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
