Integration of Ayurvedic Medicine in Public Health Delivery System at primary level for UHC - An Evidence Based Study
Abstract
Background: In developing country like India it is very difficult for people of low socio-economic status to get access to healthcare and in case they seek healthcare, cost of medicines becomes major reason for out of pocket expenditure, as all the medicines are not available in PHC. Objective: To collate Ayurvedic medicine with Allopathic medicine to provide choice of treatment to patient in view of UHC. Methods: A literature review on Ayurvedic drugs (single drug and formulations) was done after prioritizing the diseases for our study based on National programs and other frequently seen diseases in Primary healthcare (PHC). Evidence was collected in two ways, first by pure Ayurvedic evidence based on Samhitas and second was based on modern techniques and then tabulated. Results: Ayurvedic drug list for Primary Health Care was formulated based on available modern as well as Classical evidence and tabulated in the form of a table. Conclusion: Ayurvedic drugs can be integrated in PHC to provide universal health care at primary level.
Downloads
References
Ashok Kumar Bagepalli Srinivasa, Lakshman Kuruba, Saleemulla Khan, Gopi Setty Saran, Anti urolithiatic activity of gokshuradi churan, an ayurvedic foermulation by invitro method, Adv Pharm Bull. 2013 Dec; 3(2): 477–479
Inder K. Makhija, Chandrashekara S. Shreedhara, H. N. Aswatha Ram Pharmacognosy, Mast cell stabilization potential of sitopaladi churan: an ayurvedic formulation; Res. 2013 Oct-Dec; 5(4): 306–308
Manisha R. Sharma, Charmi S. Mehta, Dipali J. Shukla, Kalapi B. Patel, Manish V. Patel, Shiv Narayan Gupta, Multi model ayurvedic management for sandhigata vata(osteoarthritis of knee joints); Ayu. 2013 JanMar; 34(1): 49–55
Sudesh Gyawali, Gulam Muhammad Khan, Shreekrishna Lamichane, Jaya Gautam, Saurav Ghimire, Rashmi Adhikari, Reshma Lamsa, Evaluation of antisecretory and anti ulcerogenic activities of avipattikar churan on the peptic ulcers in experimental rats; lJ Clin Diagn Res. 2013 Jun; 7(6): 1135– 1139. Published online 2013 Jun 1.
Mansi B. Modi, Shilpa B. Donga, Laxmipriya Dei, Clinical evaluation of ashokarishta, ashwagandha churan and prawal pishti in the management of menopausal syndrome; Ayu. 2012 Oct-Dec; 33(4): 511–516
Kai Lu, Debanjan Chakroborty, Chandrani Sarkar, Tingting Lu, Zhiliang Xie, Zhongfa Liu, Sujit Basu, Triphala and its active constituents chebulinic acid are natural inhibitors of vascular endothelial growth factora mediated angiogenesis; PLoS One. 2012; 7(8): e43934. Published online 2012 Aug 24.
Manish V. Patel, S. N. Gupta, Nimesh G. Patel, Effects of Ayurvedic treatment on 100 patients of chronic renal failure (other than diabetic nephropathy); Ayu. 2011 Oct-Dec; 32(4): 483–48
Mamta Kumari, B. K. Ashok, B. Ravishankar, Tarulata N. Pandya, Rabinarayan Acharya, Anti inflamatory activity of 2 varieties of pippali( piper longun linn), Ayu. 2012 Apr-Jun; 33(2): 307–310.
Vivek Sharma Dr, A clinical study of efficacy of vyoshadi gutika and pippaliyadi churna avapida nasya in the management of pratishyaya, From 5th World Ayurveda Congress 2012 Bhopal, Madhya Pradesh, India. 7-10 Dec 2012 Anc Sci Life. 2012 Dec; 32(Suppl )
Gloria Karkada, K. B. Shenoy, Harsha Halahalli, K.S. Karanth, Nardostachys jatamansi extract prevents chronic restrained stress induced learning nad memory deficits in a radial arm maze tas;k Nat Sci Biol Med. 2012 Jul-Dec; 3(2): 125–132.
Aditya Ganeshpurkar, Shubhangi Jain, Sonam Agarwal, Experimental studies on glycolytic enzyme inhibitory and antiglycation potential of triphala; Ayu. 2015 JanMar; 36(1): 96–100.
Milind Parle, Nitin Bansal, Anti amnesic activity of an ayurvedic formulation chyavanaprash in mice; Evid Based Complement Alternat Med. 2011; 2011: 898593. Published online 2011 Jun 5.
G. S. Prashanth, M. S. Baghel, B. Ravishankar, S. N. Gupta, Miten P. Mehta, A clinical comparative study of the management of chronic renal failure with punaranavadi compound; Ayu. 2010 Apr-Jun; 31(2): 185–192
B Kalsariya, P Prajapati, P Vaishnav, L Singh, S Gupta, B Patgiri, Amalaki rasayana, an ayurvedic preparation: to evaluate its effect against experimental gastric ulcers in albino rats; BMC Complement Altern Med. 2012; 12(Suppl 1): P11. Published online 2012 Jun 12.
Divya Pillai, Nancy Pandita, Determination of quality standards for drakshrishta, a polyherbal ayurvedic formation; Indian J Pharm Sci. 2016 Jan-Feb; 78(1): 129–135.
Raja Ram Mahto, Alankruta R. Dave, V. D. Shukla, A comparative study of rasona rasnadi ghanvati and simhanada guggulu on amavata with special reference to rheumatoid arthritis; Ayu. 2011 Jan-Mar; 32(1): 46– 54.
Shaizi Layeeq, Anup B. Thakar, Clinical efficacy of amalaki rasayana in the management of pandu(iron deficiency anemia ;Ayu. 2015 Jul-Sep; 36(3): 290–297.
Ritesh A. Gujarathi, Rambabu Dwivedi, Mahesh Kumar Vyas, An observational pilot study on the effect of gomutra haritaki, diet control and excersise in the management of sthoulya(obesity); Ayu. 2014 AprJun; 35(2): 129–134.
Narendra Singh, Mohit Bhalla, Prashanti de Jager, Marilena Gilca, An overview on ashwagandha ; a rasayana( rejenuvator of ayurveda) ; Afr J Tradit Complement Altern Med. 2011; 8(5 Suppl): 208– 213. Published online 2011 Jul 3.
Anamika Soni, Kalapi Patel, S. N. Gupta, Clinical evaluation of vardhaman pippali rasayana in the management of amavata (rheumatoid arthritis; Ayu. 2011 Apr-Jun; 32(2): 177–180.
B. K. Ashok, B. Ravishankar, P. K. Prajapati, Savitha D. Bha, Anti pyretic activity of guduchi ghrutha formulations in albino rats; Ayu. 2010 Jul-Sep; 31(3): 367–370.
Gajendra Kumar, Amita Srivastava, Surinder Kumar Sharma, Yogendra Kumar Gupta, The hypolipedimic activity of Ayurvedic medicine , Arogyavardhini vati in Triton WR-1339- induced hyperlipedimic rats: a comparision with phenofibrate; Journal of Ayurveda & Integrative Medicine | July-September 2013 | Vol 4 | Issue
K.P.Sampath kumar*, M.Umadevi, Debjit Bhowmik, Durgesh Mohan Singh, A.S. Dutta, Recent trends in medicinal uses and health benefits of Indian traditional herbs aegke marmelos); www.thepharmajournal.com Vol. 1 No. 4 2012
Ruchi Yadav , Varun Tyagi , Sachin N Tikar, Ajay K Sharma, Murlidhar J Mendki, Ashok K Jain, Devanathan Sukumaran, Differencial larval toxicity and oviposition altering activity of some indigenous plant extracts against dengue and chikunguniya vector Aedes albopictus; J Arthropod-Borne Dis, December 2014, 8(2): 174–185.
Siu Kuin Wong, Yau Yan Lim, Noor Rain Abdullah, Fariza Juliana Nordin2Wong et al, Assesment of anti proliferative and anti plasmodial activities of five selected apocyanaeceae species; BMC complementary and Alternative Medicine 2011, 11:3
Pooja Sharma, Rajiv Sharma, H. S. Rao and Dinesh KumarSharma et al, phytochemistry and medicinal attributes of A. scholaris : A review; IJPSR, 2015; Vol. 6(12): 505-513.
Giby Abraham. Global J Res. Med. Plants & Indigen. Med. | Volume 3, Issue 7 | July 2014 | 303–311 31. Raj K.Tiwari, R. Pandey, S. S. Shukla, Prashant Tiwari, H. Shah; A review on hepatoprotective herbs used in Ayurveda; Research Journal of Pharmacognosy and Phytochemistry. 6(3): July- September, 2014, 122-125
Archana Giri, Lakshmi Narasu Mangamoori Soma Roy, Kiranmayee Rao, Ch. Bhuvaneswari, Phytochemical analysis of andrographis paniculata extract and its anti microbial activity; World J Microbiol Keerti Gautam, Padma Kumar & Sawitri Poonia, J Vector Borne Dis 50, September 2013, pp. 171–178
Leon IC Tang, Anna PK Ling, Rhun Y Koh, Soi M Chye and Kenny GL Voon, Tang et al, Screening of antidengue activity in methanol extracts of medicinal plant; BMC Complementary and Alternative Medicine 2012, 12:3.
K. Sangeetha and S. Rajarajan Sangeetha and Rajarajan, invitro antiviral activity of Indian medicina plants to asian and east central south African lineates of chikunguniya virus; IJPSR, 2015; Vol. 6(2): 692-697.
Nishan Chatterjee, Sunipa Biswas, Nimai Chandra Saha, Surjyo Jyoti Biswa, Andrographis paniculata a traditional herb with pharmacological properties : a review; Global J Res. Med. Plants & Indigen. Med. | Volume 3, Issue 5 | May 2014 | 206–214
Purva D. Bhatter, Pooja D. Gupta, and Tannaz J. Birdi, Activity of medicinal plants extract on multiplication of mycobacterium tuberculosis under reduced oxygen conditions using intracellular and axenic assays; Hindawi Publishing Corporation International Journal of Microbiology Volume 2016, Article ID 8073079, 6 pages
Dhrubajyoti Das, Maina Borah, Anil Kumar Singh, Robin Das and Hari Prasana Deka Boruah Das et al, molecular docking of phytochemical as ftsz cell division protein inhibitor in mycobacterium tuberculosis; IJPSR, 2015; Vol. 6(1): 463-472.
S IGNACIMUTHU and N SHANMUGAM, anti microbacterial activity of two natural alkaloids, vasicine acetate and 2- acetyl benzyl amine, isolated from Indian shrub adhtoda vasica Ness. leaves J. Biosci. 35(4), December 2010, 565–570,
Soundhari Chidambaram and Rajarajan Swaminathan, determination of antitubercular activity of four Indian medicinal plants against mycobacterium tuberculosis by broth microdilution method; IJPSR, 2013; Vol. 4(10): 3932-3937
S. Chidambaram and R. Swaminathan, invitro anti microbacterial activity of selected Indian medicinal plants to resistant strains of micobacterium tuberculosis; IJPSR, 2016; Vol. 7(10): 4130-4133.
N. Maithili Karpaga et al, Efficacy of Turmeric as an adjuvant therapy in type -2 diabetes patients; Indian journal of clinical bio chemistry, April- june: 2015 ;30(2): 180-186.
Jayashreeshriram Dewane et al, Preventive and protective effect of nishamalaki in STZ induced diabetic complications in wista r rats; Journal of clinical and diagnostic research,:2016;june, vol10(6).
Inayat U Rahman et al, Lower hypoglycaemic but higher antiatherogenic affects of bitter melon than glibenclamide in type -2 diabetes patients; nutrition journal :2015;14:13
Asma Jalil et al, Screening and design of anti diabetic compounds sourced from neem (Azadiracta indica ) ;Bio information Vol 9(20).
Narsingh Verma et al, A Multicentric clinical study to determine the efficacy of a novel fenugreek seed (Trigonella foenum – graceum ) extract ( fenfuro TM ) in patients with type 2 diabetes, food and nutrition research :2016.
Dick William R et al, Reduction of fasting Blood glucose and haemoglobin A1C using oral Aloe vera : A meta snalysis, Mary Ann Libert publications, vol 22 , issue 6, june 17:2016.
Sinimol T.P et al, Anti dyslipedemic effect of the stem bark of chirabilwa (Holoptelea Integrifolia planch) – A clinical trial ; global journal research in medicinal plants and indigenous medicine; vol 3, issue 5: may 2015
Rodrigo Arreola et al, Immunomodulation and anti inflamatory effects of garlic compounds; journal of immunology Research; vol 2015.
Lau K. K et al, Garlic intake is an independent predictor of endothelial function in patients with ischemic stroke :2006 .
Douglar lobay, Rowalfia in the treatment of hypertension, Integrative medicine ; Vol 14, No 3 : June 2015
Mozzaffari – Khosravi et al, Effect of ginger supplementation on Pro inflammatory cytokinines in older patients with osteoarthritis, outcomes of RCT : 2013.
Shirin Parvazi et al, the effect of Aqueous extractmetabolome of P. falciparum using 1HNMR Spectroscopy, Journal of Tropical medicine:20
Nisar Ahmad et al,Dengue fever treatment with Caprica Papaya leaves, Asian Pacific Journal of Tropical Medicine, 2011, August : 1 (4): 330- 333.
Mark Mourice Cohen, Tulsi ocimum sanctum, a herb for all reasons, Journal of ayurveda and integrated medicine, October- December 2014, vol(5), issue (4)
Abhimanyu kumar et al, A clinical study on pandu roga iron deficiency anaemia with trikatyadi loha suspension in children, journal of Ayurveda and integrative medicine, October – December 2012, vol (3), issue (4)
Jothsna shree nagesh et al, Anti bacterial efficacy of triphala an in vivo study, Indian journal of dental research 23(5):2012
Suneeva S christa et al, Modulatory effect of Chandraprabhavti on anti microbial peptides and inflammatory markers in kidneys of mice with urinary tract infection, Indian journal of kidney diseases, vol (7) no (5), September 2013.
Central Council of Research in Ayurvedic Sciences. http://www.ccras.in (accessed 28th November 2016).
Journal of Ayurveda and Integrated Medical Sciences (JAIMS) retains the copyright of the contents of this journal but grant the readers the right to use the contents with terms and conditions under a creative common attribution licenses 4 of Attribution, Share Alike and Non-commercial type (CC BY-NC-SA) that allows copy, distribute, display, and perform the work and make derivative works based on it only for non-commercial purposes.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
