped blaming Ayurveda medicines for their quality and recognised the scientific wisdom of rational application and thus emerging quality of prescription solely determines the impact of their prescribing.Many of them started getting addicted to learning Ayurvedic Science Bsaed Medicine and thus constantly culturing their intelligence and wisdom in the same. This has improved their confidence levels in taking up complex multi-morbid conditions treated by suppressants and several adjustment drugs of conventional system. They have also started attending medical emergencies and some casualties with immediate resolution of the same by the practice of principles of Science Based Medicine. The practice eof SBEBA is essential and crucial in every discipline of Ayurvedic Speciality to emerge Evidence Based Medical Practice in Ayurveda.
Thus SBEBA has made a clearly updated landmark opening on the face of Ayurvedic Medicine.The introduction of Golden standard of SBEBA, Evidence Triad Approach and tools of Vyadhi Bheshaja Prabhava Tatwas (VBPT) has emerged a systematised scientific approach to the practice of Ayurvedic Medicine. They have been and continue to be the contributors and cause of contributors and leaders to this movement. Their work has and will continue to have a profound impact on the quality of Ayurveda practice, research and professional education and facilitate global recognition of Ayurveda as independent Medical system of the world .

Conflict of interest- None

Dr. Remya Krishnan MD PhD

The History of SBEBA

Conflict of interest- None

Dr. Remya Krishnan MD PhD

The History of SBEBA

Conflict of interest- None

Dr. Remya Krishnan MD PhD

The History of SBEBA

Conflict of interest- None

Dr. Remya Krishnan MD PhD

When True Science gets forbidden by ignorance

The Uncertainity led conventional Ayurveda practice is devoid of any inbuilt rational standards for scientific clinical decision making in Diagnosis, Prognosis and Management of patients with different acute and chronic conditions.Currently clinical practice by Ayurved medical professionals are led by blind intuitions, self and shared experiences and Eminence Based Medicine. Blind adoption of scientific verses from Samhitas without accurate comprehension of the real meaning and intentions lead to variable and poorly standardised opinions is currently happening in a deterministic science which adopts deductive reasoning as the golden tool of rational decision making. Ayurveda is a deterministic science unlike the western medicine which is a probabilistic one . Deductive reasoning does not start from blind observations emerging from blind and random administration of an unknown compound in a blinded population which is done in western medical research. Deductive reasoning is deterministic in nature.If the premises are proven true by the inbuilt logics of the concerned science, then the conclusions drawn are necessarily true.It involves logical inference (shaastrasahita tarka) where the truth of the premises guarantees the truth of the conclusions. So in a deterministic science, it is not the blind opinions or blind observation led probabilistic conclusions which are valid but rather a sound and valid deductive argument approved by the rational standards of the concerned science which is valid to prove the cause -effect relationship of the conslusions.

Without the accurate comprehension of the true essence and implications of scientific verses of the samhitas, it is never possible to do deductive reasoning with accurate premises and reach sound judgement and valid conclusions. As currently even the samhitas are not taught and trained for their accurate comprehension of knowledge and true practical implications, everything is taught with poor clarity and comprehension and hence there is no question of emerging the knowledge of translational practie of Ayurvedic Science Based Medicine.For this reason, many people in conventional Ayurveda feels uncomfortable and blindly disregard Science Based Evidence Based Ayurveda which advocates Precision Diagnosis and Medicine for the first time in the history of Ayurveda that openly challenge their established framework of uncertainity and thorough irrationality. Mere usage of scientific code of terminologies of Ayurveda without understanding their true meaning and contextual implications is one of the biggest catastrophe in Ayurveda today.The conventional Ayurveda does not find the necessity of accurate knowledge and comprehension of the deeply scientific fundamental logics, theorems and concepts of Ayurvedic science and prefers to stay in an idiotic comfort zone by considering anything and everything as okay owing to the lethargy and inability of the professional community to align with the hugely vast and complex scientific technical infrastructure of the intended practice of Science Based Evidence Based Ayurveda(SBEBA). Besides pseudohumbleness is getting cultured as soon as a student enters Ayurveda medical colleges as they are misled that it is a part of Indian tradition to show implicit obedience and surrendering to the words uttered by the faculties and never ask or argue with them based on their lectures.These students eventualy evolve into similar authoritative faculties who hardly take responsibility for their words and actions as well as hardly appreciate any questions from their own students/ audience. Thus the professional students of Ayurveda grow into unprofessional physicians who are not confident enough to practice own system of Medicine in own body first and hence deviate to the current fancy practices of Integrated Medicine, Mixopathy or aimless polytherapy. As the scientific temper is deteroyed in the very first year itself by an extremely poor standard curriculum and training, they learn the crucial core learning Ayurvedic disciplines of Ayurvedic Physiology and Fundamental principles like imaginative stories and this continues in every year of disciplines. As the faculties are lacking orientation in Science Based Evidence Based Ayurveda, they cannot do justice to their students even if they wish so .But parallely when they find SBEBA emerging, growing and establishing the basic and applied science of Ayurveda with success, some of them feel passionate and become true aspirants of SBEBA which eventually become a cause of transformation in their life and career. But there is always a common trend of reluctance and irreceptivity towards anything which demands high level focus, unlearning and relearning especially after once the physicians secure degree and struggle to make livelihood and unfortunately believe that learning is a hinderance to progress in earning. So they dismiss what is most crucially intended for them to become a quality physician worth for self and society and stay as blind medicine prescibers or Panchakarma advocates.

Anything which is counterintutive requires to be challenged openly with commonsense and intelligence and that is what rational thinking is originally by all means. Scientific progress is attained through scientific discourses and debates , When some long carried blind beliefs and experiences fail to explain and establish science in clinical practices,, then it is not the fault of the science concerned but rather points out at the possibility that the knowledge and understanding of the practitioner in the concerned science is flawed. The natural humility and innate passion and yearning for knowing true premises of a deterministic science and attain deductive reasoning skills will only cause scientific temper and real prospects in career. Recognising flaws and challenging existing beliefs and paradigms in conventional Ayurveda medical practice, research and eductaion require incessant hard work in science and blessed confident conclusions emerging from the culture of long unbised deciated translational research in Science Based Evidence Based Medicine of Ayurveda in variable realistic clinical situations. Blindly suppressing or ignoring anything which is unconventional stifles the potential of groundbreaking disciveries from a deterministic science which are crucial in saving and protecting mankind. It is only by the constant culturing of intelligence and attaining refined and accurate comprehension in the innate deep and complex concepts of Science Based Medicine of Ayurveda that Ayurveda medical practitioners can emerge as scientific medical professionals of the system. There are no short cuts and Business Based Medicine can never ever become Science Based Medicine and viceversa. Embracing the possibilities of being wrong allow us to explore the new unknown avenues of deeper and refined learning and evolution of intelligence and wisdom in profession that may ultimately lead to breakthroughs in Medical knowledge and research. Let us remember that publishing of anything is worth in a medical science only if it rationally explains scientific diagnosis in the subject and the scientific mode of healing in the same. Validation of a deterministic medical science is always meant to be done by the rational employment of the principles and parameters of the concerned science and in realistic clinical situations in the unique internal environment of patients .
We (myself and my husband) are currently the victims of prejudice, discrimination and endless torture for our blessed discoveries in SBEBA which are certainly groundbreaking and world changing.It could be our fate but we are blessed and eternally grateful that God has chosen us to ring the bell and awaken the sleeping Ayurveda community. Thank God ever

Dr.Remya Krishnan MD PhD
The Co-Pioneer of SBEBA, Clinical Director, Thrissur SBEBA Clinic

This email address is being protected from spambots. You need JavaScript enabled to view it.
www.sbeba.org.in

THE NEED FOR SCIENCE BASED EVIDENCE-BASED PRACTICE IN AYURVEDA

Science-Based Evidence-Based Ayurveda (SBEBA) is a conscientious, explicit, and judicious employment of Ayurvedic Science Based Evidence in clinical decision-making in every subject based on unique circumstances. The term ‘Science Based Evidence Based Ayurveda” was coined in 2012 by the physician faculties and scientists of Ayurveda Drs Rajkumar KC and Remya Krishnan, Kerala, India. SBEBA encompasses standardized tools and methods for conducting research, clinical practice, and the teaching of medicine, and there are also currently seven scientific publications of SBEBA explaining the innate logic, principles, and methods for rational implementation of SBEBA in clinical decisions and practice by the physicians of Ayurveda. The practice of Science Based evidence-based Ayurveda means integrating the physician's intelligence and clinical reasoning with the innate rational principles and standards (Shaasthraarthas) from Shaastra/the Science of Ayurveda. SBEBA is being embraced by many aspirant physicians all over India by themselves self-recognizing the impact of their transformation from the previous Belief/ Blind experience-oriented trial and error practice to the rational science-based Based Medicine practice. SBEBA not only cut down the length of the prescription but also considerably improved the accuracy and quality of the same without the burden of complicated therapies and procedures which are done so commonly today without considering Ayurvedic Science Based Evidence led standards of clinical decision-making. The cause-effect relationship between disease and treatment is thoroughly explorable by SBEBA tools and methods to establish conclusive evidence for professional diagnosis and treatment in Ayurveda for the first time in the history of Ayurveda.

Evidence-Based Medicine of Ayurveda is to be primarily logically approved by the Science of Ayurveda to approve for employment in a subject. Unlike the pain killers in pain and antying drugs in Western Medicine which block mask and suppress different chemicals, pathways, and neurons, Ayurvedic medicines are intended to work on appropriate disease targets in the single or multitangled pathology manifested as one or more diseases if they are chosen and applied wisely led by the innate logical algorithms of Ayurvedic scientific decision making. The working of treatment is meant to do reversal of cause mechanisms and not merely suppress or deactivate something for some time. So while deciding to treat a patient, the physician needs to have highly precise knowledge of the scientific clinical decision-making process led by the rational standards of science but this has never been educated and trained in Ayurveda colleges ever and for this reason, hundreds of Ayurveda physicians today will diagnose the same patient and his status in five hundred different ways blindly assuming something as something without any sort of clarity and objectivity. At the same time, SBEBA-trained physicians have a systematically organized method of arriving at rational diagnosis and treatment led by the inbuilt standards of science of Ayurveda.

The Evidence Triad Approach (ETA) which is the hallmark of SBEBA is fairly complex to perform and hence requires advanced knowledge and training in skills to perform the technique. Currently, the fundamental principles of Ayurveda are not rationally educated and trained for BAMS students and for this reason they lack the clarity and comprehension of the underlying scientific principles of Ayurveda, even though they are mugging up the same for examinations. When there is SBEBA-oriented education, research and training in Ayurveda medical colleges, the quality standards of clinical performance of physicians today would have been of the next level and Ayurveda would have become the Mainstream Medicine of India. Till now there has never been any quality evaluation or clinical audit for Ayurvedic prescribing and physicians continue to prescribe as per their beliefs, self, and shared experiences with innumerable medicines and treatments. This has often resulted in emerging some casual benefits along with high risks to patients but ultimately Ayurveda is not a medical science intended to emerge benefits and risks, rather it is intended effects and health in the intended period. Also, the existing mode of prescribing hardly questions what is fundamentally wrong with the patient and why and how. Thus a unifying movement of SBEBA makes it possible to shift the clinical practice of Ayurveda in such a way that the inbuilt rational standards of Ayurvedic Science have become the central axis for the process of clinical decision-making for emerging scientifically optimised patient-cantered care without devaluing the external evidence of healing in every individual patient. The evidence of healing solely matters in Evidence Based Medicine of Ayurveda and when a medicine/treatment is scientifically chosen and applied, the evidence of healing in the intended period by a predictable cause effect relationship only establishes the effectiveness of treatment in the medical science of Ayurveda. A couple of interchangeable benefits and risks by random blind administration of a treatment in a random population is entirely unscientific research enterprise in Ayurveda and the ancient scientists of this system have repeatedly warned in several instances to abandon such evidences of spontaneous benefits of outcome of irrational therapeutic decision and application in patients. It is technically termed as Yadrichha siddhi which is advocated to be discarded and not counted as a scientific achievement in Ayurveda.

It is a very indisputable matter that a solid foundation led by the rational components of “solid background science” is inevitable to practice a medical system as “Science-Based Medicine”. In Science Based Medicine, Medicine should begin from Science and advance through the innate logic of concerned science for attaining its most optimized application in the unique circumstances of every individual patient and this cannot be achieved by the different formulae of Biostatistics. Ayurveda is a deterministic science and not a probabilistic one and therefore it is silly and stupid to do Randomised Control Trials and blinded assays with compound/ treatment after treatment in Ayurveda. Ayurveda does not require new medicines; what is seriously lacking is physician intelligence in Science Based Medicine for emerging the most scientifically optimized clinical decisions that is why polytherapy, mixopathy and allopathy practices are done by Ayurveda physicians today.

Following the original thinking of SBEBA, the junior doctor would be precisely

as well equipped to make the right diagnosis and be as successful as the senior

one expertise in SBEBA because SBEBA Tools and methods enable all of them to uniformly and pertinently conduct uniform clinical decision-making processes in Ayurvedic diagnosis and treatment. Currently irrespective of senior or junior, unless a physician attains specific and specialized knowledge and proficiency in SBEBA, everyone equally sails in the ocean of uncertainity in clinical decision making and thus prescribes endless medications and procedures for endless periods. Clinical expertise and experience are required in the knowledge and skills in the practice of Science-Based Medicine (Shaasthraarthas) of Ayurveda and not in Biostatistics and Research Methodology the latter which is applicable only for the hunt of data for approval of drug for marketing which is in no way the objective of research of Ayurveda. Ultimately the research is meant to discover and optimise the diagnostic and treatment protocol and save the patient by facilitating fast recovery and health.
The patient is not to be treated based on empirical evidence of observational data sheets of benefits and risks that emerged from conducting a trial and error with an unknown compound in Ayurveda. Ayurvedic science advocates the practice of Jnana Poorva Karma (Knowledge Based Practice); deep seated knowledge in Science-Based Medicine for which systematic tools and methodologies are required to be known and practiced. The fundamental principles of Ayurvedic diagnosis and treatment are to be well comprehended “rightly” by the entire physician/faculty community and misled knowledge in the scientific substratum of Ayurveda would emerge fatal consequences through irrational prescribing habits of unlearnt physicians. Hence SBEBA is very much crucial today for the intended scientific updating of Ayurvedic clinical practice, research and professional education.

Dr. Remya Krishnan MD, PhD

The Pioneer of SBEBA

Ayurveda Faculty, Physician & Scientist

SOME FAIR QUESTIONS AND ANSWERS

Q: Who is a scientist?

Ans: A scientist is the one who is absorbed in science to explore the truth

Q: What is Science?

Ans: Science refers to a body of knowledge which incorporates the Laws of Nature

Q. Is Ayurveda a Science? Why?

Ans: Yes, it is. Because it is a well-systematically organized body of knowledge of life and human beings in their entirety.

Q. Why do modern scientists not consider Ayurveda as Science?
Ans: Modern scientists probably do not know Ayurveda and Science as well.

Q: For years, Ayurveda has been addressed as Tradition; what is the reality and why?
Ans: The reality is that it is not. The reason is that science cannot be a tradition as Science follows innate logics while tradition follows beliefs and experiences

Q: They call it Traditional Science?
Ans: When Tradition is not Science and vice versa, is it fair to mix them?
Q: No. Unfair

Q: What is SBEBA?

A: Science Based Evidence Based Ayurveda

Q: You told me that Ayurveda is itself a Science. Then why do you need to address Science -Based Evidence Based Ayurveda?

A: Why is your name Mr. X Varma when everyone surrounding you knows that you belong to the Varma community?
Q. For everyone to recognise me as Varma

A. The same applies here. For everyone to recognize Ayurveda as Science and not something else, the name SBEBA is given.

Q. Everyone is telling that the introduction of SBEBA is a marketing strategy

A. Is adding your caste name to name for marketing yourself or to reveal your identity?
Q. No

Q. How does SBEBA differ from conventional Ayurveda?
A. Conventional Ayurveda does not practice Ayurveda as it is while SBEBA does. That is the difference

Q. Do you have evidence to show this?

A. Do you have evidence to show that you are not Mr. G?

Q. Yes. I have my identity card to prove

A. Mr. G if manipulated the details of his identity card as yours, then how will you prove it?
Q. I can present Mr. G right beside me and show the proof

A. Similarly, SBEBA can present conventional Ayurveda by its side and show directly that both are different. Quality of Actions and their impact in the patients are the proof of identity of medical practice. Genuine and fake practices can be thus differentiated.

Q. But all are genuine qualified Ayurveda doctors right; who learn the science of Ayurveda?
A. If you are good at problem-solving in Mathematics but your friend is bad in the same while both of you are graduating in the same discipline, does your discipline of graduation merely ensure that you both do right and fair problem-solving?

Q. No; for that, we need to know accurate problem-solving techniques and do it correctly. Knowing and doing in the right manner is important to judge right

A. SBEBA teaches that right manner of doing while conventional Ayurveda does not and hence the former is only Ayurveda as it is

Q. I believe that everyone has to learn correctly

A. Ofcourse yes, it is every student’s right to secure the right knowledge. That happens only by quality professional education and training to students and physicians and for that SBEBA is developed and training programs are conducted in the same.

Q. But senior physicians say that after coming out of college, learning starts and you need to learn practice by sitting with elderly physicians

A. Can you learn Mathematics problem solving by sitting along with veterans of Mathematics and copying what they do?

Q. No. For that, I need to learn myself by knowing how to do

Q. Again, they say that theory and practice are different. Is it so?
A. Theory is what is intended to be practiced and an accurate mode of practice verifies the truth in theories. You learn physics theories in the classroom and then go to the lab to verify the truth in the same. Right? What you do in the lab has no connection with what you learned in class?

Q. They are connected

Q. One last question- What is this scientific temper? How does SBEBA see that?
A. Scientific temper refers to adopting the innately logical methods of a particular science in problem-solving by the concerned science. When you have a scientific temper, you analyze an observation/phenomenon logically and interpret it based on the innate logic of science. So the phenomenon is explored in a scientific manner (logically accepted manner of science and devoid of personal bias) thus making it completely transparent and reproducible. SBEBA cultures scientific temper in Ayurveda professional community

Q. Thank you. I will come later with more queries

A. My pleasure and duty and welcome

Dr. Remya Krishnan MD PhD(Ayurveda)

THE EVIDENCE BASED PRACTICE OF SCIENCE BASED MEDICINE

Evidence Based Practice defines the quality of standard of care provided by the physicians of every recognised medical system of the world. The quality of clinical practice guidelines which the patients receive must be ensured by evidence of what is but a matter of utmost importance. When we are attempting to solve a problem in Mathematics or Physics, it is absolutely mandatory that we must attain the fundamental knowledge in respective sciences as prerequisite before attempting to solve them. Without knowing the fundamental logics of the particular discipline of Science with clarity and objectivity and instead by knowing the fundamentals of probabilistic Biostatistics, it is never possible to practically solve a problem and reach a valid conclusion in a deterministic science.

Ayurveda belongs to the category of such kind of deterministic sciences where inbuilt theorems, logics, laws and principles of Health, Disease and Life are explained to understand man in relation to the peculiarities of his external environment and thereby intervene upon his unique internal environment which constantly modifies in accordance to the exterior. So, in order to choose a valid treatment decision, it is vital to know the finest aspects of scientific substratum of core science of diagnosis, differential diagnosis and management of Ayurveda. How ever the information of Randomised Control Trials of empirical compound administration in a random population by counting the temporary benefit risks observed there then cannot be counted as valid evidence for the physicians in deterministic medical sciences.

Randomized controlled trials that demonstrate the comparative effectiveness of one treatment over another simply tell us that without any inbuilt rationality to anticipate how a specific treatment may be better than the other in a population merely led by the temporary data of benefit risk led observations in population. This kind of casual observation led results are but strongly recommended to be abandoned in Ayurvedic science by the ancient scientists of the same addressing it as “ Yadrichaasiddhi” (random results) because they are unscientific and not a valid trust worthy substratum for clinical decision making. To make results scientific, the application is to be sensible and logical first and to ensure the sensible application, the knowledge and practice of core science and its innate logics of application are extremely vital. Hence the very practice of inbuilt Evidence Based Medicine led by the rational evidences of algorithms of Science Based Medicine is extremely crucial in the case of deterministic medical sciences like Ayurveda. No medicine can be made universally suited to the same disease in a population. There always personalised variations in patients with same disease in their cause and nature of mode of onset, progress, aggravation and alleviation, co morbidities etc and hence “ This medicine in that disease” consideration is very illogical and substandard. A patient’s improvement and recovery is led by several factors other than mere medication/ treatment alone but rather his diet and lifestyle, the multiple pathologies if present and their existing mode of management. Hence the very concept of New Drug development itself is very unethical as every new drug is later getting discarded for its potent harm and side effects and this is why new drugs are always required to be developed. It means that human beings are always meant to stay as Guinea pigs or rat specimens to test and fail various drugs and treatments and more badly it is purely a luck that decides who will get more benefits and whom risks and whether they get interchanged also. As the entire so-called Evidence Based Medicine of Western Medicine is led by probability and uncertainity, many physicians may be nudged to provide wrong treatments (Biostatistically wrong also) for their patients. More over Statistical significance of a treatment does never mean that it is clinically significant in a realistic situation which in simple terms convey that proven drug does never mean proven recovery and health. But unfortunately a large majority of world population still believe that Western Medicine as emerging scientifically proven drugs and treatments they are best protected by them .

Ultimately, the successful application of evidence-based medicine is an art that requires first and foremost, an awareness of logics and principles of inbuilt Science Based Medicine, and also an ability to pre determine how well the particular logical decision impacts every individual patient , why and how. A physician who follows Science Based -evidence-based guidelines of Ayurveda 100% of the time is likely to have better aggregate outcomes than one who never follows Science Based Evidence based guidelines, since the guideline will steer a physician intelligence to comprehend what is intended to be done in the particular clinical status of the patient instead of blindly doing trial and error with different medications and treatments for benefit risks. But, the optimal application of evidence (principles) is as important as awareness of that evidence, and physicians must be scientists of this science of Ayurveda, using their best judgment to determine which evidence applies best and which treatments will most likely benefit individual patients.

This is why Science Based Evidence Based Ayurveda only deserves to be addressed as Evidence Based Practice in Ayurvedic System of Medicine.

Dr.Remya Krishnan MD PhD, The pioneer of Science Based Evidence Based Ayurveda

THE EVIDENCE BASED PRACTICE OF SCIENCE BASED MEDICINE

Evidence Based Practice defines the quality of standard of care provided by the physicians of every recognised medical system of the world. The quality of clinical practice guidelines which the patients receive must be ensured by evidence of what is but a matter of utmost importance. When we are attempting to solve a problem in Mathematics of Physics, it is absolutely mandatory that we must attain the fundamental knowledge in respective sciences as prerequisite before attempting to solve them. Without knowing the fundamental logics of a particular discipline of Science with clarity and objectivity and instead by knowing the fundamentals of probabilistic Biostatistics, it is never possible to practically solve a problem and reach a valid conclusion in a deterministic science.

Ayurveda belongs to the category of deterministic sciences where inbuilt theorems, logics, laws and principles of Health, Disease and Life are explained to understand man in relation to the peculiarities of his external environment and thereby intervene upon his unique internal environment which constantly modifies in accordance to the exterior. So, in order to choose a valid treatment decision, it is vital to know the finest aspects of scientific substratum of core science of diagnosis, differential diagnosis and management of Ayurveda. How ever the information of Randomised Control Trials of empirical compound administration in a random population by counting the temporary benefit risks observed there then cannot be counted as valid evidence for the physicians in deterministic medical sciences.

This is why Science Based Evidence Based Ayurveda only deserves to be addressed as Evidence Based Practice in Ayurvedic System of Medicine.

Dr.Remya Krishnan MD PhD, The pioneer of Science Based Evidence Based Ayurveda

THINKING OUTSIDE THE BOX IN CLINICAL PRACTICE

Whenever I engage in a conversation with my conventional Ayurveda colleagues, I frequently find many of their faces getting disappointed or frowning at me. My fellow physicians are unhappy to hear my words on the need for crucial updating of the system and the quality of performance of Ayurveda physicians as they take it personalized criticism against them and that I am an arrogant personality. What I understand from this after such a long period of receiving this attitude from many in my professional community is that the Ayurvedic community is raised in medical colleges in such a way that they should surrender their intelligence and common sense to anything and everything which they listen to under the label Ayurveda from faculties and real humbleness is doing that without any queries of clarification. As Ayurvedic biology is quite unfamiliar to fresh students of Ayurveda, it is natural for them to get too many queries. But their inquisitive mind is suppressed from the very first year by telling that Ayurveda is a highly controversial philosophy where variable opinions of different so-called “experts” (expertise does not have quality parameters defined in conventional Ayurveda) are very much acceptable for the same context and that we should not question anything. So, there is no wonder that any faculty who encourages them to keep asking and arguing for clarity and confirmation would be considered as the one who is trafficking in Anti Ayurveda. According to these large majority of faculties who wish to stay in their comfort zones permanently, anything which contradicts their thoughts, beliefs and blind experiences is Anti Ayurveda. Obviously, anything which stay static in brains sealed and double insulated would deteriorate eventually and Ayurveda professional community forgets to think and apply the innate common sense in the science of Ayurveda as they do not get specific education and motivation to do that. Thus they become eternal diffident slaves to themselves and society and in spite of prescribing to hundred patients a day also, they become incapable to reverse their own infective fever confidently.

The people who are conferred “expert” titles in Ayurveda mostly secure it by big political influence or business and not based on an unbiased evaluation of their knowledge of expertise and quality performance. Unfortunately, once few people are entitled as experts in the above said manner, they will be only continuously given opportunities in policy changes with regard to professional education, research and clinical practice and hence any dedicated medical professional who genuinely proposes some out of the box ideas and methodologies to consider in policy will be naturally suppressed or blocked by the already selected “expert panel” as this new proposal is rationally challenging the existing policies with effective practical solutions to revise them. This is why I believe SBEBA proposals which offer promising Health future to this science ,humanity and national economy continue to stay without serious appraisal and response.

Science Based Evidence Based Ayurveda (SBEBA) practises the Science Based Medicine in place of conventional Ayurveda practice which is based on different beliefs, ideas, experience and individual opinions of “legends”. Ayurveda strictly advocates to practice Science-Based Medicine (Jnana Poorva Karma), but as the conventional Ayurveda does not do the same, conventional Ayurveda cannot be counted as Rational Ayurveda.Ayurvedic science being highly complex and vast , strictly advocate its practitioners to constantly culture their intelligence in the innate theorems, logics and principles of Ayurveda which is technically speaking “ Shaasthraarthakarmaanusheelana”. But currently it is not adopted and instead the practice of “This medicine in that disease” is encouraged in different policies of education, research and clinical practice. In Ayurveda, it is the innate intelligence of physician that requires constant enhancement and refinement and artificial intelligence can absolutely do nothing to promote natural intelligence of humanbeing. Ayurveda being a deterministic science led by deductive logics, inductive reasoning based on the results of statistical data of empirical drug administration is of no value in the same. Attaining high-level intelligence in the knowledge and application of Science Based Medicine by development of certain innate methodologies is what is done by the SBEBA pioneers for the past decade and more and large number of physicians who have undergone training through workshops of SBEBA are aware of the difference in the precision and quality of their mode of clinical practice before and now.

The fundamental principles of the deterministic science of Ayurveda like Mathematics can specifically predict whether the particular treatment works to produce the “intended effects” (not mere Benefit- Risks) in the particular patient in a particular condition by answering specifically the questions “HOW and WHY” and thus SBEBA deserves to be addressed as Science Based Medicine. Science refers to the knowledge of precision and certainity and not data of probability and confusion and Ayurveda is such a science that explains in detail the methods and logic to abandon confusion and uncertainity in choice and application of its logic. Therefore, applying Randomised Control Trial studies in such deterministic sciences is arguably unethical because the very fundamental requirement of any clinical trial is to establish that the particular treatment is grounded in good science which explains its cause and consequences.
If SBEBA is suspicious to anyone, SBEBA has to be professionally challenged through scientific debates and discourses instead of baseless blaming, backbiting, and personalized defamation of the pioneers of the same. The wide revolutionary ideas and evidence of SBEBA overturn much of the what is presently known and adopted as Ayurveda and hence it is natural to feel uncomfortable with this. But uncritical rejection is equally pathetic and dangerous as uncritical acceptance and doing it will arrest the intended professional renaissance of the Ayurveda community and the timely updation of this medical system

Dr. Remya Krishnan MD PhD

AYURVEDA- WHERE IS THE EVIDENCE

AYURVEDA - WHERE IS THE EVIDENCE?

By this small write up, I honestly would like to analyse the ethicality of so addressed scientificity of evidence of medical system as such, before coming to Ayurvedic system of Medicine. As a physician, faculty and scientist of Ayurveda, I have been working on professional solutions to the challenges faced by Ayurveda medical professionals today among which the predominant one is “Evidence” of Evidence Based Medicine. Evidence is undoubtedly the corner stone of the scientificity of a medical system. Evidence literally means proof employed to back-up or refute arguments allowing us to work out what is effective and what is not. Now let us take an example of lock and key system used to open a door. To open a door-lock, we need to use only one key which is aptly suited to do the same and if that right key is with us, there is no need and absolutely no use of doing trial and error with key after key. The process of trial and error with many unsuited keys may lead to damage of the lock and sometimes the door itself and hence it is important that first of all, we need to comprehend the highly specific and specialised details of the door and lock in-order to find out the right key for the same. The right key once chosen, is not opening the door with any probability but it opens the door every-time with precision and certainity. Any medical system is ultimately intended to heal man and not as trial and error system with different keys. The process of healing can never be associated with risks because healing is innately natural and unique for the reversal of cause-mechanisms of disease(s) in the subject thereby facilitating health. Hence the very proof of working of a medical system is the proof of showing in a live setting that the person is healing hour by hour, day by day and thereby attaining health. This is the real evidence to substantiate that the system of Medicine is scientific. A scientific medical system describes the innate process of healing leading to fastest recovery by reversal of pathogenesis.

Unlike a machine, which is primarily complex and secondarily simple (artificial), man is primarily simple but secondarily highly complex. In-order to prove that something works to resolve a problem in man (naturally complex), the comparative benefit-risk ratio and statistical significance of an unknown compound trial in population cannot be considered as a proof for an effective solution to the problem as the effective solution is only that which leads to the intended outcome of reversal of cause-mechanisms of disease leading to emergence of health in every individual subject. A man in real life situation can be morbid in a highly variable and complex way. There can be multiple pathologies working at the same time or sometimes one alone or sometimes one pathology leading to the other or even wrong ways of dealing with old pathologies leading to newly emerging pathologies. So, there is absolutely no point to begin the research to solve a clinical problem in a variable population with the same unknown compound and check for its working by the process of masking, blocking, suppressing or altering different intrinsic pathways, enzymes or ion channels or chemicals inside the body. Multiple unique factors play at the same time interacting in dynamic and unpredictable ways in an active pathology in the body and hence it is extremely crucial that an integral estimation of man and disease(s) as well, are to be done to ultimately reverse the problem. Definitely, masking, blocking and suppression are not ethically approved working in the process of healing the man. If the purpose of medical research is reversal of disease, then definitely, “a fit for purpose scientific paradigm” is required to be adopted in medical research to be addressed as scientific medical system.

Ayurveda is Science of man and hence it explains the process of problem solving in man within man and not outside. Hence the science addresses how to comprehend the nature of different clinical problems along with the crucial hints to probe into the underlying dysfunction of subtle-most functional classification of structures in man and HOW and WHY of the dysfunction unique to the particular subject. Ayurveda is thus not a Medicine Based Science, rather it is Science Based Medicine. The evidence in Ayurveda are hence inbuilt science led answers to know what happened in the patient, how and why and what exactly is to be done to reverse the same (how to choose the right key). There are no benefit-risk oriented evidences in Ayurveda because Ayurveda is meant to produce intended effect of healing the disease and not blocking, masking or suppression of the same. Evidence in Ayurveda is meant for right decision making of physician resulting in intended effects in every individual patient and not the blind trial and error hunt of drug after drug for marketing approval.

In short, Evidence in Ayurveda entirely lies in the Natural Applied Science and the Science Based Medicine of Ayurveda itself and not in the data sheets emerged by the practice of probability-based trial and error hunt of Statistical Medicine. Statistical Medicine can never be the Scientific Medicine in healing man. Now let me conclude by this open question to every one - “Western Medicine - Where is the evidence of healing?”

Dr. Remya Krishnan MD PhD

WHY SBEBA CRUCIAL FOR AYURVEDA PROFESSIONAL EMPOWERMENT?

Honestly, Research in healthcare is meant to advance knowledge for good of the society, to improve the health of people worldwide, and to discover the optimized ways to treat and prevent disease But is this what the reality is with regard to medical research happening today? The research funders have adopted a long drawn-out bureaucratic process for their grant giving. The Ayurvedic Research Fund system operates within the accepted framework of thinking of western research methodologies which are incompatible with the fundamental nature, attitude, approach, and goals of Ayurvedic research. Any outside-the-box ideas and proposals oriented toward Ayurvedic research and clinical methodologies are seen as uncritically rejected and opposed. Eminence Based Medicine and Experience Based Medicine is seen as widely accepted today and conventional Ayurveda practice is entirely based on decisions of opaque peers and "experts" assessments though experts are never assessed. It is high time to stop and reflect on how we can restructure and reframe the research, clinical practice, and education of Ayurveda strictly based on the inbuilt rational standards of the independent Science of Ayurveda itself and this is what Science Based Evidence Based Ayurveda is aimed to achieve. Meaningful impact in research is more important than profitful impact of research in healthcare. Western Medicine has always aspired to be scientific but the Science of Western Medicine is probabilistic data-oriented conclusions on the benefit- risks of unknown compounds and not the rational knowledge to explain the deep and complex pathophysiological mechanisms happening in the patient in accordance to the nature, state, and stage of his morbidity.

The mission of Science Based Evidence Based Ayurveda ( SBEBA) is to educate medical students in accordance with the highest professional standards to intellectually prepare them to practice the "Patient-centered Medicine" of the highest standard to identify and answer the fundamental questions in identifying the cause mechanism and treatment of diseases in accordance to the state and stage of patients. The goal of SBEBA is to emerge the leaders of Ayurvedic Medicine who will take the foundation of Ayurvedic Science to rationalize, evolve and emerge the finest quality in patient care, research, and education. SBEBA-oriented education enables them to apply the scientific principles of Ayurveda to the diagnosis, management, and prevention of diseases of the present and future. It also enables them to understand the subtlest changes happening in the body of the patient in accordance with the variations in stage and stage of their disease and thereby critical evaluation of the patient is possible in relation to his all activities. This process of critical appraisal will emerge the finest quality algorithms for treatment decisions. Thus SBEBA will enable Ayurvedic medical professionals to obtain a sufficient level of optimized medical knowledge vital to understand the basic facts, concepts, and principles of Ayurveda which are crucial for competent medical practice in Ayurveda. Data of the impact of conventional Ayurveda practice in relation to SBEBA-oriented practice are available in large volumes to explicit the reality about the relevance of the practice of Science-Based Medicine in Ayurveda.

SBEBA promotes Professionalism

SBEBA-oriented education in BAMS and MD and higher education will abolish the existing diffidence and slavery of Ayurveda medical professionals and help them to build up compassion, honesty, and integrity in their profession. This will also result in adherence to the highest ethical standards of professional judgment and conduct advised by the ancient scientists of Ayurveda in place of currently adopted mere business standards and conduct in the Ayurvedic healthcare system. It also helps to emerge a constant critical self-appraisal attitude towards self-knowledge and practice of the system and thereby emerges a healthy professional spirit and integrity among Ayurveda medical professionals. The rational standards of SBEBA could be applied to emerge prescription audit and clinical audit and thereby implement a standardized decision-making process a reality in Ayurveda. It enhances the spirit to constantly work hard in the principles of Science-Based Medicine of Ayurveda and thereby culture and refine their intelligence to upgrade their knowledge and professional skills and stay as responsible medical professionals in the society

Dr. Remya Krishnan MD PhD( Ay)

The Co Pioneer of SBEBA

Teaching Evidence Based Practice in Ayurveda

Science-Based Evidence Based Ayurveda ( SBEBA ) is a new paradigm for performing scientifically standardised clinical practice by the Ayurveda practitioners for the first time in the history of Ayurveda.SBEBA de- emphasizes unsystematic beliefs, self and shared experiences with medicines and treatments ,intuitions and empirical observations in patients and data sheets as sufficient grounds for clinical decision-making in Ayurveda and stresses the knowledge and practice of inbuilt logics and algorithms of Ayurvedic science in their place. The practice of SBEBA requires new and improvised knowledge and skills for learning and comprehending Ayurvedic scientific literature and its optimized mode of translation into the unique patient environment.
An important goal of SBEBA education is the practice of systematic and Precision oriented Ayurvedic Science-Based Medicine (SBM) in place of the current unsystematic and unscientific practice of Tradition oriented beliefs and experiences.SBEBA is thus an important mandatory tool for social justice by Ayurveda. It has immense potential to save man-days and thus improve the national and global economy.SBEBA has also a prominent role in national healthcare policy-making by implementing its inbuilt tools and methodologies based on the science of Ayurveda to inform the clinical decisions of physicians in a science-led standardized manner.
The clinical decisions are to be entirely based on evidence. But the evidence is to be based on precision logic in the Science of Ayurveda as Ayurveda is fundamentally a deterministic Science and Science led Medicine and not Probabilistic unknown compound-led data-oriented practice. Hence the best proof to demonstrate the scientificity and potential of Ayurveda is possible only by the inevitably sensible application of the science of Ayurveda. The most valid evidence to demarcate Scientific Medicine and charlatanism is the basement knowledge of Ayurvedic science itself which are transparent and reproducible in every period.

Teaching in Ayurveda
It is important that professional education of Ayurveda is to be redesigned and optimized by the knowledge of principles and practice of Science-Based Medicine in place of existing unsystematic Eminence Based Medicine or Experience Based Medicine. For that, the faculties of all disciplines should be first and foremost passionate in their system of practice and again for that they require continuous orientation programs to understand and apply science-based principles and algorithms. Learning science and acquiring professional degrees is what is happening today but to become an effective faculty or clinician beneficial to society as a medical professional/ faculty, one has to acquire the accurate comprehension of Shaasthraarthas ( the true intention of scientific verses) explained in Samhitas of Ayurveda and their sensible application. This is never taught and demonstrated ever in Ayurveda colleges and hence the existing curriculum is emerging medical graduates as diffident slaves who cannot even take care of the healthcare needs of themselves and their families. Here are the crucial necessities for Ayurveda faculties to become worthy for their students and society:

a. Faculties should possess sufficient clarity and objectivity in the concepts of this science that they teach and are supposed to train. If they cannot quickly explain and simplify the core principles and basics of the science of Ayurveda to their students, the students will never be able to grasp the intentions of what the faculties are delivering in class. Everything merely appears as stories and not Science and this is what is happening today.

b.Questioning to check the understanding of students in a particular topic is to be done by the faculties .instead of asking to reproduce verses alone ( learning scientific verses and byhearting them are also crucial but comprehending their real intentions and sensible application is vital). Hence applied questions are to be asked to students to encourage to develop a scientific temper in them which will uplift their true professional spirit.

c.Graphical representations - Codes, mind maps, and flow charts after teaching science help to summarise what they have grasped sensibly without losing the interrelationship between the different components. This will enable them to keep their comprehension of the topic alive in their brains.

d.Practice " Right" things-The scientific knowledge in Ayurveda is entirely practical and not crude and abstract theories and hence Ayurveda is a complete science. Hence students of BAMS itself should be constantly practicing what they are taught and demonstrated in a realistic patient environment, constantly verifying and analyzing the results of the same from time to time with simultaneous analysis of concepts and their logical application. This process is intended to scientifically sharpen and culture their intelligence and systems thinking technically termed " Shaastraarthakarmaanusheelana" which is inevitable to become a scientific practitioner( Bhishak) of Ayurveda.

e. Feedback to students on their particular tasks instead of praise- Today faculties are seen praising students mostly with vested interests and motives. If a faculty is genuinely interested in the intellectual progress of students, they care to recognize the individual strength and flaws with identical minds and advocate highly specific and specialized personalized strategies for their intended knowledge and progress. Thus they help students to develop integrity, professional spirits, and confidence in their system of Medicine.

f. Tasks to improve productivity- Quiz, workshops, debates, and different publishing initiatives will be constantly encouraged for students to incorporate problem-solving skills which serve as motivation for students in their process of learning and evolving

CONCLUSION
SBEBA is oriented based on the above kind of approach to emerging scientific practitioners in Ayurveda in place of current medicine prescribers and sellers. Ayurveda is Science-Based Medicine and not Medicine Based Science and healing ( responsibility) and not mere prescribing ( duty) is strictly advocated for Ayurveda physicians by the ancient Ayurveda scientists. Continuous learning, research, teaching, and practice and simultaneously required for an Ayurveda physician for his constant intellectual upliftment to do sensible practice and justice.

We can observe by watching but cannot learn!

We can observe a lot by just watching but cannot learn anything. A factual conclusion about any of our observations is possible only if we know the “Why & How” behind these observations. Science is that which incorporates knowledge for us to do reasoning in all our observations. Once we do inductive reasoning (observation-oriented reasoning) led by this Science (knowledge of laws of nature of man and universe), then there are fruitful conclusions or else it is similar to the observations made by a dog when it visits a market. It does not have any idea regarding the purpose of the visit and hence will roam here and there without any definite objective. Medical research is meant to save lives and the health of the patients by comprehending human body and the active cause mechanisms behind the morbidity and not merely do trial and error with unknown drugs and compounds. Testing new drugs by discarding the old ones because of detrimental side effects in many subjects led by observational research like what is happened in the case of the drug Remdesivir used in COVID-19 patients is a perfect example of unethical medical research led by empirical observation.
Testing a drug in modern times is that it is tested by randomized Control trials done in a random population observing for benefits and risks and such trials are counted as the golden standard of medical research today. Laboratory serendipity based on temporary observations of some identified benefits and identified and unidentified risks are getting approval as drugs in the Western Medicine market for use in human beings to block, mask, suppress or alter disease mechanisms addressed as “Treatments”. After the patients with an infective fever worsen hour by hour and day by day because nothing is known to be done to reverse the intrinsic cause of the progress of infection in tissues and claiming to study the disease by mere observation and empirical drug administration allowing the subject to die is not research but rather crime. COVID-19 is like any other viral fever and it is not the virus but rather the fever (immune response to the virus) that is addressed as disease. An infective fever can manifest and progress in accordance to multiple interlinked cause mechanisms active in the subject responsible for the progress of infection and the true culprit here is not really the non-living particle of the virus. Unless and until nothing is done in favor of the immune mechanisms of the subject to facilitate recovery, any time and every time, the infection can escalate to emergency. Instead of conducting a crucial study of multiple components impacting the progression of infection in the host, sharing external observations of different clinical manifestations in the patients through presentations and case reports putting blame on so believed to be a non-living thing as real culprit is not at all a desirable endeavour of a medical science. I do not consider it as progression in medical research, rather it is regression. Mere observations without attempting to understand the underlying subtle most and interlinked cause mechanisms will never improve the care of patients, no matter how much expensive technological interventions are used in observation. Research in Medicine should be an honest attempt to explore and conclude without disturbing the natural environment as much thus enabling to reach valid conclusions instead of uncertain observations.
When the patients of COVID -19 suffered from dry cough, difficult breathing, fever and fatigue, what is most important is to logically intervene upon the intrinsic cause mechanisms of infection which originally led them to the pathetic state and reverse them instantaneously by adopting precise strategies in favour of the immune mechanisms to naturally eliminate infection instead of researching on whether mechanical ventilation is better than rendering pure oxygen. It is so silly and primitive idea and worsely unethical to leave the patient to oxygen and uncertainity by doing nothing against the active pathogenesis which led them to the state. Another silly observational study is observing blood clots in patients with moderate to severe COVID Infection. If they had clots that they never had before the reason for the clotting is an undesirable immune response which could be either infection or immunization against infection or both. An honest research in the basic Science of immune system, infection ,and immunization will help to explore the reality and this was what is required in place of recommending risky blood thinning drugs to all moderate to severely infected patients.
Finally the observation led research in COVID-19 patients never led to any successful outcome in saving patients by reversal of disease or preventing illness in them and still possibility of endless mutations possible in every human being endless times open up new challenges for researchers. The more uncertainity-led treatments emerge, the more uncertainity led emergencies would also set in naturally as a consequence. Thus with the latest COVID-19 example itself, it is easy to prove that we can observe a lot by watching but can do nothing to reverse an ailment by merely watching

Dr. Remya Krishnan MD PhD( Ay)

MEDICINE WITHOUT STATISTICS

To have the right application of medical science, pure science must guide the choice and application of treatment Hence to have the sensible application of medical science, a science of “healing” must exist. Why do we neglect to seek the comprehension of a completely natural phenomenon of the emergence of the particular nature of the disease in man ( a natural creation) and blindly seek some unnatural means to block, mask or suppress ailments? Is it not a reductionist mode of approach to attempt to solve a natural problem by absolutely deviating from the causal mechanisms and nature of the problem and thinking of some external means to block, mask or alter the same?

India being addressed as a wise and civilized nation from the olden days must sensibly think of adopting those pure sciences which deal with healing diseases in man in place of the sciences selling unknown compounds under the label of Medicine. Everybody can earn millions of rupees by selling anything if they know business and marketing strategies but how few can heal people and stabilize their health fast and without messing with the knowledge and skills in the Science of healing! In fact the latter community deserves to be addressed as physicians as what they apply are sensible logic of Science of healing and not unstable data of unknown compounds

Science is not about empirical observation; it is very much about logical reasoning to understand and solve a problem in its own natural setting. We do not need statistics to understand why and how fever develops in man and for the same reason, we do not need statistics that emerge compounds to block fever. The intended therapeutic action in fever is to resolve fever along with its cause mechanisms and heal the subject as quick as possible and not block or mask the same.This is simple common sense to know. Disrupting a natural environment by some artificial means and calling it science is real nonsense. Science is the knowledge of the laws of nature. As diseases are natural phenomena in human beings, their solutions are also meant to be natural and that facilitates natural healing by the body itself by rendering Science led support in the diet and regimen of the sick subject and that is what medical science is intended to do. Statistics f unknown compounds show data of benefits and risks. Data can only help to show temporary benefit risks of unknown compounds and never help to “know “ WHY and HOW” the disease and WHY and HOW healing is possible. But if WHY and HOW are explored, the results of the sensible application of the healing process will originally show the Science of Healing instead of casual observations. Medicine without statistics would rationally explain the knowledge of healing. This knowledge of healing disease is crucial for anything to be addressed as treatment. Thus we do not need statistics to understand and reverse a disease but for that we crucially need the Science of man and the Science of healing in man.
When statistics is employed to analyse compounds for benefit risks also, there is no certainity that the compound will heal the subject. Then what is the benefit of knowing the compound and its mode of blocking disease along with risks ?? Statistics help pharma companies to sell their products effectively but there is no guarantee to heal man effectively. Thus a medical science is to emerge based on the Science of healing to deserve to be called a medical science and scientific publications of medical science must discuss this very science of healing instead of benefits risks of blocking, masking, and suppressing ailments
Dr. Remya Krishnan Ph.D. (Ay)

Assocaite professor & Head

Dept of Clinical Pharmacology,

RGAMC,Mahe

Some blatant truths on Pandemic

Even though we are forced to believe that COVID 19 is going to end ,in the past two years we have seen multiple lives lost and multiple sufferers comprising of atleast one in every home by some or other way. For the sufferers, it is not mere data but instead true suffering itself. And people have watched their dearest ones getting steadily sicker and often breathing their last. All these two years, we the Indians were pressurised to follow the guidelines of a single medical system for getting rid of infection. People were both threatened and frightened of new virus and its endless possible mutations by this system and inspite of the fact that there is so much that they do not understand about this viral fever, they were seeking all attention and appreciation from Government for all their experimental trial and error games irrespective of the fact that people are in eternal suffering and many dying continuously. They even successfully created an impact to such a detrimental level that oxygen cylinder deficit is the real reason for increased mortality in viral fever by enabling people to wash away their common sense from themselves for ever.

Western Medicine was given the entire rights and privileges to handle patients while other recognised medical systems were sidelined in India . There were medical systems like Ayurveda who counted viral fever as healthy immune response against virus (irrespective of the name and variety of virus)and immune system winning virus is counted as recovery by health which is possible by the scientific strategies of Science Based Evidence Based Ayurveda . We, the SBEBA practitioners do not mind whether it is old or new virus because we are learning to intervene upon the immune response and enabling to make it in favour of subject for his fast recovery from our medical science. But we were denied our own rights to handle the patients and enable them to get back to healthy lives but still we have enabled many who reached us without letting ourselves and them as well getting bothered about name of the infection. Who cares it is COVID 17 , 18 or 19 , only what matters is whether we enabled the patient to get back to his health in less than 2-3 days and this is what as physicians we are meant to do by our science. Nobody beat plates for us when we enabled patients who were in severe stages unresponsive to all the cocktail experimental drugs reverse to health and life fast, but we got deeply satisfied within for what we do in this panic stricken world when we find our healthy patients smile at us ready to face fearless life ahead. It was hard to watch many doctors getting sick and dying by still doing the best of what they know and do in themselves and covid 19 era enabled us to deeply recognise the value , quality and purity of our own medical system which guard us continuously when we attend patients absolutely without any worries for getting self infected even when we work in the midst of different kinds of patients without any PPE kits or face shields. When doctors feared deadly variants and their potent fatal impact, our own medical science ensured us that all is well as long as we meticulously take care of our innate immune intelligence.

When we seal our homes and sit inside , there is no guarantee that thieves will not enter our homes. Also when we seal our homes and sit permanently at home fearing thieves without doing anything , we may fall into panic or depression or anxiety and other physical problems too. To ensure protection from thieves, we need to improve security of our homes, efficient alert devices working and lock the thieves if at all entered by efficient man power and intelligence. Ultimately it is the thieves that are to be locked and not the homes and people living there .As long as a viral fever is considered , body has innate immune soldiers to fight and win all kinds of viral fevers and any infective fevers and our duty is to improve their efficiency constantly to cut down virulence of any pathogen and shut it down . For our immune system, name and strain of virus is immaterial and we have inbuilt mechanisms to destroy them and eliminate any kind of viral fever by our immune system and this simple straight common sense fact is thoroughly educated in the 5000 years old science of Ayurveda. It is not mere immune boosting that is recommended , rather it is highly specific and specialised immune efficiency improvement. In viral fever, destroying virus leads to recovery and health and not any post viral stage. Post covid stage itself is the clear cut evidence of mismanagement of the viral infection.

The present agony of people in the form of several old and new diseases inspite of all the so called interventions clearly reveal that still Modern Medicine has long way ahead to become prepared to handle a viral fever patient and people must finally know that this mere weakness of Modern Medicine should not be counted as virulence of virus or poor compliance of people to the guidelines of Modern Medicine. Unless this system gets ready to look inward , unlearn and relearn Infective fevers and biological immune response to different pathogens in living humans, this catastrophe will continue for ever.

Dr. Remya Krishnan MD PhD( Ay)

The Pioneer & Practitioner, SBEBA

SCIENTIFIC THINKING -MYTHS & FACTS

Scientific thinking is the process of translating an observable phenomenon in man or universe into a demonstrable, reproducible and measurable phenomenon based on individual unique cause circumstances. Objectivity and rationality are compulsory part of scientific thinking and scientific thinking of all kinds are intended to obtain conclusions regarding the laws of nature that govern man and universe regardless of interests and opinions of people. Scientific thinking also inculcate demonstrability and verifiability of cause mechanisms of all conclusions by logical arguments by an orderly explainable procedure which is rational and analyzable based on inbuilt knowledge of the phenomenon. Accuracy in understanding and communicability are crucial components of scientific thinking .

Value of understanding

In science , understanding matters more than discovery of something. Understanding reality may require to think freely from every kind of prejudice that is ingrained in conventional modality and the only purpose of understanding is exploring truth as it is . Understanding is interesting and more over exciting part of research because it is absolutely free from vested interests and career ambitions and therefore completely unbiased the purpose of which is to acquire command in the method of knowing the reality in its natural scenario.In Medical research, when I ask my students to do thesis on medicines , Iam not allowing them to explore the science of diagnosis and treatment of the situation because treatment is not equal to medicine ,treatment refers solely to the process of reversal of disease.When old medicines are discarded or new medicines are developed , it does never guarantee that treatment is fair or better as the latter happens only by deepening of the highly specific and specialized mode of understanding of cause mechanisms of disease and its mode of reversal. The old mistakes in comprehending and reversing the cause mechanisms of clinical situations can be recognized and rectified if and only when the clinical situations are lively studied and explored instead of going behind medications. This is what exactly scientific thinking in Medicine is intended to be . It is intended to save man and render protection to him by the scientifically accurate decision making thoughts and deeds of the physician and for this reason in Ayurveda, every physician is recommended to be a clinical scientists who pertinently employs the algorithms in science in variable clinical situations by constant research and refining of intelligence .

The theorems, laws and principles of a settled science like Ayurveda are not something which can be changed and hence they are meant to be comprehended rightly and seriously and judiciously learnt to apply in variable clinical situations.This is what exactly scientific method is and not sailing in the ocean of uncertainity endlessly.Scientific method is the constant process of refining natural intelligence and common sense of the scientists based on the existing knowledge of theorems , laws and principles of that particular system of science thereby enhancing the clarity and objectivity in their application and not randomly picking some idea, hypothesizing and testing it blindly and display the observations . Science has absolutely nothing to do assembling data and analysing , rather it has everything to do with the way we understand and apply the established logics in realistic situations for recognizing and solving problems.The past knowledge is the chief ingredient of our basement knowledge and understanding of any new problem.Only knowledge take us ahead in research and not any blind guess work or imagination. The latter are worth for making stories and not meant to explore and establish truth.Scientific method is not constantly flushing off and replacing old by junk by new junk rather it is an educated journey of taming common sense in science.It is the method of science led exploration of adopting most reliable methods to know and apply science and not statistics. It is not based on probability rather it is based on reliability. The rational demonstrable and verifiable logics pertaining to the phenomenon is the subject of scientific thinking and not blind observational data of may be- may not be. Science is not about data collection and analysis rather it is all about understanding laws of nature of man and universe and its accurate application for problem solving.

Misinterpreting statistical methods as scientific method in natural sciences is height of absurdity

Dr. Remya Krishnan MD PhD

The co pioneer of SBEBA

SCIENCE AND SCIENTIFIC TEMPER IN MEDICINE

Rejection of absolutely irrational , superstitious beliefs which are prima facie is inevitable for social health and wellbeing . Social progress originally happens with honest and dedicated efforts of society to develop higher standards of scrutiny for any rigid rules imposed by the power of rule. In an era of lies and evil marketing , it is important that every citizen must learn to culture basic common sense to distinguish truth from fake to safeguard themselves from falling prey to dangerous agendas.

It is important to keep in mind that science is not the exclusive of domain of certain so called scientists who have pursued the path of science in their career. Health Science for example refers to the basic knowledge of laws of nature, man and the interaction between both. If we closely observe the changes in our body itself in accordance to our variable activities like eating , starving, exercising, different emotions , before and after bowel movement, state of being hungry or not hungry etc, we get different clues regarding what makes you basically well or not and it is practically possible for each one of us to cultivate the habit of developing common sense to know when to eat, when to drink water, when to sleep, when to wake up, when to exercise, when to stop exercise etc if we follow these clues of our own body wisely by ourselves. No definition of health is taught to school students but at the same time, they learn about germs and antibiotics. They are never taught how immune system fight germs ,but rather they are imposed regarding how antibiotics fight germs. So for these children , they get a false notion that antibiotics are needed to kill germs in the body just as we spray cockroach repellants in the room to kill cockroaches. So here what happens is that certain beliefs and vested interests of a single particular system of Medicine regarding mode and manifestation of infections is forcibly imposed on these innocent kids thus shutting down their curiosity regarding how they fall sick by infection. Infection is not invasion of germs in the body .If it is so, then we would have been sick almost every time in life as germs are always present in our body. Infection is a healthy immune response to destroy any harmful germs or toxins and hence nature of this crucial immune response determines whether you will fall sick by infection and if sick also, in how much time you will need to recover, why and how. Today none of the people have clear cut idea regarding all these crucial matters and hence they endlessly suffer throughout their life. The crucial knowledge regarding what exactly that which is inside our body which make us prone to any infection and how we can resist it or win it are all explained in the science of Ayurveda . Germs are immaterial and hence not explained in this advanced and cultured science , infection is rather explained. This knowledge explained in this science did not emerge from superstitions or beliefs or ideas but are developed by brilliant ancient scientists of life science who had immense power of logical reasoning of cause effect relationship who conducted live experiments in populations for many years in multiple ways and the conclusive rationale behind different natural phenomena are proven and established thereby emerging theorems and laws of science. These fundamental theorems of Ayurveda are not tempting a true scientist of Ayurveda to close their inquisition but rather eternally open it for further inquiry by providing a much stable a solid scientific foundation of broad wholistic perspective of human body and its functioning. Religious dogma is built upon philosophy of ego and ignorance while shasthra or science tries to determine the unknown by a well educated method of enquiry which is constant and omnipresent.

Scientific temper:

Scientific temper is originally the process of Science ( knowledge) based reasoning , questioning and being open to questions after acquiring the fundamental knowledge of laws of nature .Scientific temper is not accepting something without appropriate logical reasoning done based on laws of nature of the particular instance with material facts for verification and confirmation. Material explanations are transparent and repeatable and not anything hidden or obscure. Shasthra sahita tarka ( science based reasoning) is mentioned as the best tool of clinical decision making by Acharya Charaka, the ancient clinician scientist of Ayurveda. He also recommended that any therapeutic accomplishment without rational justification based on principles of basic and applied science is just spontaneous cure with no credit to physician and should be abandoned. This very well points out to the fact that Ayurveda is developed by true scholars with highest form of unbiased scientific temper and selfless spirit for universal health and wellbeing. Every theorem, logic and principles of Ayurvedic science open multidimensional diagnostic and therapeutic inquiries in accordance to conventional healthcare scenario and requirements and this serve as best scientific foundation for natural updation of this medical system in every period , today and tomorrow as well. Such brilliant bottom layers and inputs are the structure of scientific substratum of Ayurveda.

Scientific inquiry

The hallmark of scientific inquiry is that the only reason to believe anything in real world is if evidence can be furnished for it. But at the same time there is no much clarity regarding the nature of emergence of evidence, the nature of clarity and quality of evidence emerged after testing through experiment and observation. The mode of emergence, clarity and quality are but very crucial components which originally determine the validity of an outbuilt evidence. For example we want to study coconut and we have taken different specimens of chestnuts and palm fruits to study coconut . We do not know anything about coconuts and not seen them but after hearing about the details we hypothesise that either chest nuts or palm fruits may be coconut and we initiate collecting data of them . Even when we perform impartial, unbiased and objective analysis of data of chestnut and palmfruit for hundred years also and classify and analyse them, it not possible to attain even a minimal knowledge about the real object of inquiry coconut even after a century and this happens because the researchers have absolutely no basic knowledge regarding the specific details of coconut and by blindly experimenting the unknown with something, it is not possible to explore the reality. Ultimately research is meant to explore the reality and not for blindly disproving hypothesis after hypothesis . That is only staying in fool’s paradise and not research. Research should be always backed by accurate knowledge of fundamental details of subject of research which is to be kept as standard for guidance and operation. The knowledge of laws of nature of man and universe did not emerge by falsification, they have emerged by testing and verifying logics of respective sciences by multiple scientists by multiple ways are fundamental truths established by cause effect relationship. Hence Physics, Chemistry, Mathematics etc are real sciences which deserve for applied research to explore further by their innate logics, theorems and principles which can be traversed from general to specific most details ( not specific to general) with explanatory adequacy of inbuilt logics and repeatable by other learnt persons also which is another important hallmark of scientific method.

So what I mean to say is that blind experimentation and observational data of the same does no way guarantee that research gets fruitful and meaningful in future. There can be variable observations by the same experiment performed in variable environment and man is a perfect example for variable internal and external environment. So cause mechanisms of results give meaning to research rather than mere observational data oriented results of the research. The cause mechanisms (WHY and HOW) are to be replicated to understand the real logic of working of phenomena subjected to research rather than mere data of observations. Every drug of Western medicine produces some benefits and risks for sure as they are targeted to certain receptors for blocking , masking, suppressing, altering etc of different enzymes, hormones and channels and that does never mean they are the ultimate solutions for different disease conditions . Working for temporary data of benefits and risks are not same as working for reversal of cause mechanisms of disease . For an unknown compound drug to be known as scientific medicine, there should be innate logics of working of the medicine to reverse the cause mechanisms of the disease and thereby intended to reverse the disease. Astronauts are space scientists who apply science of astronautics to practical use of their work and in the same way medical doctors are to apply the Science of humanbeing and Science of identification and reversal of disease to heal people to be called as scientific Medicine. When statistics is applied in place of Science of man, it becomes only “statistical medicine” and never scientific and this is what is happening today.

Science is not doing experiement , rather it is knowing to do experiment by knowledge foundation of theorems , laws of principles of working of man and nature. The knowledge of Science is not falsifiable simply because the laws of nature are not falsifiable.They are objective and universal truths , it is true and works true everywhere regardless of whether one approves or not. For example, by applying Newton’s laws of motion, humans travelled to Moon and satellites are sent to orbits around the earth. So the scientific experimental missions follow science and not the empitical data sheets of statistics.

Knowledge begins from Science and ends in Science

Albert Einstein once told ;” If I had an hour to solve a problem, I would spend 55 minutes thinking about the problem and five minutes thinking about the solutions” and this is what a genuine scientist does . Solutions emerge from problems and not from outside. This medicine in that disease approach of research focuses on new drug development from unknown compounds by biostatistics instead of going deep into the disease and its nature of origin, onset and manifestation in the host. This is reductionist, unscientific and unethical in solving health hazards of man which is a dynamic natural creation on earth. When we ponder into the problem by understanding the nature of problem, we discover that there are multiple facets to the problem and we need to study these multiple facets in man itself instead isolated setting inorder to emerge solutions which may or may not even require any drugs . Disease is not deficiency of drugs in the body. How to think what to do to solve the problem in specific in specific condition is explanable only by a natural science and never by a reductionist tool of statistics.

Conclusion

Scientific method is following science and not data sheets of statistics. When scientific discoveries of Medicine are put to use, it benefits the entire humanity by saving lives and health of people instead of producing uncertainity led falsifiable benefit risks of unknown compounds. For Modern Medicine where the treatment is always unknown compounds to suppress, mask or alter diseases , Biostatistics is mandatory to prove that drugs work by producing benefits and risks but that is not the case of Science Based Medicine like Ayurveda which is based on solid science of man and explain logics solely for healing man and not do any adjustments. Developing scientific temper is the process of cultivating true knowledge about what is science and scientific method right from childhood and promote true rationalism in place of pseudorationalism and their critical thought process. It will be a true tribute to ancient scholarly scientists of the world who cared to emerge truth by their research instead of emerging results with vested interests

Dr. Remya Krishnan MD PhD ( Ay)

Stories

AYURVEDA PROFESSIONAL EDUCATION NEEDS EVOLUTION BEFORE REVOLUTION

AYURVEDA PROFESSIONAL EDUCATION NEEDS EVOLUTION BEFORE REVOLUTION

AYURVEDA PROFESSIONAL EDUCATION NEEDS EVOLUTION BEFORE REVOLUTION

WHY MEDICINE NEEDS RENOVATION TO HEAL PEOPLE ?

The History of SBEBA

The History of SBEBA

The History of SBEBA

The History of SBEBA

When True Science gets forbidden by ignorance

THE NEED FOR SCIENCE BASED EVIDENCE-BASED PRACTICE IN AYURVEDA

SOME FAIR QUESTIONS AND ANSWERS

THE EVIDENCE BASED PRACTICE OF SCIENCE BASED MEDICINE

THE EVIDENCE BASED PRACTICE OF SCIENCE BASED MEDICINE

THINKING OUTSIDE THE BOX IN CLINICAL PRACTICE

AYURVEDA- WHERE IS THE EVIDENCE

WHY SBEBA CRUCIAL FOR AYURVEDA PROFESSIONAL EMPOWERMENT?

Teaching Evidence Based Practice in Ayurveda

We can observe by watching but cannot learn!

MEDICINE WITHOUT STATISTICS

Some blatant truths on Pandemic

SCIENTIFIC THINKING -MYTHS & FACTS

SCIENCE AND SCIENTIFIC TEMPER IN MEDICINE

Search