Co- authorsDr. K.S.Patel

Dr. V.K.Kori

Dr. Rajagopala S.

DEPARTMENT OF KAUMARBHRITYAInstitute for Post Graduate Teaching & Research in Ayurveda

Gujarat Ayurved University, Jamnagar - 361008 (India)

Author Dr. Neha Patel

ROLE OF AYURVEDA LIFE STYLE IN THE MANAGEMENT OF

CHILDHOOD BRONCHIAL ASTHMA (A LIFE STYLE

DISORDER)

INTRODUCTION

HUMAN RACE

EVOLUTION DEVELOPMENT

Change in

CULTURE TRADITION

Effects On The LIFE STYLE Of An Individual

INDIA HAS BURDEN OF LIFE STYLE DISORDER !

Developing Countries

INDIA

Population Explosion

Poor Sanitation

IlliteracyScarcity of Resources

Inadequate Health Services

Introduction

This escalates magnitude of economic burden on individual families and nation as a whole

Pediatricpopulation

³aex

Increased Expectation of parents

Very tight schedule of Study

zaek

Social & Psychological Issues Affecting Children

Severe Competition

Early and heavy burden of career

_ay

ic<ta

INDIAN CHILDRENSOCIAL FACTOR

PSYCHOLOGICALFACTOR

DIETETIC INDIVIDUAL

i. Population Explosionii. Povertyiii. Illiteracyiv. Low living Standard

i. Stress ic<ta

ii. Irritability zaek

iii. Fear _ay

iv. Anger ³aex

Increased use ofi. Junk & tinned Foodii. Ice-cream iii. Chocolatesiv. Lack of meat & animal protein in diet

i. Unawareness of nutritional value of Food

ii. Choosy about taste of foodiii. Lack of Hygiene

PHYSIOLOGICALFACTOR

i. Immature digestive system

ii. Low Immunity iii. Increased nutritive

demand

FACTORS AFFECTING THE LIFE STYLE OF CHILDREN

“Therefore, very small change in the life style of children can grossly affect their health.”

Life style changes

@ level of

Emotion

(Family and social life)

Environment

Seasons

Daily routine (Diet and

routine activity)

Society (Social life)

Children

More prone

Age of growth and development

Lack of awareness

about the health

Increased nutritional

demands

Low immunity against

infectionsSystems and organs

are in developing

conditions

CHILDREN AND LIFE STYLE DISORDER…

Bronchial Asthma is such a Life Style Disorder.#

As stated by W.H.O-100–150 million of global population are

suffering from Bronchial Asthma, out of which 1/10th are

Indians and the prevalence of asthma is increasing in children.*Ayurveda considers the disease as Tamaka Shvasa and explain itin detail.Classics suggest many etiological factors due to faulty diet andlife style.Continuous and drastic change in the life style of modernman is the root for diseases like bronchial asthma.Though the line of treatment is explained in detail, along withthese treatment modalities, following of Dinacharya (dailyroutines), Ritucharya (seasonal protocols), and Shodhana therapyto maintain the health and treat the disease is found to be morepromising to reduce the disease burden.This study considers today's life style etiology and life stylemanagement for bronchial asthma.

* http://www.who.int/about/copyright/en/ copyright WHO 2014.

# World Health Organ.Bronchial Asthma: scope of the problem, Available from: http://www.who.int.

• To evaluate the role of life style changes as

an etiological factor of childhood bronchial

asthma.

• Discussion on the scientific background of

the Ayurveda Dinacharya, Ritucharaya and

Ayurveda remedies used for bronchial

asthma.

Aims & Objectives

Materials & Methods

The details of the concerned subject have been obtained from

various sources such as-

Classical literatures of Ayurveda

Modern texts

Online searches

Papers (Ayu journal publications etc)

Support groups etc.

DISCUSSION

• Ayurveda describes the Nidana Panchaka of the

diseases but many of these etiological factors are

modified in today's era and also there are some new

etiological entities exist today.

• In order to understand the disease modality in today's

era, one has to consider the changes in life style to pick

new etiological factors and to improve the

management.

DIET

REFRIGERATED FOOD

CURD

ICE-CREAMS

COLD DRINKS

CHOCOLATES

LACK OF BREAST

FEEDING

BAKERY PRODUCTS &

Junk Food

FORCED FEEDING IRRESPECTIVE OF

HUNGER

IRREGULAR MEAL TIMINGS

Pollens

Pollution

Overcrowded houses &Congested construction

Cloudy and Cold seasons.

Damp on the house wall

OUTDOOR ENVIRONMENTAL ETIOLOGICAL FACTORS

Costal Cities like Jamnagar

Cold Water Bath Keeping Pet inside house

Over ExertionSmoking inside the house

INDIVIDUAL ENVIRONMENTAL ETIOLOGICAL FACTORS

Stress & Anxiety

Lack of Exercise

GENETIC PREDISPOSITION : FACTS AND FALLACIES

There are many diseases which have inheritance. Studies

suggest that bronchial asthma also have genetic predisposition.

Environmental factors have the impact on the expression of the

genes and disease in the next generation. Hence it’s very clear that

though genetic diseases have predisposition/risk, it can be prevented

from expression with the proper care of the internal and external

environment with the proper Dinacharya and Ritucharya. Bronchial

asthma is also such disease. With proper and healthy diet, daily

routine, prevention from the triggering factors like dust, pollen etc

and doing the Ayurveda Shodhana one can prevent the expression of

the disease.

Reference - Gakidou E, Oza S, Fuertes CV, Lee DK, Sousa A, Hogan MC, et al. Improving child survival through environmental and nutritional interventions: the importance of targeting interventions toward the poor. JAMA 2007; 298:1876-87.

PREVENTIVE ASPECTS IN LIFE STYLE

• Nitya Sevaniya Dravya (Healthy Diet with Healthy

Diet Habits)

• Dinacharya

• Ritucharya

• Rasayana Sevana

• Role of parents

List of such Nitya Sevaniya Dravya (healthy food items) Ch. Su.6

• Purana Shali (old rice)

• Mudga (green bean)

• Saindhava lavana (Rock salt)

• Amalaki (Indian raspberry fruit)

• Yava

• Antariksha Jala (in todays context one can use purified water)

• Milk (especially cow’s milk)

• Ghee (especially cow’s milk)

• Jangala Mamsa (Meat)

• Madhu (Honey)

One can consider it as daily dietary regime to maintain the health.

DINACHARYA

All above daily routine activities are useful to maintain the normal functioning of the Vata Dosha

and prevent Pranavaha Srotorodha.

Regular food habits helps in proper digestion and ultimately boost the immune system of

children.

Early morning wake up

Evacuation of bowels (Regular toilet habits)

Brushing the teeth

Massage

Regular food timings

Regular sleep pattern

Exercise

RITUCHARYA

• Following the seasonal protocols for six seasons, viz.

Hemanta, Shishira, Vasanta, Grishma, Varsha and

Sharada.

• Especially there are increased attacks of bronchial

asthma in Cold seasons (Hemanta and Shishira) and

springs (Vasanta).

• So doing the Vamana Karma as a part of Swasthavritta

is beneficial.

RASAYANA SEVANA

• Chyavanaprasha

• Vardhamana Pippali Rasayana

• Madhunmalini Vasnta Rasa

• Agastya Haritaki Leha (Kshaudra Abhaya Prasha) *

* Ch. Su. 21

ROLE OF PARENTS IN PREVENTION OF LIFE STYLE DISORDERS

• In case of pediatric population role of parent is very important.

• As children follow their parents, parents should also follow healthy life

style.

• Parent should rear them with proper nutritional care, hygienic habits and

emotional bonding.

• Encourage them to follow the healthy life style from childhood itself i.e.

Ayurveda Dinacharya and Ritucharya for the healthy, happy and

productive life .

• Encourage for home made food, outdoor games.

• Parents should not give the burden of over expectations to their children.

• Avoid the burden of career, and stress to children.

CONCLUSIONEtiological factors for disease are

multiple but prevention is the singleway to reduce the burden. Changing lifestyle changes the food culture of humanbeing. Refrigerated food, curd, ice-creams, cold drinks, chocolates, andbakery products, junk food is found tobe main factors in disease (BronchialAsthma) etiology. Late nightsleeping, excessive use of TV, electronicmedia, faulty child rearing, increasedstress, anxiety and burden of career tochild are also life style changes that areresponsible for persistence of disease incommunity. Whatever the etiologicalfactors including the geneticpredisposition and course of diseasepathology, the Ayurveda fundamentals

of life style likeDinacharya, Ritucharya, AcharaRasayana and use of RasayanaDravyas looks promising to reduce thedisease burden. All these protocol arecost effective and easy to administereven in today’s life style, and thereforehave very crucial role to prevent the lifestyle diseases like bronchial asthma.